Chamber and committees

The Health Protection (Coronavirus) (Requirements) (Scotland) Amendment (No. 2) Regulations 2021, which amend the Health Protection (Coronavirus) (Requirements) (Scotland) Regulations 2021, were made today and will take effect on Friday, 1 October 2021, with the offence provisions coming into effect on 18 October.

The Regulations implement the Scottish Government’s COVID-19 vaccine certification scheme. The scheme is intended to add to the other control measures currently in place and help reduce the rate and impact of transmission of coronavirus while seeking to alleviate the economic harm caused by its transmission. The Regulations support the Scottish Government’s strategic intent to “suppress the virus to a level consistent with alleviating its harms while we recover and rebuild for a better future”.

In line with our strategic intent, the COVID-19 vaccine certification scheme will allow us to meet the following aims:

• reduce risk of transmission;

• reduce risk of serious illness and death and in doing so alleviate pressure on the healthcare system;

• to allow high risk settings to continue to operate as an alternative to closure or more restrictive measures; and

• increase vaccine uptake.

The Regulations provide that late night premises and premises where a relevant event is taking place must operate a reasonable system for checking that persons on, or seeking to enter, their premises are fully vaccinated against coronavirus or are exempt from the requirement to demonstrate that they are fully vaccinated. Relevant premises must also prepare a compliance plan describing how their systems will operate and other measures in place to prevent or minimise the spread of coronavirus.

The Regulations enable a local authority to take appropriate steps to enforce the requirement to operate a vaccine checking system and introduce a right of entry for persons designated by a local authority to enter premises to which this requirement applies. The Regulations also remove capacity limits on stadia and live events above which a capacity exemption application must be approved by a local authority.

The Regulation provides that the system will come into place on 1 October but that the enforcement provisions will be delayed until 18 October, when those provisions come into effect.

The regulations amended by this regulation require Scottish Ministers to review the requirements at least once every 21 days and the regulations require Scottish Ministers to revoke any requirement as soon as it is no longer necessary.

The Regulations have been published at https://www.legislation.gov.uk/ssi/2021/349/contents/made .

The Scottish Government works closely with stakeholders to amplify key campaign messages and ensure we are continuously aspiring to communicate effectively to the population of Scotland, delivering messaging in an inclusive way to reach all geographies and seldom heard communities, which includes those experiencing homelessness.

The Scottish Government also works very closely with Local Authorities, and provides regular updates on marketing activity and coronavirus-related information. The feedback we receive from Local Authorities helps shape our communications offering, and their distribution channels allow us to reach grassroots organisations and target communities with relevant messaging.

An appointment is no longer required to receive a COVID-19 vaccine as all health boards now offer drop in vaccinations to those who have not had a first dose and to those for whom it has been more than 8 weeks since receiving their first dose.

The homelessness status of those being vaccinated is not recorded at the time of vaccination. By the nature of homelessness short or long term, this data would be difficult to track. As of 31 August 2021, 91% of people in Scotland have had a 1st dose of a COVID-19 vaccine. An appointment is no longer required as all health boards now offer drop in vaccinations to those who have not had a first dose and to those from whom it has been more than 8 weeks since receiving their first dose. We continue to work with our partners and stakeholders to communicate to the entire population, including seldom heard communities on the importance and availability of vaccination for COVID-19.

Scottish Government officials have had informal discussions with the manufacturer, Gilead Sciences, to provide early access to sacituzumab govitecan (Trodelvy ® ) on an individual patient case by case basis in line with standard processes for such circumstances before it is submitted to the Scottish Medicines Consortium for health technology assessment.

Everyone aged 18 and over on (and including) 31 October 2021 has now been invited for their first dose of the COVID-19 vaccine. This includes adults experiencing homelessness and rough sleeping.

In Spring 2021, following new advice from the JCVI, priority group 6 was expanded in Scotland to include people experiencing homelessness and rough sleeping.

Homeless services across the country were consulted to inform the delivery model for this community to ensure they are offered the COVID-19 vaccination in a suitable way. Following on from this, an assertive outreach model has been adopted by Health Boards across Scotland, in partnership with frontline local authority and the third sector, to reach those experiencing homelessness. For example, vaccinations have been taken to people in temporary accommodation and at support service premises. These sessions have been organised in partnership and attended by known and trusted support workers to provide support and reassurance for people. This outreach approach continues to be taken by Health Boards to ensure that people experiencing homelessness come forward for their second dose vaccination.

Scottish Government officials continue to discuss progress on inclusive outreach approaches with all Health Boards on a regular basis and learning is shared between Health Boards. More information on the rollout of the COVID-19 vaccination programme can be found in the Covid Vaccine Deployment Plan which was last updated in July 2021.

The Scottish Government does not hold this information.

In December 2019, we published a Neurological care and support framework for action with a vision to ensure everyone with a neurological condition, including tremor-causing conditions, can access the care and support they need to live well on their own terms. Over five years we will invest £4.5 million of funding to implement the Framework’s 17 commitments.

Since October 2020, we have invested almost £1.4 million to collaborative and innovative projects to improve care and help deliver the aims of the Framework. The aims include improving the provision of co-ordinated health and social care and support, developing sustainable workforce models and ensuring high standards of person-centred care.

Implementation of the Framework has remained supported and prioritised throughout the pandemic. Key priorities for delivery in 2021-22 focus on improving information for patients and carers, better options to support self-management, developing improved care pathways, workforce, accurate data gathering, and use of digital health to support improvements in services

The Framework commits to ensuring that the legislation, policy and guidance that the NHS use when planning and commissioning services are designed to support consistent, timely and appropriate provision of care and support to people with neurological conditions, including those which cause tremor.

Following further engagement with the UK Government, we are now confident in the required standards of private testing providers and the flow of data to Public Health Scotland. The relevant regulations have been amended and from Monday, 6 September, travellers from amber and green list countries coming to Scotland will be able to use private sector providers.

The number members, and the makeup, of the Working Group, which is to be chaired by me, will depend on the issues to be discussed. I believe that in order to get the best out of the group we should be flexible in its membership. Ministers will be invited to attend meetings from time to time if an agenda item is relevant to their portfolio, so membership will be amended to reflect the Group’s discussions and future changes in priorities.

I am happy to commit to publishing participant details once the Group has met.