Chamber and committees

NHS Scotland Health Boards use the delivery model which is most suitable for their local circumstances, whilst maintaining a Covid-19 safe environment.

The NHS Dumfries and Galloway system schedules its own appointments using a booking algorithm, which works as follows:

•First checks for GP practices as a vaccination location;

•Then checks for nearest vaccination centre using estimated time to drive to location ( via google maps ) to find the closest centre, there is no upper limit for travel time;

•Repeats step 2 until it finds a vaccination centre with available appointments.

A person would potentially be asked to travel a large distance if there is no capacity at nearby centres. This is managed by NHS Dumfries and Galloway.

Scottish Government officials were instructed to contact NHS Dumfries and Galloway to ascertain if more local vaccination sites can be opened and if more are needed.

NHS Dumfries and Galloway responded that it is monitoring and addressing this. There is re-booking capacity to reduce the risk of appointing patients to venues that would require significant journey times. And NHS D&G continues to review uptake and "did not attend" rates across the region to determine if it is seeing any localities where there is a need to increase our provision to increase uptake rates.

The current wastage of vaccines remains very low in Scotland, across Health Boards.

Health Boards currently over appoint to buffer any DNA’s (Did Not Attends) and they also administer opportunistic and drops-in vaccinations depending on their local circumstance – therefore this is not counted as wastage. Vaccine supply can also be carried forward to the next day, further reducing wastage.

As a precautionary approach for worst-case scenarios, a planning assumption of 5% vaccine wastage is used. Actual wastage is well below the 5% planning assumption.

The UK Government’s Scientific Advisory Group for Emergencies (“SAGE”) Environmental and Modelling Group (“EMG”) published a paper on 4 November 2020 on the “ Potential application of air cleaning devices and personal decontamination to manage transmission of COVID-19 ”, to which NHS National Services Scotland contributed on behalf of the Scottish Government. Work is due to start with the Office of Product Safety and Standards and the SAGE EMG to consider air cleaners further as there is no recognised standard for their efficacy.

NHS Scotland Health Boards use the delivery model which is most suitable for their local circumstances, whilst maintaining a Covid-19 safe environment.

The NHS Dumfries and Galloway system schedules its own appointments using a booking algorithm, which works as follows:

•First checks for GP practices as a vaccination location;

•Then checks for nearest vaccination centre using estimated time to drive to location ( via google maps ) to find the closest centre, there is no upper limit for travel time;

•Repeats step 2 until it finds a vaccination centre with available appointments.

A person would potentially be asked to travel a large distance if there is no capacity at nearby centres. This is managed by NHS Dumfries and Galloway.

Scottish Government officials were instructed to contact NHS Dumfries and Galloway to ascertain if more local vaccination sites can be opened and if more are needed.

NHS Dumfries and Galloway responded that it is monitoring and addressing this. There is re-booking capacity to reduce the risk of appointing patients to venues that would require significant journey times. And NHS D&G continues to review uptake and "did not attend" rates across the region to determine if it is seeing any localities where there is a need to increase our provision to increase uptake rates.

Public Health Scotland plans to publish these data by the end of June 2021, in relation to people who did not attend appointments. The data will be available from Public Health Scotland on the above date.

General practices are following Public Health Scotland’s advice to reserve face to face appointments in primary care settings for those consultations where the GP decides it is clinically necessary. This is not just to prevent the general transmission of the coronavirus but to protect general practices as medical spaces for patients who have a clinical reason for face to face attendance.

Public Health Scotland's advice is not tied to the levels Scottish local authorities are in. General practices will remain open regardless but will continue to manage face to face appointments consistent with this advice. At present all patients are still able to get an appointment by telephone or video call.

Those who change address from any part of the UK after a first vaccination are advised to register with a local General Practitioner (GP) as soon as possible at their new address in order that they become known to their local Health Board. A Community Health Index (CHI) number is generated for new permanent patients. When a clinical record becomes available an appointment will be scheduled and an invitation letter sent out to the patient in line with priority grouping.

Those registered as temporary patients with a GP in Scotland do not have a CHI number generated and records remain within their chosen local practice. In this case we are advise they contact the vaccination helpline on 0800 0308013 (available 8am to 8pm, 7 days a week), indicating in their call that they are from another UK country and are a temporary resident in Scotland. Helpline staff will ask the patient for the necessary information required to allow for Practitioner Service Division (PSD) to create a CHI number and in turn pass their details onto the patient’s local Health Board for an appointment to be scheduled and an invitation letter sent out to the patient.

The Scottish Government is clear that people should be able to be vaccinated where they are currently staying in the UK, even if they are registered with a GP elsewhere. Our understanding is that this reciprocal arrangement is reflected across the four nations. Officials are undertaking work with their four nations counterparts to ensure clear pathways for, and efficient vaccination of, eligible people regardless of their country of GP registration or ordinary residence.

I welcome an opportunity to engage with the students of the Pay Student Paramedics campaign and officials are in the process of arranging such a meeting.

Paediatric craniofacial surgery in Scotland is delivered by NHS Greater Glasgow and Clyde as a national specialist service commissioned by the National Services Division. Within the Board there is an ambition to develop endoscope assisted surgery as part of a wider practice to correct children with skull deformity due to a craniosynostosis. Physicians from the Board had intended to visit a centre in North America to share best practice but the COVID-19 pandemic has resulted in this being postponed.

At present the only nationally designated craniofacial service in the UK that is known to offer endoscope assisted surgery is Great Ormond Street Hospital. Whether a patient should be referred to Great Ormond Street Hospital is dependent on individual clinical circumstances. The perioperative follow-up for patients after this procedure is more complicated as reassessment and repeat helmet fittings are required.

I refer the member to the answer to question S6W-00010 on‎ 7 June 2021. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers