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The NHS in Scotland has a strong track record of delivering innovative sexual health and blood borne virus services.

For example, in 2017, Scotland was one of the first countries in the world to introduce an HIV Pre-Exposure Prophylaxis service - offering free preventative medication to those deemed at highest risk of acquiring HIV.

To ensure we build on this progress, in December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward.

The Scottish Government has also committed to improving testing for sexual health and blood borne viruses, to ensure more people can receive the treatment they need. We have funded a home-testing HIV pilot project run by HIV Scotland to help evaluate the viability of this approach and its scope to increase parity of access in remote and rural areas. We have also provided over £0.5m for the development of a “once for Scotland” approach to STI home testing. This was rolled out in NHS Lothian in December, and work is underway to explore further roll-out. This service allows people to request a test online and perform home self-sampling, while providing clinicians with comprehensive, real-time data.

We recognise that the development of new models of service and treatment is an ongoing, iterative process. The Scottish Government will continue to support this, including through development of the next Sexual Health and Blood Borne Viruses Framework.

Through Reset and Rebuild - sexual health and blood borne virus services: recovery plan, published in August 2021, the Scottish Government provided an additional £0.5m of funding to assist sexual health and blood borne virus services to begin recovery from the covid-19 pandemic.

Amongst the numerous projects funded through the Recovery Plan was the SHARE project launched by HIV Scotland, further details of which can be found here:

https://www.hiv.scot/stories/share-study-launch .

In addition, the Scottish Government has supported the Conundrum project, which was designed to understand factors shaping young people’s experiences of contraception, and provided insight into how young people’s access to condoms and contraception was disrupted during the early months of the COVID-19 pandemic. Details of the project can be found here: University of Glasgow - Schools - School of Health & Wellbeing - News - CONUNDRUM project .

Understanding the impact of the pandemic will require on-going support, and it is expected that the next iteration of the Sexual Health and Blood Borne Viruses Framework, which will be published this year, will continue this work.

It is for each Board to decide how to deliver healthcare services in line with the needs of their local populations. However, following the suspension of treatment targets in 2020, and after advice from the Scottish Health Protection Network Hepatitis C Elimination Group, national treatment targets were reinstated in 2021 at a level of at least 2000 new treatment initiations for 2021-22 rising to 3000 in 22-23.

This information is not held centrally by the Scottish Government. However, information regarding PrEP uptake is published by Public Health Scotland and can be found here: https://publichealthscotland.scot/publications/hiv-in-scotland/hiv-in-scotland-update-to-31-december-2021/ .

The National Transition Training Fund was operational from October 2020 until August 2022. Within this period 885 training places were made available across a number of projects focused on social care. This number excludes college data from the 2021-22 academic year as this data is included within official Further Education Statistics (FES) due to be published in February. A report on the second and final year of NTTF will be published following the publication of FES data, and the college data will be included in the final published report.

As set out in the August 2021 Plan the establishment of a Women’s Health Research Fund is a long term action with a delivery timescale of three years or more from publication.

The Scottish Government is committed to ensuring women can access appropriate contraception when and where they need it. Since November 2021, community pharmacies have been able to supply the progestogen-only pill for a 3-month period, if clinically appropriate to do so, and in line with a national Patient Group Direction (PGD). The national roll-out followed a successful pilot in pharmacies across Lothian and Tayside.

This availability of bridging contraception from community pharmacies enables women to access contraception without the need for a prescription and receive healthcare advice and treatment from their community pharmacist. Thereafter, individuals wishing to continue with a regular supply or access an alternative method of contraception, may contact their GP practice to request a repeat prescription or request an appointment to discuss their options.

Contraception can be obtained for free from:

• most GP surgeries

• community contraception clinics

• some genitourinary medicine (GUM) clinics

• sexual health clinics

• some young people's services.

However, there are two brands of the progestogen-only available to purchase over the counter (OTC) in pharmacies, increasing choice for women in the ways in which they can access contraception.

Work to widen eligibility for PrEP in Scotland is well underway. This has been progressed by a dedicated PrEP Short Life Working Group, comprising clinical and third sector representatives, which is developing guidance for new eligibility criteria. The goal is to ensure that anyone who is at risk of acquiring HIV is eligible to receive PrEP.

Widening eligibility will also require ensuring appropriate capacity to provide PrEP. In December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward. If successful, in the long term, an online service could improve access, including for those living in remote or rural areas.

Yes. The platform can be found at : Women's health | NHS inform

We have commissioned the Health and Social Care Alliance to take forward a programme of work on ‘lived experience’ to inform women’s health policy and ensure women are meaningfully involved in decision making and priority setting going forward.