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The Scottish Government is working to respond to the health and wellbeing needs of children and young people who are looked after, in light of recovery from the pandemic; and as part of our commitment to Keep the Promise, our continuing response to the recommendations of the Independent Care Review. Our policy framework is subject to continuous improvement and will be updated, if required, as part of this work.

The Scottish COVID-19 Mental Health Tracker study provides data on the prevalence of mild to moderate mental health problems. Wave 4 of the Tracker Study is due to be published in the coming weeks.

Alongside other sources, we use the Tracker Study to monitor the mental health and wellbeing of the Scottish population. This provides insight into the potential impact of COVID-19 pandemic, and accompanying restrictions, on the mental health of the Scottish population, and has allowed us to tailor our mental health policy response as needs continue to evolve.

Whilst Covid-19 has change the way the NHS works, the Scottish Government has been clear since the start of the pandemic that NHS remains open and those with health concerns should be able to access the care they need safely and quickly. In a life-threatening emergency, 999 and A&E services will always be available.

A National Door Drop to all households in Scotland in January 2021 - “ A Guide to NHS Scotland Services ” - included information about the different healthcare services the public can seek advice from. This information can be accessed on an ongoing basis on the “ Your Community Health Care Services ” page on NHS Inform. To assist NHS Health Boards with local messaging, the Scottish Government has also produced the Primary Care Digital Communications Toolkit , which provides resources for primary care providers to utilise when communicating with the public on how to access healthcare services.

The South West Scotland Breast Screening Clinic does not accept GP referrals. Patients are referred to the clinic through the national screening programme, therefore this data is not available. The clinic does track the waiting time from initial screening to assessment. In May, the wait to assessment was 100% by week 3.

Tackling health inequalities remains a clear ambition for this Government. Our Programme for Government 2020 sets out our commitment to promote lifelong health and wellbeing including a renewed focus on tackling health inequalities.

The impact of persistent deprivation, poverty and other long-standing social inequalities – which we know impact on health – have been thrown into sharp relief by COVID-19. In the face of the pandemic we acted quickly to ensure that local authorities, third sector partners and community organisations were empowered to take the action needed to protect people from the social harms of the virus. In the course of 2020-21, we allocated over £1 billion to help people and communities impacted by the pandemic and to build resilience in public services. We will continue to give our communities and local services the support they need to tackle these issues head on.

We know that socioeconomic inequalities drive health inequalities and we must focus our efforts on addressing poverty, promoting fair wages and improving our physical and social environments. In line with the Scottish Fiscal Commission forecasts, we are committing £3.5 billion in forecast social security payments which will reach over 800,000 people. Money which will go directly to the people in Scotland who need it the most. This includes £68 million for the first full year of the Scottish Child Payment, a ‘game changing’ new benefit which will be instrumental in tackling child poverty. We are bringing this together with healthcare through our Welfare Advice and Health Partnerships that integrate local authority and third sector welfare rights and money advice services into primary care services.

Scotland has a proud history of taking ambitious action to improve health and we continue to make progress against our Public Health Priorities and major healthy living action plans. These strategies are already tackling some of the most significant health challenges we face including diet, alcohol and smoking. These bold packages of measures will help tackle key issues and support everyone in Scotland to live longer healthier lives. This includes bringing forward legislation to restrict promotions of unhealthier foods, evaluating the impact that Minimum Unit Pricing of alcohol has had and introducing a smoke-free perimeter around all hospital buildings.

As we look to renew and recover as a society, we will continue to ensure the necessary resource is directed at improving equity for our people and communities who are most in need.

The Scottish Breast Screening Programme invites women between the ages of 50 and 70 for routine breast screening every three years. This is in line with advice from the UK National Screening Committee (UK NSC), which is an independent scientific body that advises all four nations of the UK on screening matters. The Scottish government will only act to widen screening age ranges if this is recommended by the UK NSC.

I will shortly be writing to the UK NSC to ask them to examine the merits of lowering the current age thresholds for screening programmes. I recognise in doing so that any change to age ranges for screening must be based on the highest standards of evidence, and balance both potential harms and benefits.

The breast screening programme is governed by the Breast Screening Programme Board as well as the National Screening Oversight and the Scottish Screening Committee. They monitor and evaluate performance, including uptake rates, against a set of standards developed by Healthcare Improvement Scotland.

Since the breast screening programme restarted last summer, additional steps have been taken to ensure uptake of appointments despite the impact from the Covid-19 pandemic. These include:

• breast screening centres contacting participants ahead of their appointments to confirm their intention to attend;
• providing information to reassure people that infection control measures are in place and, during lockdown, that attending a screening appointment was considered essential travel; and
• clearly communicating the importance of screening, along with tailored messaging to recognise additional concerns and challenges caused by the pandemic, for example for people who were shielding.

The Scottish Government recognises that the Covid-19 pandemic may have exacerbated inequalities in screening uptake across all national screening programmes, and we have committed £2 million over the next two years, to build a programme of evidence-based, sustainable and scalable projects that tackle inequalities in a systemic way.

We are currently finalising the Terms of Reference and membership of the Implementation Group, and will announce this shortly along with details of the first meeting. All future information about the Implementation Group will be published on the Scottish Government website.

As recommended by the National Review of Eating Disorder Services, it is anticipated that the Implementation Group will have a lifespan of around one year. However, this can be kept under review, if appropriate.

I announced on the 18 June, the establishment of a Lived Experience Panel will be a key initial task for the Implementation Group.

Whilst the UK Government (UKG) are the principle contract owners and managers of the Managed Quarantine Service (MQS) and its suppliers; the Scottish Government acts as officiate of these contracts with the service providers. The close working relationship the Scottish Government fosters with hotel and security facility teams enables any matters arising to be de-escalated quickly. There is a protocol in place with Police Scotland to assist, where appropriate.

The Scottish Government is not aware of any crimes of any nature being recorded in relation to managed isolation guests in Scotland.