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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.

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.

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.

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.

The contracts for the hotels, security and Corporate Travel Management are owned and managed by the UK Government. Scottish Government officials acts as officiate of these contracts with the service providers, but do not have any contractual powers.

Officials foster extremely good relationships with and maintain regular contact with the network of managed isolation facilities in Scotland, including the hotel and security teams and the service provider Corporate Travel Management (CTM). This enables issues flagged by users of these services to be resolved quickly. Issues which cannot be dealt with by Scottish Government and the network of facilities locally are escalated to the UKG.

The International Passenger Coordination Team have agreed a protocol with Police Scotland to enable the facility team to contact them, when appropriate to do so. We have not had any reports of crimes being committed against guests.

Data relating to homelessness and the use of temporary accommodation is collected on a local authority basis. Since the South Scotland region does not align with local authority boundaries it is not possible to provide the number of children in temporary accommodation for this region.

The Scottish Government does however routinely publish the number of children in temporary accommodation by local authority. The most recent figures for children in temporary accommodation as at 30 th September were published in the ‘Homelessness In Scotland: update to 30 th September 2020’ publication on 23 rd March 2021. The publication is available here:

Homelessness in Scotland: update to 30 September 2020 - gov.scot (www.gov.scot)

While it is for the local authority or national park authority to ensure it has sufficient services in place, the Scottish Government has in recent years supported authorities through its Rural Tourism Infrastructure Fund which has helped create new toilets, car parks and waste disposal facilities. To support critical tourism projects in our more remote areas we are more than doubling this Fund to £6.2 million in 2021-22, bringing our total investment to over £15 million.

The Visitor Management Group, consisting of public bodies, National Parks and local authorities, was also established last September and has now developed an interim strategy and a list of associated actions for this year.

A number of actions are already underway including the establishment of the new Better Places Green Recovery Fund by NatureScot. This Fund has provided over £400,000 to 35 community and third sector projects so far, with a new round of £2.75m allocated to deliver additional short-term action for the 2021 season. This includes support for temporary toilets and ranger posts. We are also providing our National parks with an extra £3.6m in 2021 which will support, among other things, seasonal rangers and improved infrastructure to better manage visitors this summer.