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Additional funding of £14.6 million was allocated to NHS Boards in January 2022 to support increased access to diabetes technologies, including closed loop systems.

The Scottish Government also provides baseline funding to NHS Boards and it is for individual Boards to determine how best to utilise this funding to meet the needs and priorities of their local populations. This includes offering closed loop system technologies to all those for whom they are deemed clinically appropriate.

Our Diabetes Improvement Plan contains a commitment to increase access to diabetes technologies such as closed loop systems for everyone who would benefit from these life changing therapies. The closed loop system is a new technology and the additional £14.6 million of funding that we have made available to NHS Boards in 2022 will help with its introduction, as well as increase access to existing technologies such as insulin pumps and continuous glucose monitors.

We are committed to improving outcomes for people living with diabetes across Scotland. Our Diabetes Improvement Plan contains specific commitments to support increased access to diabetes technologies, with significant focus on equity of access to care and services.

Our national policy is to further increase access to diabetes technologies for everyone who would benefit from these life changing therapies, and we expect NHS Boards to provide insulin pumps and flash glucose monitors to all clinically suitable children and adults.

We are aware that children and adults from the most deprived areas are less likely to use diabetes technologies and we are committed to understanding the reasons for this. We are working in partnership with Diabetes Scotland and the Alliance to ensure that the needs of people living with diabetes are fully understood. In December 2021 we launched a lived experience network through the Alliance, to ensure that the experiences of those living with diabetes are taken into account when shaping policy. We are working to ensure that to the membership of this panel is as diverse as possible.

We will take targeted action to ensure equity of access across Scotland and share progress of this using data from SCI-diabetes.

The information requested is not held centrally.

The Scottish Diabetes Survey provides an annual summary of key issues and trends in diabetes care and treatment in Scotland. The 2020 Survey was published in January of this year and can be found by following link: https://www.diabetesinscotland.org.uk/publications/#survey-docs.

The Scottish Diabetes Survey shows information on ethnicity from NHS Boards in Scotland is available for 81.7% of the registered population with type 1 and type 2 diabetes.

Our Diabetes Improvement Plan contains specific commitments to support increased access to diabetes technologies, with significant focus on equity of access to care and services. We expect clinicians and NHS Boards to follow all relevant clinical guidelines and provide anyone with type 1 diabetes with a closed loop system, if they are clinically suitable.

Whenever someone is issued with any diabetes technology device, including closed loop systems, specific training and education on how to use it will be provided by a diabetes specialist nurse. Training is given to the individual and/or their carer, who will also need to confirm that they are competent in its use.

Patients are also encouraged to contact their diabetes clinical team if they have any concerns around the device’s function and its use.

Patient education is also a key priority of our Diabetes Improvement Plan Refresh, published in February 2021.

On 4 November 2021, the Cabinet Secretary for Justice and Veterans chaired a roundtable on spiking to discuss how we can achieve the right balance of targeted and universal intervention to ensure the safety of the public. Twenty-six partners attended including representatives from Police Scotland, SPA Forensic Services, Health services, Night Time Economy, Further and Higher Education, Local Authority, and Third Sector organisations.

A further roundtable was convened on 8 December 2021 at which time Police Scotland reported a downward trend in recorded spiking incidents. Key outcomes focussed on consistent messaging, training and prevention, with the Violence Reduction Unit supporting partners to continue roll out of the bystander training for night time industry staff to raise awareness and help keep people safe.

In January 2022, Police Scotland subsequently noted that there has been no corroborated evidence to support claims of needle spiking in Scotland, and forensic analysis has found no traces of drugs used for spiking in any alleged victims. ‎

We continue to work with partners to strengthen our response to spiking, and ensure that women feel safe and are supported to report. This includes continuing to implement our Equally Safe Strategy.

The safety of children, young people and education staff remains our overriding priority. All school pupils have already been impacted dramatically over the course of the pandemic so we remain committed to minimising any further disruption to learning.

New data and evidence is regularly emerging, informing our understanding of virus transmission in different settings, including schools and nurseries. This is considered very carefully by the Advisory Sub-group on Education and Children’s Issues alongside rates of vaccination and the specific level of risks associated with education environments and in wider society. This means that Scottish Government guidance for schools is developed in close consultation with clinical and public health experts, as well as taking into account the views of a number of education and other stakeholders who sit on the Covid-19 Education Recovery Group (CERG).

The guidance has recently been updated to reflect the advice of the Advisory Sub-group, including the removal of the requirement for staff and pupils to wear face coverings in the classroom and the easing of specific mitigations relating to assemblies and transition visits for learners who are to be starting Primary or Secondary school in August 2022. This represents the most up to date position in relation to protection measures in schools, which will commence from 28 February.

We will continue to be guided by the evidence in assessing any continued risk from COVID-19 and take into consideration any new evidence linking the development of other conditions, such as type 1 diabetes in children, to infection with COVID-19.

The Scottish Government is aware of the impact the necessary public health restrictions have had on businesses, including the outbound travel industry. Since the start of the pandemic, businesses have benefitted from more than £4.4bn in support from the Scottish Government. Eligible travel agents benefited from sectoral grants of up to £25,000 per premises in addition to other support including Strategic Framework Business Fund grants, Restart Grants, Non-Domestic Rates relief and furlough payments for staff.

We recently announced £3.5m for outbound travel agents as part of our support for businesses impacted by the measures introduced to control the spread of Omicron. Details of the eligibility, and how and when to apply will be published on the Scottish Government website and on the Find Business Support website as soon as they are available.

Scotland will continue to play a leading role in the Under2 Coalition and we will use our position as co-chair to drive climate ambition and delivery from all non-party governments, states and regions towards net zero, which prioritises a just transition and a resilient future.

This includes playing a leadership role within the Coalition to increase support for the Glasgow Food and Climate Declaration, which Scotland was the first government to commit to. We are also progressing its aim within Scotland ahead of COP27 through:

• the Good Food Nation Bill introduced to Parliament in October 2021,
• further development of our local food strategy following public consultation in late 2021, and
• working with the Scotland Food and Drink Partnership to support progress towards the Scottish Food and Drink Sectors Industry Net Zero Commitment launched at COP26.

Scottish Government officials met with officials from the Department of Health and Social Care (DHSC) on the 10 February 2022 to discuss the outcome of the roundtable meeting with experts in the clinical field, including from NHS Scotland, held on 19 January 2022 on the use of pulse oximeters.

The outcome is that after considering current available evidence, it is agreed that pulse oximetry continues to be a vital diagnostic device to support remote monitoring of oxygen saturations in the blood and is a useful part of an assessment and monitoring protocol in patients of all skin tones.

The scientific and clinical expert advice is that any loss of confidence in oximeters, leading to a reduced use of devices poses a significant health risk of subsequent harm from undetected deterioration in vulnerable ethnic groups and therefore the continued use of pulse oximeters should continue to be strongly endorsed to patients and clinicians.

Although it was noted that to date there has been no report of patient harm linked to measurement inaccuracies in the UK, it is recognised that further research is required and this is being conducted through an ongoing National Institute for Health Research (NIHR) commission on the diagnostic accuracy of pulse oximeters and how this varies with darker pigmentation and skin tones.

In Scotland, Technology Enabled Care (TEC) Scotland has adopted a conservative approach to the interpretation of pulse oximeter readings to take into account potential discrepancies when used on people with darker pigmentation and skin tones. The NHS Scotland COVID-19 Remote Monitoring Pathway, developed by clinicians and underpinned by digital support, continues to provides additional clinical guidance in the use of pulse oximeters in Scotland.

The Scottish Government will continue to work with the DHSC to ensure that medical devices are safe and effective for all and consider any recommendations coming out of this work that are relevant to the NHS in Scotland.