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The British Medical Association (BMA) and I issued a joint statement to all practices on face-to-face appointments as a result of multiple discussions between both parties.

For many years now, in person face-to-face appointments form part of a hybrid model of options that are offered to patients including video consultations, telephone consultations and in person face-to-face appointments. The pandemic changed the balance between these appointment types. While we are clear that face to face appointments must increase we also recognise that for a number of patients they will wish to continue with telephone or video consultations. Changes to physical distancing guidance will assist practices to safely increase more face to face appointments.

Importantly the type of appointment offered should be agreed through shared decision making, balancing patient choice and autonomy, and practice circumstances/capacity and clinical judgement.

I last met with the BMA on 25 October 2021.

Any reported increase in Pay to Use ATM’s away from Free to Use ATM’s is a matter of great concern as it undoubtedly adds to the uncertainty faced by communities and businesses on their ability to access cash and other banking facilities.

The Scottish Government has delivered a number of reliefs for ATM sites. This includes ensuring that sites in rural areas are exempt from business rates where the building is only used for the ATM and, more widely, that there is up to 100% rates relief through the Small Business Bonus Scheme. Also, local councils have wide-ranging powers to create rates reliefs to reflect local needs under the Community Empowerment (Scotland) Act 2015.

The regulation of financial services is reserved to the UK Government and as such Scottish Ministers are unable to intervene directly in the commercial decisions made by financial services companies. The Scottish Government stands ready to work constructively with the UK Government, banks and other stakeholders to ensure that customers, communities and businesses have access to the banking facilities they need. The Scottish Government will continue to urge banks and ATM providers to listen to, and address, the very real concerns customers have on their ability to access cash and banking services when engaging with the Financial Services industry.

As at 23 October 87% of the adult population (i.e. 18 years +), and 85% of 16 year + age group are now fully vaccinated and these numbers increases on a daily basis.

Certification was not introduced until after the date all the adult population had the opportunity to be fully vaccinated. Furthermore we provided a month’s notice of our intention to introduce certification and a further 2 weeks before the scheme became enforceable. This allowed time for people who were not fully vaccinated to be vaccinated. We recognise that a small number of people would not have completed their full vaccination course when the certification scheme came into effect as a result of testing positive for the virus. We would encourage them to complete their vaccination course as soon as possible.

Since 2019, data relating to the National Referral Mechanism has been released by the Home Office Single Competent Authority. Information is published quarterly and in an end of year summary.

Data relating to 2018 was released by the National Crime Agency and can be found at:

https://nationalcrimeagency.gov.uk/who-we-are/publications/282-national-referral-mechanism-statistics-end-of-year-summary-2018/file .

Data relating to 2019, 2020 and 2021 can be found at: https://www.gov.uk/government/collections/national-referral-mechanism-statistics 

The Scottish Government works with communities and the local authority in Glasgow, and across Scotland, to support our just transition to net zero emissions in a number of ways. This includes, but is not limited to:

• Committing £1.3 million of grant funding to 8 Climate Challenge Fund projects in the Glasgow area. The Climate Challenge Fund supports communities across Scotland to take action on climate change and make the move to low carbon living. The Glasgow projects cover a range of themes including helping communities to reduce their reliance on car travel, cut waste, grow local food, improve household energy efficiency and tackle fuel poverty.
• Commissioning a study, as part of the Clyde Mission, into climate adaptation pathways along the tidal reach of the River Clyde. That study will conclude in early 2022.
• Supporting the installation of a river source heat pump at a community hub in Govan, through the Clyde Mission Fund. A further £25m will be allocated to riverside heat decarbonisation projects along the Clyde in the current Parliamentary term.
• Awarding a £128,000 grant, through the Social Housing Net Zero Heat Fund, to Southside Housing Association. The project is applying Passivhaus (Enerphit) principles to the retrofit of eight pre 1919 sandstone tenements in the south side of Glasgow.
• Providing £4.5 million of grant funding from the Low Carbon Infrastructure Transition Programme to the NG Homes Air Source Heat Pump Project in Springburn, which will reduce emissions and heating bills for nearly 600 homes.
• Investing over £60 million in active travel routes in Glasgow through the Scottish Government funded Places For Everyone Programme including projects such as Glasgow Avenues Plus and the South City Way. These will contribute towards tackling climate change by supporting a modal shift away from cars and towards walking, wheeling and cycling.
• The Early Learning and Childcare 1140 hours expansion is driving Glasgow City Council’s construction of four new nurseries, which will incorporate innovative green technologies, including receiving their hot water and heating from electricity, to help mitigate and adapt to the effects of climate change. The inclusion of sustainable solutions – is being delivered through match-funding from the Scottish Government’s ‘low carbon infrastructure transition programme’ (LCITP).

Section 36 of the Human Trafficking and Exploitation (Scotland) Act 2015 requires Scottish Ministers to review the Strategy within three years of its publication and following that review, publish a report on the review. The Scottish Government published a review of the Trafficking and Exploitation Strategy in May 2020 in line with this requirement.

The Scottish Government grant funds the Trafficking Awareness Raising Alliance (TARA) and Migrant Help to provide support and assistance to adult victims of human trafficking and exploitation; and NHS Greater Glasgow and Clyde Psychological Trauma Service to meet their psychological support needs.

Grant funding is also provided to the Scottish Guardianship Service for specialised support for unaccompanied asylum seeking children who are victims, or at risk, of human trafficking.

Grant agreements include a range of conditions requiring compliance in order to support victim care. These are reported against quarterly and regular monitoring meetings are held with officials.

Support providers conduct assessments with clients as they exit services and TARA has recently developed an externally facilitated survivor advisory group to provide open and transparent feedback as part of this process.

We have identified a low representation of UK nationals in referrals from Scotland to the National Referral Mechanism (NRM) when compared to the rest of the UK in our annual trafficking and exploitation progress reports, although there was an increase in 2020.

The NRM toolkit for First Responders launched earlier this year aims to improve the formal identification of victims in Scotland and is clear that anyone can be a victim of human trafficking and exploitation, including UK nationals. We are establishing a working group to consider the quality and availability of training and awareness raising resources, which will also consider whether additional resources are needed on the issues relating to UK nationals.

The Victim Centred Approach Fund, which includes funding to support adult victims of human trafficking and exploitation, opened for applications on 18 October 2021. Information on the application process, including timelines, can be found at Victim Centred Approach Fund - gov.scot (www.gov.scot) .