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The Scottish Government does not hold the total number of men or women with blood cancer, in each age group, who have contacted or died from COVID-19. National Records of Scotland have recently published statistics on Deaths Involving Coronavirus (COVID-19) in Scotland, which can be found by following this link: https://www.nrscotland.gov.uk/files/statistics/covid19/covid-deaths-report-week-18.pdf . The Scottish Government also does not hold the intensive care information requested by the member.

The Scottish Government is committed to supporting every care home in Scotland whether or not an outbreak has been experienced.

Health and Social Care Partnerships developed local mobilisation plans in response to the COVID-19 emergency. These plans, which are generally aligned with emergency planning arrangements of local councils and NHS Boards, identify key risks and challenges posed by COVID-19, including those in the care home sector, and outline appropriate responses to ensure that vulnerable people are protected.

Locally, partners are undertaking risk assessments of individual care homes to ensure that staff and residents are protected. This is being led by the Directors of Public Health who have been asked to provide enhanced clinical leadership working in partnership with the Health and Social Care Partnership and the Care Inspectorate. Local risk assessment work is constantly evolving and residents and relatives will be informed of any relevant actions coming from this work in an appropriate and timely manner.

The Scottish Government does not hold this information. Public Health Scotland provides the Scottish Government with numbers of residents and staff tested in care homes, but it is not possible to disaggregate this further to provide a breakdown of the type of care home the data comes from .

Cancer waiting times data collects information on eligible referrals who started first treatment for the ten main cancer sites that are part of the waiting times standards. This does not include blood cancer. The number of eligible referrals, from any source, who started chemotherapy as their first treatment in April 2019 is shown in Table 1 by cancer site. Information for April 2020 is not available. Therefore, Public Health Scotland has no information on the impact of COVID-19 on these figures.

Table 1 – Number of eligible referrals who started chemotherapy as their first treatment in the month of April 2019:

That information is not held centrally. Between 1 March 2020 and 27 April, over 97 million items of PPE have been distributed to NHS Boards.

Each board now has a single point of contact for supply and importantly distribution of appropriate PPE to each clinical setting in hospital and to ensure any issues are speedily addressed.

All Health Boards have produced mobilisation plans which set out the steps they are taking to maximise intensive care capacity while maintaining essential services, such as emergency, cancer and maternity care. All Health Boards have now implemented plans to increase ICU capacity to treble their baseline. This increase in ICU bed capacity includes increased staffing delivered through internal redeployment supported by education and training which is being locally provided to meet the needs of each Board. The Chief Nursing Officer issued guidance to all Health Boards to support the deployment of Nursing, AHP, Pharmacy and other staff in Critical Care last month.

Guidance is based on reviewing the available published evidence and informed by expert opinion drawn from a wide range of sources, including from behavioural sciences. Guidance and advice for the public is available through NHS Inform, a substantive media campaign is underway to raise awareness of these resources.

Clinical waste is regularly collected from Health Board sites. This arrangement means clinical waste is not stored for prolonged periods.

Information on the number of people who have received cancer treatment in each week since 1 January 2020 is not available yet from Public Health Scotland. Quarterly Information on the number of referrals who started first treatment up to the end of 2019 is available for the ten main cancer sites from the Cancer Waiting Times dataset. The ten main cancer sites are: breast, cervical, colorectal, head & neck, lung, lymphoma, ovarian, melanoma, upper gastro-intestinal (hepato-pancreato-biliary and oesophago-gastric), and urological (prostate, bladder, other). Quarterly information up to end of March 2020 will be available from 30 June 2020 .

Mental health legislation in Scotland provides for rigorous safeguards in respect of individuals’ human rights. Compulsory treatment is only allowed under very strict circumstances and certain criteria must be met before an order or certificate can be granted. In addition, treatment under mental health legislation is governed by a range of safeguards, for example medication which is to be given for more than two months, must be agreed to by a Designated Medical Practitioner — an experienced psychiatrist appointed by the Mental Welfare Commission. The Mental Health (Care and Treatment)(Scotland) Act 2003 also requires that orders and certificates should be kept under review and revoked or varied as appropriate, to support the principles of least restriction and maximum benefit. In addition, the independent Mental Health Tribunal grants and reviews orders for compulsory treatment.

The Scottish Government is commitment to creating a modern, inclusive Scotland which protects, respects and realises internationally recognised human rights.

As you are aware the independent review of the Mental Health Act which is chaired by John Scott QC is underway. The review aims to improve the rights and protections of people with a mental disorder and remove barriers to those caring for their health and welfare. It is due to publish an interim report by the end of May 2020.