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The Scottish Government believes that young carers should be supported to have a life similar to their non-carer peers which includes having access to leisure and recreational activities.

The Scottish Government engaged with COSLA as part of the development of the new package of support for young carers that the First Minister announced on
20 September 2017. This package includes the proposed specific young carer element to the Young Scot National Entitlement Card which will provide targeted, non-cash rewards and benefits to young carers. Young Scot will work with a group of young carers to ensure the rewards are appropriately tailored to their needs. Young Scot will be engaging with local authorities and businesses over the rewards and benefits to be offered through the scheme, which will be rolled out from April 2019.

NHS Territorial Boards continue to make limited use of the independent and private sector for health care services. Total spend decreased from £78.5 million in 2015-16 to £72.0 million in 2016-17.

Spend by each Board for 2016-17 is set out in the following table. Figures for
2006-07 to 2015-16 were provided in response to question S5W-05822.

Action 16 of the Mental Health Strategy 2017-27 committed to fund the introduction of a Managed Clinical Network to improve the recognition and treatment of perinatal mental health problems. Recruitment to the network has been completed and it is now operational.

In its review of current provision, the network will pay particular attention to pathways into care for women who may live some distance from an existing MBU and will make recommendations on improving access where difficulties emerge. Both existing MBUs have put in place online resources which provide information for the public and professionals on accessing MBU care and what to expect if an admission takes place.

Since 1999 the data on the community nursing staff categories, including district nurses, has been subject to a number of reviews.

The number of district nurses by NHS Board, from September 1996 to September 2005,

can be found on the workforce statistics web site:

http://www.isdscotland.org/Health-Topics/Workforce/Historic-Data/WFE01_HB_REG.xls.

In 2006, recording of NHS staff was moved from Whitley to Agenda for Change. As a result statistics presented from 2007 onwards are not directly comparable to information prior to 2006. Information for 2006 is not available as this was a transitional year.

The number of district nurses by NHS Board, from September 2007 to September 2014, can be

found on the workforce statistics web site:

https://www.isdscotland.org/Health-Topics/Workforce/Publications/2017-09-05/Non-Medical_Trend_J2017.xls.

A review of the data on community nursing staff categories, including district nurses, was undertaken in 2014 to ensure more accurate and consistent reporting for these staff groups. Data prior to the completion of the review is not comparable with data from 2015 onwards.

The number of district nurses by NHS Board, from March 2015 to June 2017, can be found on the workforce statistics web site:

https://www.isdscotland.org/Health-Topics/Workforce/Publications/2017-09-05/Nursing_and_Midwifery_SIP_J2017.xls.

The Scottish Government does not hold this data.

We are aware of a number of different approaches to supporting young carers in schools across Scotland. This includes dedicated young carer workers from the third sector working across a number of schools in an area.

The Scottish Government is working to support young carers to continue with their education in school, college or in university and not to lose out due to the demands of their caring role. Under the Carers (Scotland) Act 2016 every young carer will be offered or will be able to request a young carer statement from 1 April 2018. The young carer statement will set out each young carer’s personal outcomes so that their eligible needs are supported to enable them to continue to care, if they so wish, and have a life alongside caring.

Information on the median wait and maximum wait from the date of urgent referral with a suspicion of cancer to date of first treatment by board of receipt and calendar year is available from the Scottish Parliament Information Centre - Bib number 59336.

Data held centrally is only available in the requested format from 2010 onwards.

Information on whether every pupil is able to access water when at school is not held centrally. The Nutritional Requirements for Food and Drink in Schools (Scotland) Regulations 2008 require schools to provide access to fresh, plain drinking water at all times. It is for local authorities to ensure they are fulfilling their duties as set out in the Regulations.

One of the key principles of the Vaccination Transformation Programme will be to implement new models of delivery that do not adversely impact on uptake rates. While GPs will no longer be responsible for the delivery of vaccinations, it is likely that general practice premises will still be used to deliver vaccinations allowing opportunistic immunisation to continue. Different delivery options and a changing NHS and public health landscape may also provide opportunities and benefits which are not possible within current arrangements. At present local variation in uptake of the flu vaccine across GP practices is monitored closely and appropriate interventions applied to improve uptake. New Primary Care clusters will work closely with HSCPs and make use of intelligence and data to continue monitoring uptake in their areas and provide support as necessary.

The Vaccination Transformation Programme will not mandate how Health Boards will deliver vaccinations in their area. Rather the programme will support Health Boards in implementing local delivery solutions that best suit them, their patients, and their geography. The solutions developed may involve establishing immunisation teams, contracting local GPs, or a combination thereof. As service providers, the local Health Board will ensure that the service they design provides best value for money.

A core principle of the Vaccination Transformation Programme is that services will continue to be delivered to patients in a safe, sustainable and acceptable way. It will be a matter for Boards locally to determine whether or not any change in service provision will warrant consultation with the public, for example if there is a meaningful change in how patients access services, but in many cases this is not likely to be necessary.

In some parts of the country NHS Boards have already taken over responsibility for delivering vaccinations previously delivered by GPs, and all NHS Boards currently deliver school-based vaccinations.