Seòmar agus comataidhean

I refer the member to the answer to question S6W-13244 on 17 January 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

There have been 263 Tenant Hardship Loan Fund awards, with a total value of £733,894. Currently none have been repaid in full, none have been written off and the balance remaining is £663,965 as of November 2022.

Through Reset and Rebuild - sexual health and blood borne virus services: recovery plan, published in August 2021, the Scottish Government provided an additional £0.5m of funding to assist sexual health and blood borne virus services to begin recovery from the covid-19 pandemic.

Amongst the numerous projects funded through the Recovery Plan was the SHARE project launched by HIV Scotland, further details of which can be found here:

https://www.hiv.scot/stories/share-study-launch .

In addition, the Scottish Government has supported the Conundrum project, which was designed to understand factors shaping young people’s experiences of contraception, and provided insight into how young people’s access to condoms and contraception was disrupted during the early months of the COVID-19 pandemic. Details of the project can be found here: University of Glasgow - Schools - School of Health & Wellbeing - News - CONUNDRUM project .

Understanding the impact of the pandemic will require on-going support, and it is expected that the next iteration of the Sexual Health and Blood Borne Viruses Framework, which will be published this year, will continue this work.

Alcohol duty is reserved to the UK Government. The Scottish Government would strongly recommend that the UK Government considers public health as part of any review to alcohol duty.

The Scottish Government believes that the stronger the beverage, the higher the duty should be, as it is the alcohol that causes the harms and stronger alcoholic drinks allow for faster consumption of alcohol. This is in line with the rationale behind our world leading minimum unit pricing policy which targets high strength, low-cost alcohol.

Our Alcohol Framework sets out our priorities for preventing alcohol-related harm. We take a whole population approach to tackling alcohol-related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.

Alcohol duty is reserved to the UK Government. The Scottish Government would strongly recommend that the UK Government considers public health as part of any review to alcohol duty.

We have made no assessment of the impact of the six-month freeze on alcohol duty on alcohol harm in Scotland. We remain committed to reducing alcohol related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.

There are a number of ways that good practice, clinical updates and learning on women’s health are shared across primary care. Examples of this include:

• Regular women’s health update days for primary care held at both board and national level.
• Regular training and updates for a range of women’s services, including perinatal care, smear taking, long acting contraception insertion and removal, and the menopause.
• Working with pharmacy colleagues on ensuring up-to-date and relevant prescribing information is available.
• Primary care engagement through local interface groups in developing local pathways and protocols for women’s health.
• Dissemination of updated guidelines on women’s health from areas such as SIGN, NICE and Royal Colleges through local distribution networks, signposting to new, relevant publications such as the Women’s Health Plan.
• Supporting shared learning around good practice through initiatives such as funding for first 5 GPs to attend local, problem-based small learning groups.

Additionally, locally and nationally driven learning through innovative practice is shared via primary and secondary care networks. Examples of this include:

• Increasing cervical screening uptake through using enhanced engagement techniques targeting opportunistic and vulnerable groups.
• Learning from recent trials of group education and group consultations on menopause at general practice level.
• The National Menopause Specialist Network, where examples of innovative practice across primary and secondary care are regularly shared.

Sharing good practice will be an ongoing piece of work throughout the lifetime of the Women’s Health Plan.

The most recent surveillance data has been published by Public Health Scotland, and this includes treatment levels since 2007-08. The report can be found here: https://hps.scot.nhs.uk/web-resources-container/surveillance-of-hepatitis-c-testing-diagnosis-and-treatment-in-scotland-2019-update/ .

The Scottish Government and NHS Scotland continues to promote the use of remote consultations, including NHS Near Me, as a means to support access to services and reduce the need to travel to appointments.

As an example of this support, Community Hubs are also being established in areas of Scotland where people could more easily attend and access appointments remotely. These Hubs provide a private space and equipment for members of the public to access digital services, such as video consultations.

More recently, Midwives in NHS Grampian have used Near Me Group s Consultations to provide Antenatal Classes which reduces the need for pregnant women to travel to their appointments. NHS Near Me has provided a short film which contains more information - Near Me Groups for Antenatal Classes, NHS Grampian - YouTube

It is for each Board to decide how to deliver healthcare services in line with the needs of their local populations. However, following the suspension of treatment targets in 2020, and after advice from the Scottish Health Protection Network Hepatitis C Elimination Group, national treatment targets were reinstated in 2021 at a level of at least 2000 new treatment initiations for 2021-22 rising to 3000 in 22-23.

The Women’s Health Plan, published in August 2021, contains an action to implement a Women’s Health Service in community pharmacies.

This service will be introduced on an incremental basis over the next few years. The first step was the introduction of bridging contraception in community pharmacies from November 2021.