Seòmar agus comataidhean

The Scottish Government is committed to ensuring women can access appropriate contraception when and where they need it. Since November 2021, community pharmacies have been able to supply the progestogen-only pill for a 3-month period, if clinically appropriate to do so, and in line with a national Patient Group Direction (PGD). The national roll-out followed a successful pilot in pharmacies across Lothian and Tayside.

This availability of bridging contraception from community pharmacies enables women to access contraception without the need for a prescription and receive healthcare advice and treatment from their community pharmacist. Thereafter, individuals wishing to continue with a regular supply or access an alternative method of contraception, may contact their GP practice to request a repeat prescription or request an appointment to discuss their options.

Contraception can be obtained for free from:

• most GP surgeries

• community contraception clinics

• some genitourinary medicine (GUM) clinics

• sexual health clinics

• some young people's services.

However, there are two brands of the progestogen-only available to purchase over the counter (OTC) in pharmacies, increasing choice for women in the ways in which they can access contraception.

A Sexual Health Digital Group has not yet been established, in recognition of the pressures facing the NHS as it recovers from the pandemic, and to avoid further demands on the time of the clinicians and NHS professionals who would be required to join.

However, to maintain momentum, the Scottish Government has continued to support digital solutions, including online testing and ePrEP. Additionally, much of the anticipated work that the Group would have taken forward will be addressed through other forums, such as the forthcoming update to the Sexual Health and Blood Borne Virus Framework or through the refreshed Digital Health and Care Strategy. However, the establishment of the Group will remain under review and be stood up, should the need arise and resources permit.

Yes. The platform can be found at : Women's health | NHS inform

This information is not held centrally by the Scottish Government. However, information regarding PrEP uptake is published by Public Health Scotland and can be found here: https://publichealthscotland.scot/publications/hiv-in-scotland/hiv-in-scotland-update-to-31-december-2021/ .

The NHS in Scotland has a strong track record of delivering innovative sexual health and blood borne virus services.

For example, in 2017, Scotland was one of the first countries in the world to introduce an HIV Pre-Exposure Prophylaxis service - offering free preventative medication to those deemed at highest risk of acquiring HIV.

To ensure we build on this progress, in December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward.

The Scottish Government has also committed to improving testing for sexual health and blood borne viruses, to ensure more people can receive the treatment they need. We have funded a home-testing HIV pilot project run by HIV Scotland to help evaluate the viability of this approach and its scope to increase parity of access in remote and rural areas. We have also provided over £0.5m for the development of a “once for Scotland” approach to STI home testing. This was rolled out in NHS Lothian in December, and work is underway to explore further roll-out. This service allows people to request a test online and perform home self-sampling, while providing clinicians with comprehensive, real-time data.

We recognise that the development of new models of service and treatment is an ongoing, iterative process. The Scottish Government will continue to support this, including through development of the next Sexual Health and Blood Borne Viruses Framework.

A short life working group to look at Hepatitis C treatment in people who inject drugs was established in early 2021.

Membership comprised the Scottish Government, Public Health Scotland and clinical representation from NHS Tayside, which was one of the first areas in the world to effectively eliminate Hepatitis C 11 years ahead of the 2030 World Health Organisation target of 2030.

The group recommended exploring the development of a national service, delivered through the community pharmacy network, to provide Hepatitis C testing and treatment to people who inject drugs, and thereby support elimination of Hepatitis C as a major public health threat in Scotland by 2024. Discussions will be taken forward with the representative body, Community Pharmacy Scotland, to explore how the community pharmacy network can support this work.

Yes, the Scottish Government has taken significant steps to promote the use of video, through NHS Near Me, and telephone consultations where appropriate to support access to services for women.

Key actions have included:

• Targeted social media campaigns via the NHS Near Me Twitter account throughout 2022, including a targeted campaign in March for International Women’s day and Endometriosis month to establish stronger partnership engagement.
• Direct engagement with women and health services; the initial focus has been on Endometriosis with the view to expand this further.
• Partnerships with third sector organisations such as Endometriosis UK, Endo Warriors, Endo Bonds, Endoborders, ALLiance, Lets Get on With Scotland and Sports Scotland.

The rollout of the Women’s Health Plan also sets out commitments to ensure that all women enjoy the best possible health throughout their lives. The Near Me programme aims to ensure that healthcare services are responsive and adaptive to the individual needs of women, with practitioners adequately trained to be able to help women, particularly those who have been affected by trauma or adversity and where choice of appointment is offered routinely.

In addition, use of remote consultations continues to be explored within Family Nurse Partnerships and community maternity services.

As set out in the August 2021 Plan the establishment of a Women’s Health Research Fund is a long term action with a delivery timescale of three years or more from publication.

Work to widen eligibility for PrEP in Scotland is well underway. This has been progressed by a dedicated PrEP Short Life Working Group, comprising clinical and third sector representatives, which is developing guidance for new eligibility criteria. The goal is to ensure that anyone who is at risk of acquiring HIV is eligible to receive PrEP.

Widening eligibility will also require ensuring appropriate capacity to provide PrEP. In December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward. If successful, in the long term, an online service could improve access, including for those living in remote or rural areas.

We have commissioned the Health and Social Care Alliance to take forward a programme of work on ‘lived experience’ to inform women’s health policy and ensure women are meaningfully involved in decision making and priority setting going forward.