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NHS health boards lead on the local delivery of the COVID-19 vaccination programme. Vaccination centres have frequently changed throughout the programme, with some facilities being repurposed, and drop-in clinics being made available as we have had to exercise flexibility.

As such, the Scottish Government do not hold the requested level of information as the number changes frequently.

Further Information regarding the number of vaccination centres operating in each health board area, and their opening hours can be found on NHS inform.

The Scottish Government aims to publish data at local and regional levels including parliamentary constituencies wherever it is possible and appropriate to do so. A large amount of data is already published at the level of parliamentary constituencies by the Scottish Government via its Official Statistics open data platform statistics.gov.scot .

In some cases however it may not be possible or appropriate to publish data at this level. In some cases data may not be collected at a level that allows for aggregation at parliamentary constituency level, it may not be possible due to issues of confidentiality, or due to concerns around the robustness of estimates produced for some areas. The collection and publication of statistics should also be proportionate to the requirements of the users of statistics, including the level at which decisions are made or services are delivered.

Such decisions about the appropriate level of geography at which to collect and publish data are made on a case by case basis and are done so based on user engagement activity and in line with the Code of Practice for Statistics . This approach is also consistent with the Government Statistical Service Geography Policy and the upcoming Government Statistical Service Subnational Data Strategy.

Current guidance reflects the best scientific and clinical advice, as well as the current state of the pandemic and the anticipated trajectory of infections. The restrictions which limit non-essential visitors in schools and early learning and childcare settings, include attendance by parents for nativity plays and similar events. However, we know that many schools and settings plan to use other creative means to present these activities, such as streaming them online or holding them outdoors.

The Scottish Government has agreed to grant £1 million to the Climate Justice Resilience Fund to support their work to address the needs of communities suffering the most acute impacts of climate change and develop and test a framework for delivering loss & damage programming. We will be working with the Fund to develop further details on programming in the first quarter of 2022.

As in all Climate Justice Fund programming, the perspectives of communities will be central to the design and determination of priorities.

The Joint Committee on Vaccination and Immunisation (JCVI) has advised that all children and young people aged 12 to 17 years will be offered a second dose of the vaccine from 8 to 12 weeks after their first dose.

As of 30 November, those aged 16 and 17 are able to schedule second appointments using the booking portal on NHS Inform, phoning the national vaccination helpline on 0800 030 8013, or attending a drop-in clinic.

More information about second doses for young people aged 12 to 15 years will be available soon, and the JCVI has advised that a second dose for young people aged 12 to 15 years is advised no sooner than 12 weeks after the first dose.

However children and young people aged 12 to 17 who are at increased risk from coronavirus will be offered 2 doses of the vaccine, given 8 weeks apart. This includes those who are at increased risk from coronavirus due to underlying health conditions, live with someone with a severely weakened immune system, or are aged 16 or 17 years who are an unpaid carer or a frontline health or social care worker.

Some children and young people in these groups are eligible for a third primary dose and/or a booster dose.

Further information about second doses for children and young adults can be viewed at NHS Scotland at: Vaccinating children and young people aged 12 to 17 years | The coronavirus (COVID-19) vaccine (nhsinform.scot) .

Those aged over 70, and those at highest clinical risk from COVID-19 have been receiving invitations for flu and Covid-19 booster appointment from 6 October.

Appointments for COVID-19 boosters have now been offered to all those aged 60 and over. Clinics for those aged 60 to 69 are continuing, with strong uptake among this cohort.

The online self-booking portal for adults aged 50 to 59, those aged over 16 who are unpaid carers and household contacts of immunosuppressed individuals launched on 15 Nov.

Over one third of those aged 50 to 59 have now had their booster and people in this group are urged to book their own appointment on the online portal at NHS Inform or phoning the National Helpline. Those in the 50-59 cohort who have not yet received their booster have been contacted by text/email and will receive a ‘blue letter’ reminder from Friday 10 December to make a booking as soon as possible.

A guide is available at Coronavirus (COVID-19) booster vaccination | The coronavirus (COVID-19) vaccine (nhsinform.scot) for advising individuals how they will be invited for vaccination.

Those who are eligible can book or reschedule appointments via the COVID-19 Vaccination Helpline on 0800 030 8013.

In February 2018, the then-Chief Medical Officer wrote to NHS Scotland Medical Directors about public interest in the use of mesh implants, including in hernia repair. Medical Directors were asked to ensure that clinicians offer patients all appropriate options for surgery, as well as the option of no surgery. In addition, the importance of shared decision making, informed consent and listening and acting upon patients concerns was noted.

The Scottish Government commissioned a review by the Scottish Health Technologies Group (SHTG) of primary inguinal hernia repair in men. SHTG published their report in early 2020 and this concluded that, compared to non-mesh procedures, using mesh resulted in lower rates of recurrence, lower rates of serious adverse events and similar or lower risk of chronic pain. The advice for NHS Scotland was that surgical mesh should be used in elective repair of inguinal hernia in adult males.

Further to this, the Scottish Government asked SHTG to examine hernia repair more broadly, to include women, and to review the outcome of mesh versus non-mesh surgery in a variety of groin or abdominal wall hernias. SHTG have published their report today which is available online at: Elective surgery using mesh to repair primary or incisional hernias in adults (shtg.scot) . This states that the current evidence supports the continued availability of surgical mesh for elective repair of primary ventral hernias, incisional hernias, and primary inguinal hernias in adults in Scotland. This notwithstanding, SHTG also recommends that consideration should be given to patient preference and that patients should have access to alternative hernia treatment options such as non-mesh (suture and natural tissue) repair. Once again, the importance of shared decision making and informed consent has been emphasised.

The Chief Medical Officer has written to Board Chief Executives and Medical Directors to draw their attention to the report’s findings. The Scottish Government will continue to work with Health Boards, Specialist Associations and the relevant Royal Colleges on the issues raised within the report.

The independent review of NHS Lothian Paediatric Audiology Services has today been published on NHS Lothian’s website.

The report outlines an unacceptable level of failure in paediatric audiology treatment in NHS Lothian, which will have a lasting impact on the lives of some of our most vulnerable children.

Given the catalogue of failures and ongoing risks in Audiology health provision at NHS Lothian and in consultation with officials, I have decided to place the Board into Stage 3 of the ‘Board Performance Escalation Framework’ for Audiology performance and service delivery. This will ensure that a Formal Recovery Plan with tailored support, clear milestones and responsibilities is developed by NHS Lothian in partnership with the Scottish Government to bring about the necessary improvements.

I have already expressed my deep displeasure to NHS Lothian and my expectation that they must continue to enact the recommendations in this report as a matter of urgency.

I applaud the involvement of the National Deaf Children’s Society in providing support for those affected. I have accepted an invitation to meet and discuss how any key lessons can be applied Scotland wide.

I intend to keep Parliament fully informed on this matter.

In 2021, the Regional Food Fund received 191 applications with 91 of those sifted out as determined ineligible with the fund. Of the remaining 100 applications, 41 were successful and received funding.