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As with all decisions relating to the relaxation of restrictions, this has been given thorough consideration through the 4 Harms process which has included consideration of the economic harm. Since the beginning of the pandemic we have worked closely with the industry to identify the impact on the sector and mitigations that would be necessary to allow domestic cruise restart. We recognise that the tourism sector, including cruise, has strongly felt the impact of restrictions and our aim has always been to enable cruise restart as quickly and safely as possible.

The updated guidance regarding the extended use of face masks and coverings in hospitals, primary care, wider community care and adult care homes was published after consultation with numerous stakeholders, including Scottish Social Services Council, Scottish Care, Fair Work in Social Care Group, COSLA and GMB Scotland.

The guidance relating to residents wearing face masks in specific situations in care homes contained in the updated version (Version 3) guidance, published on 7 June 2021, was also contained in Version 2 of the guidance published in October 2020. Scottish Care, COSLA and the Coalition of Care and Support Providers in Scotland (CCPS) were given the opportunity to comment on this earlier version of the guidance.

The Scottish Government listened to feedback on the recent update and worked in partnership with representatives from the sector to rapidly review the language and information relating to social care within the guidance. As a result of this review, social care guidance has been separated from hospital and primary care settings and has been updated to ensure it accurately communicates that residents are not required to wear a Fluid Resistant Surgical Mask (FRSM) or face covering within the care home. which is first and foremost their own home. It is a resident's choice whether to wear one.

The updated guidance on the use of face masks within social care settings including adult care homes was published on 23 June and is available at the following link

Coronavirus (COVID-19): use of face coverings in social care settings including adult care homes - gov.scot (www.gov.scot)

All of our decision making in the approach to responding to Covid-19 is guided by the latest scientific evidence from the Scientific Advisory Group for Emergencies (SAGE) , advice from Health Protection Scotland and our Chief Medical Officer. The Joint Committee on Vaccination and Immunisation (JCVI) provides advice on immunisation to all UK Health Departments, including on the efficacy and safety of vaccines.

Decisions to prioritise one population group over another are not taken lightly, nor are they straightforward. That is why our prioritisation decisions have been, and will continue to be, guided by the independent expert advice from the JCVI.

It is also worth noting that this is the case with many other vaccines. People are not routinely offered a choice of the type of vaccines in other vaccine programmes in Scotland. The Scottish Government currently has no plans to introduce an option for receiving either Covid-19 vaccine, beyond a clinical recommendation.

Following the statements by the Medicines and Healthcare products Regulatory Agency (MHRA) and the Joint Committee on Vaccination and Immunisation (JCVI) we want to stress that the evidence shows that, overall, the benefits of the Oxford/AstraZeneca vaccine outweigh the risks and it continues to be a safe and effective vaccine.

However, the Scottish Government will follow the JCVI recommendation to offer alternative vaccines to adults under 40 without underlying health conditions.

The JCVI and MHRA continue to monitor this carefully and are in regular contact with other regulators.

JCVI recommendations are set out in the Green Book, available at COVID-19 Greenbook chapter 14a (publishing.service.gov.uk)

GPs may make a recommendation for their patients to receive a specific vaccination if they believe there is a clinical need.

If the JCVI recommend a specific vaccination for any specific group we will of course take up this advice immediately.

The Chief Nursing Officer and Scottish Government officials met with representatives from Scottish Care and Erskine Care Homes on 9 June 2021 to discuss the updated extended use of face masks and face covering guidance in hospitals, primary care, wider community care and adult care homes.

The guidance for social care settings was previously contained within the Coronavirus (COVID- 19): guidance on the extended use of face masks and face coverings in hospitals, primary care, wider community care and adult care homes, which was updated on 7 June 2021.

The Scottish Government listened to feedback on the recent update and worked in partnership with representatives of the sector to rapidly review the language and information relating to social care within the guidance. As a result of this review, social care guidance has been separated from hospital and primary care settings and has been updated to ensure it accurately communicates that residents are not required to wear a Fluid Resistant Surgical Mask (FRSM) or face covering within the care home, which is first and foremost their home. It is a resident's choice whether to wear one.

The updated guidance on the use of face masks within social care settings including adult care homes was published on 23 June and is available at the following link

Coronavirus (COVID-19): use of face coverings in social care settings including adult care homes - gov.scot (www.gov.scot)

We have no plans to bring forward secondary legislation to introduce a no-fault compensation scheme at this time.

Despite carrying out considerable research and a number of consultations since no-fault compensation proposals were first introduced in 2007, forming expert groups and looking to other countries, including Sweden, there has never been consensus on the most appropriate compensation or redress model for Scotland, or how such a scheme would meet its objectives within our health and social care framework. The member herself has previously questioned whether a no-fault compensation scheme might introduce an additional administrative burden, a culture of compensation, more litigation and a charter for lawyers.

Working with Healthcare Improvement Scotland and other health and care partners we are creating a health and social care environment that uses knowledge from adverse events to inform continuous improvement to health and care services in a culture that embraces openness and learning, without fear of censure when things go wrong. The Duty of Candour Procedure (Scotland) Regulations, which we introduced in April 2018, places this approach on a legal footing.

We will continue to focus our energies and use all the mechanisms at our disposal in driving forward preventative measures in the delivery of person-centred treatment and care that is safe and of a high quality.

A web-based app has been developed as a means to collect data from those who agree to participate in the COVID in Scotland Study to understand the long-term health of people who have had COVID-19. This research study, led by the University of Glasgow in collaboration with Public Health Scotland and funded by the Scottish Government’s Chief Scientist Office, is Scotland-wide. Invitations to take part in the study are sent via SMS to all adults in Scotland who have had a positive COVID-19 test with the app available to those that agree to participate to submit data on their symptoms. This approach using an app to collect data from study participants will be described and evaluated as part of the reporting of this study once completed.

Any consultation on mandatory calorie labelling for food and drink purchased out of home would consider all relevant matters.

The Scottish Government welcome the Audit Scotland report, and we are pleased that it recognised the swift actions of Scotland’s public sector partners to respond to the significant and unprecedented challenges presented by Covid-19. The Scottish Government agrees with Audit Scotland that we need to learn from this pandemic and bring that learning both into planning for future pandemics, and into our long term procurement strategy. This work is already underway. Officials are working across the public sector including with the NHS to learn the lessons and take them into future PPE procurement.

To address environmental concerns surrounding PPE, the Scottish Government has funded a Small Business Research Initiative £310,000, with Transport Scotland providing additional funding, to assess and evaluate prospective reusable PPE solutions and technologies to assist in decontaminating PPE. This initiative, led by NHS Tayside on behalf of the Scottish Government, supports companies to develop more environmentally-friendly PPE by providing funding to enable them to undertake vital research and development of their prospective solutions.

The Scottish Government has also established a PPE Innovation Working Group with partners across Scotland. The purpose of this Group is to oversee the implementation of positive changes to the provision of clinical PPE in Scotland. As part of this work, the Group will consider potential work streams and opportunities which surround the environmental impact of PPE and how manufacturers with innovative PPE solutions can better collaborate with NHS Scotland in the future.

The guidance to support the provision of the £400 one-off payment to teachers is available on the Scottish Government website at: https://www.gov.scot/publications/coronavirus-covid-19-guidance-for-employers-on-one-off-gbp400-payment-for-teachers/

This exceptional payment is being made in recognition of the additional workload for teachers who have supported the delivery of the Alternative Certification Model (ACM) in the unique circumstances brought about by Covid-19 in 2020/21.

This will be paid through a grant arrangement to education authorities and directly from the Scottish Government through a grant to independent and grant-aided schools, further to claims being received.

The online vaccine booking portal closed on 11 June.

The online portal was part of the Scottish Government’s measures to widen the accessibility of vaccine appointments, and was extended for another week, on top of the original three week window. 40% of the young people aged 18-29 who were still to be vaccinated, self-registered on our online portal.

Those who did not register online, are being scheduled for an appointment on the system, and letters are coming out over this week and next. However, to give advanced sight of appointments online, we are launching an appointment checker on NHS Inform to help people view their pending appointments. This will help those people, like students, who may have moved away from their registered GP term time address. This will also help them view their offered appointment earlier and chose to reschedule to fit with their work and life.

The National Vaccination Scheduling System (NVSS) has successfully appointed millions of Scottish citizens while achieving exceptionally high uptake rates this demonstrates a massive success for a system built from scratch in the space of 8 weeks.

Our intention has always been to evolve and continually enhance the NVSS. As the programme has engaged with younger cohorts it has become evident a digital first online booking approach would be beneficial. The programme team are in the process of designing an online booking system for the autumn/winter Flu vaccinations.