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Public Health Scotland (PHS) uses the national waiting times warehouse to collect electronic patient records covering the waits that patients experience waiting for a new outpatient appointment. This data source can be used routinely to identify the specialty of treatment, such as whether the patient was waiting for an appointment in ophthalmology or orthopaedics. However, it is not possible to ascertain whether the appointment involved an assessment of whether the patient is suitable for a particular procedure. This level of information may be held locally by NHS Boards.

Statistics relating to the waits patients experience for new outpatient appointments, at specialty and NHS Board level, are published up to 31 December 2021 and can be found using the following link:

https://www.publichealthscotland.scot/media/11694/newop_feb22.xlsx .

Before we made the decision to lift remaining legal measures and close the Highest Risk list, we and our clinical advisers carefully considered the impact on people who are immunosuppressed or immunocompromised. There is strong evidence to show that the vaccine is offering significant protection and preventing the majority of people whose immune systems are suppressed or compromised from becoming severely ill if they are infected with COVID-19.

We know that the degree of protection offered by the vaccines wanes over time, which is why booster vaccinations are needed to maintain the best protection against COVID-19 for those at highest risk of the severe effects of the virus. Second booster appointments for people with suppressed immune systems have already started.

However, we are also aware that for some of this group, it is not possible to mount a full immune response due to their medication, treatment or health condition.

Many immunosuppressed or immunocompromised individuals lived with and managed the risk posed by other diseases and infections before the COVID-19 pandemic, and will continue to be advised by their GP and specialist clinical team, who best know their individual circumstances, on how to reduce their risk of infection from both COVID-19 and other viruses. We’ve also made new treatments available to those who are eligible for them who will benefit the most – including some people who are immunocompromised or immunosuppressed .

The Scottish Government is focussed on delivering the commitments set out in our NHS Recovery Plan, published in August 2021.

With regard to cataracts, the Scottish Government is working with Health Boards to undertake additional pre-assessment clinics to assess those patients referred for consideration of surgery. In tandem, Boards are implementing new and more efficient ways of working, including virtual appointments and via telephone to prevent unnecessary visits and travel to hospitals.

The independent sector is also supporting additional cataract surgeries across a number of Health Board areas. In particular, over 3,500 additional surgeries were undertaken by the Independent Sector at NHS Golden Jubilee (NHSGJ) in 21-22, and will continue to deliver an additional 1,000 surgeries in 22-23. Plans are also in place to enable a number of Boards to utilise available capacity at NHSGJ using their own surgeons, who will undertake cataract surgery at the facility. This will allow patients access to treatment more quickly, as well as offering opportunities for training junior surgeons.

The Centre of Sustainable Delivery has been commissioned to support surgical teams across NHSScotland to implement the guidance issued by the Royal College of Ophthalmologists. This will increase efficiency and productivity across cataract-only surgical sessions, and high-volume surgery in cataract treatment centres.

We are working closely with Boards to finalise planned care activity plans, including for orthopaedics, for 2022-23 which will be critical to stabilising and improving our health and social care system in the medium term.

The National Treatment Centre (NTC) Programme will deliver the single biggest increase in protected planned care capacity ever created in NHS Scotland. The network of 10 NTCs, will deliver capacity for over 40,000 additional planned procedures and diagnostic care across 12 specialities. Within the next 18 months, NTCs will open in NHS Fife, NHS Forth Valley, NHS Highland and at NHS Golden Jubilee specialising in orthopaedic surgery. On 13 April, we also announced £1.8m of funding to purchase a private hospital in Ayrshire (Carrick Glen) to be developed into a new National Treatment Centre specialising in orthopaedics.

As well as significant investment in new infrastructure, the new NHSScotland Centre for Sustainable Delivery is also leading work to explore new and innovative ideas to reduce In Patient / Day Case and Outpatient waiting times. Examples include:

• The rollout of Active Clinical Referral Triage, to provide patients with information about non-surgical interventions and self-management options;
• Patient Initiated Reviews, enabling patients to be escalated if their condition deteriorates and reduces routine appointments while supporting patients in a safe and clinically appropriate manner; and
• Enhanced Recovery after Surgery pathways, designed to support patients achieve faster recovery after surgery.

In determining an application for a marine licence (under the Marine (Scotland) Act 2010 and Marine and Coastal Access Act 2009) the Scottish Ministers must have regard to protection of the environment and human health, prevention of interference with legitimate uses of the sea and such other matters as the Scottish Ministers consider relevant. Marine licences do not include conditions in relation to Fair Work First criteria and commitments to supporting domestic supply chains. Such conditions cannot be applied to s.36 consents issued under the Electricity Act 1989 for the construction, operation or extension of generating stations either.

ScotWind applicants were required to submit a Supply Chain Development Statement (SCDS) setting out the anticipated level and location of supply chain impact for their projects. We have now seen these statements yield commitments by developers to invest an average projection of £1.5bn in Scotland across each of the 17 ScotWind offshore wind projects. Developers can update their Statements throughout the development phase. Failure to deliver the commitments laid out in the final SCDS can trigger remedies ranging from financial penalties to an inability to progress to seabed lease.

Crown Estate Scotland manage leasing of the Scottish seabed, and we will ask their Chief Executive to write to you directly with this information.

The Scottish Government are aware of the UK Government Renewable Energy Planning Database which will hold information on the operator of individual sites across the UK. This information can be accessed via https://www.gov.uk/government/publications/renewable-energy-planning-database-monthly-extract and the most recent update took place in December 2021.

Scottish Renewables, as the renewable industry representative body in Scotland, hold a directory of their members which may be useful in collating this information. The Scottish Government would also suggest that further detail could be obtained by contacting Scottish Renewables directly.

The Scottish Government does not hold information on the percentage of profits that are paid out from community benefits from onshore or offshore wind energy projects.

Our updated Good Practice Principles for Community Benefits from Onshore Renewable Energy Developments (2019) continues to promote community benefits at a national level, equivalent to £5k per installed MW per annum index linked for the operational lifetime of the development.

To aid transparency in the community benefits process, the Scottish Government established a voluntary Community Benefits Register, maintained by Local Energy Scotland. According to the Register, as at March end 2022:

• Offshore Wind Community Benefits over the previous 12 months was £149,999.80, representing 0.7% of the total sum of Community Benefits paid across all renewable technology projects and;
• Onshore Wind Community Benefits over the previous 12 months was £22,412,274.49, representing 98% of the total sum of Community Benefits across all renewable technology projects.

There are currently no plans to recommission the Scottish Schools Adolescent Lifestyle and Attitude Survey (SALSUS).Over the past 4 years, the Scottish Government has been working with local authorities in developing a Health and Wellbeing Census.This Census is currently underway in Scottish schools and contains some key, high-level data which were previously collected in SALSUS.This includes questions on e-cigarettes, with both S2 and S4 pupils being asked about their frequency of use of these products. An additional question on usage and where these products were purchased is also asked of S4 pupils.

Results from the 2021-22 HWC are expected to be published towards the end of 2022.

The current arrangements, which were implemented at the start of the pandemic, will remain in place. The Scottish Government is currently reviewing the provision of early medical abortion at home, and expects to make an announcement on this soon.

In line with the Scottish Government’s Programme for Government commitment to ‘create a new brand marque, and build on existing campaign activity, to enhance Scotland’s international reputation’, the new single nation brand marque for Scotland was introduced as part of the Brand Scotland ‘Scotland is Open’ international marketing campaign and in support of Scotland’s domestic and international presence at COP26 in Glasgow, capitalising on this key international moment.

Funding under the Young Patients Family Fund is available to eligible visitors of all young inpatients. Requirement for in-patient care can vary by condition and type of treatment, and some patients may have multiple conditions or treatments over time. For these reasons we do not collect data on individual conditions.