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Patients in Scotland with medication-refractory essential tremor can be referred for MRgFUS treatment to the current centre in London which offers this service. These arrangements are managed through robust commissioning arrangements between NHS England and NHS National Services Scotland’s National Services Division (NSD). Referral to the service is dependent upon the patient’s local neurologist considering their eligibility and whether they would benefit from MRgFUS treatment.

In Scotland a partnership between NHS Tayside and University of Dundee is also enabling a small number of eligible patients to receive MRgFUS treatment at a newly developed facility in Dundee. So far 80 patients have been referred for assessment this year, and around 25% of those have been considered as being appropriate for treatment. The National Deep Brain Stimulation Service in Glasgow has been working closely with the facility to ensure that patient selection is appropriate with a view to the best clinical outcomes as well as patient safety.

While evidence continues to be gathered on the effectiveness of the technology, NSD continues to engage with the clinical team in Tayside with a view to the development of an application for national designation in Scotland.

Since April 2015 the Scottish Government has provided funding to support the planting of over 1.85 million trees and the creation of more than 925 hectares of new urban woodlands to provide opportunities for people to use and enjoy their local woods.

Around £8 million a year is available to support tree planting and greening projects within the Central Scotland Green Network area.

The Scottish Government continues to work with, and provide funding to a range of partners including local authorities, to support them in responding to demand for better access to unban woods through their expansion and improved management. Examples of this partnership approach include the Clyde Climate Forest and initiatives such as the “Wee Forests” that will play a role in improving people’s health and well-being whilst also delivering on our climate change and biodiversity commitments.

Public Health Scotland have confirmed that a hot debrief is guidance and not mandatory. The Incident Management Team therefore did not completed a hot debrief relating to the COVID-19 outbreak at the Nike Conference. Public Health Scotland have, however, published the Incident Management Team Report relating to this event. Learning around Covid-19 is a continuous process and findings such as this report inform the wider response to the pandemic in Scotland.

CS Wind had previously received grant support from Highlands and Islands Enterprise to open their facility in Macrihanish. Providing further public sector support may have breached subsidy control limits

The current Ancient Woodland Inventory provides an excellent starting point for a National Register of Ancient Woodlands. We are working closely with NatureScot and Scottish Forestry to determine the best approach to establishing a new National Register of Ancient Woodlands.

There is clear clinical evidence that the vaccination reduces the risk of serious harm and we recommend that all adults, even those how have had Covid, should be vaccinated. One of the aims of the certification programme is to promote the uptake of the vaccine and for that reasons antibody status is not within scope. We will keep the parameters for certification under review.

The Scottish Government’s Heat in Buildings Strategy, published in October 2021, committed to establishing a Green Heat Finance Taskforce by the end of 2021. The Taskforce will forge a new partnership approach between the Scottish public sector, heat decarbonisation experts and the financial sector to explore potential new and value for money innovative financing mechanisms for investment in zero emissions heat. The Taskforce has a crucial role in shaping how the transition to zero emissions heat in Scotland’s buildings is financed, therefore the membership of the Taskforce will be drawn from expertise including green finance, the heat and energy efficiency sector and consumer groups.

The Scottish Government provided support and funding to develop British Standard for evacuation alert systems and engaged with the National Fire Chiefs Council, Scottish Fire and Rescue Service and the UK Government in that work.

The National Fire Chiefs Council and UK Government comprise the Stay Put Technical Steering Group which is overseeing research on means of escape from a design, management and operational perspective. The Scottish Government and Scottish Fire and Rescue Service awaits the research findings, as they are key to informing any potential improvements and future approaches.

The online self-booking portal for COVID-19 booster vaccinations will open on 15 November 2021.

The online self-booking portal will be open to adults aged 50-59, unpaid carers who are aged 16 or over, and people aged 16 or over who are household contacts of immunosuppressed individuals. This will allow people in those groups to book online for appointments from early December onwards.

During 2020-21 the percentage of total NHS procedures carried out by non NHS-providers was 0.6%. Non-NHS provider figures relate to NHS patients treated in non-NHS locations such as private hospitals, hospices, nursing homes, care homes, etc.

The impact of addressing the COVID-19 pandemic has meant that many health and social care services had to be suspended or reduced in scope and scale. This has affected almost all aspects of NHS Care. As a result, this regrettably means there are many people who are waiting longer for the care they need. Addressing the backlog of care, while continuing to meet the ongoing urgent health and care needs of the country, is a priority for this Government.

The Scottish Government remains fully committed to a publicly funded National health service that is accessible to all of the people of Scotland. That is why the First Minster launched the NHS Recovery Plan on the 25 August which sets out our objectives for tackling the Covid-19 related backlogs of care and putting the NHS on a sustainable path for the future. The plan is backed by more than £1 billion of investment over the next five years of which over £400 million will support nine National Treatment Centres (NTC) – the first of which opened at the Golden Jubilee November 2020.