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Lateral Flow Device (LFD) tests are approved for use by the MHRA, the UK's regulator of medicines and medical devices, responsible for ensuring their safety, quality and effectiveness. LFDs are all packaged with Instructions for Use, which are required by the MHRA to be easy to follow and available in a range of languages and formats. The Scottish Government has developed a range of resources in accordance with this.

The Scottish Government worked with NHS Inform to promote information on how to accurately take an LFD test. This included commissioning a video from Professor Jason Leitch with instructions on how to take the test. This has been translated into multiple languages including BSL, Arabic, Polish and Urdu, as have written instructions. The gov.scot site points to NHS Inform as the primary place to read the instructions.

Working with Young Scot, content was created that was aimed at children and young people on how to take an accurate LFD test, including a video from Dr Punam Krishan. A range of marketing assets have also been developed on how to do an LFD test, including posters for health and social care workers to share with local authorities and health boards.

Anyone who experiences any harm, injury, false positives or negatives, or difficulties in using the self-test device should report this to MHRA via the Coronavirus Yellow Card website, which helps identify issues which might not have previously been known that can then be addressed.

The Scottish Government is committed to a long term vision for active travel that encourages walking, cycling, public transport and car sharing in preference to single occupancy car use for movement of people, and encourages efficient and sustainable freight.

A range of programmes are underway to encourage more parents and carers to choose alternatives to using their car. This includes Sustrans’ Safer Routes to Schools programme, which is helping to fund and deliver improvements to school routes to make them safer and better places for people to walk and cycle. Cycling Scotland also runs the Bikeability programme which delivers training to school children to give them the skills and confidence needed to cycle safely to school.

The Scottish Government also provides local authorities with funds towards the provision of dedicated school transport and funded travel on public transport services for eligible pupils which also supports reduced use of cars.

The Scottish Government has put in place financial support packages, through emergency Covid Support Grants, paid at pre-Covid levels, paid to bus operators to provide and maintain essential bus services.

The National Bus Travel Concession Scheme for Young Persons will also enable all young people aged under 22 to become eligible for free bus travel throughout Scotland. Up to 930,000 young people could benefit from the scheme, which aims to encourage greater use of public transport and reduce reliance on cars.

The numbers of babies reported in the Scottish Birth Record (SBR) as having a diagnosis of ‘foetus and newborn affected by maternal use of drugs of addiction’ or ‘neonatal withdrawal symptoms from maternal use of drug addiction’ in Scotland during the period 2006-07 to 2016-17 are provided in the following table. The figures presented cover three year aggregates to avoid disclosing small numbers in each individual year. Further suppression of small numbers has been applied as per ISD’s Statistical Disclosure Control policy in order to protect patient confidentiality.

Number of babies affected by maternal use of drugs, financial three year aggregates, 2006-07-2008-09 to 2014-15-2016-17 1,2,3

Consumer protection remains reserved to the UK Government but through advice and advocacy, we are doing all we can with them to support consumers.

Consumer Scotland will have a general function of providing consumers advocacy and advice with a view to reduce harm to consumers in Scotland. The board was formally appointed on 1 July 2021.

Any specific complaint should be directed to the consumeradvice.scot consumer helpline funded by the Scottish Government.

I appreciate how difficult postponement of treatment has been for people with chronic pain. This includes those who may have had their normal treatment paused, including injections to manage acute pain, owing to clinical concerns related to an increased risk of COVID-19 infection or severity during the pandemic. We have taken a number of steps to provide advice and support to people with chronic pain during the pandemic, and remain committed to ensuring that Health Boards resume a full range of specialist pain services as quickly as it is safe to do so.

Last summer we published a national resource for people with chronic pain to provide information which was developed in partnership with a range of stakeholders including clinical advisors and third sector partners and is regularly reviewed. This guidance referenced advice on the safety of steroid injections from the Faculty for Pain Medicine (FPM) which clearly highlighted the potential risk to providing these interventions during the pandemic and states: ‘As with all pain management procedures a risk benefit balance has to be reached in discussion with the patient. Each case is unique and no guidance will cover all eventualities.’

It is important to understand that it is not appropriate, nor is it the case, that Scottish Government officials or Ministers make or influence treatment or prescribing decisions, such as those related to the provision of pain procedures, as these are entirely for clinicians in charge of a patient’s care to make. When taking these decisions we expect clinicians to be aware of relevant guidance and to take into account the impact of pain on people’s quality of life and any safety considerations.

In order to ensure Health Boards prioritised remobilisation of their pain services, in September 2020 we published the COVID-19 Recovery Framework for NHS Pain Management Services to support them in this process. As set out in the Framework, we recognise that pain has a significant impact on people’s quality of life, and Health Boards are expected to triage cases locally based on clinical need and in line with advice from organisations, including the FPM and the British Pain Society. The Framework also stated the Government’s expectation that people awaiting treatment should be contacted to advise them about their support options should the services they attend be disrupted.

Evidence-based caution is at the forefront of our decision-making, and we will continue to work with Health Boards to remobilise the NHS in the safest possible way, while also supporting Boards to prioritise elective activity on the basis of clinical urgency. As set out in the Framework for Clinical Prioritisation, people awaiting treatment who are experiencing worsening or existing pain should be considered for prioritisation in line with the principles of active waiting list management. However, the number of patients who can be seen, diagnosed and treated may be reduced by the continuing and necessary infection prevention and control measures. Any decisions to scale back elective activity will be taken on an evidence basis and where the need to support COVID-19 patients exceeds capacity for elective care.

The Scottish Government takes seriously the impact of the pandemic on the mental health of all individuals, including those experiencing chronic pain. That is why we have published the Mental Health Transition and Recovery Plan which outlines our response to the mental health impacts of COVID-19.

The Scottish Government has made a commitment within the Transition and Recovery Plan to ensure that those who need mental health support as a result of delayed treatment of their physical health services are identified and directed to the appropriate support and care. This is part of our wider approach to ensure that people with a long term condition are also given support for their mental health and wellbeing and are involved in decisions affecting all aspects of their care.

I appreciate how difficult postponement of treatment has been for people with chronic pain. We want to ensure people with chronic pain can access appropriate support, however we are aware of the challenges facing specialist pain services as they continue to remobilise during the pandemic.

We remain committed to ensuring that Health Boards resume a full range of specialist pain services as quickly as it is safe to do so and in September 2020 we published the COVID-19 Recovery Framework for NHS Pain Management Services to support Boards in this process. As set out in the Framework, we recognise that pain has a significant impact on people’s quality of life, and Health Boards are expected to triage cases locally based on clinical need and in line with advice from expert clinical organisations, including the Faculty of Pain Medicine and the British Pain Society. Furthermore, the Framework for Clinical Prioritisation published in November 2020 outlines that people awaiting treatment who are experiencing worsening or existing pain should be considered for prioritisation in line with the principles of active waiting list management.

The Scottish Government engages closely with Historic Environment Scotland (HES) on an ongoing basis on its work to develop and deliver protect historic buildings from the effects of climate change.

HES’s Corporate Plan is agreed with Ministers and includes a commitment to respond to the challenges of climate change by better understanding, managing and mitigating its impacts on the historic environment. A link to the plan is provided below:

• https://www.historicenvironment.scot/archives-and-research/publications/publication/?publicationId=1f65f457-a602-4ddc-af61-aa2500933d61

In delivering Scotland’s strategy for the historic environment, Our Place in Time (OPiT), HES chairs the Climate Change Working Group. The group’s first major output was A Guide to Climate Change Impacts on Scotland’s Historic Environment , which summarises the risks and hazards facing Scotland’s historic environment and offers routes to take action, to implement adaptation measures and enhance resilience to climate change. A link to this guide is provided below:

• https://www.historicenvironment.scot/archives-and-research/publications/publication/?publicationId=843d0c97-d3f4-4510-acd3-aadf0118bf82

HES has published a number of other key strategy documents, recognising the challenges facing Scotland’s historic environment as a result of climate change and setting out routes to take action, implement adaptation measures and enhance resilience to climate change. HES also publishes a range of research and guidance for traditional and historic building owners and managers to support energy efficiency and climate change adaptation.

The Scottish Government and HES have also worked collaboratively in partnership on a range of projects delivered through the Scottish Government’s Adaptation Scotland programme, including projects which provide key resources for those managing climate change impacts on the historic environment.

The National Advisory Committee for Chronic Pain (NACCP) meets quarterly, with the most recent meeting taking place on the 26 May, and outputs from its discussions are used to update Ministers as required and inform the ongoing development of the new Framework for Chronic Pain Service Delivery which is intended for public consultation later this year.

The Committee provides advice to the Scottish Government to inform national policy. As set out in its Terms of Reference, the NACCP is an advisory group which seeks to achieve consensus based on the shared knowledge and experience of the members on an equal basis. The membership of the Committee comprises representatives from the Scottish Government, NHS services, clinical, third-sector and research sectors, and following a review last year, an increased number of people with lived experience of chronic pain.

In addition to the individual people with lived experience who provide input as members of the NACCP, officials have also consulted the wider Chronic Pain Patient Reference Group which is supported by the Health and Social Care Alliance. In advance of the Framework being finalised officials will work with the Alliance to identify opportunities to consult with people with lived experience of chronic pain.

I refer the member to the answer to question S6W-00914 on 5 July 2021. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers.

Indoor music lessons for both children and adult pupils can take place under COVID-19 restriction levels 0-3 in households or other suitable premises with relevant mitigations including appropriate hygiene measures, physical distancing, use of face coverings where it does not interfere with playing and provided the household and person limits are not exceeded. Remote or online tuition is recommended as the lowest risk option at all levels.

There are no restrictions on which instruments can be used during tuition, but the sharing of instruments is not advised, particularly brass and woodwind instruments due to the increased risk of spreading the virus. The tutor should cover this in the required risk assessment.

Further information can be found at:

• Coronavirus (COVID-19): organised activities for children - gov.scot (www.gov.scot)
• Coronavirus (COVID-19): guidance for the performing arts and venues sector - gov.scot (www.gov.scot)