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The most recent surveillance data has been published by Public Health Scotland, and this includes treatment levels since 2007-08. The report can be found here: https://hps.scot.nhs.uk/web-resources-container/surveillance-of-hepatitis-c-testing-diagnosis-and-treatment-in-scotland-2019-update/ .

We have commissioned the Health and Social Care Alliance to take forward a programme of work on ‘lived experience’ to inform women’s health policy and ensure women are meaningfully involved in decision making and priority setting going forward.

During 2020, national treatment targets were suspended in recognition of the necessary response to the covid-19 pandemic, before being reinstated in 2021.

We know that the covid-19 pandemic had a major impact across our health services, including the detection and treatment of Hepatitis C. In considering the re-instatement of Hepatitis C treatment targets, both the impact of COVID and associated steps to manage it were considered by the SHPN Hepatitis C Elimination Group, which comprises clinical expertise from Scottish Health Boards.

A recent PHS report shows that the number of new diagnoses made in 2020 and 2021 were the lowest recorded in the last decade. Encouragingly, however, it also shows that major progress has been made despite the pandemic. For example, there is evidence to indicate that Scotland has already achieved one of the WHO targets set for 2030; 80% of those ever diagnosed having received treatment.

The full PHS report can be found here: Surveillance of hepatitis C in Scotland (publichealthscotland.scot).

The NHS in Scotland has a strong track record of delivering innovative sexual health and blood borne virus services.

For example, in 2017, Scotland was one of the first countries in the world to introduce an HIV Pre-Exposure Prophylaxis service - offering free preventative medication to those deemed at highest risk of acquiring HIV.

To ensure we build on this progress, in December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward.

The Scottish Government has also committed to improving testing for sexual health and blood borne viruses, to ensure more people can receive the treatment they need. We have funded a home-testing HIV pilot project run by HIV Scotland to help evaluate the viability of this approach and its scope to increase parity of access in remote and rural areas. We have also provided over £0.5m for the development of a “once for Scotland” approach to STI home testing. This was rolled out in NHS Lothian in December, and work is underway to explore further roll-out. This service allows people to request a test online and perform home self-sampling, while providing clinicians with comprehensive, real-time data.

We recognise that the development of new models of service and treatment is an ongoing, iterative process. The Scottish Government will continue to support this, including through development of the next Sexual Health and Blood Borne Viruses Framework.

A Sexual Health Digital Group has not yet been established, in recognition of the pressures facing the NHS as it recovers from the pandemic, and to avoid further demands on the time of the clinicians and NHS professionals who would be required to join.

However, to maintain momentum, the Scottish Government has continued to support digital solutions, including online testing and ePrEP. Additionally, much of the anticipated work that the Group would have taken forward will be addressed through other forums, such as the forthcoming update to the Sexual Health and Blood Borne Virus Framework or through the refreshed Digital Health and Care Strategy. However, the establishment of the Group will remain under review and be stood up, should the need arise and resources permit.

It is for each Board to decide how to deliver healthcare services in line with the needs of their local populations. However, following the suspension of treatment targets in 2020, and after advice from the Scottish Health Protection Network Hepatitis C Elimination Group, national treatment targets were reinstated in 2021 at a level of at least 2000 new treatment initiations for 2021-22 rising to 3000 in 22-23.

Establishing a Women’s Health Lead in every board is a medium term action in the Women’s Health Plan due for delivery by September 2024 . NHS Boards have begun the process of identifying their Women’s Health Lead.

The National Transition Training Fund was operational from October 2020 until August 2022. Within this period 885 training places were made available across a number of projects focused on social care. This number excludes college data from the 2021-22 academic year as this data is included within official Further Education Statistics (FES) due to be published in February. A report on the second and final year of NTTF will be published following the publication of FES data, and the college data will be included in the final published report.

The Scottish Government and NHS Scotland continues to promote the use of remote consultations, including NHS Near Me, as a means to support access to services and reduce the need to travel to appointments.

As an example of this support, Community Hubs are also being established in areas of Scotland where people could more easily attend and access appointments remotely. These Hubs provide a private space and equipment for members of the public to access digital services, such as video consultations.

More recently, Midwives in NHS Grampian have used Near Me Group s Consultations to provide Antenatal Classes which reduces the need for pregnant women to travel to their appointments. NHS Near Me has provided a short film which contains more information - Near Me Groups for Antenatal Classes, NHS Grampian - YouTube

Work to widen eligibility for PrEP in Scotland is well underway. This has been progressed by a dedicated PrEP Short Life Working Group, comprising clinical and third sector representatives, which is developing guidance for new eligibility criteria. The goal is to ensure that anyone who is at risk of acquiring HIV is eligible to receive PrEP.

Widening eligibility will also require ensuring appropriate capacity to provide PrEP. In December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward. If successful, in the long term, an online service could improve access, including for those living in remote or rural areas.