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By 24 April 2020, 76,888 people had registered with the SMS shielding service. Of these, 27,000 people registered before 10 April, and 49,888 people registered on or after 10 April.

The SMS shielding service offers information and support to people who have been advised to shield because they are at high risk of severe illness from COVID-19:

• People who sign up to the SMS service can use it to request free weekly boxes of basic groceries, if they don’t have another way of getting food and household items.
• The SMS service asks people if they would like their details to be passed to the supermarkets, so that they can access priority delivery slots.
• The SMS service signposts people to their local authority if they need prescription medications delivered.

All of these services are available to anyone in the shielding group who needs them, including people who do not have access to a mobile phone. The services can all be accessed through each local authority’s shielding helpline, or through the new national helpline.

Many people who are shielding will not require access to these services as they will have existing support networks they can use to access food and medicine.

People who are shielding are encouraged to register for the SMS service so that they can be contacted with further updates as the situation around COVID-19 develops.

The letter issued by the Chief Medical Officer to those who are recommended to shield contains important information advising how people in this group should keep themselves safe, what support is available to them, a range of references to sources of further information or help, and information about key issues which are likely to arise. It is essential that those being asked to shield have this information available to them in order to keep themselves safe.

Advice is also available through each local authority’s shielding helpline, or through the new national helpline.

The information contained in the letter is broadly the same as letters issued by the other Chief Medical Officers across the UK in relation to shielding.

No clinical waste has been stored at hospital sites under contingency. No additional hospital storage costs have been incurred.

Information held nationally on delayed discharges can identify the number of people who were delayed in their discharge from hospital awaiting completion of care arrangements for social support in order to live in their own home and whose delay period ended in death. Information is not available prior to July 2016 due to a change in data definitions and reporting requirements. Figures for calendar years 2017 to 2019 are shown in the following table.

Number of people delayed in their discharge from hospital awaiting completion of care arrangements for social support in order to live in their own home whose delay period ended in death; by NHS Board; Calendar years 2017-2019

The Scottish Government is working closely with NHS Boards during the pandemic to monitor the impact of Covid-19 on demand and capacity and is responding where required.

On 25th March the Chief Scientist Office also launched the Rapid Research in Covid-19 (RARC-19) Funding Call. This is supported by nearly £5 million of funding from the Scottish Government. As part of this, the Scottish Government is funding projects which will help us understand the mental health impacts of the pandemic on the population, including on vulnerable groups.

We expect people are going to need a variety of supports through the crisis. That is why we are investing £3.8 million on extending telephone and digital mental health support and a further £1 million on rolling out Distress Brief Intervention support across Scotland. We are also working closely with the Boards on the delivery of existing services within the context of the current constraints.

Prior to the Covid-19 crisis, psychology staffing had been steadily increasing with enhanced investment. NHS Education for Scotland is currently delivering the Health and Social Care Covid-19 Accelerated Recruitment Portal, which will enable a speedy deployment and employment of workers across the Health and Social Care workforce as they are required.

I refer the member to the answer to question S5W-28198 on 27 April 2020.

I am leading work to ensure a range of mental health and wellbeing support is in place for NHS and social care staff, complementing the work being taken forward by NHS Boards and Health and Social Care Partnerships at a local level.

Social media, including twitter, is being used by the Scottish Government, NHS Education for Scotland and other partners to promote wellbeing advice.

All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx .

The Scottish Government released the Clear Your Head campaign on 21 April. The campaign looks at simple steps people can take to protect their own mental health and to look after loved ones.

The Scottish Government will provide an additional £75,000 of funding to Parentline Scotland , which will provide vital support to parents, including advice on how to support their children experiencing anxiety regarding COVID-19.

The Scottish Government’s ParentClub website remains the key portal for clear and simple advice for parents and carers, including specific content to support parents on effectively communicating and managing any anxiety that their children may be experiencing due to COVID-19. The ParentClub includes a wide range of relevant information for families including supporting children’s (and parents’ and carers’) mental health and relationships as well as guidance and tips for learning and play at home.

The Scottish Government plans to expand the Distress Brief Intervention (DBI) service across the entire country in response to COVID-19. Prior to the COVID pandemic, DBI was already operating as a pilot in rural and urban areas, in the Scottish Borders, Aberdeen, Inverness and North and South Lanarkshire. The Scottish Government is working proactively with the DBI Central team (based at NHS Lanarkshire) and other partners to set in hand the practical arrangements for the expansion to go live over the coming few weeks. The additional commitment to support this is £1,038, 284 in the current financial year.

Public Health Scotland collects IVF Waiting Times data for first cycle to screening appointment within the confines of the Human Fertilisation and Embryology Act. Information regarding IVF can be found in the IVF waiting times section of the Public Health Scotland website at https://beta.isdscotland.org/find-publications-and-data/healthcare-resources/waiting-times/ivf-waiting-times-in-scotland/

NHS IVF Centres have contacted all patients who have been affected, offering support and confirming that treatment is temporarily paused.

Clinical research in any area which may potentially have implications for clinical practice is considered by The Scottish Intercollegiate Guidelines Network as part of their regular processes for reviewing the need for and updating clinical guidelines for NHS Scotland.

The 2018 National Institute for Health and Care Excellence dementia guideline includes an evidence-based assessment of the benefits and risks associated with the prescribing of antipsychotic medications to people with dementia. The guideline does not identify an increased risk of premature death from prescribing antipsychotic medication in these circumstances.

The Scottish Government’s Dementia Standards are clear that people with dementia have the right to receive a full range of therapeutic interventions to help alleviate stress and distress and that psychoactive medications including antipsychotic medications should only be used if no alternative interventions are available. Carers should be fully involved in discussions on the use of such medications including their benefit and associated risks.