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Public Health Scotland provide regular reports which include suspected drug-related deaths, to help maintain and improve the quality of care and support available to people who use drugs. That data is closely examined by Public Health Scotland and key partner organisations, particularly any notable increases in suspected deaths such as those noted in December 2020. There can be a number of reasons for spikes in the number of deaths being recorded, but at this stage no specific causes or geographical links have been identified to explain this particular increase. We continue to work closely with partners to monitor these figures and any arising concerns.

The official, confirmed, drug deaths statistics for 2020 will be published by National Records of Scotland in the summer. Whilst there were significant concerns about the potential impact of the pandemic on vulnerable groups, including those who used drugs, a range of work was undertaken by Scottish Government, with significant investment made, to mitigate these risks. At this stage we do not have any clear evidence to suggest that the total number of confirmed drug-related deaths in 2020 will surpass the numbers recorded in 2019.

The original specification for this report was for Patients fully registered of all ages with a coded diagnosis of asthma (and no more recent code of asthma resolved) who:

Have had one or more hospital admissions or A&E attendances with asthma in the previous year

OR

Have ordered 6 or more ‘short acting beta agonist’ inhalers in the previous year

OR

Have ordered 6 or less steroid containing inhalers in the previous year

OR

Have had 2 or more asthma exacerbations in the previous year (prescription for oral steroids)

AND

Have not had an asthma review within the previous year

This is a local report which sites within local GP IT systems, and it is for practices to manage this information themselves.

The Scottish Government’s Alcohol Framework 2018 is clear that action is needed to inform consumers about the health impacts of alcohol consumption and the UK Chief Medical Officers’ lower-risk maximum drinking guidelines.

We delivered the Count 14 marketing campaign over two phases in 2019 and 2020. This aims to increase awareness of the 14 unit weekly lower-risk guidelines and translate 14 units into specific alcoholic drinks. The campaign included TV, radio, print and digital advertising as well a roadshow in local supermarkets and a range of partnerships.

A campaign evaluation report summarising the findings of independent pre and post tracker surveys was published on 22 March 2021: Alcohol - count 14 campaign: evaluation report - gov.scot (www.gov.scot) . The findings demonstrate that the Count 14 campaign has made a positive impact on increasing awareness and understanding of the UK CMOs’ low-risk drinking guidelines in Scotland. For example, among all of those surveyed, awareness of the 14 unit limit increased from 17% pre-Count 14 activity to 32% after both phases. We will consider future national marketing and health messaging on alcohol consumption in light of these findings.

Product labels and packaging are an important source of information for consumers. A report published in 2020 by the Alcohol Health Alliance, based on 2019 data, found that more than 70% of the labels reviewed did not include the official, up-to date lower-risk drinking guidelines at the time of data collection: DRINKING-IN-THE-DARK.pdf (ahauk.org) .

As indicated in the Alcohol Framework, we will consider whether a legislative approach is required to improving health information on products. The Scottish Government, along with the Welsh Government and Northern Ireland Executive, are discussing with the UK Government their plans for calorie labelling on alcohol products in England, in order to explore options for approaching alcohol labelling requirements on a four-nations basis.

Work on implementing the provisions of Part 3 (Bus Services) of the Transport (Scotland) 2019 Act was paused while officials had to prioritise the Scottish Government’s response to the Coronavirus pandemic. However, work has now restarted and an online stakeholder workshop was held on 17 March 2021 which covered the range of options, including local authority run bus services. Stakeholder views will inform the development of a public consultation exercise to run later this year. This consultation will, in turn, inform the development of secondary legislation and guidance. The date of coming into force will depend on a number of factors including the time it takes to consider the outcomes of the consultation, as well as Parliamentary scheduling.

The Scottish Government welcomed the recommendations of the Fireworks Review Group and in February 2021 laid regulations in the Scottish Parliament amending the times of day and volume of fireworks that can be sold to the general public, and the times of day fireworks can be used by the general public. These regulations will contribute to ensuring fireworks are used safely, handled with care and reduce harm for individuals and communities going forward.

Further recommendations from the Fireworks Review Group, including the introduction of mandatory conditions before the purchase of consumer fireworks by the general public and the introduction of no fireworks areas or zones where it is not possible for the general public to set fireworks off, require further consideration. Subject to the forthcoming election in May 2021, the Scottish Government intends, as a matter of urgency, to ensure further positive change is in place for communities going forward.

We recognise the financial challenges being experienced by businesses in the construction sector, particularly smaller firms and tradespeople whose business relies on doing work in domestic premises. The limited funding made available to us to support businesses means that we are simply unable to support all sectors experiencing disruption as a result of restrictions. We therefore have no plans at present to provide direct financial support to small building and construction firms.

I would, however, encourage businesses in this sector and whose trade has been impacted by the pandemic to access the UK Government's Self Employment Income Support Scheme and the Coronavirus Job Retention Scheme which will support them in meeting staffing costs and addressing salary shortfalls. We continue to do all we can to support the sector through these difficult times through the Construction Leadership Forum and our Construction Recovery Plan.

The monitoring of the impact of gambling across the UK during the pandemic, is carried out by the Gambling Commission, which published and updated the following report . The Commission also alerts stakeholders to other academic assessments carried out across both the UK and internationally.

Gambling has the potential to negatively affect physical, psychological health, and the social functioning of the people who gamble and others around them. In April 2019 the Gambling Commission, with the support of GambleAware, published its “National Strategy to Reduce Gambling Harms”. That new industry-led strategy for England, Wales and Scotland aims to respond to growing concerns about the harm caused by gambling through improving prevention and educative approaches, and through developing and increasing access to evidenced-informed effective treatment and support.

The Scottish Government are currently working with the Commission and other stakeholders in Scotland, to assess existing evidence on which pathways to treatment are likely to be most successful in Scotland, this includes the evaluation of pathways being trialled in other nations. In addition, we are keen to understand why some people with problematic gambling are not accessing treatment and support services, to ensure our pathway options take these reasons into account to provide the correct approach for the people of Scotland.

The First Minister announced on 16 March that Stay at Home regulations will be lifted on 2 April and replaced with guidance to Stay Local, with more services able to open from 5 April. The First Minister also announced further expected easing’s from 26 April including the anticipated restarting of driving lessons and tests. The only current exceptions for driving lessons are lessons provided by a member of the same household and where an organisation has delegated authority to do so from the Driver and Vehicle Standards Agency. This includes Scottish Fire and Rescue Services, Police Scotland and bus operators.

The following table sets out the numbers of sudden, unexpected and unexplained deaths reported per month to the Procurator Fiscal from 01 June 2020 to 28 February 2021. Included within this table at Column (ii) is the number of deaths where the Procurator Fiscal instructed that a post mortem examination be held.

Toxicological analysis is required in the case of fatalities where the cause of death is not immediately clear, and when that analysis is required by the pathologist for preparation of the final post mortem report. The University of Glasgow, under contract with the Crown Office and Procurator Fiscal Service (COPFS), currently provides most of the toxicology services in Scotland, with the exception of deaths that are reported to the Procurator Fiscal from Grampian, Highland and Islands where toxicology services are provided by alternative providers.

Column (iii) sets out the number of post mortem examinations held, from those set out in column (ii), in which the Procurator Fiscal instructed a toxicology report from the University of Glasgow.

Column (iv) sets out the number of post mortem examinations held, from those set out in column (ii), where the death occurred within Grampian, Highland and Islands. It is not possible to identify from information held by COPFS if a toxicology report was instructed in relation to these post mortem examinations. That information could only be identified by reviewing individually each death comprised in the cohort referred to in that column.

Further positive change will be progressed through in how fireworks are sold and used in Scotland, subject to the outcome of the upcoming Scottish Parliament elections. This will contribute towards a fundamental shift in the relationship that Scotland has with fireworks, as recommended by the Firework Review Group, and reduce the negative impact experienced by animals, individuals and communities due to fireworks.

The regulations laid in Parliament on 19 February 2021 are an important first step and will, along with a package of measures focussing on awareness raising and prevention, allow tangible change to be in place for autumn 2021.