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Compliance with the Nutritional Requirements for Food and Drink in Schools (Scotland) Regulations 2020 is monitored by Education Scotland Health and Nutrition Inspectors who support local authority caterers to undertake a nutrient analysis of school lunch menus using appropriate software to assess compliance with the nutrient standards. They also support local authority teaching and catering staff to assess compliance with all other food and drink provision across the school day against the relevant specifications.

Under the Education (Scotland) Act 1980 each local authority is responsible for ensuring that they comply with the statutory duties set out in the Regulations. The Regulations are flexible enough to allow for local variations in menu design which helps to ensure that local needs and preferences can be taken into account. As such we would expect to see different menus between local authorities and between schools within a local authority area.

Paediatric craniofacial surgery in Scotland is delivered by NHS Greater Glasgow and Clyde as a national specialist service commissioned by the National Services Division. Within the Board there is an ambition to develop endoscope assisted surgery as part of a wider practice to correct children with skull deformity due to a craniosynostosis. Physicians from the Board had intended to visit a centre in North America to share best practice but the COVID-19 pandemic has resulted in this being postponed.

At present the only nationally designated craniofacial service in the UK that is known to offer endoscope assisted surgery is Great Ormond Street Hospital. Whether a patient should be referred to Great Ormond Street Hospital is dependent on individual clinical circumstances. The perioperative follow-up for patients after this procedure is more complicated as reassessment and repeat helmet fittings are required.

General practices are following Public Health Scotland’s advice to reserve face to face appointments in primary care settings for those consultations where the GP decides it is clinically necessary. This is not just to prevent the general transmission of the coronavirus but to protect general practices as medical spaces for patients who have a clinical reason for face to face attendance.

Public Health Scotland's advice is not tied to the levels Scottish local authorities are in. General practices will remain open regardless but will continue to manage face to face appointments consistent with this advice. At present all patients are still able to get an appointment by telephone or video call.

We acknowledge how challenging this past year has been for everyone in our society, including places of worship. We are grateful to all of Scotland’s faith and belief communities for all they have done to keep their congregations safe and to support our communities during this unprecedented time.

From 26 April, we moved towards greater easing of the health protection restrictions, with the removal of the 50 person limit in places of worship; instead the numbers of people who can attend are limited according to the building capacity and physical distancing of two metres, along with other measures informed by a risk assessment.

The Scottish Government is reviewing physical distancing including its impact on places of worship and an announcement, which will consider the faster spreading Delta variant, is expected in the near future. Sectoral guidance will be further updated at that time to reflect the outcome of the review, including proposals for as clear a route as possible to the reduction/removal of physical distancing to enable people and organisations to plan effectively for a full reopening. Physical distancing has been an important tool for controlling the virus, but as with all restrictions, we will only have this in place as long as is necessary

The Scottish Government has to balance the harms from the virus which are potentially fatal, with the impact on faith and belief communities of the restrictions on places of worship. However, please be reassured that the Scottish Government understands the important role of congregational worship in supporting spiritual, mental and social wellbeing and will continue to engage with faith and belief communities regarding the scope for further easing.

Our Coronavirus guidance on reducing the risks in schools was developed in collaboration with local authorities, unions, parents representative groups and teaching bodies, with input from technical experts working across the UK. This includes a section on the potential use of CO2 monitors to assist in assessing whether adequate ventilation is being provided. Each local authority and school can utilise this technology as appropriate to their particular circumstances.

We have worked from the start of the COVID-19 pandemic with the Scottish Heads of Property Services forum to get input and feedback on guidance, and ventilation is a standing agenda item at each meeting. The forum was used to request progress information including: local authority plans to utilise CO2 monitoring, ventilation upgrades required, observations from operational schools and issues arising during different weather conditions where ventilation and thermal comfort could be in tension. The Scottish Heads of Property Services use this forum to share expertise and learning to ensure that efforts and resources are best deployed to optimise solutions across the whole learning estate in Scotland. Links have also been established with other expert groups representing the UK governments to help inform future guidance.

The coronavirus outbreak remains a real and sustained threat to human life in Scotland as well as to social and economic well-being. The Scottish Government has always relied on a range of indicators and criteria, combined with clinical advice and local intelligence about the state of epidemic, to construct a full, reliable, and robust picture of the threat posed by COVID-19 across the four harms.

On 14 May, we published Coronavirus (COVID-19) protective measures: indicators and data which sets out the indicators to assess the threat of Covid-19, and inform when and how we introduce, adapt, or ease protective measures. This includes core indicators, measuring both community transmission and healthcare capacity at a local level, and secondary indicators which provide critical information on viral concentration, prevalence and incidence of COVID-19 cases, testing (including access), vaccination, mortality, and hospitalisations at any given local level.

The scale and extent of our successful vaccination programme is enabling us to consider how we can respond to the virus moving forward. We are growing increasingly confident that vaccination is helping break the link between case numbers and hospitalisation and death. However, currently the evidence base remains insufficient, especially in light of the Delta variant, which we are currently attempting to better understand. That is why it is still important to keep cases as low as possible, to reduce the chances of transmission and new variants developing.

The Children (Equal Protection from Assault) (Scotland) Act 2019 removed the common law defence of “reasonable chastisement” from the law of Scotland on 7 November 2020.

That Act also provides that the Scottish Ministers are to take such steps as they consider appropriate to promote public awareness and understanding about the removal of the defence.

The Scottish Government has taken a variety of steps to achieve this, including:

• Information about the Act on gov.scot Information about the Act on Mygov.scot A dedicated page about the Act on ParentClub
• The publication of a news release
• Social media activity:
• The ParentClub Instagram account - post on the Act
• The ParentClub Facebook account - post on the Act
• Scottish Government education tweet about the Act
• Scottish Government tweet about the Act
• The creation and publication of promotional materials about the Act for parents and carers, and for children and young people
• The publication of an Easy Read factsheet about the Act
• Writing to organisations, including local authorities and health boards, with information about the Act:
• May 2020 letter
• October 2020 letter and framework document
• Arranged for information about the Act to be included in Ready Steady Baby

More generally, the Scottish Government is committed to supporting parents. The Scottish Government has run a marketing campaign which promotes positive parenting. This can be seen on the ParentClub website .

Working with the Implementation Group formed by the Scottish Government to consider work required to implement the Act, we will continue to explore options for raising public awareness and understanding about the removal of the defence.

I’m sure you can appreciate the vaccination program has been delivered at a pace and scale we have never experienced before and as such this is one of the largest and most complicated logistical exercises ever undertaken in peacetime. Over 3,267,290 people have received the first dose and 2,075,231 people have received the second dose of the Covid vaccination in the period 8 December to 7:30 am Tuesday 01 June. This is over 71% of our eligible population for the first dose and 45% for second doses.

With any operation of such scale, it is regrettable the administrative errors have occurred.

In a small number of cases across different health boards, some people have received letters incorrectly saying that they had not attended their first vaccination appointment, when they had.

If someone has received one of these letters, and they have had their 1st dose vaccination – they should phone the national phone line on 0800 030 8013 – to help us make sure your central record is up to date and ensure your 2nd appointment is provided for you. We apologise for the inconvenience or confusion that this has caused.

Early medical abortion at home and the changes adopted in March 2020 to enable women to take the first abortion drug, mifepristone, at home where this was felt to be clinically appropriate for them and where the patient wished to do so has been an important measure to ensure abortion services continued to be delivered throughout the pandemic, without delays. The ‘Pills by Post’ service is an English service, which is not provided in Scotland. While many NHS Boards in Scotland are following similar arrangements, medication is in most cases delivered or collected from a clinic, rather than being sent by post.

The Scottish Government launched a public consultation on the future arrangements for early medical abortion at home on 30 September 2020, which closed on 5 January 2021. Responses to the consultation have been published on the Scottish Government’s Citizen Space website. The future arrangements for early medical abortion at home are being considered in light of the findings from the consultation and other available evidence and the Scottish Government plans to confirm our approach this summer.