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The Respiratory Care Action Plan will set out the priorities and commitments to support the prevention, diagnosis and treatment of respiratory conditions including bronchiectasis. We are committed to building a data set to inform the implementation of the Plan and this will also allow us to monitor progress over time.

If people receive an invitation letter from NHS Scotland by post, an information leaflet about the COVID-19 vaccine is included. The information leaflet contains details about:

• What vaccine will be given and the disease that will be prevented.
• Benefits/risks of vaccination versus risks of the disease.
• Any new information that has become available since consent to previous doses of this vaccine were given if applicable.
• Any possible vaccine reactions and how to treat these.
• Follow-up/information as to any further doses required.
• How any personal data will be stored and kept.

People are advised to contact the clinicians who manage their clinical conditions, to check that there are no reasons for them not to receive the vaccine. There is time built in to each appointment for information to be shared and questions to be asked and answered, so that the person invited for the vaccine has an opportunity to discuss any further issues or concerns with the trained vaccinator. The vaccine is only given once the person is fully satisfied that they have all the information they need before proceeding.

After vaccination, all patients are given a leaflet to take away called ‘What to expect after the COVID-19 vaccine’. This contains information on common side effects and what to do if they are mild or more severe.

Data since w/c 01-03-21

Complaint - 23

Concern - 16

Compliment - 1

Feedback – 3

The Scottish Government is providing as much support as possible to ensure that the public have access to the required support and appointments services throughout the vaccination programme. We are aware of the unprecedented volumes of correspondence and communications that both the Scottish Government and the NHS are receiving at this time and we are focussing our efforts on responding to as much of it as possible within a reasonable timeframe.

Public Health Scotland and Police Scotland have been exploring the sharing of more timely data recorded by Police Officers where they attend a possible death by suicide. The purpose of this work is to determine whether Police Scotland data on possible completed suicides can provide more timely and a valid proxy for confirmed deaths by suicide. It is now anticipated that this exploratory analysis will be completed by Summer 2021.

Police Scotland data on possible deaths by suicide may not include all deaths by suicide, as it might not always be obvious that the death is a result of completed suicide, or there might be a need to wait for toxicology reports. As such, it is unlikely to be appropriate for formal publication but rather to inform local and national approaches.

As part of the exploratory phase, the viability and timing of the implementation of this work will be confirmed.

As of 22 March 2021:

• 33,409 first dose vaccinations of all care home residents have now been completed, exceeding the initial target for all care home residents. This is a cumulative count of all residents since the vaccination programme began and may include some residents who have since died.
• 26,354 current care home residents in older adult care homes have received their first dose vaccination (96%) and 22,359 current care home residents in older adult homes have received 2 doses (82%).

There are individuals in care homes who have not received the vaccine for valid medical reasons, or where consent to receive the vaccination has not been received. Other reasons for some individuals in care homes not receiving a vaccination yet may include:

• clinical guidance sets out that where someone has tested positive, vaccination should be scheduled for four weeks later;
• If a care home has only one case of COVID-19 infection in a resident or staff member, other residents and care home staff may be offered vaccination as long as they have not been close contacts of the positive case. If a care home has more than one case in an ongoing outbreak or incident, residents who are symptomatic, positive or close contacts who are self-isolating would not be eligible for vaccination; and
• Care homes should undertake a risk assessment on whether or not the outbreak or incident cases are segregated sufficiently for other residents and care home staff to be offered vaccination. It may be safer to schedule the vaccinations once the outbreak or incident is over – this would be 14 after the last positive test or symptoms, and following a further risk assessment.

The information requested is not held centrally.

The Scottish Government is aware of the challenges and pressures faced by NHS colleagues in responding to and supporting members of the public who contact them about their Covid-19 vaccination appointment. The rollout of the vaccination programme is one of the biggest in NHS history and we do not underestimate the impact that this is having on support services. Despite this, you will see from the information provided on waiting times, that the average wait time for the vaccination booking and reservation service has been consistently low as every effort is being made to accommodate bookings and prioritise appointments for those patients who need them.

As indicated in the responses to S5W-36124 and S5W-36125 on 24 March 2021, Public Health Scotland is currently considering how more timely data on possible deaths by suicide might be produced. This involves work with Police Scotland to explore the potential use of anonymised data from the STORM database. Exploratory work to determine the viability and implementation of such an approach is currently underway, and due to be completed in Summer 2021.

The National Statistics on probable suicides (deaths which are a result of intentional self-harm or events of undetermined intent) will continue to sit with the National Records of Scotland. The next release, covering data for 2020 will be published in June 2021.

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

I refer the member to the answer to question S5W-35928 on 24 March 2021. 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

Public Health Scotland (PHS) and Police Scotland have been exploring how data on possible deaths by suicide, as recorded by the police, could be provided more timeously, and act as a valid proxy for confirmed deaths by suicide. This data is intended to inform local and national responses and is not intended to be published. It is now anticipated that this exploratory analysis will be completed by Summer 2021. As part of the exploratory phase, the viability and timing of the implementation of this work will be confirmed.

National Records for Scotland (NRS) validate and publish data annually on confirmed deaths by suicide, usually in June for the previous calendar year. PHS use this data to publish additional analyses to inform suicide prevention, which includes trends by deprivation and comparison with other countries. These analyses are published via the Scottish Public Health Observatory and form part of the Scottish Suicide Information Database. The publication schedule is set each year once it is known when the data will be published by NRS. It can take time for NRS to accurately classify the cause of death as a death by suicide, particularly if post-mortem toxicology tests are needed.