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In September 2022, the Scottish Government published the report from our consultation on proposals to make regulations under sections 17 to 19 of the Health (Tobacco, Nicotine etc. and Care) (Scotland) Act 2016, which could introduce restrictions on the following:

• advertising
• brand-sharing in products and services
• free distribution and nominal pricing
• sponsorship of an activity, event or person

The responses, together with the analysis report will inform our next steps, which we are currently considering. Any action we seek to take will build on the regulations already in place to restrict the marketing, promotion and sale of vaping products to under 18s.

The Blue Flag programme in Scotland was discontinued at the end of 2016 and replaced with the Scottish Beach Awards scheme. Keep Scotland Beautiful will announce the 2023 beach awards winners before the start of the bathing season. In order for a beach to achieve an award there is a criteria for local environmental quality, which includes consideration of the bathing water quality standards.

The Scottish Environment Protection Agency is responsible for monitoring, classifying protecting and improving water quality at designated bathing waters. 98% of bathing waters currently meet the bathing water standards with more beaches being classified as excellent than ever before.

The General Practice workforce survey 2022 collected information based on sessional commitment by GPs not hours worked. While GP sessions have sometimes been defined for the purposes of various payments, there is no contractual definition of GP sessions.

GP contract regulations require practices to ensure provision of services Monday – Friday 0800-1830. It is up to the practice to agree how that is covered by GPs and the number and length of sessions.

From responding practices to the General Practice workforce survey 2022, totalling 2,480 GPs, it was estimated that 22% of GPs had commitments of up to 4 sessions per week. 55% between 5 and 7 sessions per week and 23% of 8 or more. Dashboard - General practice workforce survey 2022 - General practice workforce survey - Publications - Public Health Scotland ”

The Scottish Government is committed to a fair, inclusive and fiscally sustainable form of local taxation. Scottish Ministers have convened the ‘Joint Working Group on Sources of Local Government Funding and Council Tax Reform’, which is chaired by the Scottish Government and COSLA. The group is initially discussing and reviewing targeted changes to Council Tax to reflect the current circumstances created by the cost crisis. The group will also consider approaches to longer term reform, utilising the development of effective deliberative engagement, on sources of Local Government funding and Council Tax.

The 2023 non-domestic rates revaluation took effect on 1 April 2023. The next revaluation will take effect from 1 April 2026, implementing the independent Barclay Review of Non-Domestic Rates recommendation for three yearly revaluations which was legislated for in the Non-Domestic Rates (Scotland) Act 2020.

The tax rates which are used to calculate non-domestic rates bills are reviewed and set annually in the context of the Scottish Budget.

Any form of human trafficking or exploitation is completely unacceptable.

The Human Trafficking and Exploitation (Scotland) Act 2015, which was passed unanimously by the Scottish Parliament, gives police and prosecutors greater powers to detect and bring to justice those responsible for trafficking as well as strengthening protections for survivors.

In the current financial year, Migrant Help and the Trafficking Awareness Raising Alliance will share over £2.1m to support adult victims of human trafficking and exploitation. We are also providing funding to Justice and Care to support two Victim Navigators who work alongside Police Scotland's National Human Trafficking Unit; funding to JustRight Scotland to support the work of their Scottish Anti-Trafficking Centre, including the provision of early legal advice to potential victims. Furthermore, we are funding Survivors of Human Trafficking in Scotland to deliver a long-term support pilot to those recovering and NHS Greater Glasgow and Clyde to provide a national psychological trauma support service to adult trafficking victims.

We will continue to work with partners across Scotland and beyond to provide support to victims and combat those who seek to profit from the exploitation of others.

The Office for National Statistics (ONS) has been running the monthly COVID-19 Infection Survey (CIS) for almost three years. Since 2021 this survey has included long COVID questions and has provided high-level estimates for Scotland of the number of people with long COVID by duration.

The UK Health Security Agency (UKHSA) is now reviewing its approach to COVID-19 surveillance, and survey data collection has been paused since mid-March. The then Cabinet Secretary for Health and Social Care, Humza Yousaf MSP, wrote to the UK Secretary of State for Health and Social Care on 8 March to express his concern about the delay in deciding the future of the survey, which will result in a gap in the provision of data on long COVID in the first quarter of the 2023-24 financial year. We are in touch with UKHSA to clarify the details of the updated scope, design and implementation plans for CIS, which will inform our planning for local surveillance.

Our Chief Scientist Office has funded the Early Pandemic Evaluation and Enhanced Surveillance of COVID-19 (EAVE II) long COVID study. EAVE II forms part of our Scottish Respiratory Surveillance Programme. This is a collaboration between the University of Edinburgh and Public Health Scotland to identify adults at greatest risk of developing long COVID. The study was able to identify cases of long COVID in Scotland using routinely collected clinical data from almost the entire adult Scottish population. The clinical data derived from electronic health records, comprising GP records (coded, free text and sick note data), hospital data, GP Out-of-Hours data, outpatient data, NHS 24 data, medication data and mortality data. The University has drawn on this work to publish an initial report on the estimated prevalence of long COVID among adults in Scotland, titled ‘ Identifying Long Covid Using Electronic Health Records: A National Observational Cohort Study in Scotland ’ . Please note that these findings are preliminary and have not yet been peer-reviewed.

The study team acknowledge that their estimated prevalence findings are lower than estimates derived from surveys such as the COVID-19 Infection Survey and Scottish Health Survey, in which participants self-report having long COVID, rather than long COVID being diagnosed by a medical professional. They also acknowledge that their findings are likely to underestimate total cases because not everyone with long COVID will attend their GP, and not all cases or symptoms will be recorded. However, the report still makes a valuable contribution to our understanding of long COVID prevalence and distribution in Scotland.

We are working closely with Public Health Scotland to develop an approach and methodology for the longer-term surveillance of long COVID, which will in turn inform the planning of health service provision for people with long COVID.

We recognise that accurate local data on long COVID prevalence, distribution across the population and symptoms are needed to forecast and plan for the need for NHS services and specific specialties arising from long COVID.

a. Diagnosis of cases. We do not anticipate that the pausing of the ONS COVID-19 Infection Survey will have any impact on the ability of clinicians to diagnose individuals with long COVID (which includes the case definitions of ‘Ongoing symptomatic COVID-19’ and ‘Post-COVID-19 syndrome’). The identification, assessment and management of patients with long-term effects of COVID-19 in Scotland is guided by the UK-wide clinical guideline developed by the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Care Excellence (NICE) and the Royal College of General Practitioners (RCGP). Further information can be accessed at Overview | COVID-19 rapid guideline: managing the long-term effects of COVID-19 | Guidance | NICE .

b. Monitoring of cases. The ONS survey data has provided a valuable means of estimating the prevalence of self-reported long COVID over time in Scotland. While a pause in the COVID-19 Infection Survey (CIS) will create a gap in the tracking of time-series data on long COVID, long-term trends in prevalence estimates are unlikely to change markedly within a short timeframe. Further, to improve local data collection, we are already supporting activity with NHS National Services Scotland’s long COVID Strategic Network. The Network is taking forward a dedicated workstream to agree outcomes, indicators, monitoring and evaluation to accelerate progress on capturing data to inform the planning of health service provision for people with long COVID.

The Scottish Government does not hold this information. The allocation of SEPA staff resource is the responsibility of SEPA’s CEO and Senior Management Team.

SEPA’s Corporate Plan will be renewed in 2024 and Ministers will work with SEPA to agree the Key Performance Indicators and priority areas to be included in that Plan.

The Scottish Government does not operate any TikTok accounts.