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The Scottish Government will hold a debate in the Scottish Parliament before the end of the year to set out its plan to deliver this commitment.

The plan will detail how every General Practice across Scotland will have access to a Mental Health and Wellbeing Service by April 2026, creating 1,000 additional dedicated staff who can help grow community mental health resilience and help direct social prescribing.

In our NHS Recovery Plan we have committed to provide sufficient funding for around 320 additional staff in Child and Adolescent Mental Health Services (CAMHS) over the next 5 years.

Since May 2021, we have allocated approximately £40m to NHS Boards to support CAMHS and the implementation of the National CAMHS Service Specification. Through this funding, NHS Boards have started to recruit additional staff to implement the Specification and to build professional capacity to support children and young people with neurodevelopmental support needs. NHS Boards will recruit a variety of staff in different roles, based on individual service needs.

The breakdown of CAMHS workforce is published on a quarterly basis through the NHS Education for Scotland (NES) CAMHS Workforce publication. This data can be found on the NES Turas Data Intelligence platform and provides a breakdown of staffing per NHS Board in CAMHS, including breakdown of professional role.

The Scottish Government is not responsible for the recruitment of NHS staff. It is NHS Boards’ responsibility to recruit workforce. The Scottish Government has provided guidance to NHS Boards, through the National CAMHS Service and Neurodevelopmental Specifications, on the appropriate roles and professionals expected to be employed within Boards.

Aspiration is not recommended in Scotland and the rest of the UK for the administration of intramuscular COVID-19 vaccines. The clinical recommendation that trained COVID-19 vaccinators work to in Scotland and the UK is to administer the vaccine to the deltoid muscle and not drawing back before injection.

As outlined in the Green Book, Chapter 4, the Chief Nursing Officer recommends the deltoid muscle for COVID-19 vaccine administration and, as there are no large blood vessels in this area, it is not recommend to draw back.

The Green Book, Chapter 4 contains further information on this and is published here: Immunisation procedures: the green book, chapter 4 - GOV.UK (www.gov.uk) .

The information requested is available at:

General Practice - GP Workforce and practice list sizes 2010 - 2020 - General Practice - GP workforce and practice list sizes - Publications - Public Health Scotland

Table 2 shows the number of GPs in each board.

Table 4 shows the registered number of patients in each board.

There are no current plans to lower the age limit in relation to COVID-19 certification scheme. We continue to keep the scheme under regular review.

As part of Programme for Government (PfG) commitments made in 2019 and reaffirmed in 2020 we are developing a programme to improve stroke pathways and services.

A progressive stroke pathway document, due by the end of this year, will clearly set out our vision of what we should expect of a progressive stroke service in Scotland in order that services fully meet the needs of people who experience a stroke. This will include consideration of the important role of stroke units.

The Scottish Stroke Care Audit monitors the quality of care provided by the hospitals in all NHS Boards. Access to a stroke unit is a standard measured by SSCA, alongside other standards associated with improved patient outcomes. Performance against the standards, and more detail on service models can be found here: Scottish stroke improvement programme 2021 national report - Scottish stroke improvement programme - Publications - Public Health Scotland .

The Scottish Stroke Care Audit does not currently measure ongoing support for disability needs. As part of the Programme for Government (PfG) stroke commitments, the stroke improvement team Rehabilitation Sub-Group is currently considering future updates to measure rehabilitation service delivery, patient outcomes and experiences.

All patients who require stroke rehabilitation should be offered it. Rehabilitation may be delivered via a variety of inpatient, early supported discharge and community teams.

Thrombolysis is already delivered nationwide in a number of hospitals across Scotland.

The rate of thrombolytic treatment and door to needle (DTN) times for thrombolysis are measured through the Scottish Stroke Care Audit (SSCA).

The SSCA 2021 report can be found here: Scottish stroke improvement programme 2021 national report - Scottish stroke improvement programme - Publications - Public Health Scotland . It concluded that variations in thrombolysis rates were a reflection of the different acute stroke pathways and variable access to stroke specialist assessment and management. It highlighted that improving access to early specialist assessment in emergency departments would increase the overall percentage of stroke patients treated and reduce the DTN times.

The Scottish Stroke Improvement Programme team work closely with services and NHS boards to use learning from SSCA to support improvement across the whole stroke pathway, including timely access to thrombolysis.

As announced in the NHS Recovery Plan, by the end of 2021 the Scottish Government will publish a National Workforce Strategy.

We are co-producing this strategy with the Convention of Scottish Local Authorities (CoSLA). We continue to work closely with a range of partners, both individually and collectively, and specifically through cross-sectoral reference groups including the National Workforce Planning Group, National Workforce Forum and the Scottish Partnership Forum (which includes representatives from across health and social care trades unions). Amongst others, we have engaged with the following organisations: (As engagement is on-going, this list will not be exhaustive)

Allied Health Professions Federation Scotland

British Medical Association

Care Inspectorate

Coalition of Care and Support Providers Scotland

Edinburgh University

GMB

NHS Scotland Health Board Chief Executives Forum

NHS Scotland Health Board HR Directors Forum

Integrated Joint Boards

Royal College of Nursing

Scottish Academy of Royal Medical Colleges

Scottish Care

Scottish Social Services Council

Skills Development Scotland

Social Work Scotland

Society of Local Authority Chief Executives and Senior Managers

Society of Personnel and Development Scotland

Unison

Unite

We continue to take representations on the content and scope of the strategy, and welcome views from across the sector.

Booster vaccinations in Scotland started as soon as possible once the Joint Committee on Vaccination and Immunisation (JCVI) provided their advice on boosters, which stated that the booster dose should be offered no earlier than six months after completion of the primary vaccine course.

858,626 people have received a booster or 3 rd dose to Thursday 4 November, with 604,256 people over the age of 65 having received their flu vaccine. We are working as quickly as we can, prioritising those most vulnerable.

Data on boosters by JCVI priority group is not yet published. We continue to work closely with Public Health Scotland to develop the vaccination data to provide robust statistics that enhance public understanding.