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We continue to provide advice and support to pregnant women regarding the benefits of COVID-19 vaccination to allow them to make an informed choice.

Copies of the Public Health Scotland (PHS) leaflet: PHS COVID-19 Vaccine Important Information about pregnancy and breastfeeding leaflet and the RCOG information leaflet and decision aid have been supplied to all maternity and vaccination clinics across Scotland. The national leaflets, published by Public Health Scotland on behalf of the Scottish Immunisation Programme, are provided to those who are invited for vaccination are part of an established and quality assured process, with strong links and similarities to the programme in the rest of the UK. The PHS leaflet is available in a range of languages and alternative formats , including British Sign Language, Audio, Easy Read, Large Print, etc. People should be given the PHS and RCOG leaflets from maternity services before they attend for vaccination and are encouraged to read both leaflets. The PHS leaflet is updated/reprinted when any new data emerges.

The Scottish Government ensures there is accurate signposting to www.nhsinform.scot/covid19vaccinepregnancy for current guidance, and a range of resources have been distributed including posters and social media assets, alongside training webinars.

Community outreach and external resources like Badgernet (an online platform that allows pregnant woman access to maternity records and information) are regularly updated with relevant material.

Health Boards (HBs) are regularly supplied with relevant information and lines to use regarding receiving the vaccine when pregnant, and the following videos were pushed out to HBs to be shared locally Pregnancy 15 second video Fertility 15 second video

Prof Jason Leitch has touched on the recommendation that pregnant women should be vaccinated in two Podcasts. One with Young Scot and one with Jambo radio. Both podcasts were pushed out by Scottish Government and issued to the boards for them to use locally

We will continue to provide advice and support to pregnant women regarding the benefits of COVID-19 vaccination to allow them to make informed choices.

Multiple resources across platform and in print, like the Public Health Scotland (PHS) leaflet: PHS COVID-19 Vaccine Important Information about pregnancy and breastfeeding leaflet will continue to be updated/reprinted when any new data emerges. The PHS leaflet is supplied to all maternity and vaccination clinics across Scotland.

Community outreach and the use of external platforms (like Badgernet and messaging through resources like podcasts), will continue to be identified and used where appropriate.

NHS resources are frequently updated allowing us to regular signpost pregnant women and their families for current guidance: www.nhsinform.scot/covid19vaccinepregnancy .

Additional resources like posters, social media assets, and training opportunities will continue to be considered regularly going forward, and how best they can be employed for maximum outreach.

Public Health Scotland (PHS) have identified a total of 22,779 COVID-19 vaccinations given to 16,229 pregnant women in Scotland from the start of the COVID-19 vaccination programme on 8 December 2020 to 30 September 2021. Among 3,992 women delivering their baby in Sep 2021, the most recent month for which data is currently available, 1,342 (33.6%) had received any COVID-19 vaccination prior to delivery, and 946 (23.7%) had received two doses of vaccination.

The percentage of pregnant women in Scotland who have been fully vaccinated against COVID-19 (received their second vaccine dose), alongside other relevant statistics from 8 December 2020 to 30 September 2021 can be found here: COVID-19 Statistical Report (publichealthscotland.scot) .

Please note, only first and second primary doses of vaccination have been included in these figures – not third primary doses or booster doses administered.

No data is collected on the return or disposal of medicines due to the difficult nature of quantifying and recording this information. Health Boards are responsible for ensuring unused medicines are safely disposed of, though are not required to record this data.

The Scottish Government's STEM Education and Training Strategy has set out a range of actions designed to support STEM teaching and learning in Scotland’s secondary schools.

Measures include supporting the STEM enhanced professional learning grants programme operated by Education Scotland. Round 3, operating in financial year 2021-22, will provide professional learning to an estimated 13,400 practitioners in 759 establishments, with funding to the secondary sector benefitting 4,280 practitioners in 233 establishments.

Education Scotland issues annual STEM practitioner surveys to gather evidence about practitioner priorities and provision to ensure grant funding, as well as regional and national support, provides high-quality professional learning that meets the needs of practitioners.

Education Scotland’s regional improvement teams work closely at local authority, regional and national levels to support STEM professional learning and teacher networks to help them improve practice. The Improving Gender Balance and Equalities Team also work within the regions to improve STEM teaching approaches to ensure all learners benefit, irrespective of gender or protected characteristic.

Through the pandemic Education Scotland has worked with partners to collate and develop over 9,000 STEM resources to support remote learning. These are now available nationally to teachers, learners and parents through the National e-Learning Offer website.

Scottish Government is supporting an education bursary initiative designed to offer up to 150 STEM bursaries to encourage more people to train as secondary school teachers in STEM subjects. We are also supporting the Scottish Schools Education Research Centre (SSERC) to provide teacher professional learning opportunities for secondary science, technology and digital skills development. Courses are open to student teachers, probationers, classroom teachers as well as school leaders.

We continue to invest in work to develop the capacity of teachers and school leaders to deliver inspiring STEM courses; including a Young STEM Leader awards programme that aims to inspire and reward young people to take up STEM subjects and encourage their peers to do so.

We are making significant progress with 43% of people aged 50 and over having received the COVID-19 booster vaccine as at 11 November 21.

Booster vaccinations in Scotland started as soon as possible once the Joint Committee on Vaccination and Immunisation (JCVI) provided their advice on boosters, which advised that at least 6 months should have passed since a second dose before a booster is administered, however there is some flexibility to offer a booster vaccination to the most vulnerable groups after five months.

The online self-booking portal for COVID-19 booster vaccinations opened on 15 November 2021.

The online self-booking portal is open to adults aged 50-59, unpaid carers who are aged 16 or over, and people aged 16 or over who are household contacts of immunosuppressed individuals. This will allow people in those groups to book online for appointments from early December onwards.

It is widely documented that air pollution has a negative impact on health. However air pollution does not cause recognisably distinctive diseases and the sorts of illness that air pollution can exacerbate can also be affected by multiple other factors. The relationship between air pollution and health is extremely complex, and it is not possible to say with any certainty what impact air pollution can have on a specific individual. We do know that the very young, the elderly and those with pre-existing health conditions are particularly vulnerable.

We welcome Professor Henshaw’s call for more research into the link between air pollution and child cancer, to further solidify whether there is a correlation.

In support of changes to Building Regulations and technical guidance on 1 October 2019, dissemination events were held to provide information to all stakeholders including fire safety companies. These events included information on new requirements for evacuation alert systems to be installed in all new and converted high rise domestic buildings in accordance with British Standard 8629: 2019.

The care experience survey programme, of which the Cancer Patient Experience Survey is part of, is due to be under review shortly to allow for the context of COVID-19.

The Scottish Cancer Patient Experience Survey is run in partnership with Macmillan Cancer Support and is designed to be comparable with Cancer Patient Experience Surveys run in England and Wales. A change in methodology, such as altering the sampling frame, surveying people at different stages of treatment or surveying the relatives of those who have passed away, would result in survey results that are not comparable to the English & Welsh survey results. Such a change would require extensive consultation with stakeholders.

In order to capture the experience of patients with a less survivable cancer we are using tools such as Care Opinion and working with our third sector partners to collate best available evidence.

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.