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Waiting time statistics for patients requiring treatment related to MS is not held centrally by the Scottish Government or Public Health Scotland (PHS). Patients’ specific condition or diagnosis is not collected by the PHS Waiting Times Team.

In regards to improving early diagnosis and understanding symptoms, the Scottish Government has provided a total of £650,000 funding to the Future MS project led by the University of Edinburgh. Future MS involves the collection of clinical data and biological samples from recently diagnosed, treatment naïve, relapsing-onset multiple sclerosis patients in order to develop a more personalised approach to clinical management. The project has recruited more than 400 MS patients from across all the territorial NHS Boards in Scotland.

We will invest £4.5 million over 5 years to implement the 17 commitments of the Neurological Care and Support in Scotland: A Framework for Action 2020 – 2025 . The aims include improving the provision of co-ordinated health and social care and support, developing sustainable workforce models and ensuring high standards of person-centred care for those with neurological conditions, such as MS. Over £300,000 has been committed so far to projects which improve the health and wellbeing of people with MS in Scotland, via the Framework.

The Scottish Government maintains positive relationships with third sector partners such as the MS Society, the MS Trust and Revive MS Support, supporting them to complement services provided by NHS Boards and improve understanding of the early symptoms of MS.

The following table shows the number of people screened for diabetic retinopathy in each month between January 2019 and July 2021. The Diabetic Eye Screening (DES) programme was paused between 30 March 2020 and 6 July 2020. When screening resumed, those at high risk of developing diabetic retinopathy were prioritised and invited first.

It is important to note that the following data is management information and has not been subject to the necessary quality checks carried out for an official publication.

The Scottish Government works closely with all stakeholders including Trade Unions, to deliver the vital communication messages across the Prison Estate and the Member will appreciate that staff as part of the wider community, can be vaccinated and it is not mandatory for staff to report their vaccination status, to their employer. The Scottish Prison Service (SPS) throughout the Prison Estate is effectively ensuring that we are progressing vaccinations against COVID-19 in conjunction with health professionals from Public Health Scotland (PHS), as well as other health agencies .

We realise that through our work with public health agencies in conjunction with SPS, that we have a job to engage with the prison population. In many ways it mirrors the issues found in wider society and we are dealing with the hardest to reach. Tailored communications are delivered to those in a prison setting. The National Clinical Director attended HMP Barlinnie for a Q&A session with prisoners which was made available via prison radio and TV. Posters with the same national ‘roll up your sleeves’ messaging and appropriate photography were distributed to prisons to be displayed.

The Scottish Government has been working in collaboration with Public Health Scotland and the Scottish Prison Service to improve data on COVID-19 vaccination uptake in Scottish prisons.

New prison vaccination data was been published by Public Health Scotland on 15 September and the link is attached for convenience for the Member. https://publichealthscotland.scot/our-areas-of-work/covid-19/covid-19-data-and-intelligence/covid-19-weekly-report-for-scotland/

Prison vaccination data will now be reported on a regular basis and will assist in considering possible courses of action to improve the vaccination uptake amongst the prison population, including for individuals who have not received their second dose prior to being released from prison.

Local authorities are independent corporate bodies with their own powers and responsibilities, separate from the Scottish Government. As such, the information requested is not held by the Scottish Government and would have to be obtained directly from individual local authorities or from COSLA.

Scottish Local Government Financial Statistics is an annual publication providing a comprehensive overview of financial activity of Scottish local authorities in 2019-20 based on authorities' audited accounts.

I refer the member to the answer to question S6W-00570 on 21 June 2021. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at www.parliament.scot/chamber-and-committees/written-questions-and-answers.

The Scottish Government will consult with relevant Local Authorities, island stakeholders and importantly, island communities themselves.

Emerging data suggests that some individuals with suppressed immune systems may not mount a full immune response to COVID-19 vaccination.

The multi-centred OCTAVE study led by colleagues from Glasgow University published their preliminary findings with widespread media coverage. The study funded by the UK Research and Innovation (UKRI) Medical Research Council (MRC) was designed to evaluate the immune responses following COVID-19 vaccination in patients with immune-mediated inflammatory diseases including inflammatory arthritis and Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) (an auto-immune disease affecting small blood vessels) who have received Rituximab treatment, along with a host of other conditions with various degrees of immunosuppression.

Initial findings suggest that in total about 40% of those across the patient groups studied produced a low antibody response to two doses of COVID-19 vaccine, and the proportion varied depending on the nature of the immune impairment.

The OCTAVE group presented their findings to the Joint Committee on Vaccination and Immunisation (JCVI) and the Committee took into account these findings to make their recommendation on a third primary dose of COVID-19 vaccine for severely immunocompromised people.

A second study called OCTAVE DUO, led by the same researchers and also funded by UKRI, is examining whether a third dose will give a stronger immune response in people with impaired immune systems.

Information about these studies is available at: Vaccine responses in patients with impaired immune systems – UKRI

New study tests third jab for people with weakened immune systems – UKRI

The COVID pandemic has inevitably affected A&E attendance and the pressure is being felt across the UK. Our NHS staff have faced unprecedented pressures over recent weeks as they work tirelessly and consistently to respond to the pandemic whilst continuing to provide vital treatment and optimal patient care. We are in daily contact with every Board, including NHS Forth Valley, and are monitoring the situation closely.

The significant pressures currently presenting in Health Boards, including NHS Forth Valley, are primarily as a result of reduced capacity due to infection control, staffing pressures as a result of self-isolation and annual leave, and an increase in attendances to A&E by those who are much sicker and require higher levels of care.

In July, NHS Forth Valley received their share of the additional £12 million in funding for Boards to support non-COVID emergency care by increasing staffing resource, recruitment is underway.

We are in daily contact with NHS Forth Valley and continue to support improvement work with the Board and the Health & Social Care Partnerships to minimise delays for patients no matter where they are in the system.

The Scottish Government and Public Health Scotland do not currently hold data on the number of people eligible for a Covid-19 vaccine who are unable to receive one due to needle phobia.

As every individual case is different, all those who suffer from needle phobia should initially seek support from their GP, clinician or local health board so that adjustments can be made to accommodate their specific needs. Their local medical team will be more aware of their specific requirements. The staff delivering the vaccines are skilled and experienced, and will be used to dealing with more nervous patients, some of whom have phobias.

Phobias are not covered under the current version of the vaccination certification policy, and are therefore not considered a valid exemption.