Seòmar agus comataidhean

We currently have no plans to revise our advice on vitamin D supplementation. We will continue to be guided by the Scientific Advisory Committee on Nutrition (SACN) and others as the evidence base on vitamin D develops. We will review our advice as necessary based on their recommendations.

Our current advice on vitamin D supplementation, which is based on recommendations by SACN, advisors to the four UK nations, is available at https://www.gov.scot/publications/vitamin-d-advice-for-all-age-groups/

In terms of supplement dosage, our advice is a supplement containing 10 micrograms of vitamin D (400 IU). This applies to adults and children over one year of age. Ten micrograms per day is the average amount needed by the majority (97.5%) of the population to maintain adequate vitamin D levels when UVB sunlight exposure is minimal to maintain bone and muscle health. Our advice is based on SACN’s 2016 report; Vitamin D and Health.

This report is available at:

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/537616/SACN_Vitamin_D_and_Health_report.pdf

In December 2020, the National Institute for Health and Care Excellence (NICE), SACN, and Public Health England published updated guidance on vitamin D in relation to COVID-19 following a rapid review of recent evidence. The guidance states that there is still currently not enough evidence to support taking vitamin D solely for the prevention or treatment of COVID-19. It reiterates that people should continue to follow current advice on vitamin D supplementation to maintain bone and muscle health.

The NICE guideline is available at https://www.nice.org.uk/guidance/NG187

SACN published an updated rapid review on Vitamin D and acute respiratory tractinfections (ARTI) in December 2020. In it, SACN recommended the reference nutrient intake for vitamin D remain unchanged, at 10 micrograms per day.

The review is available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/945179/SACN_December2020_VitaminD_AcuteRespiratoryTractInfections.pdf

In June 2021, SACN published a paper summarising monitoring of recent evidence on nutrition and COVID-19. It did not identify any new trials in relation to vitamin D and COVID-19 that would require the re-review of the current rapid guideline from NICE, SACN and PHE, or that would change current dietary advice.

The paper is available at:

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/992875/SACN_Process_for_monitoring_evidence_on_nutrition_and_COVID-19__June21_.pdf

SACN will continue to support NICE with their monitoring of evidence on vitamin D.

The UK COVID-19 Therapeutic Advisory Panel (UK C-TAP) continues to monitor ongoing COVID-19 related Vitamin D trials. It is responsible for reviewing and prioritising suitable compounds based on promising scientific evidence. Evidence on vitamin D and on COVID-19 is also being monitored by RAPID-C19, a multi-agency initiative aiming to get treatments for COVID-19 to NHS patients quickly and safely, as well as by the National Institute for Health Research (NIHR) Innovation Observatory (IO), a national medical horizon scanning facility at Newcastle University. SACN has agreed it will no longer monitor evidence in relation to vitamin D and COVID-19/ARTI, as monitoring is being continued by these organisations.

The Scottish Government is not able to provide the information requested due to this level of data not being publically available. In particular, individual patients may be identifiable should such hospital level information be published.

Quarterly reports on Clostridioides difficile infection, Escherichia coli bacteraemia and Staphylococcus aureus bacteraemia are published, with the data broken down by Health Board, and are available her

Additionally, validated data on Covid-19 hospital acquired infection is published weekly, with information broken down by NHS Health Board to protect patient identity. This information can be accessed here.

We are supportive of ensuring the organics sector, as part of the wider Scottish agriculture industry, contributes fully to our Ambition 2030 strategy to grow our food and drink industry.

We have committed to doubling the amount of land used for organic farming, doubling the amount of organic produce that comes from Scotland and are focussing on more organic produce being used in public sector food procurement. We are considering how best to build upon the Scottish Organic Action Plan and will be meeting with the Scottish Organic Stakeholder Group to hear their views.

A table has been placed in the Scottish Parliament Information Centre (Bib Number 62587) that provides information on delays and cancellations on individual routes serving the Clyde and Hebrides network since January 2016. Sailings can be the cancelled for a number of reasons including - inclement weather, vessel breakdowns, deployment of vessels to other routes across the network.

The Joint Committee on Vaccination and Immunisation (JCVI) have recommended that, where operationally possible, those aged under 40 should receive an alternative to the Oxford/AstraZeneca vaccine.

However, everybody who has already had a first dose of the Oxford/AstraZeneca vaccine should receive a second dose of the same jab, irrespective of age, except for the very small number of people who experienced blood clots with low platelet counts from their first vaccination. There have been no confirmed cases of thromboembolic events to date in second doses.

People will not be offered options on which vaccine they will receive, unless there is a clinical reason why this would be required, such as an allergy. Any vaccine authorised for use in the UK, by the appropriate Medical authorities is safe and effective, and will have a similar effect in terms of protection.

It is also worth noting that this is the case with many other vaccines. People are not routinely offered a choice of the type of vaccines in other vaccine programmes in Scotland. The Scottish Government currently has no plans to introduce an option for receiving either COVID-19 vaccine, beyond a clinical recommendation as the benefits of the vaccine continue to outweigh the risks for the vast majority of the population.

The Scottish Government does not hold information on the 2021 grade results broken down by state and independent school.

The SQA plan to publish information on results be centre type - Attainment Statistics for every National Qualification in 2021, tabulated by Centre Type (Education Authority Schools, Independent Schools, Colleges) - on their website ( Statistics 2021 - SQA ) on 21 September 2021.

The Scottish Government does not hold information on the 2021 grade results broken down by state and independent school.

The SQA plan to publish information on 2021 results broken down by centre type on their website ( Statistics 2021 - SQA ) on 21 September 2021. This will provide information on the percentage of entries which resulted in a grade A, B, C etc.

The Scottish Government recognises how important healthy meals are for boosting children’s energy, concentration and behaviour which, in turn, leads to improvements in academic attainment.

All children in primaries 1 to 3 have benefitted from access to free school lunches since January 2015, and from this month all children in funded early learning and childcare are receiving a free meal in every session. Ministers are now committed to going further by expanding free school meals to all pupils in primary and special schools during the course of this parliamentary session, as well as introducing free year-round breakfast and lunch provision to support children outside of the school term. We are also committed to piloting approaches to universal meal provision in secondary schools.

To start delivering on this commitment, we have provided local authorities with funding of £49.75 million to enable them to provide support to families who are eligible for free school meals during the school summer holidays, and to expand the provision of free school lunches during school term-time to all children in primaries 4 and 5, throughout the course of this school year. Further expansion of universal free school lunches will be delivered for children in primaries 6 and 7 by August 2022.

In addition to the free meal commitments, the Scottish Milk and Healthy Snack Scheme launched on 1 August 2021 replacing the existing UK Nursery Milk Scheme in Scotland. All pre-schoolers who spend two hours or more a day in eligible childcare settings registered with the scheme will be entitled to a serving of fresh milk. Unlike the UK scheme, a piece of fruit or portion of vegetables will also be offered and children who cannot drink cow’s milk for medical, ethical or religious reasons will be offered a specified non-dairy alternative.

This is a major programme of change during this Parliament that will deliver benefits for hundreds of thousands of children.