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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.

Since April 2015 the Scottish Government has provided funding to support the planting of over 1.85 million trees and the creation of more than 925 hectares of new urban woodlands to provide opportunities for people to use and enjoy their local woods.

Around £8 million a year is available to support tree planting and greening projects within the Central Scotland Green Network area.

The Scottish Government continues to work with, and provide funding to a range of partners including local authorities, to support them in responding to demand for better access to unban woods through their expansion and improved management. Examples of this partnership approach include the Clyde Climate Forest and initiatives such as the “Wee Forests” that will play a role in improving people’s health and well-being whilst also delivering on our climate change and biodiversity commitments.

I refer the member to the answer to question S6W-03940 on 2 November 2021.

NHS Scotland already utilises an electronic prescription message between GP practices and community pharmacies which runs in parallel with paper prescriptions. However, the use of paper prescriptions is still a necessity at this stage as a legal requirement.

The Scottish Government has commissioned NHS National Services Scotland (NSS) to take forward a number of digital priorities in response to COVID. This national programme includes investing in development of a new ePrescribing and eDispensing pathway by enabling the use of advanced electronic signatures in primary care and addressing the need for an end-to-end digital solution that will support replacement of the paper prescription from all community settings with a digital solution. The programme recognises that electronic prescribing will help some vulnerable sections of society, but we must also ensure others are not disadvantaged and the solution adopted should address patient needs including digital exclusion. It is difficult to be precise on timescales at present but significant progress on the technical and process models continues at pace and the Scottish Government is committed to deliver a solution through this programme.

Our refreshed Digital Health and Care Strategy includes a clear approach on how we will empower the public to manage their health and wellbeing through digital means. This work will look to give greater access to things like health records and being able to manage prescriptions online.

In addition, patients who have a long-term condition can access the ‘Medicines: Care and Review Service’ at their local community pharmacy. It promotes a partnership approach between the pharmacist, the patient and their GP practice. Patients with stable long-term conditions can receive serial prescriptions for a duration of 24, 48 or 56 weeks which are dispensed in regular intervals by the pharmacy and remove the need to request regular repeat prescriptions.

All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The primary objective of the booster programme is to maintain protection against severe COVID-19 disease, specifically hospitalization and deaths, over winter 2021-22, and is aimed at maintaining protection in those most vulnerable and to protect the NHS. The autumn/winter vaccination programme also includes the biggest ever flu vaccination programme.

The Joint Committee on Vaccination and Immunisation (JCVI) is clear that both of these programmes are important for individual and public health. So, wherever possible, eligible people will be offered COVID-19 and influenza vaccines together.

Booster vaccines will be offered to the same groups who were prioritized at the beginning of the COVID-19 vaccination programme in winter and spring 2020-21, and JCVI have 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 Autumn/Winter vaccination programme continues to roll out in line with advice from the JCVI. The JCVI priority groups are based on either vulnerability to COVID-19, or on interacting with, and therefore possibly spreading to, people who are vulnerable to COVID-19. When someone received their invitation will depend on a number of personal circumstances.

Decisions to prioritise one population group over another are not taken lightly, nor are they straightforward. That is why our prioritisation decisions have been, and will continue to be, guided by the independent expert advice from the JCVI.

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.

Our approach to service development and staff training is informed by UK-wide clinical guidance developed by the National Institute for Health and Care Excellence (NICE), the Scottish Intercollegiate Guidelines Network (SIGN) and the Royal College of General Practitioners (RCGP) and is focussed on supporting NHS Boards to develop tailored models of care appropriate for the needs of their populations.

Scottish Government Officials and Clinical Advisors continue to meet with colleagues across the UK home nations on a regular basis, in order to support the sharing of relevant practice developments as they continue to emerge.

It is important that new systems of care supported by a limited and emerging evidence base are properly evaluated within research conditions in order to deliver quality, cost-effective interventions that provide meaningful benefit for patients.

Our approach to service development and staff training is informed by UK-wide clinical guidance developed by the National Institute for Health and Care Excellence (NICE), the Scottish Intercollegiate Guidelines Network (SIGN) and the Royal College of General Practitioners (RCGP) and is focussed on supporting NHS Boards to develop tailored models of care appropriate for the needs of their populations.

Scottish Government Officials and Clinical Advisors continue to meet with colleagues across the UK home nations on a regular basis, in order to support the sharing of relevant practice developments as they continue to emerge.

It is important that new systems of care supported by a limited and emerging evidence base are properly evaluated within research conditions in order to deliver quality, cost-effective interventions that provide meaningful benefit for patients.

Information regarding pregnant women currently in intensive care unit as a result of contracting COVID-19 or have been hospitalised and delivered their baby early is not held centrally by the Scottish Government and not yet publicly available. Public Health Scotland may be contacted and may be able to provide this information.

See S6W-04225 on 17 November 2021 for information regarding pregnant women admitted to intensive care during the period March 2020 to September 2021

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

We continue to review our international travel restrictions and associated exemptions and health measures and will consider appropriate changes where clinical and scientific advice allow it. We expect the vast majority of seafarers to be covered under the inbound vaccinated traveller scheme for the purposes of travel to Scotland for shore leave.

Following the introduction of travel restrictions, specific sectoral exemptions were introduced to facilitate emergency or essential work in Scotland. An exemption for seafarers was introduced to deliver this, and it currently remains in place - it currently applies to seamen, masters of ships, maritime pilots, ship inspectors or surveyors of ships (under the definition of the Merchant Shipping Act 1995). Taking into account the public health risk associated with importation of the virus, extending the exemptions for non-work related travel has not been appropriate and would be inconsistent with clinical advice.

Regular feedback from Border Force has suggested that Scotland sees a higher number of seafarers travelling in and out of the country compared to other parts of the UK. For this reason, we have different arrangements to regulations elsewhere. The border health measures associated with international travel into Scotland is a matter for Scottish Ministers, and there are a number of areas where different arrangements are in place for some sectors given different circumstances in Scotland including wider public health measures and the numbers involved.

Other changes to the international travel regime has enabled quarantine-free travel and relaxed testing measures for eligible fully vaccinated travellers. Currently, there are no red list countries which means no one entering Scotland would be expected to enter a Managed Quarantine hotel. We would encourage seafarers who have not yet been fully vaccinated to register for vaccination appointments as soon as possible, so they can return for leave purposes as eligible vaccinated travellers. We will continue to monitor the situation across all sectoral exemptions and will make further amendments to the international travel regulations as required in the course of the pandemic.

Further information on travel restrictions and sectoral exemptions is available at: https://www.gov.scot/publications/coronavirus-covid-19-international-travel-quarantine/pages/sectoral-exemptions/

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.