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How to treat ear wax is a clinical decision: ear syringing is not the current preferred procedure and is no longer routinely provided by clinicians.

NHS Lanarkshire has continued to provide services to patients throughout the pandemic. However, due to the pressures of the pandemic some routine condition management needed to be paused but only in those instances where it is safe to do so.

Patients who have sought private treatment will not be reimbursed.

Current guidance for ear irrigation services is that patients should speak to their pharmacist for minor problems and patients with particularly troublesome symptoms should contact their GP to discuss the most suitable treatment. This guidance is available online at NHS Inform and was last updated on 22 December 2020.

Ensuring high quality palliative and end of life care for people towards the end of life is an important priority for the Scottish Government.

Since 2016, it has been the responsibility of Integration Authorities to commission and plan palliative and end of life care services and supports to meet the needs of their local population. The assessment of palliative and end of life care services is also their responsibility.

For this reason, the Scottish Government does not collect this data centrally.

However, Integration Authorities report on their progress using a range of indicators within their Annual Performance Reports, which provides some data on palliative and end of life care services. Information on the Core Suite of Integration Indicators can be found at https://publichealthscotland.scot/media/8411/2021-07-13-coresuiteindicators-background-and-glossary.pdf. It is, however, important to note that due to the pandemic, full data is not currently available for all indicators at present.

Public Health Scotland also publish official statistics on the percentage of time spent at home or in a community setting in the last six months of life. ( Percentage of end of life spent at home or in a community setting - Financial years ending 31 March 2011 to 2020 - Percentage of end of life spent at home or in a community setting - Publications - Public Health Scotland ).

The following table shows office-cancelled breast screening appointments, broken down by month from January 2020 until July 2021. It is important to note, however, that all of these office-cancelled appointments are reappointed as a matter of course and an invitation to screening sent to the participant. Where appointments are rescheduled in this way before a letter of invitation has been sent, the screening participant may be unaware their appointment has been cancelled and reappointed .

The data provided below was provided as management information and has not been subject to quality checks that would be applied in an official publication. Quality assured breast screening programme statistics are published annually by Public Health Scotland.

The following table shows the number of people who attended a breast screening appointment from January 2019 to July 2021. 2018-2019 data is provided as a baseline; as the programme operates on a 3 year basis, and as in some years the locations are further away from base sites, these figures are provided as an average. It is important to note that the 2020 and 2021 data provided was collected and used for management purposes for monitoring the recovery of the program and has not been subject to quality checks for official publication. Public Health Scotland publish breast screening programme statistics every year; the last publication was in May 2021 and the next publication is due in 2022.

The OECD had responsibility for stakeholder engagement.

The OECD’s Independent Review of Curriculum for Excellence (CfE) was conducted using their Implementing Policies: Supporting Change in Education Framework.

Details of how the OECD conducted their independent review can be accessed at Independent+Review+of+Curriculum+for+Excellence+-+Remit.pdf (www.gov.scot)

You may also wish to note that the name of stakeholders who participated in engagement interviews are credited in the OECD’s final report.

The Scottish Government is working with key business sectors, Scottish Environment Protection Agency (SEPA), Scottish Water, local authorities, and other stakeholders to make sure water is used efficiently; the first line of defence against the risks of drought.

SEPA has just consulted on a Water Resources Management Plan, which highlights the risk of climate change and the need to work in collaboration to develop a series of practical actions to deliver a more sustainable and resilient use of water. This builds on the approach taken under the National Water Scarcity Plan, which focuses on making early information available to allow water users to manage supplies during prolonged dry periods without harming the environment. Following the consultation SEPA will develop a more proactive approach that aims to increase the resilience of businesses and reduce the pressure on the water environment during droughts.

Scottish Water carefully considers the actions required to mitigate against any drought risk through its water resource plan to ensure it has resilience in its networks to cope with an increase in demand during extended periods of dry weather.

I refer Mr Mundell to the answer to S6W-01932 on 25 August 2021.

The OECD’s Independent Review of Curriculum for Excellence (CfE) was conducted using their Implementing Policies: Supporting Change in Education Framework.

The OECD had responsibility for its programme of virtual school visits and the arrangement of focus groups, and was supported by both Scottish Government officials and the Scottish Practitioner Forum.

Details of how the OECD conducted their independent review can be accessed at Independent+Review+of+Curriculum+for+Excellence+-+Remit.pdf (www.gov.scot)

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

From 9 August, national guidance was updated to remove physical distancing requirements in most settings. This, however, did not extend to health and social care settings.

On 11 August, the Chief Nursing Officer Directorate (CNOD) commissioned NSS Antimicrobial Resistance and Healthcare Associated infections (ARHAI) and Public Health Scotland (PHS) to review current Infection Prevention and Control guidance as a matter of urgency, with a view to implementing a step by step reduction of physical distancing in non-clinical/para-clinical areas. ARHAI and PHS produced draft guidance which went out for consultation with key stakeholders including NHS Chief Executive Officers on 18 August with a closing date of 19 August.

ARHAI and PHS are currently drafting updated guidance which will issue to boards once this has been formalised.

The Scottish Government works with partners to encourage all forms of sport and physical activity to be made available to all people across Scotland.

We provided £1.72 million of funding to enhance work led by Scottish Swimming and local authorities to provide swimming lessons for primary school children across Scotland between 2011 and 2015. An evaluation of the programme was subsequently carried out.

sportscotland works in partnership with all local authorities to invest in and support the Active Schools Network. Active Schools aims to provide more and higher quality opportunities to take part in sport and physical activity before school, during lunchtime and after school, and to develop effective pathways between schools and sports clubs in the local community. In academic year 2018/19 there were 50,954 swimming visits in 18-19 across 21 local authorities.

We are continuing to work with partners, including Scottish Swimming to consider how the provision of community swimming could be expanded.