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NHS Boards are expected to ensure that patients, including those living with severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) have access to a range of professionals to provide the appropriate management of their condition. We would further expect clinicians to have good awareness of guidance relevant to their practice area and apply these taking account of individual circumstances and discussions with the patient.

In light of the final National Institute for Health and Care Excellence (NICE) guideline for ME/CFS being published, we are considering how best to review and update existing Scottish guidance, and will be reviewing the need for specialist services as part of this work.

We are regularly engaging with our stakeholders, including the third sector, people with lived experience and clinicians working in this area, to drive forward care and the development of pathways. We plan to undertake a structured programme of stakeholder engagement in early 2022 to initiate the revision of Scottish guidance and to identify opportunities for improvement.

We have recently supported the creation of a Priority Setting Partnership by the James Lind Alliance and Action for M.E. to agree the top 10 priorities for future research on ME/CFS. This approach brings patients, carers and clinicians together to identify and prioritise research uncertainties in the field of ME/CFS, before disseminating the results to research funders.

We are investing £4.5 million of funding to implement the Neurological Care and Support Framework. Commitment 13 of the Neurological Care and Support Framework involves supporting neurological research, and we welcome proposals for ME/CFS research.

We are investing £4.5 million of funding to implement the Neurological Care and Support Framework. Through the framework, we have funded Action for ME to produce an online CPD learning module on ME/CFS for GPs and health professionals in Scotland, which aims to support person-centred care, informed by good practice and current research. In June 2021, officials presented the module to the Scottish Deans Medical Education Group, who agreed to consider introducing into medical school curriculums.

We are also liaising with NHS Education Scotland who have committed to producing a Practice-Based Small Group Learning module on ME/CFS following publication of the final National Institute for Health and Care Excellence (NICE) guidelines, and we understand that this work is now underway.

I have asked Teresa Medhurst, Interim Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

The SPS does not hold the requested data. Since 2013, SPS has asked all persons on admission to custody to self-declare any known disability. The response is recorded on SPS’ internal system as either: yes, no or prefer not to disclose. However, the type of disability it is not specifically recorded.

Every individual in SPS custody is interviewed by a Healthcare Professional on admission in order to assess their healthcare needs. Where there is an identified need for additional support or reasonable adjustments whilst in custody, SPS, NHS and our education service partners will work in partnership to facilitate this.

The additional £40 million for the culture sector was announced in light of the consequential funding expected from the £300 million uplift to the Culture Recovery Fund in March 2021 UK Budget. The Scottish Government has so far only received £9 million of these consequentials. We are still seeking clarity from HM Treasury on why the £40 million has not yet been passed on in full to us and are continuing to press the UK Government to deliver the remaining £31 million.

Despite only receiving to date £9 million of the consequentials, we have made available £25 million to support recovery in the culture sector, principally through the Cultural Organisations and Venues Recovery Fund (COVRF) and the Performing Arts Venues Relief Fund (PAVRF). £17.2 million has been awarded to performing arts venues and culture organisations via Creative Scotland. £1.25m has also been announced for funding for the Public Library Covid Relief Fund. This leaves £6.55m remaining to be allocated, £2m of which is capital. We are working with the culture sector to understand ongoing needs, and announcements on the final allocations will be made in the coming weeks.

The shift to electric vehicles is an important part of responding to the climate emergency and improving air quality in our cities. To help incentivise this shift, we have, since 2011, provided loans valued over £140 million to the people and businesses of Scotland to make the transition to ultra-low emission vehicles. Last year our interest free loan scheme that supports the purchase of electric vehicles was extended to include used electric vehicles.

Since 2011 the Scottish Government through Transport Scotland has funded the Low Carbon Transport Loan (LCTL) this interest free loan has supported almost 5500 individuals and businesses in Scotland.

The breakdown between individuals and businesses receiving the LCTL is listed in the following table.

NHS health boards lead on the local delivery of the vaccination programme. Vaccination centres have frequently changed throughout the programme, with some facilities being repurposed, and drop-in clinics being made available as we have had to exercise flexibility.

As such, the Scottish Government do not hold the requested level of information.

Information regarding the number of vaccination centres operating in each health board area, and their opening hours can be found on NHS inform.

The vaccine offer is universal in Scotland. For asylum-seekers who have received COVID-19 vaccines in Scotland, they can request their record of vaccination be sent to them by calling the Freephone COVID-19 Status Helpline on 0808 196 8565.

These paper certificates are fully equivalent to the certificates provided via the app, and can be used for access to domestic venues and will also permit smoother inbound entry to the UK. The Scottish Government have published ‘ Vaccine certification scheme – information for business and event organisers ’; ‘ Vaccine certification scheme – information for customers ’; and a ‘ toolkit ’ which provides guidance and example certificates, so venues are fully aware that they should be accepting the certificate issued to medically exempt individuals for entry to their venue or event.

Security features of the COVID Status Certificate App includes an automated user identification and verification process to allow access to sensitive personal medical information. If a user does not have the required photo ID they cannot use the app.

In December 2019 we published a Neurological Care and Support – a National Framework for Action . Over five years we will invest £4.5 million to implement the Framework’s commitments, including the development of sustainable workforce models.

The Scottish Shape of Training Transition Group makes recommendations to Ministers annually on training numbers across all medical specialties. The group undertakes an annual assessment of the medical trainee establishment and the factors influencing recruitment fill rates. This process aligns with medical workforce modelling and is intended to achieve a planned and sustainable medical workforce. In each year since 2016,100% of advertised Neurology posts have been filled, indicating that new trainee doctors already consider a career in neurology to be an attractive one.

Work is being taken forward on education and training opportunities for Clinical Nurse Specialists in Neurology (and MS specifically) by a group including Scottish Government, NHS Education Scotland, MS Clinical Nurse Specialists representatives and the NHS Centre for Sustainability Delivery. It will support Health Boards in recruiting and succession planning regarding these roles. The Scottish Government provides £2.4 million to enhance clinical nurse specialist provision and care.

Vaccination is the best way to keep you, your friends, family, and community safe and we encourage everyone to consider getting the vaccine. In the vast majority of cases a successful route to safe vaccination can be found.

If vaccination is not straightforward, support is available to help people achieve the benefits of protection from the Covid-19 vaccines. Local vaccination centre can help answer questions about the vaccine and can advise what arrangements may be put in place to enable safe vaccination. In the rare cases where that support does not lead to vaccination, the offer of an exemption will be a part of the process.

A person who is identified as clinically unable to safely receive the vaccine will receive a secure paper exemption certificate in the post.

These certificates are fully equivalent to the certificates provided for all other people who have been fully vaccinated and can be used for access to domestic venues and will also permit smoother inbound entry to the UK. The Scottish Government have published ‘ Vaccine certification scheme – information for business and event organisers ’ and a ‘ toolkit ’ which provides guidance and example certificates, so venues are fully aware that they should be accepting the certificate issued to medically exempt individuals for entry to their venue or event.

The £15 million of funding announced on 15 October 2021 for a Communities Mental Health and Wellbeing Fund for Adults is a new fund. The Fund is part of the £120 million Recovery and Renewal Fund announced in February to ensure the delivery of the commitments set out in the Mental Health Transition and Recovery Plan in response to mental health needs arising from the pandemic. This funding is separate from the commitment to double funding for community mental wellbeing services for children and young people.

The £15 million Communities Mental Health and Wellbeing Fund aims to support adult community-based initiatives across Scotland which promote good mental health and wellbeing and early intervention for those in distress and tackle the impact of social isolation, loneliness and the mental health inequalities made worse by the pandemic. Grass roots community groups and organisations will be able to benefit from the funds to deliver activities and programmes to people to re-connect and revitalise communities building on examples of good practice which have emerged throughout the pandemic.

This year we have provided local authorities with an additional £15 Million to fund over 200 new and enhanced mental health and wellbeing supports and services for children and young people. The Scottish Government and Scottish Green Party shared policy programme commits to doubling the budget for community based mental wellbeing services for children and young people to £30 million per annum. Ministers are currently considering options to take this forward and will be informed by the work of the Children and Young People’s Mental Health and Wellbeing Joint Delivery Board.