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This question relates to functions that are the responsibility of the Scottish Courts and Tribunals Service (SCTS) which the Office of the Public Guardian for Scotland (OPG) is a part of. The SCTS is an independent body corporate and as such it is not directly answerable to the Scottish Government.

The Scottish Government has regular engagement with SCTS where a range of issues are discussed. The SCTS capital budget allocation will increase from £8 million in 2022-23 to £12.7m in 2023-24. This will include funding to replace the OPG IT system, which will help improve processing times for PoA applications.

The following information has been provided by the Office of the Public Guardian (Scotland) (OPG). The number of power of attorney submissions received by the OPG via electronic power of attorney registrations (EPOAR) and by post from 2018-19 to 2020-22. Full-year information is not yet available for 2022-23.

Statistics relating to the waits patients experience for a new outpatient attendance and inpatient or day case appointment at NHS Board and specialty level are published by Public Health Scotland (PHS) up to 31 st December 2022 and can be found using the following links:

New Outpatients - https://publichealthscotland.scot/media/18024/newop_feb23.xlsx

Inpatients/Daycases - https://publichealthscotland.scot/media/17838/ipdc_feb23.xlsx

The statistics published in the tables above include the median and 90th percentile waits in days for:

• New outpatients waiting (‘1.1 Table’)
• New outpatients seen (‘1.2 Table’)
• Inpatients/day cases waiting (‘2.2 Table’)
• Inpatients/day cases seen (‘2.1 Table’)

We continue to work intensively to clear long waits, which have been exacerbated by the impact of the global pandemic and are determined to provide NHS Boards with support necessary to drive improvements. This includes targets announced in July 2022 to address the backlog of planned care, maximising theatre productivity, optimising Golden Jubilee National Hospital capacity, and the delivery of the £1 billion NHS Recovery Plan to support sustainable improvements and new models of care, such as the National Treatment Centre Programme.

We are also working with the Centre for Sustainable Delivery (CFSD) and boards to embed regional and national working to ensure that long waiting patients can access treatment more quickly.

The Scottish Government continues to work with its partners and key stakeholders, including Public Health Scotland, health boards, and across the Four Nations to prepare Scotland to identify and respond to future infectious disease and pandemic threats. This work builds on existing health protection approaches, including the 2011 UK Influenza Pandemic Preparedness Strategy , and a now enhanced respiratory surveillance programme.

National preparedness arrangements include stockpiles of clinical consumables, PPE, medicines, a contract for access to a pandemic influenza vaccine – and a national pandemic influenza service at 4 Nation level to distribute antivirals. NHS Boards have pandemic flu plans based on guidance – and are also expected to plan locally on a multi-agency basis with Resilience Partnerships and/or HSCPs. The Coronavirus (Recovery and Reform) (Scotland) Act 2022 was passed last year, giving the Scottish Government new powers to respond to public health emergencies. This includes provisions for education, higher and further education, care services, housing, justice.

The Scottish Government established the Standing Committee on Pandemic Preparedness to bring together scientists and technical experts to advise the Scottish Government on the future risks from pandemics and how best to approach these. The final report will be presented later this year.

The Scottish Government remains engaged with the review process, however, the responsibility for the implementation of the recommendations falls to NHS Highland, working closely with the local community, NHS 24, the Scottish Ambulance Service and other agencies as recommended in Professor Ritchie’s original review.

Scottish Government has had no communication with the MHRA regarding medication supply issues. The supply of medicines is a reserved matter for the UK Government. Scottish Government officials are regularly updated on any supply disruptions which may arise and will provide advice to the NHS in Scotland on options to address any shortages that may arise.

Preliminary findings from the EAVE II study, led by Public Health Scotland in collaboration with the University of Edinburgh, were published in a preprint article on 7 March 2023. This article presents preliminary analysis of the number of adults aged 18 and over presenting with long COVID in general practice. It uses routinely collected clinical data from almost the entire adult population in Scotland.

Please note that these findings are preliminary and have not yet been peer-reviewed.

This study estimates that, depending on the outcome measure used, between 0.02% to 1.8% of the participant cohort had long COVID at some point over the course of the study (March 2020 to October 2022). The total number of cases identified each year have not been published with the preprint article. However, findings suggest that there was a general increase in new long COVID cases between September 2020 to April 2022, interrupted by a temporary decline between February and May 2021. Findings suggest a general decline in new long COVID cases from April to October 2022. The outcome measures used include, but are not limited to, diagnosis recorded via clinical codes. The article notes that these figures represent a probable under-recording of cases.

For comparison, the estimated prevalence of self-reported (as opposed to clinically diagnosed) long COVID in Scotland from the ONS Covid-19 Infection Survey was 3.53% (95% confidence interval: 3.23% to 3.83%) for the four week period ending 1 October 2022, which is the four-weekly estimate most closely aligned with the end of the study period.

Preliminary findings from this analysis suggest that, across NHS health boards, cases of long COVID were largely proportionate to population shares. However, findings suggest that NHS Greater Glasgow and Clyde saw a disproportionately large share of cases, and NHS Lothian saw a disproportionately small share of cases.

Please refer to the preprint article for further details: Identifying Long Covid Using Electronic Health Records: A National Observational Cohort Study in Scotland .

Guidance is provided by the Scottish Government to Health Boards which is publicly available on the following website SHOW - SGHSC - Scottish Government Health and Social Care Directorates including guidance on matters in relation to attraction and retention of medical and non-medical staff. The Centre for Workforce Supply, hosted by NHS Education for Scotland works with Health Boards to support the building of workforce capacity.

The Endoscopy and Urology Diagnostic Recovery and Renewal Plan , published in November 2021, is backed by £70m investment. The plan focuses on a number of key areas including Development and Infrastructure Innovation and Redesign to provide alternatives to traditional endoscopy. This includes Capsule Colonoscopy Endoscopy ( CCE ), Computer Tomography ( CT ), Cytosponge and Transnasal Endoscopy ( TNE ).

In Urology, alternative delivery pathways include Diagnostic Urology Hubs and 'One Stop' clinics, such as the Urology Hub at Forth Valley Royal Hospital, which was opened in July 2022.

The Scottish Government does not hold the detailed information centrally, the member should contact NHS Boards directly.

In May 2019, the then Cabinet Secretary visited the Isle of Skye, with Sir Lewis Ritchie to undertake a review of progress. Then in May 2022, the current Cabinet Secretary visited the Isle of Skye, for the official opening of the Broadford Hospital. No formal discussions took place at that time, regarding the independent external review of Skye, Lochalsh and South West Ross.