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Information on the number of full-time equivalent stoma care clinical specialist nurses currently employed by NHS Scotland is not centrally held.

Clinical Nurse Specialist (CNS) data by NHS Board from 2009 to the most recent data published in September 2018, can be found at:

https://turasdata.nes.nhs.scot/media/4ndpx4za/clinical_nurse_specialists_s2018.xlsx

Given data quality concerns all historical data, whilst published, should be treated with caution. NES will continue to work with the Scottish Government and NHS Boards to ensure improved recording going forward.

A national review into the Clinical Nurse Specialist role and its definition is currently under way. NHS Education for Scotland (NES) will work with NHS Boards to improve the quality of CNS data once this is complete.

We recognise and value Stoma Care Nurses as a role in the wider Clinical Nurse Specialist workforce and as such they were included under the auspices of the national work which reviewed the Clinical Nurse Specialist role, in line with the NHS Education for Scotland Career Development Framework and the Chief Nursing Officer Directorate's Transforming Roles Programme.

NES will continue to work closely with the Scottish Government and NHS Boards to develop a clear education and career pathway for Clinical Nurse Specialists to maximise the contribution of the role in line with the current and future needs of Scotland’s health and care system. The existing Education and the Career Pathway model will support Stoma Care Nurses to identify their education needs.

The Scottish Government is committed to ensuring that all people who require stoma care services are able to receive the best possible care and support wherever possible and benefit from healthcare services that are safe, effective and put the patient at the centre of their care.

A range of nurses and support workers with mixed responsibilities can support patients who have stomas across health and social care. There are many nurses within differing units and specialities within NHS Boards and social care, including in the community, who are able to support stoma patients alongside stoma clinical nurse specialists.

The focus of the Scottish City Region and Growth Deals carbon management guidance is the minimisation of greenhouse gas emissions, in support of Scotland’s national target to reach net zero by 2045. The guidance is already fully aligned with the Environmental Impact Assessment process, which also addresses adaptation and ensures resilience to the locked in impacts of climate change. This enables the guidance to be used in conjunction with other sources of information (e.g. projections of future changes in climate) to undertake climate change impact assessments in accordance with relevant planning requirements and building standards.

To date, Scottish Ministers have had no formal discussions with the survivors or stakeholders involved in the allegations of abuse at Fornethy House Residential School. The abuse of children in all circumstances and settings is wrong, and the Scottish Government takes this abuse very seriously.

Scottish Government officials have exchanged correspondence with a number of members of the Fornethy House Residential School Survivors Group in relation to the eligibility criteria of Scotland’s Redress Scheme. As the circumstances in which individuals came to be at Fornethy may vary, it is not possible to determine eligibility for the group as a whole.

The Scottish Government is committed to supporting all survivors of childhood abuse. Through the Scottish Government’s Survivors of Childhood Abuse Support (SOCAS) Fund, 29 organisations across Scotland are funded to provide support to adult survivors of childhood abuse including (but not exclusive to) those who have been abused in care.

The safety of all vaccines and medicines is monitored by the Medicines and Healthcare products Regulatory Agency (MHRA) on a UK-wide basis. This includes reports from the Yellow Card Scheme which allows health professionals and patients across the UK to flag up suspected adverse reactions to any vaccine or medicine, as well as reports from worldwide use and on-going scientific evidence.

The MHRA has a range of resources and technology to support the safety monitoring of the COVID-19 vaccination programme. The use of artificial intelligence is one element of that and helps to reduce the amount of manual coding for each report to the Yellow Card Scheme on COVID-19 vaccines, thereby saving resource in processing cases and ensuring they are more rapidly available for scientific analysis. The tool is not used for assessment of data, but to help ensure that all information from reports is well structured to support analysis and is subject to robust quality assessment.

Concerns over the safety of vaccines are not taken lightly. Please be assured that the MHRA keep the safety of all vaccines under close and continual review, and would take appropriate regulatory action if new evidence emerged which called into question the safety of any vaccines currently in use in Scotland.

Expert advice from bodies including SAGE and the Health and Safety Executive indicates that air cleaning/filtration devices, such as HEPA filters, are not a substitute for efforts to improve ventilation in order to mitigate against the risks of COVID. Our guidance for schools reflects this advice, and makes clear that air cleaning/filtration devices should not be used as a substitute for natural or mechanical ventilation (including the opening of windows and doors).

Our updated guidance for schools does, however, make clear that air cleaning/filtration devices may be used as a temporary mitigation in exceptional circumstances when no other mitigations are achievable, while working to achieve a more sustainable solution.

The Scottish Government keeps its guidance under regular review in light of the latest expert advice, and will consider any necessary updates as research and evidence evolve.

Proof of recovery status was added to the international page of the Covid Status app on 9 January. This is the easiest way for someone to demonstrate they have had Covid in the previous 180 days when travelling to countries where certification is required.

In the absence of the app, the text or email message the person received from test and protect when they tested positive can be used as an alternative way of demonstrating the date they tested positive for Covid.

We are currently exploring other non-digital alternatives for proof of recovery certification for those unable to use the app.

Each country has its own guidance and requirements in relation to proof of Covid-19 status and vaccinations and we would urge people to refer to the relevant countries’ guidance on gov.uk before travelling.

The Scottish Government is aware of the impact the necessary public health restrictions has had on businesses, including tanning salon operators.

We recently announced £375m of support for businesses impacted by measures introduced to control the spread of Omicron and have provided details on how £266m of this will be allocated. This includes £19m for close contact businesses.

This £19m for close contact businesses is targeted at those who have been the most affected by the updated public health guidance introduced from 9 December 2021 to 24 January 2022. Beauty services, hairdressers and wellness services that provide spray and application tanning are eligible, however retail businesses utilising sunbeds are not in scope at this stage.

Decisions on the allocation of the remaining funds will be confirmed following further analysis and consultation with affected sectors on how it can best be targeted.

We have been proactive in our approach to minimising carbon emissions associated with the City Region and Growth Deals programme, taking expert advice from industry on the latest national and international best practice. We have now rolled out our innovative carbon management guidance across all 12 Deals. This is an ongoing and proactive carbon management process, facilitated by our dedicated Deals Sustainable Development Manager. Support and training is being provided to all regional partners to ensure the guidance is correctly applied, and that carbon emissions are minimised in accordance with best practice.