Clinical waste is regularly collected from Health Board sites. This arrangement means clinical waste is not stored for prolonged periods.

That information is not held centrally. Between 1 March 2020 and 27 April, over 97 million items of PPE have been distributed to NHS Boards.

Each board now has a single point of contact for supply and importantly distribution of appropriate PPE to each clinical setting in hospital and to ensure any issues are speedily addressed.

The COVID-19 data and trend charts for Scotland are published daily and provide a range of information, including the number of care homes notifying cases of COVID-19 and the number of suspected cases of COVID-19 in care homes. These data are available from 11 April 2020 and are updated daily. There are also data on the number of people that have been tested for COVID-19 in Scotland, these are available from 2 March 2020 and provide a cumulative number. There is no breakdown of how many of these tests were for care home staff or residents.

Data are broken down by NHS board for:

• the cumulative number of cases that have tested positive for COVID-19;
• the number of patients in intensive care with confirmed or suspected COVID-19; and
• the number of patients in hospital with confirmed or suspected COVID-19.

The link to the daily data update is:

https://www.gov.scot/publications/trends-in-number-of-people-in-hospital-with-confirmed-or-suspected-covid-19/

The group was first convened on 26 March 2020 and has met every Monday and Thursday since then. Further information about the group, including notes of the discussions which have taken place, is available here: https://www.gov.scot/groups/scottish-government-covid-19-advisory-group/ .

The Scottish Government set out our approach to contact tracing on 4 May in the Test, Trace Isolate, Support Strategy . We will establish an enhanced COVID-19 contact tracing service in every Board. Recruitment and training of new staff will be managed by existing health protection teams who have high quality skills and experience in delivering contact tracing, and of which some are already undertaking COVID-19 contact tracing work. Recruitment has commenced in a phased approach, to introduce as necessary a national contract tracing team managing routine work and supporting local contact tracing teams. Initial workforce education resources for staff supporting the contact tracing programme have been developed in partnership with Health Boards and made available to all Health Boards before 25th May. All staff who will be recruited to undertaken Contact Tracing activity either at a national level or local level, will use these core materials to help ensure consistency across Health Boards in Scotland. As of 18 May 2020, c 680 staff have been identified locally and over 8000 notes of interest have been received nationally, in addition to those NHS returners who are being considered for deployment.

Mental health legislation in Scotland provides for rigorous safeguards in respect of individuals’ human rights. Compulsory treatment is only allowed under very strict circumstances and certain criteria must be met before an order or certificate can be granted. In addition, treatment under mental health legislation is governed by a range of safeguards, for example medication which is to be given for more than two months, must be agreed to by a Designated Medical Practitioner — an experienced psychiatrist appointed by the Mental Welfare Commission. The Mental Health (Care and Treatment)(Scotland) Act 2003 also requires that orders and certificates should be kept under review and revoked or varied as appropriate, to support the principles of least restriction and maximum benefit. In addition, the independent Mental Health Tribunal grants and reviews orders for compulsory treatment.

The Scottish Government is commitment to creating a modern, inclusive Scotland which protects, respects and realises internationally recognised human rights.

As you are aware the independent review of the Mental Health Act which is chaired by John Scott QC is underway. The review aims to improve the rights and protections of people with a mental disorder and remove barriers to those caring for their health and welfare. It is due to publish an interim report by the end of May 2020.

The Scottish Government has made no decision on NHS laundry services and will not make a decision until we have addressed the current Covid-19 situation.

There have been no discussions between the Scottish Government and these organisations on the provision of exams for GP trainees, which are primarily issues for the statutory medical education bodies, the GMC and the Royal College to resolve.

On the recommendation from NHS Education for Scotland, the Scottish Government has however approved interim arrangements to enable those impacted to remain in their training posts in Scotland until solutions are agreed, including providing the estimated costs of £1.1m. There are ongoing discussions between these organisations, including participation from the BMA Junior Doctor Committee, to ensure all trainee GPs in their final year of training can complete their exams as soon as practically possible.

The Scottish Government COVID-19 Advisory Group has discussed this issue and is following the research being carried out on a UK-wide basis by SAGE. Further to this, discussions are ongoing with Public Health Scotland on understanding variance in rates of infection and death from Covid-19 by a range of factors, including ethnic minority status. The four CMOs across the UK are also working with Public Health England to explore the impact of COVID-19 on people from minority ethnic backgrounds.

The Scottish Government is in regular written and phone contact with Scottish Care, who are the representative body of most care home providers in Scotland, on a range of matters relating to Covid-19 and I regularly speak to their CEO, Dr Donald Macaskill.