The Scottish Government takes the health and safety of all our staff very seriously. The guidance published by the Department of Health and Social Care, Health Protection Scotland (HPS), Public Health Wales, Public Health Agency Northern Ireland, Public Health England (PHE) and NHS England on 2 April 2020 is the official and fully comprehensive guidance on the matter of the use of PPE in the context of COVID19.

The guidance includes clarification that - professionals can use their judgement to assess their risk based on what task they are undertaking and where it is taking place, this includes aerosol generating procedures.

The guidance can be found at: https://www.hps.scot.nhs.uk/a-to-z-of-topics/covid-19/#guidelines .

No clinical waste has been stored at hospital sites under contingency. No additional hospital storage costs have been incurred.

Information held nationally on delayed discharges can identify the number of people who were delayed in their discharge from hospital awaiting completion of care arrangements for social support in order to live in their own home and whose delay period ended in death. Information is not available prior to July 2016 due to a change in data definitions and reporting requirements. Figures for calendar years 2017 to 2019 are shown in the following table.

Number of people delayed in their discharge from hospital awaiting completion of care arrangements for social support in order to live in their own home whose delay period ended in death; by NHS Board; Calendar years 2017-2019

The Scottish Government is working closely with NHS Boards during the pandemic to monitor the impact of Covid-19 on demand and capacity and is responding where required.

On 25th March the Chief Scientist Office also launched the Rapid Research in Covid-19 (RARC-19) Funding Call. This is supported by nearly £5 million of funding from the Scottish Government. As part of this, the Scottish Government is funding projects which will help us understand the mental health impacts of the pandemic on the population, including on vulnerable groups.

We expect people are going to need a variety of supports through the crisis. That is why we are investing £3.8 million on extending telephone and digital mental health support and a further £1 million on rolling out Distress Brief Intervention support across Scotland. We are also working closely with the Boards on the delivery of existing services within the context of the current constraints.

Prior to the Covid-19 crisis, psychology staffing had been steadily increasing with enhanced investment. NHS Education for Scotland is currently delivering the Health and Social Care Covid-19 Accelerated Recruitment Portal, which will enable a speedy deployment and employment of workers across the Health and Social Care workforce as they are required.

The Scottish Government plans to expand the Distress Brief Intervention (DBI) service across the entire country in response to COVID-19. Prior to the COVID pandemic, DBI was already operating as a pilot in rural and urban areas, in the Scottish Borders, Aberdeen, Inverness and North and South Lanarkshire. The Scottish Government is working proactively with the DBI Central team (based at NHS Lanarkshire) and other partners to set in hand the practical arrangements for the expansion to go live over the coming few weeks. The additional commitment to support this is £1,038, 284 in the current financial year.

The Scottish Government released the Clear Your Head campaign on 21 April. The campaign looks at simple steps people can take to protect their own mental health and to look after loved ones.

The Scottish Government will provide an additional £75,000 of funding to Parentline Scotland , which will provide vital support to parents, including advice on how to support their children experiencing anxiety regarding COVID-19.

The Scottish Government’s ParentClub website remains the key portal for clear and simple advice for parents and carers, including specific content to support parents on effectively communicating and managing any anxiety that their children may be experiencing due to COVID-19. The ParentClub includes a wide range of relevant information for families including supporting children’s (and parents’ and carers’) mental health and relationships as well as guidance and tips for learning and play at home.

Public Health Scotland collects IVF Waiting Times data for first cycle to screening appointment within the confines of the Human Fertilisation and Embryology Act. Information regarding IVF can be found in the IVF waiting times section of the Public Health Scotland website at https://beta.isdscotland.org/find-publications-and-data/healthcare-resources/waiting-times/ivf-waiting-times-in-scotland/

NHS IVF Centres have contacted all patients who have been affected, offering support and confirming that treatment is temporarily paused.

I refer the member to the answer to question S5W-28198 on 27 April 2020.

I am leading work to ensure a range of mental health and wellbeing support is in place for NHS and social care staff, complementing the work being taken forward by NHS Boards and Health and Social Care Partnerships at a local level.

Social media, including twitter, is being used by the Scottish Government, NHS Education for Scotland and other partners to promote wellbeing advice.

All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx .

NHS Boards and GP Practices are responsible for the delivery of immunisation programmes locally, including training of staff. There is, however, a significant multi-disciplinary workforce in place to deliver the Scottish Immunisation Programme, including practice nurses, midwives and NHS Immunisation Teams. This workforce supports the delivery of over 2 million doses a year across a range of adult and childhood vaccinations, including administering over 1.5 million flu vaccines each year to various age groups within 10 to 12 weeks.

The Scottish Immunisation Programme Group (SIPG) has a well-established structure in place to support existing immunisation programmes and the introduction of new programmes across Scotland. The Group supports activity for immunisation programmes across a number of areas including workforce training requirements, which are delivered by NHS Education for Scotland.

On 30 March 2020, the Scottish Government announced a temporary pause to a number of national screening programmes, including the screening programmes for bowel, breast and cervical cancer. The decision followed careful consideration of all of the risks involved and advice from the Chief Medical Officer, Directors of Public Health and NHS National Services Scotland.

The announcement included NHS NSS’s modelling of the estimated number of scans and cancer diagnoses that would be delayed as a result of a three-month pause, based on the most recent figures available to Information Services Division:

• 248,177 patients received bowel screening, of which 220 diagnosed with cancer.
• 46,596 patients received breast screening, of which 291 diagnosed with cancer.
• 101,963 patients received cervical screening, of which 70 diagnosed with invasive cancer.

These figures are published here: https://news.gov.scot/news/health-screening-programmes-paused

All screening programme boards are meeting virtually throughout the pause, and these have already begun to capture the detail of the impact of the pause on each of the cancer screening programmes.