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Working Collaboratively with clinical colleagues across NHS Scotland, the Centre for Sustainable Delivery’s (CfSD) National Elective Coordination Unit (NECU) are working to support a nationally coordinated campaign to expedite treatment for patients waiting for specialised urogynaecological procedures: urethral bulking, fascial sling repair and colposuspension.

The initial phase of this work has been completed and patients waiting within these procedure groups have been contacted.

The CfSD is now working to support clinicians within this highly specialist area to both see and treat these patients, with a view to ensure all patients receive treatment as soon as possible. This is expected to focus initially on urethral bulking procedures.

The Chief Operating Officer for NHS Scotland wrote to Health Board Chief Executives in September outlining the Scottish Government’s expectations for the treatment of these patients.

The Scottish Government reports on progress on its aim to halve childhood obesity by 2030 on an annual basis in the regular (SHeS) Report.

In 2021, almost two thirds of children were in the healthy weight range, the lowest the survey has recorded. Almost one in five children (18%) were considered at risk of obesity in 2021.

In our we set out ambitious and wide-ranging action to deliver our vision for a Scotland where everyone eats well and has a healthy weight. We are taking forward a range of action across five key outcomes: giving children the best start in life; creating a healthier food environment; better access to weight management services; leadership and reducing health inequalities.

Although there has been no formal assessment of the impact of the 2018 Diet and Healthy Weight Delivery Plan, the annual SHeS provides indicators relating to diet, including fruit and vegetable consumption, weight and physical activity.

Delivering person-centred care is a priority for both NHS Scotland and the Scottish Government. As far as possible services should be organised around people’s needs, enabling them to be involved in their care in a way that is meaningful and tailored to their personal preference.

In December 2021 we published practical guidance for NHS clinicians on undertaking virtual consultations with people affected by neurological conditions:

The guidance considers when virtual consultations may be an appropriate option to offer. It states clearly that patients should be given the opportunity to decide how they wish to be seen. It is for NHS boards to decide how specialist epilepsy appointments are arranged in their area.

As set out in the Programme for Government 2023-24, the Scottish Government has committed £3,03m in 2023-26 to progressing the National Centre for Remote and Rural Health and Care, which is expected to launch in October 2023.

The Scottish Government last received an update from the Scottish Fire and Rescue Service (SFRS) on the national Community Asset Register (CAR) at a meeting in early June 2023. SFRS confirmed that a CAR ‘action plan’ has been developed, to monitor progress of the actions required to improve the CAR, and SFRS will keep SG officials updated as progress is made. Before the end of 2023, SFRS plans to carry out further promotion of the CAR internally, and to review the Service Level Agreement between SFRS and the other emergency responders. SFRS also reiterated its intention to continue to further develop the digital platform currently being used for the CAR but has stated, however, that the planned Information & Communication Technology (ICT) improvements could not be delivered in the current financial year due to existing demands within the current SFRS ICT work plan. The necessary improvements are to be tabled for discussion as a priority for inclusion in the 2024-2025 ICT work plan.

It is not possible to make a precise assessment of the payment reform changes and their impact on future oral health inequality patterns at this stage.

The Government has for some time been working apace on payment reform for NHS dentistry, and on the 27 July this was communicated to the sector, with implementation scheduled for 1 November 2023. The new model seeks to improve and protect patients’ oral health by focussing on more patient-centred care such as preventative periodontal – gum disease – treatments.

This is a complex, far reaching change with longer-term implications. Payment reform will provide a range of data that will enable the Government to assess the impact on dental activity and longer-term oral health inequality patterns. The enhanced payments to practices for the treatment of patients in Scottish Index of Multiple Deprivation 1 areas has also been retained.

Payment reform should also be seen in the context of well-established and proven programmes such as Childsmile which specifically targets child oral health inequalities by providing fluoride varnish treatment to nursery and early years schoolchildren from SIMD 1 areas. Tackling oral health inequalities requires a multi-faceted approach, not necessarily confined to the patient-dentist relationship, and a recognition that intervention in the early years is critical to the establishment of good oral health habits.

The 2022-23 Highly Pathogenic Avian Influenza (HPAI) outbreak season started on 1 Oct 2022. HPAI H5N1 has since been confirmed (as 15 August) in 197 premises in the UK: 30 in Scotland, 8 in Wales, 1 in Northern Ireland and 158 in England. Of the 30 infected premises in Scotland 18 have been in commercial premises, 9 in backyard flocks and 3 captive bird premises. 16 of the cases have been in the North East of which 11 were in commercial premises, 3 in back yard flocks and 2 in captive bird premises.

One case of Low Pathogenic Avian Influenza (LPAI) H7N3 has also been confirmed in premises in Scotland this season.

APHA carries out year-round avian influenza surveillance of dead wild birds submitted via public reports and warden patrols across Great Britain on behalf of Scottish Government, Defra and Welsh Government. It is not designed to provide how wild birds are impacted by the disease but provide an indicator of the presence of disease in a specific area to help establish background risk levels to poultry and other captive birds. This information helps support how Scottish Government responds to changing disease risk. From 1 October 2022, the GB Dead Wild Bird Surveillance Scheme has identified 1,552 wild birds infected with HPAI H5N1, with 326 findings of HPAI H5N1 in Scotland. The surveillance scheme is designed to detect the presence of avian influenza.

NatureScot’s Wild Bird Mortality Surveillance Network, set up to provide early intelligence on the spread of the outbreak on wild birds and to give an indication of the impacts on different species, has received reports of a total of 10,087 dead and sick wild birds since 17 October 2022. Just under half of these (4,244) have been reported from NE Scotland (Aberdeenshire, Angus, Moray). This data is provided from key areas selected for monitoring and does not represent total wild bird deaths which will be much higher and may not all be solely attributable to HPAI H5N1. On 11 August Ministers launched the Wild Bird HPAI Response Plan that sets out how the Scottish Government and its partners will respond to any further outbreaks of HPAI in wild birds in Scotland.

However, this recent spike in wild bird occurrences has not translated into a corresponding spike in cases amongst poultry and captive birds. Although Scotland has confirmed 30 poultry and captive bird premises infected with H5N1 since October 2022, only 9 cases have occurred since 1 April 2023.

Scotland’s Chief Vet and officials continue to monitor the situation closely and remain in daily contact with other UK administrations to discuss policy options, control measures and future strategies for the control of avian influenza. The Scottish Government will continue to review the range of potential proportionate responses available. Together the three nations of Great Britain have an agreed notifiable avian disease control strategy which underpins our collective response to the disease.