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We have worked closely with a range of delivery and partner organisations to prepare, plan and respond to a range of issues and risks which may impact on NHS services. Planners and officials are using a range of modelling and intelligence to minimise potential impact of COP26 and to help protect NHS services across our communities.

Our planning has also used the experience and learning from previous large-scale events in Scotland, the UK and internationally including previous UN COP summits .

The Scottish Government publishes a weekly Research Findings which models the COVID-19 epidemic in Scotland. The Research Findings includes a section which estimates infections, as well as hospital and ICU bed demand from COVID-19. This gives an assessment of the impact of COVID-19 on the NHS in the next few weeks. This will provide information in the run up to COP26 and after the event has taken place.

The publications can be found on the Scottish Government website at the following link:

Ambulances are not single-crewed other than in exceptional circumstances, such as short notice unplanned staff absences, and every effort is made to double crew ambulances through rostered and relief staff, overtime or our bank staff.

Unfortunately as a result of COVID-19 there has been occasions where single crewing has had to be used as a result of late notice staff abstractions, however we are continuing to work with the Scottish Ambulance Service to reduce this where possible.

The following table outlines the number of single crew shifts, not ambulances each year since 2017/18.

To date 791 paramedics have been recruited. Another 126 will come on stream in 4 months with more than 100 joining in early 2022.

Covid-19 has resulted in some delays to recruitment which will push the achievement of this commitment out to 2022 but revised plans indicate a high level of confidence in achieving this.

With increasing A&E attendances, demand and capacity concerns and the impact of Covid-19, it is important that we ensure the NHS is equipped with the resources it needs to meet the challenges of the future. By investing in a professional, highly skilled ambulance workforce, this will help deliver a better service for patients all across Scotland.

Scottish Government has been working with heath boards most likely to be impacted by COP26 and have put in place measures to support provision of health services to official delegates and others visiting Scotland during the summit period.

Hosting this event does place an additional demand on our NHS and we continue to work closely with Scottish and UK partners to mitigate potential impact on NHS services and staff workload.

Special Advisers in the Scottish Government are bound by the Special Adviser Code of Conduct and the standards of integrity and honesty required of all civil servants as set out in the Civil Service Code. The Scottish Government has accepted the Hamilton Report proposal to give further consideration to matters relating to Special Advisers. We will cooperate with the Independent Advisers on taking this forward as part of any wider revisions to both the Ministerial Code and the Code of Conduct for Special Advisers that might be required.

In response to the pressures on NHS services caused by the pandemic over the past 18 months, the First Minster launched the NHS Recovery Plan, on the 25 August. The Plan sets out the Scottish Governments key headline ambitions and actions to be developed and delivered now and over the next 5 years.

While it is important to stress that recovery is the immediate task, this Plan is fundamentally about ensuring that the process of recovery focusses on alternatives pathways of care that allow people to be treated more quickly closer to home and also delivers long term sustainability. The plan is backed by more than £1 billion of investment over the next five years.

Our Detect Cancer Early (DCE) Programme is aimed at increasing early diagnosis rates of Scotland’s most common cancers while reducing health inequalities. Following an options appraisal exercise, melanoma was selected as the next tumour type for inclusion in the DCE Programme in 2016.

DCE’s website (getcheckedearly.org) and digital channels help to increase awareness of symptoms of a number of tumour groups, including melanoma, on an ongoing basis. The Programme also works closely with third sector to share patient experience stories, to prompt others to take action.

DCE launched a new overarching campaign – Survivors - in September 2018 to reduce fear of cancer and empower people to act early, if they noticed any possible signs of cancer. The NHS Recovery Plan, published 25 August 2021, commits a further £20 million investment to the DCE Programme which will include additional public awareness campaigns.

The following table shows the number of people diagnosed with dementia and referred for post-diagnostic support from a named Link Worker in financial years 2018/19 and 2019/2020. Information on people diagnosed with dementia who are not referred for PDS is not available centrally.

For 2018/19, 8,021 people equates to approximately 43.4 % of those estimated to have been diagnosed with dementia in that year. Of those referred in 2018/19 for post-diagnostic support, 75.1% received a minimum of one year’s support. Full 2019/2020 figures will be published next year.

Table 1: Number of people diagnosed with dementia and referred for post-diagnostic support by financial year of diagnosis: Scotland: 2018/19 to 2019/20

The Scottish Government has been working with partners including Integration Joint Boards, COSLA and Alzheimer Scotland through the first four months of 2021 and subsequently to review the provision of dementia post-diagnostic services.

This year’s Programme for Government confirmed that we would provide extra resources to help ensure that everyone who is entitled to the service has the option for referral. We will be allocating the annual equivalent of £3.5m for this purpose on a recurring basis.

It is expected there will be approximately 40,000 delegates and retinues from international countries in Glasgow for the event. In addition to that, there will be civil society activists who will visit Glasgow during COP-26. Current estimates suggest there may be between 50,000 and 250,000 activists attending during the course of the event.