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The Scottish Government’s decision-making for the flu vaccination programmes is guided by the expert clinical advice of the Joint Committee on Vaccination and Immunisation (JCVI). The JCVI typically advises flu vaccination for all those aged 65 years and over, and all those aged 6 months to 64 years in a clinical at risk group.

Scotland expanded its flu programme as part of our response to the COVID-19 pandemic, to help reduce pressure on the NHS in unprecedented times. In winter 2020-21 we expanded it to those aged 55 years and over and then to those aged 50 years and over in 2021-22, 2022-23 and 2023-24.

As we move beyond the COVID-19 pandemic, from winter 2024-25 we have reverted to the standard JCVI-advised groups and those aged 50-64 years are no longer included in the national flu programme. This is in line with the approach taken by other UK nations. The only nation currently offering the flu vaccine to the 50-64 years group is Northern Ireland, who announced their decision to expand their programme on 15 January 2025. They took the same approach in January 2024. The position for winter 2024-25 in England and Wales is currently the same as in Scotland.

I wrote to ³ÉÈË¿ìÊÖ on 12 September 2024 to outline the changes to eligibility for flu and COVID-19 vaccination this winter, and the reason for those changes.

We have not received data or clinical advice to support any expansion of the programme to those aged 50-64 years, or other groups. Over the festive period, flu cases and hospital admissions due to flu peaked above typical levels for wintertime. These are now showing notable signs of decline in the latest two weeks ending 5 and 12 January 2025. Flu-related hospital admissions in Scotland decreased by 46.6% from 1,077 in week ending 5 January to 575 in week ending 12 January. Laboratory-confirmed flu case numbers have declined for a second week, by 40.6% from 1,906 in week ending 5 January to 1,133 in week ending 12 January. PHS surveillance stats can be found here - .

Capitation payments are paid monthly per patient to NHS dentists to help ensure that patients remain registered. Where a patient does not attend for examination or treatment for a period of greater than 3 years the monthly payment for that patient falls to 20% of the full rate.

This arrangement incentives dentists to re-engage with patients who have not attended for some time to better manage their oral health. There is no intention to review this arrangement.

In order to ensure the efficient and timeous processing of dental payments to contractors all claims require to be submitted for payment within 3 months of the completion date of the claim.

This reflects the period from the closure of the claim for the care and treatment undertaken. As this requirement is widely understood within the sector there are no plans to review this.

There is already existing discretion within NHS arrangements for dentists to charge patients for late cancellations and missed appointments, in accordance with their business need.

As circumstances may vary considerably between practices with respect to demography, registered patient numbers and other key determinants for the viability or necessity of additional charging, it would not be appropriate to implement a national policy on such matters.

To accompany the launch of changes to the dental payment system from November 2023, Scottish Government ran a marketing campaign via commercial radio, social media and surgery posters to highlight the changes to patients and direct them to NHS Inform for more information on a range of oral health matters.

NHS Inform is Scotland’s national health information service and supports people in making informed decisions on all aspects of their health. Information on oral health and dental care includes typical scenarios which patients can expect in attending the dentist, including the importance of regular attendance. In addition to this national resource, each individual dental practice is required to display its policy for late cancellations and non-attendance at scheduled appointments.

The Scottish Government is committed to fostering an inclusive and equitable educational environment. Engaging with key partners such as Education Scotland to gather feedback on professional learning, training and the information provided about antisemitism takes place in various ways, including during meetings of the Education Learning and Professional Leadership workstream of the Scottish Government’s Anti-Racism in Education programme.

Education Scotland supports a range of organisations who create resources for or deliver teaching about antisemitism. It is crucial that any approach to antisemitism within educational materials also considers the broader context of how race and racism operate in society. This includes understanding the role of structural racism, institutional discrimination, and the persistence of stereotypes.

The Building Racial Literacy (BRL) Programme is funded by the Scottish Government as part of the work of the Anti-Racism in Education Programme. An interim review was undertaken in 2022 and the programme underwent an external review in 2023 by The Collective, which can be viewed here. .

While the programme does not focus on one single experience or type of racism, feedback from participants evidences the wide range of racialised experiences, including antisemitism, which are incorporated into the programme’s learning, as well as the ongoing commitment to spotlighting the social evolution of systemic racism.

There is a range of investment and resources available to support teachers to promote equality and address racism and other forms of discrimination within their school communities.

For example, Education Scotland, our national education improvement body, in partnership with Interfaith Scotland, has developed an Inclusion, Wellbeing and Equalities Professional Learning framework: which includes resources on religious literacy, aimed at supporting teachers’ understanding of the diverse needs, issues and discrimination experienced by different religious communities in the UK, including Jewish communities. Education Scotland also provides guidance on preventing radicalisation and extremism in schools; .

In relation to antisemitism specifically, the Scottish Government provides funding for the Holocaust Educational Trust’s and Vision Schools Scotland’s Holocaust education programme: which aims to promote excellence in Holocaust teaching. While both programmes focus on the Holocaust, they also promote awareness of Jewish people, culture and their contribution to society and address antisemitism in the world today, including through professional learning and resources for teachers.

In 2023, Scottish Government published revised guidance on the Provision of Equipment and Adaptations, which includes actions regarding provision for short-term wheelchair loans. Officials are currently engaging with Health and Social Care Partnerships to better understand how this and the related guidance on the Provision of Wheelchairs for Short-Term Loan is being locally implemented. Throughout the course of their engagement, officials will consider if any updates to this guidance or additional materials are necessary.

Since 2018, NHS boards across Scotland have had a legislative duty to provide children and adults who have lost their voice or have difficulty speaking with communication equipment and support, necessary to meet their requirements.

As such, this information is not held centrally by the Scottish Government as it is for local NHS Boards to determine the levels of funding required for services providing Augmentative and Alternative Communication (AAC), based on local priorities and clinical needs.