In September 2020, the Scottish Government launched the £40m Scottish Government Community and Third Sector Recovery Programme, which aims to support community groups, charities, voluntary organisations and social enterprises by providing support on planning and implementing changes to help adapt to a different social and economic climate as well as providing ongoing crisis support.

The Adapt & Thrive strand of the Programme aims to support organisations change and adapt following the impact and challenges of Covid 19.

The Communities Recovery Fund strand of the Programme focusses on support for delivering community services; which may have had to stop due to Covid 19, be experiencing increased demand, or be needed to respond to new challenges.

Organisations can receive tailored, specialist advice, as well as grants and loans, to support them to develop a plan so they can operate sustainably. This may mean developing new income streams, restructuring the organisation, or changing how services are delivered, such as delivering events digitally, in order to allow them to continue to have a positive impact in their communities.

Further information on the Community and Third Sector Recovery Programme can be found at the following https://scvo.scot/support/coronavirus/funding/scottish-government/community-recovery

The Scottish Government aims to respond to all ministerial correspondence within 20 working days. Due to the Covid pandemic, the Scottish Government have received a significant increase in correspondence. The following table outlines information as at 1 February 2021:

The Scottish Government has prioritised the largest programmes to help as many businesses as possible. Nearly £660 million of the £715 million, more than 92%, we have allocated to business support since October is already live and the vast majority of other funds will go live this month.

The Farming and Food Production Future Policy Group was established as an independent Group, comprising representatives from the farming and food production sectors in addition to environmental and land management representatives. Given the industry involvement in the Group, it is unfortunately inevitable that Covid and Brexit have significantly impacted upon the Group’s work. As an independent Group, it is for the Group to determine when to publish their Report.

Information on the number of people in care homes that have received vitamin D supplements each month since the last of the pandemic is not held centrally.

The Chief Medical Officer issued a letter to all adult care home providers on Thursday 21st January 2021 providing advice on vitamin D supplements for care home residents. The letter states that residents should be assessed for vitamin D supplements (as per local formulary) as part of their regular routine clinical review and that decisions on whether to prescribe vitamin D for care home residents, including those who are shielded, should be taken on an individual basis.

In addition to this, the Chief Medical Officer also issued a letter to those individuals on the shielding list on 23rd October 2020 which included the offer of 4 months free supply of vitamin D. The letter stated that, for people in care homes, their GP or nurse will discuss whether vitamin D will be of benefit.

Supplies of 90,000 units of Vitamin D were procured with 71,833 people opting in to the offer. These were posted to individuals from W/C 23 November 2020.

Everyone on the shielding list was offered a free 4 month supply of vitamin D as additional information attached to a letter from the Chief Medical Officer on 23 October 2020. The offer included advice, informed by clinical advisors and the Chief Pharmaceutical Officer, about contraindications and toxicity including that people should seek advice from their GP, pharmacist, midwife or health visitor if they had certain conditions or were taking certain medications or vitamin supplements already. Following further discussion with GP representative bodies, this advice was broadened to seeking advice also from clinicians and specialist nurses.

The Chief Medical Officer has issued advice to care homes that residents should be assessed for vitamin D supplementation as part of their regular routine clinical review. It is important that decisions on whether to prescribe vitamin D for care home residents are be taken on an individual basis. This approach ensures that the provision of vitamin D is considered for all care home residents, including those who are on the shielding list, and is prescribed where it is considered to be of benefit.

In relation to patients on the shielding list, they were advised that for most people taking a 10-microgram supplement of vitamin D daily is safe, but there are some who should seek advice first due to certain health conditions or medication. It was explained this is because taking too much vitamin D can cause calcium to build up in your body and this can weaken your bones and damage your heart and kidneys. As outlined above, they were advised to seek advice from their clinician, specialist nurse, pharmacist, midwife or health visitor if they were already taking a vitamin supplement.

Our advice for adults and children over one year of age to take a daily 10 microgram vitamin D supplement is based on the recommendations of the Scientific Advisory Committee on Nutrition (SACN), as set out in its 2016 report Vitamin D and Health.

The report is available at https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report

Ten micrograms is the average amount needed per day by the majority (97.5%) of the population to maintain adequate vitamin D levels when UVB sunlight exposure is minimal.

SACN published an updated rapid review on vitamin D and Acute Respiratory Tract Infections (ARTI) on 17 December 2020. It recommended the reference nutrient intake for vitamin D remain unchanged and reiterated that a vitamin D intake of 10 micrograms per day is recommended for the UK population aged 1 and above. The rapid review is available at https://www.gov.uk/government/publications/sacn-rapid-review-vitamin-d-and-acute-respiratory-tract-infections

We have no plans to set up a national programme for vitamin D for people living in care homes or care at home settings. Anyone who needs vitamin D should receive it. Decisions to prescribe it in care homes or care at home settings is a matter for the individual’s clinician.

The Chief Medical Officer wrote to care home providers, including NHS Directors of Pharmacy, and Community Pharmacy Scotland on 21 January outlining that residents should be individually assessed for vitamin D supplements as part of their regular routine clinical review.

We will continue to be guided by SACN as the evidence base on vitamin D develops.

Vitamin D is not available through the NHS Pharmacy First Service. Decisions to prescribe vitamin D to people in care homes or care at home settings is a matter for the individual’s clinician.

The Chief Medical Office wrote to care home providers and others including NHS Directors of Pharmacy and Community Pharmacy Scotland on Thursday 21st January 2021 outlining that, residents should be individually assessed for vitamin D supplements as part of their regular routine clinical review. This is to ensure that the supplements would be of benefit and to check the need for co-prescribing with calcium as well as for the other contraindications or side effect. Care home staff are encouraged to discuss this with clinical colleagues as part of routine communication arrangements.

Food Standards Scotland operational hubs are completing Export Health Certificate documentation to ensure that the EU authorities will accept them. Between 1 and 27 January 2021, the total number of EHCs completed across the three central logistics hubs in Scotland (Larkhall, Bellshill and Harthill) was 635*.

Single commodity load EHCs presented with complete and accurate paperwork can be processed in less than an hour. Multiple commodity loads, groupage or loads presented with incomplete or incorrect paperwork are taking longer.

Food Standards Scotland currently has the capacity and skills required at the sites to ensure efficient attestation of export health certificates and can increase resources further if that becomes necessary. SG and FSS are committed to supporting industry, and have hosted four well attended webinars highlighting the key challenges and improvements which can be made going forward, including correct completion of paperwork. These webinars can be accessed on FSS’ EU Exit food and drink exports webpage as well as other information to support businesses.

*Please note this does not represent a total number of EHCs completed in Scotland since EU Exit, only data for sites where FSS is operational (so doesn’t include EHCs issued by Local Authorities or by the private sector).