Frequently asked questions about the collection and recording of ethnicity through the Turas Vaccination Management tool.
Analysis of this data will help us to understand racialised health inequalities. In response to data analysis, we will take action to ensure services are delivered equitably.
Having accurate population data assists services to plan and contribute to the reduction of health inequalities in our systems and society. Scottish Government Ministers have asked for this data to be collected following a recommendation from the Expert Reference Group on COVID and Ethnicity (ERG). It also forms an important part of meeting national and health board equalities duties.
Reducing health inequalities is a public health priority in Scotland. Making sure that our services are delivered fairly to everyone who needs them is an important part of the professional code for Healthcare Support Workers and Registrants of Professional Bodies.
Message from the Chief Nursing Officer on ethnicity data capture
In Scotland, we do not currently have a high level of ethnic group recording in health records.
This means that any analysis is reliant on data linkage from a number of sources. The data that we do have becomes less reliable in younger people (under 50) as they are less likely to have hospital records which is where ethnic group is most consistently recorded.
Research has shown that COVID-19 has had a disproportionate effect on people from ethnic minority backgrounds in the UK. The vaccination programmes for COVID-19 and flu are likely to reach over 4 million people in Scotland this autumn and winter.
Improved ethnic group data will help us assess the impact of vaccinations on at-risk groups and address inequalities in provision.
The ethnic group categories used are the ones developed for the Census 2022.
The Census team did a lot of research with people to decide which categories to use, these have been agreed by the Scottish Parliament.
Using these categories means it will be easier to link to the Census when it is available.
If there isn’t an option listed for the person’s stated ethnic group (such as White Welsh, White English, White Northern Irish, etc.) then this can be recorded manually through the write-in option.
For example, ‘White English’ can be entered by selecting White -> Other White Ethnic Group -> and then typing in ‘White English’.
It is important that everyone is asked the question “what is your ethnic group?”.
People are often asked for their ethnic group and most people will be happy to answer the question.
Some people may prefer not to give their ethic group or don’t know what their ethnic group is. There is an option ‘prefer not to say or don’t know’.
Data will be used for statistics, research and public health planning.
Ethnic group data will be stored securely in line with data protection rules and will not be linked to Covid status or certification.
A person’s ethnic group will not be shared with the police, immigration or criminal justice authorities.
It is part of the Health Screening and Assessment stage in the Turas Vaccination Management tool.
The questions are asked at the screening stage as this is the only place in the vaccination journey where we can guarantee there is a direct discussion with the patient – in some settings and service delivery models patients are pre-registered to clinics.
You can see the Census 2022 questions here:
Question development | Scotland's Census (scotlandscensus.gov.uk)
Health Care Support Workers Standards include elements relating to Equalities and Diversity for administrative duties and direct care:
Review of Healthcare Support Worker (HCSW) Induction Standards (scot.nhs.uk)
Equality and Diversity leads contact details:
NHS Scotland Board Equality and Diversity Contacts - NHS Health Scotland
There are also a number of relevant resources available on TURAS Learn:
Equality and diversity zone | Turas | Learn (nhs.scot)
The Charity Commission also have a resource on social inclusion:
The Charity Commission The Promotion of Social Inclusion (publishing.service.gov.uk)