Chamber and committees

The Scottish Stroke Care Audit (SSCA) already measures quality of care of Stroke Services in Scotland against the Scottish Stroke Care Standards. Health Boards are provided with reports on a monthly basis. Performance is monitored locally and nationally and actions agreed to improve delivery of stroke care in Scotland. The most recent annual report can be found here: Scottish stroke improvement programme 2021 national report - Scottish stroke improvement programme - Publications - Public Health Scotland

This is similar to the aims of the Sentinel Stroke National Audit Programme (SSNAP) which measures the quality and organisation of stroke care in the NHS across England, Wales, and Northern Ireland.

Through our Programme for Government commitments we are already reflecting the aims of the European Stroke Organisation’s Stroke Action Plan for Europe.

In particular the ESO’s target that 90% of all patients with stroke in Europe should be treated in a stroke unit as the first level of care is already reflected within the Scottish Stroke Care Standards (Access to Stroke Unit - 90% within 1 day of admission).

The ESO also recommends ‘national plans for stroke encompassing the entire chain of care’. We already have a national plan on stroke - the Stroke Improvement Plan - which we are in the process of refreshing. To do so, we are developing a progressive stroke pathway document which will set out our vision for what stroke services across Scotland should deliver across the entire patient pathway. Following this, a refreshed improvement plan will support its delivery.

Further to the answer given to question S6W-04701 I can confirm that the Case Note review carried out by NHS Greater Glasgow and Clyde along with the report of the peer review undertaken by NHS Lothian have both now been shared with Mrs Slorance.

The Scottish Government used a range of sources of evidence when determining the latest isolation policy changes including data on various key aspects of the pandemic including vaccination rates; clinical advice from senior clinicians including the Chief Medical Officer, PHS public health clinicians, the National Incident Management Team and UKHSA analysis.

In addition, the Scottish Government considered the effects on key workforces and service, including health and social care, of retaining the same isolation policy.

We know this is a difficult time for travel agents and we have had to make tough decisions to target funding to sectors immediately impacted by the updated public health guidance.

Since the start of the pandemic, businesses have benefitted from more than £4.4bn in support from the Scottish Government. This includes support for travel agents who benefited from sectoral grants of up to £25,000 per premises this year in addition to other support including the Strategic Framework Business Fund grants, Restart Grants, Contingency Fund, Non-Domestic Rates relief and furlough payments for staff.

We recently announced £375m of support for businesses impacted by the necessary public health measures introduced to control the spread of Omicron and have provided details on how £276 million of this will be allocated. Decisions on the allocation of the remaining funds will be confirmed following further consultation with affected sectors on how it can best be targeted.

The Scottish Intercollegiate Guidelines Network (SIGN) guidelines on stroke have been withdrawn due to being over 10 years old. SIGN therefore recommend that healthcare professionals look to other up-to-date evidence-based guidelines to inform practice. A good source is the National Institute of Health and Care Excellence (NICE) evidence search that includes trusted sources from a wide range of organisations: https://www.evidence.nhs.uk/

It has been agreed that a four nations approach will be taken to update the Royal College of Physicians Guidelines for Stroke (2016). SIGN is involved in the development process so that the revised guideline will be a collaborative national guideline which will be applicable for use in Scotland.

The Scottish Government provides a range of centrally funded procurement best practice tools that are continually updated to reflect changes in legislation (such as VAT), introduction of new policy outcomes (such as Climate Change, Fair Work, Innovation and Prompt Payment) and improvements across procurement processes and procedures (such as Contract and Supplier management). Both the Procurement Journey and the Supplier Journey have been refreshed after wide consultation with public sector buyers and suppliers and are extensively used, not only by public sector buyers and suppliers across Scotland, but across the rest of the UK and internationally. The Procurement and Commercial Improvement Plan (PCIP), which assesses public sector bodies procurement capability and capacity, has been through an extensive review phase, with public sector buyers, to ensure that it includes enhanced support and guidance that promotes best practice procurement standards.

The Scottish Government has announced £375m of business support to support businesses in the sectors most affected by the restrictions and guidance to control the spread of Omicron. This includes £6m for the most directly affected businesses in the tourism sector including inbound tour operators, day tour operators, coach operators, hostels, visitor attractions and marine/outdoor. Guidance on this funding and other funds is available on Financial support for businesses - News | VisitScotland.org and findbusinesssupport.gov.scot

We have had to make tough decisions to target funding to sectors immediately impacted by the updated public health guidance. Decisions on the allocation of the remaining funds will be confirmed following further consultation with affected sectors on how it can best be targeted.

We welcome the publication of the Scottish Diabetes Survey which provides an annual summary of key issues and trends in diabetes care and treatment in Scotland. As in previous years, the number of people living with diabetes in Scotland is increasing. However, we are not seeing a great increase in the number of new cases, but rather people with diabetes are living longer with the condition.

At the end of December 2020 the Scottish Diabetes Survey reported that 317,128 people have been diagnosed with diabetes of all types in Scotland compared to 312,390 people diagnosed in 2019.

We are committed to ensuring that everyone living with diabetes in Scotland can access appropriate, high-quality, person-centred care. In February 2021, we published our Diabetes Improvement Plan refresh, which builds on the progress made since 2014 and sets out our priorities to deliver safe, effective and person-centred healthcare, treatment and support to those living with diabetes.

Our Type 2 Diabetes Early Detection, Intervention and Prevention Framework was published in 2018 and is designed to support those at risk of, or diagnosed with, type 2 diabetes. It provides guidance to NHS boards on the provision of evidence-based, person-centred targeted interventions across diabetes and weight management services.

In July 2019, the Scottish standards for the delivery of tier 2 and tier 3 weight management services to children and young people and to adults were published. These standards provide a detailed framework to drive forward consistent, equitable and evidence-based approaches across Scotland in the treatment of higher body weight and associated health risks.

The table below from Public Health Scotland shows the numbers of inpatient and day case hospital admissions with a primary diagnosis of diabetic ketoacidosis and the number of these admissions where the patient died in hospital.

Due to the way that complications of diabetes are coded in the international ICD10 coding system this only includes cases of diabetic ketoacidosis without coma. These figures do not include cases of diabetic ketoacidosis with coma, which cannot be identified separately from instances of diabetic coma without ketoacidosis.