Chamber and committees

We recognise the significant pressure on Orthopaedic Waiting Times, and actions to address this are being considered within the wider context of planned care recovery.

We are working closely with Boards to finalise planned care activity plans, including for orthopaedics, for 2022-23, which will be critical to stabilising and improving our health and social care system in the medium term.

The National Treatment Centre (NTC) Programme will deliver the single biggest increase in protected planned care capacity ever created in NHSScotland. The network of 10 NTCs, will deliver capacity for over 40,000 additional planned procedures and diagnostic care across 12 specialities. Within next 18 months, NTCs will open in NHS Fife, NHS Forth Valley, NHS Highland and at NHS Golden Jubilee specialising in orthopaedic surgery. On 13 April, we also announced £1.8m of funding to purchase a private hospital in Ayrshire (Carrick Glen) to be developed into a new National Treatment Centre specialising in orthopaedics.

As well as significant investment in new infrastructure, the new NHSScotland Centre for Sustainable Delivery is also leading work to explore new and innovative ideas to reduce In Patient / Day Case and Outpatient waiting times. Examples include:

• The rollout of Active Clinical Referral Triage, to provide patients with information about non-surgical interventions and self-management options;
• Patient Initiated Reviews, enabling patients to be escalated if their condition deteriorates and reduces routine appointments while supporting patients in a safe and clinically appropriate manner; and
• Enhanced Recovery after Surgery pathways, designed to support patients achieve faster recovery after surgery.

Discussions are also progressing with the Centre for Sustainable Delivery to build clinical leadership across all specialties to help innovate and drive productive opportunities to support the recovery of planned care.

The Skills Action Plan for Rural Scotland (SAPRS) is a joint initiative supported by Skills Development Scotland, Scottish Government, Plan stakeholders and partners.

I refer to the response I gave on 7 March 2022 (S6W-06724). An evaluation of the SAPRS is currently underway; it will be published in Summer 2022.

This evaluation will help inform what future action is needed to drive forward co-ordination and delivery of skills for rural Scotland.

The Scottish Government is committed to ensuring that all people living in Scotland with long-term conditions, including those waiting for orthopaedic surgery, are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and put the person at the centre of their care. Information, including self-help, is available on NHS inform, and individual Health Boards are offering helpful advice to patients on topics such as weight loss, exercise and financial support.

Additionally, the Scottish Government will continue to engage with organisations such as Versus Arthritis regarding how best to jointly support patients living with orthopaedic conditions. This will be an ongoing process requiring essential collaboration with patients, carers, and service providers, including the third sector and clinicians.

Anyone experiencing long term effects following vaccination should speak to their GP or clinician involved in their care. They should expect an equal level of care for their condition to those with similar conditions not caused by vaccination. Those experiencing side effects from the vaccination can report these using the MHRA yellow card scheme.

The Chief Executive of NHS Scotland and Director-General Health and Social Care put in place a temporary pause on filling vacancies not currently advertised within Health and Social Care Directorates from 4 April 2022. Over the last two years, the Health and Social Care directorates have expanded to respond to the pandemic. The pause has been put in place for a short period to recognise the changing nature of the response now needed from the Portfolio. It allows time to consider the future size, shape and services that need to be delivered and how staff can be supported appropriately. The recruitment pause is designed to ensure that any planned activity is aligned to the organisation’s longer term workforce plan.

The Scottish Government does not have the information which has been requested.

Patient safety is a key priority for the Scottish Government. We are taking forward a programme of work aimed at preventing harm as a result of sodium valproate, and also ensuring that those who have been impacted receive the care they need.

The Assurance of Action Plan report which followed the Gateway Review of 2021 recommended a further Gateway Review be conducted in approximately March 2022. This review is being carried out this month.

Weekly management information published as part of the Coronavirus (Covid-19): Trends in Daily Data publication ( https://www.gov.scot/publications/coronavirus-covid-19-trends-in-daily-data/ ) shows that delays first exceeded pre-pandemic levels (1,640 delays in January 2020) on 19 January 2020, with 1,664 delays recorded. Delays remained above 1,640 for the next two weeks before reducing again to pre-pandemic levels between 9 February and 23 March.

The whole health and social care system is under severe pressure and staff continue to work tirelessly to provide safe care. However, we continue to see extreme pressures across the whole health and social care system, with more people coming through hospitals who need high levels of care and support to go home, alongside high levels of unmet need in the community.

To address this significant additional funding has been allocated to support social care, including £62m to enhance care at home capacity; £48m to increase the hourly rate of pay; £40m to provide interim care arrangements; and £20m to enhance multi-disciplinary teams. Funding is also being used to rapidly scale up Hospital at Home services, which aim to reduce acute admissions and support timely discharge.

The Scottish Government does not hold the information requested. The various charges that such crimes could be prosecuted under do not allow for the age of the abused to be determined.

Prestwick Airport Station is owned by Prestwick Airport therefore it is not operated by ScotRail albeit passenger services do call there. Therefore, while Ministers and aviation officials routinely engage with representatives of Glasgow Prestwick Airport, discussions did not centre on ScotRail coming into public sector control at any point, including the period December 2019 and March 2022.

During this timeframe there was, however, appropriate consideration by Transport Scotland and ScotRail in the context of the transition from Abellio ScotRail to ScotRail Trains Ltd.