Chamber and committees

Because of the unpredictable lifecycle of this particular organism, it is not possible to routinely test buildings for an Aspergillus infection. Where water ingress creates the conditions for mould, NHS Greater Glasgow and Clyde’s staff work to remedy faults as soon as they are found and remove any mould with oversight from Infection Prevention and Control (IPC). Patients with Aspergillus are visited by an infection prevention and control nurse. Advice on the correct antibiotics to administer to patients is given by a Microbiology/ICD/antimicrobial pharmacist on request of the clinical teams.

A variety of risk assessments are undertaken across all wards in the Hospital, including 4a and 4b, covering social distancing, hand hygiene, infection control precautions (SICPs) audits every 6 months, patient placement, and the verification of the specialist ventilation systems in ward 4b. The new and innovative Infection Prevention and Control (IPC) dashboard available to all staff enables real time review of IPC data, and allows for a quick and effective response to any risks reported.

The information requested regarding whether the Health and Safety Executive (HSE) has invoked a Divisional Major Incident Response Plan, in relation to deaths due to hospital associated infection at the Queen Elizabeth University Hospital, is not centrally held by the Scottish Government.

Health and safety at work is a reserved matter. HSE has confirmed that the issues raised with them did not meet the criteria for a ‘Divisional Major Incident’ as outlined in their published response plans og-00076-appendix-4.pdf (hse.gov.uk) .

The information requested regarding whether the Health and Safety Executive (HSE) has carried out any investigation into deaths due to hospital-acquired infection at the Queen Elizabeth University Hospital is not centrally held by the Scottish Government.

Health and safety at work is a reserved matter. HSE has confirmed that their published policy is generally not to investigate hospital acquired infections Who regulates health care (hse.gov.uk) . They have not investigated deaths at the Queen Elizabeth University Hospital that may have been caused by a hospital associated infection.

HSE did however carry out an investigation into concerns raised with them in December 2019 about the ventilation within two wards at the Queen Elizabeth University Hospital and the control of legionella in water systems across the hospital.

HSE was satisfied with the control of legionella but wrote to the Chief Executive of Greater Glasgow Health Board/NHS Greater Glasgow and Clyde requesting improvements to the ventilation systems. An Improvement Notice was served in relation to the ventilation system within Ward 4C.

Further information is available on the NHS GGC webpage: https://www.nhsggc.org.uk/about-us/media-centre/news/2019/12/hse-improvement-notice/ . The Improvement Notice is being appealed by the Health Board. However, HSE is satisfied that appropriate remedial action has been taken.

We are pressing ahead to put in place arrangements to mobilise a wholly owned company of the Scottish Government to provide ScotRail services within the public sector under Scottish Government control. The revised arrangements will start when the current franchise expires as expected on 31 March 2022.

For bus services, the Transport (Scotland) Act 2019 provides viable options for partnership working, franchising and wider powers for local transport authorities to run their own buses (and which sit alongside their existing ability to subsidise services). We have allocated £1 million in the draft Scottish Budget for development of the Community Bus Fund in 2022-23. This will support local transport authorities to improve local bus services and to explore the full range of options set out in the 2019 Act. In administering the fund, we and local transport authorities will need to observe competition, procurement and subsidy control rules.

The development of an integrated transport network is being guided by our National Transport Strategy, and the Strategic Transport Projects Review process is identifying investment priorities which will support this and help to deliver our commitment to create an inclusive and net zero emissions economy.

As the amount of renewable energy being produced in Scotland increases, so does the amount available to the public transport system. Already 75% of rail journeys are being undertaken via electrical traction, and we have given significant funding to zero emission buses, introducing diesel-electric hybrid vehicle carrying ferries, and promoting electric vehicles. We believe Scotland’s approach to transport decarbonisation – which focuses not only the transition to clean technology but also on reducing demand and encouraging behaviour shift – is an example of world-leading best practice and is central to our green recovery from the COVID-19 pandemic.

Transport Scotland has produced extensive guidance on travelling safely for all forms of transport since the start of the pandemic and this is available via the following web links (for operators and passengers respectively).

https://www.transport.gov.scot/coronavirus-covid-19/guidance-for-transport-operators/

https://www.transport.gov.scot/coronavirus-covid-19/advice-on-how-to-travel-safely/

Transport Scotland has also worked closely with operators across all modes to help reinforce the messaging to transport users and staff.

Enforcement of the law remains the responsibility of Police Scotland and the British Transport Police. Officers can issue a fixed penalty notice to anyone 18 or over if they have reason to believe an offence has been committed. Throughout the pandemic, Police Scotland officers have continued to use the “4Es” approach (to engage, explain, encourage and only enforce as a last resort to protect public health).

Following a successful three year pilot, in 2013 the four nations agreed to a 10 year grant to support those affected by the thalidomide drug. Over the last nine years the Scottish Government has issued a total of £11.512 million to the Thalidomide Trust, for distribution to Scottish survivors. A further £1.636 Million is projected for the final year (2022-23), bringing total funding to £13.15 million.

The information requested is available from https://www.gov.scot/binaries/content/documents/govscot/publications/factsheet/2020/02/health-and-wellbeing-census/documents/health-and-wellbeing-census-frequently-asked-questions/health-and-wellbeing-census-frequently-asked-questions/govscot%3Adocument/HWB%2BCensus%2B2021-22%2B-%2BQA%2Bdocument%2B-%2BAugust%2B2021.docx.

This comprehensive review is a substantial exercise for the Scottish Government and NHS Boards and, regrettably, has been delayed due to prioritisation of our ongoing response to the pandemic and remobilisation of services. The review will take full account of the matters raised by Members, and will be taken forward as soon as possible.

I refer the member to the answer to question S6W-04301 on 6 December 2021. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers