Chamber and committees

The Scottish Government Do Not Attempt Cardiovascular Resuscitation (DNACPR) guidance makes clear that the overall responsibility for making an advance decision about CPR rests with the senior clinician who has clinical responsibility for the patient during that episode of care.

This guidance also makes clear that we expect healthcare professionals to discuss treatment options openly and honestly with patients, their families and guardians - where appropriate, to help ensure that they get the care that is right for them given their specific medical circumstances.

For convenience the guidance can be accessed at: https://www.gov.scot/publications/decisions-cardiopulmonary-resuscitation-integrated-adult-policy/.

Recommendations for future transport investment will emerge from the ongoing second Strategic Transport Projects Review (STPR2) which is considering potential improvements to the trunk road network (and all other modes) across Scotland. The South West Scotland Transport Study, published in January 2020, did not recommended taking forward the option for full dualling of the A75 between the A74(M) and Dumfries and onwards to Stranraer. Instead an option for targeted road improvements on the A75 (including some partial dualling), along with 22 other recommendations, are now subject to further appraisal as part of the review.

The appraisal process for STPR2 is considering the performance of all options against transport planning objectives, which are aligned to our National Transport Strategy priorities and outcomes. We also need to consider Value for Money based on performance against these objectives and the five Scottish Transport Appraisal Guidance Criteria. This will be an important consideration given the pressures on current and future public finances. The interventions will seek to contribute to our vision of a sustainable, inclusive, safe and accessible transport system helping to deliver a healthier, fairer and more prosperous Scotland for communities, businesses and visitors.

Until the appraisal process is completed, it is not possible to make individual decisions on dualling or improving specific sections of the A75, including that between Dumfries and the A74(M) motorway. STPR2 will conclude later this year, with publication of recommendations for investment and an appropriate statutory consultation period.

We have reviewed the border health measures closely over the last 28 days and have assessed that there continues to be a requirement for the regulations to remain in place to reduce the risk of imported transmission and safeguard public health in Scotland. The regulations continue to be an important and proportionate part of the Scottish Government response to managing the pandemic.

The regulations will expire on 20 September 2021, and, whilst the regulations are of course subject to review, it is anticipated that restrictions imposed by the regulations will still be required at that stage. Where possible, it is my intention to lay a new instrument at that time revising and consolidating all amendments to the existing regulations since they came into force in June 2020.

Contractual monthly payments are made by Transport Scotland to the A74(M) concessionaire Autolink. The payments are based on a shadow toll. Provisional monthly payments are made based on historic traffic numbers using the A74(M) project road. A reconciliation is undertaken at the end of each year to adjust payments for actual traffic recorded. Monthly payments are also reduced to take into any account lane occupations by Autolink. The current provisional monthly payments are approximately £2.73m before VAT.

As concluded in the South West Scotland Transport Study, a new station at Beattock was one of the interventions recommended for the next stage of appraisal. This option is one of 58 potential new stations across Scotland that are being appraised as part of the second Strategic Transport Projects Review (STPR2).

The appraisal process for STPR2 is considering the performance of all options against the transport outcomes we are seeking, the Transport Planning Objectives, which are aligned to our National Transport Strategy priorities and outcomes. The interventions will seek to contribute to our vision of a sustainable, inclusive, safe and accessible transport system helping deliver a healthier, fairer and more prosperous Scotland for communities, businesses and visitors.

Therefore, we need to consider the social and economic benefits and impacts based on performance against these objectives and the five Scottish Transport Appraisal Guidance criteria, to determine the overall Value for Money. This also takes into account risks, uncertainties and other factors such as affordability, deliverability and the wider acceptability of options. This will be an important consideration given pressures on current and future public finances.

Also underpinning STPR2 is the Sustainable Investment Hierarchy where we will aim first to reduce the need to travel unsustainably, make better use of and enhance existing infrastructure, before investing in new capacity. This hierarchy is also central to Infrastructure Investment Plan. STPR2 will conclude later this year, with publication of recommendations for investment and an appropriate statutory consultation period.

Until the appraisal process is completed, it is not possible to make individual decisions on potential new stations such as Beattock.

I refer the member to the answer to question S6W-01898 on
‎ 23 August 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.

The Covid-19 test kits are home PCR kits provided by NHS Test & Trace. Currently, we are not using private test providers for international travellers arriving into Scotland from green and amber list countries.

We are having on-going discussions with the UK government on using private test providers, particularly about the speed and reliability of the flow of data from private companies. We are keen to understand fully the key performance indicators (KPIs) that have been recently set for these companies and the process should these not be met.

The Scottish Government currently only allows travellers returning from green and amber list countries to use NHS Covid-19 tests.

These home PCR kits are sold at a fixed price and can be booked through CTM, the UK Government’s booking portal for international travel.

Wales currently also only allow use of NHS Covid-19 tests, booked through CTM and have the same fixed pricing structure as offered in Scotland.

The Scottish Government does not centrally collect information or data relating to the use of Do Not Attempt Cardiovascular Resuscitation (DNACPR) forms.

As with all other clinical treatments, decisions about CPR should be based on the individual clinical circumstances and wishes of the patient, recorded appropriately and updated when medical circumstances change. This recording is done in hard copy on a DNACPR form, the existence of which is then recorded on an individual’s Key Information Summary. Such information is only shared for the purposes of direct care and is therefore not centrally collected.

Information relating to complaints associated with specific medical treatments such as CPR is not collected centrally.

If an individual wishes to raise a complaint about NHS treatment or care this should be addressed at a local level through the NHS Complaints Handling Procedure (CHP). The Patient Rights (Scotland) Act 2011 and supporting legislation, provides a specific right for people to make complaints, raise concerns, make comments and give feedback to NHS Boards. The Act also places a duty on NHS Boards to thoroughly investigate and respond to any concerns raised, to take improvement actions where appropriate and to share learning from the views they receive. Where an individual remains dissatisfied with the outcome of the CHP investigation, the Scottish Public Services Ombudsman (SPSO) is the second and final stage in the complaints process.