Chamber and committees

Scottish Water operates 759 wastewater treatment works in the Highlands and Islands region. (includes Highlands, Western Isles, Orkney, Shetland, parts of Moray and parts of Argyll and Bute)

The Scottish Government does not hold this data. However, some 126,339 properties are connected to Scottish Water’s sewer network in the North region (which includes Highlands and the Western Isles). In 2021, the National Records of Scotland reported the total number of households in the Highlands and Islands as:

• Highland Council – 110,743
• Na h-Eileanan Siar – 12,925
• Orkney Islands – 10,758
• Shetland Islands – 10,554

Therefore approximately 13% of domestic properties may have private sewerage arrangements in the Highlands and Islands. Overall, the Scottish Government estimates that 8% of households across Scotland have private sewerage arrangements.

The following table shows the number of bed days occupied by people delayed in their discharge in hospitals in NHS Highland for all delay reasons over the period April 2017 to March 2022 by financial year. The hospital of delay represents the location of delay as recorded at the monthly data submission date to which all bed days within the month are assigned. The figures for 2020-21 and
‎2021-22 will have been impacted by the measures put in place to respond to COVID-19.

Number of delayed bed days occupied in NHS Highland hospitals, 2017-18 to 2021-22

As of 15 December 2022 there are:

a) i) 6.25 whole time equivalent civil servants in the alcohol harm prevention team
‎ ii) 3.25 whole time equivalent civil servants in the alcohol treatment team

b) 44.9 whole time equivalent civil servants in the drugs division

The Scottish Government is committed to improving the mental health and wellbeing of Scotland’s population and to ensuring everyone receives the best possible care and support from our health and care services. Delivering this can only be achieved with the right workforce capacity and capability. This is why we have committed to developing a long-term Mental Health Workforce Plan in the first half of this Parliament.

While each NHS Board rightly has individual responsibility for staffing and recruitment, we recognise the scale of the challenge and seek to provide support at a national level as appropriate. Under this Government, CAMHS staffing has almost doubled (+572.9 WTE) and we are taking several steps to grow the mental health workforce further.

NHS Education for Scotland CAMHS Workforce data, published 6 December 2022, showed there were 124 Whole Time Equivalent (WTE) CAMHS workforce staff in post In NHS Lanarkshire as at September 2022 compared to 96 WTE as at September 2021, an increase of 29% [1] This CAMHS workforce data includes Neurodevelopmental staffing.

We are working with all NHS Boards to support them to implement the National Neurodevelopmental Specification: Principles and Standards of Care , including working with NHS Lanarkshire through regular Board engagement meetings to discuss ongoing challenges and pressures. This engagement captures ongoing developments around workforce capacity with the most recent update confirming that NHS Lanarkshire have successfully recruited for this area, with only a few posts still to be filled. This activity will continue into early 2023.

[1] Dashboards | Turas Data Intelligence (nhs.scot)

The Scottish Government works collaboratively with Justice and other stakeholders in taking forward a significant programme of legislative, policy and delivery commitments, consistent with the Vision for Justice in Scotland.

There are currently 13 active working groups which fall under the remit of (a) Justice and (b) Community Safety.

For completeness, there are further boards, taskforces and advisory panels that fall under the remit of justice and community safety which have also been included in the following table.

The safety of patients and staff within our A&E Departments is paramount. This is why the Scottish Government is providing Boards facing the greatest challenges, including University Hospital Monklands and Forth Valley Royal Hospital, with enhanced support over the winter period. The level of delayed discharge is driving up A&E long waits, which is why we are working jointly with Health Boards and Health and Social Care Partnerships to ensure people leave hospital without delay, freeing up vital beds for those who need them most.

Since the beginning of 2021, HIS has been carrying out COVID-19 focused inspections of acute hospitals, using methodology adapted from their previous ‘safe and clean’ inspections. As at November 2022, HIS have carried out nine Safe Delivery of Care acute hospital inspections.

Through our £600 million winter plan we are recruiting 1,000 new NHS staff. Additionally our £50 million Urgent and Unscheduled Care Collaborative looks to drive down A&E waits by improving the systems and processes to deliver better communications and robust escalation. This approach also aims to reduce unnecessary attendances through redesign of urgent care which signposts people to more appropriate care, avoiding admission where possible through Hospital at Home and our Out-patient Antimicrobial Therapy service which allows patients to be treated at home or in the community, ensuring people are discharged as soon as fit and ready.

Our Right Care Right Place media campaign aims to help the public to better understand the healthcare services available to them so they can make more informed choices about the right care in the right place for their specific health care needs which is not always emergency care.

Beds data by NHS board and hospital are already published by Public Health Scotland. The most recent quarterly publication is ‘ Acute hospital activity and NHS beds information (quarterly) - Quarter ending 30 June 2022 ’, which was published on 29 November 2022. This is the latest available data that can be released as we are now within 12 weeks of the next scheduled publication in February 2023.

The beds data can be found on the Data files page by scrolling down to the heading “Hospital beds to June 2022”, where there is a link to the following Excel file:

• Beds by NHS board of treatment and specialty (csv | 4.5Mb).

This is quarterly data for the five year period up to and including April – June 2022.

Below is an excerpt from this file that contains the latest values for Highland hospitals.

I refer the member to the answer to question S6W-12950 on 21 December 2022. 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
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The Scottish Government is fully committed to delivering a world class health service for the people of Scotland in a sustainable model that remains fully aligned with the founding principles of the NHS. This will deliver high quality, safe, effective and person-centred care to all patients as they access services. Our Progress Update on the NHS Recovery Plan outlines the actions that are underway as services remobilise from the pandemic. We regularly work with Healthcare Improvement Scotland Community Engagement through their Citizen’s Panel work to understand more clearly views across Scotland regarding their health service.