- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 07 February 2023
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Current Status:
Answered by Maree Todd on 7 March 2023
To ask the Scottish Government what action it is taking to ensure that computerised cognitive behavioural therapy (CBT) meets the needs of people with heart disease, and how it is ensuring the delivery of access to computerised CBT across all cardiac rehabilitation and specialist cardiac nursing services nationally.
Answer
We have significantly increased access to digital mental health treatments, products and services since the first cCBT treatment was rolled out in 2017. We now have 27 different computerised cognitive behavioural therapy (cCBT) treatments available across all NHS Boards. This includes the tool ‘Space in Coronary Heart Disease’.
Through delivery of the Heart Disease Action Plan, we have worked with five health boards to encourage their utilisation of this tool within cardiac rehab services. We are in the process of evaluating this to support further adoption within cardiac services.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 07 February 2023
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Current Status:
Answered by Maree Todd on 7 March 2023
To ask the Scottish Government what action it has taken to (a) develop and (b) improve data collection for (i) high cholesterol, (ii) high blood pressure and (iii) atrial fibrillation at a (A) national and (B) regional level.
Answer
In April 2021, Scottish Government commissioned Public Health Scotland to develop and deliver the Scottish Cardiac Audit Programme. To date, hypertension and atrial fibrillation have been included as part of draft indicators shared in autumn 2022.
We continue to work with PHS to develop this programme.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 06 February 2023
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Current Status:
Answered by Maree Todd on 6 March 2023
To ask the Scottish Government what action it is taking to support the inclusion of patient-reported outcome measures in indicator development.
Answer
In April 2021, Scottish Government commissioned Public Health Scotland to develop and deliver the Scottish Cardiac Audit Programme. This programme will support delivery against the actions in Priority 4 of the Heart Disease Action Plan.
We also commissioned the ALLIANCE to deliver the Heart Disease Lived Experience Network. The Scottish Cardiac Audit Programme has engaged closely with the network to ensure that people with lived experience of heart disease have influenced the development of indicators.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 06 February 2023
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Current Status:
Answered by Maree Todd on 6 March 2023
To ask the Scottish Government what support and investment it has made in the use of proven technology to assist with the (a) detection, (b) tele-monitoring and (c) provision of tailored support for people with heart disease or other cardiac risk factors.
Answer
Scale Up BP, delivered by the Technology Enabled Care team, has been a successful programme supporting remote monitoring for diagnosis and ongoing management of high blood pressure. Evaluation has shown a positive impact on reductions in blood pressure. The programme continues with the majority of health boards now utilising the tool.
Investment has been made in the national remote monitoring solution, which is available to all Health Boards and Health & Social Care Partnerships. This includes Scale Up BP and a remote monitoring tool for Heart Failure.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 06 February 2023
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Current Status:
Answered by Maree Todd on 6 March 2023
To ask the Scottish Government what innovative models of care for cardiac diagnostics it has piloted since 2021.
Answer
Through the Heart Disease Action Plan Funding call in 2021, we provided funding for a second NHS board to implement aspects of the OPERA study within its local service provision.
The learning from this will support ongoing work by the Centre for Sustainable Delivery and the Heart Failure Hub to better understand the opportunities for improvements to the Heart Failure diagnostic pathway.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 06 February 2023
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Current Status:
Answered by Maree Todd on 6 March 2023
To ask the Scottish Government whether it has established referral guidelines for common symptoms of heart disease to support timely access to diagnostics.
Answer
Delivery of this action is a long term objective of the plan. The National Heart Disease Task Force will consider the prioritisation of work to be undertaken in 2023-24 as part of our ongoing implementation of the commitments within the Heart Disease Action Plan.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 06 February 2023
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Current Status:
Answered by Maree Todd on 6 March 2023
To ask the Scottish Government what action it is taking with NHS Education for Scotland (NES) to ensure that the education and training related to heart disease adapts as changing models of care are implemented.
Answer
Delivery of this action is a long term objective of the plan. The National Heart Disease Task Force will consider the prioritisation of work to be undertaken in 2023-24 as part of our ongoing implementation of the commitments within the Heart Disease Action Plan.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 06 February 2023
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Current Status:
Answered by Maree Todd on 6 March 2023
To ask the Scottish Government what action it is taking to carry out a gap analysis of the cardiology and cardiac surgery workforce that has been informed by the nationally-agreed pathways and the developed competency framework.
Answer
Work to develop agreed pathways is underway and required to complete before gap analysis can be undertaken.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 06 February 2023
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Current Status:
Answered by Maree Todd on 6 March 2023
To ask the Scottish Government what action it is taking to (a) support the spread and adoption of holistic assessment and (b) ensure that appropriate self-management resources are available for people with cardiac disease.
Answer
a) The Rehabilitation and Recovery: A Once for Scotland Person-Centred Approach to Rehabilitation in a Post-COVID Era was published in June 2022 and provides a framework to deliver person-centred, innovative and inclusive rehabilitation to all.
The Once for Scotland approach recommends that all individuals should have access to a person-centred assessment, which will provide a better understanding of their rehabilitation needs.
As this work now moves into an implementation phase, rehabilitation services are encouraged to benchmark themselves against the Six Principles of Good Rehabilitation in order to identify gaps in service provision and opportunity for development and innovation.
b)Through the Heart Disease Action Plan funding call in 2021 we provided funding for the development of a self-management resource for people with Heart Failure with Preserved Ejection Fraction.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 06 February 2023
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Current Status:
Answered by Maree Todd on 6 March 2023
To ask the Scottish Government what action it is taking to support the development of psychological liaison roles to support people with long-term conditions, including heart disease.
Answer
Delivery of this action is a long term objective of the plan. The National Heart Disease Task Force will consider the prioritisation of work to be undertaken in 2023/24 as part of our ongoing implementation of the commitments within the Heart Disease Action Plan.