Chamber and committees

I refer the member to the answer to question S6W-11633 on‎ 14 November 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

The Complex Pelvic Mesh Service provided by NHS Greater Glasgow and Clyde (NHS GGC) offers holistic care for women experiencing mesh complications. There are a number of consultants operating in the service allowing women a choice over who is involved in their care. Complementing this, and to allow women more choice, individuals can also opt to be referred to NHS England services for surgery, or can choose to travel to Spire Hospital in Bristol, or to Dr Veronikis in the USA.

Any woman seeking referral to the mesh service in Glasgow, NHS England, Spire Hospital or Dr Veronikis should initially discuss her case with clinicians within her own Health Board. If considered appropriate at that stage, she will then be referred to the specialist service in NHS GGC for consideration by a full multi-disciplinary team (MDT). If, after careful consideration by both the MDT and the patient, it is agreed that surgery is appropriate, she will then be given the option of receiving treatment through the Glasgow centre, or referral to an NHS England Specialist Centre, the Spire in Bristol, or Dr Veronikis, depending on her wishes.

Regardless of the treatment option chosen, initial assessment in the specialist service in Glasgow is extremely important as it ensures that the patient receives the proper consideration of a full MDT, and will receive care that is fully integrated with any pre- and post-operative care provided locally.

Public Health Scotland does not publish data at the level of detail requested. However, statistics relating to the waits patients experience for inpatient or day case treatment at specialty level are published up to 31 March 2022 and can be found here: Stage of treatment waiting times - Inpatients, day cases and new outpatients 30 June 2022 - NHS waiting times - stage of treatment - Publications - Public Health Scotland

Both the Scottish Government and NHS Greater Glasgow and Clyde are aware, and regret, that patients are experiencing longer than normal delays in accessing NHS care, including at the mesh removal service in Glasgow. Patients are, however, being seen, surgeries carried out, and concerted efforts are being made to reduce waiting times.

After competitive tender, a contract was awarded to Anderson Anderson & Brown LLP to obtain expert independent advice on the implications of VAT on the NCS and associated Care Boards. No decisions have been made at this point and a full understanding of the impact of all options will be considered.

In 2022-23, funding of £18 billion is provided for health and social care. This substantial investment is already benefitting a range of services that are supporting the needs of people living with long COVID.

Health funding for 2023-24 will be confirmed through the forthcoming budget process.

We engage with NHS Boards on a regular basis regarding their capacity needs, and will continue to do so in order to inform the allocation of the long COVID Support Fund.

We awarded a contract through a competitive tender for independent VAT advice from Anderson Anderson & Brown LLP. AAB have been commissioned to provide advice and support to Scottish Government employees on VAT implications, to produce an options paper exploring the VAT implications of different NCS scenarios, and to produce a final report on the considerations of VAT and eventual outcome. This work is ongoing.

After competitive tender, a contract was awarded to Anderson Anderson & Brown LLP to obtain expert independent advice on the implications of VAT on the NCS and associated Care Boards. This work is ongoing. We will engage with the wider sector and HMT prior to any decision being taken which would have a VAT impact.

The Scottish Government is refreshing the non-statutory guidance for Local Child Poverty Action Reports (LCPARs) to support local authorities and health boards to deliver focused reporting on their actions to support priority families. CRER and other stakeholders representing priority families have been consulted in drafting the guidance. This is part of our work with stakeholders to strengthen targeted action for priority groups. We welcome the opportunity to work with CRER to enable a greater focus on BME families in our national and local practice and reporting.

The Scottish Government, in collaboration with other national partners, review LCPARs and engage with local authorities and health boards, offering feedback and sharing learning across areas. This process provides a further opportunity to support local focus on the six priority family groups.

The non-statutory guidance also highlights that the intersectional approach needed to support priority families is best served by person-centred, holistic action. We will continue to support local leads to engage directly with priority families in their areas who have direct experience of poverty to understand, design and deliver the tailored support needed.

This government welcomes CRER’s assessment of Local Child Poverty Action Reports (LCPARs) which recognises the vital role which local authorities, health boards and local partners play in our national mission to tackle child poverty.

Tackling child poverty is a national mission for this government and our Tackling Child Poverty Delivery plan, ‘Best Start, Bright Futures’ focuses on the six priority family types at highest risk of poverty, including minority ethnic families. We know we cannot tackle child poverty without a clear focus on supporting priority families, including minority ethnic families, to increase their income from employment and benefits, and reduce their living costs.

We are refreshing our non-statutory guidance for LCPARs to support local authorities and health boards to deliver focused reporting on their actions to support priority families. CRER and other stakeholders representing priority families have been consulted in drafting the guidance.

This is part of our wider programme of work supporting local action to tackle child poverty. Through our partnership with the Improvement Service and the peer support network for child poverty leads from each Local Authority and Health Board we will continue to encourage and support local action to tackle child poverty amongst priority groups.

We awarded a contract through a competitive tender for independent VAT advice from Anderson Anderson & Brown LLP. AAB have been commissioned to provide advice and support to SG on VAT implications. This work is ongoing. We will engage with the wider sector and HMT prior to any decision being taken which would have a VAT impact.