Chamber and committees

The Stroke Improvement Plan has been in place since its introduction in 2014 and has provided the framework for the provision of stroke care in Scotland.

The Stroke Improvement Plan emphasises the importance of the delivery of the stroke bundle, to ensure that all appropriate patients receive timely access to key interventions. The latest Scottish Stroke Improvement Programme annual report (published in June 2022 and available at: https://www.publichealthscotland.scot/publications/scottish-stroke-improvement-programme/scottish-stroke-improvement-programme-2022-national-report/ ) contains data collected in 2021. This demonstrated improvements in the initiation of aspirin therapy within one day (92% in 2021 v. 89% in 2020) and stroke patients receiving brain imaging within 12 hours (89% in 2021 v. 86% in 2020). Stroke bundle performance data for 2022 will be available in the 2023 national report, due to be published in June 2023.

In line with the Stroke Improvement Plan’s priority relating to the need for a skilled and knowledgeable workforce, in 2022 the Scottish Government has continued to support Stroke and TIA Assessment Training (STAT+), a standardised programme of thrombectomy education for trained healthcare professionals. We have provided funding to enable Chest Heart and Stroke Scotland to continue to deliver these education sessions to NHS Boards across Scotland to ensure increased knowledge, skills and management of thrombectomy patients. The delivery of this education package will support the ongoing rollout of a national thrombectomy service.

All beavers that have been captured in Tayside and translocated to projects in Scotland, England and Wales are subject to disease screening and appropriate treatment as a licence condition prior to release. This screening ensures that beavers released under licence from NatureScot are not carrying Giardia prior to any translocations.

Our vision is for everyone with rehabilitation needs to be able to access the care and support they need to live well, on their own terms.

Defined performance markers such as access to acute therapy, access to inpatient stroke therapy, access to community stroke therapy and six-month reviews are being included in the refreshed Stroke Improvement Plan, and annual board reviews carried out by the Scottish Stroke Improvement Programme Team, led by the Scottish Stroke Improvement Programme Lead, will assess rehabilitation performance against these targets.

The Scottish Government does not hold all the data requested. However for 2020-21 (and 2021-2022 for modern apprenticeships), the number of students studying towards a dental nursing qualification was:

Modern Apprenticeships;

• In 2020-21, there were 312 starts on the dental nursing framework.
• In 2021-22, there were 343 starts on the dental nursing framework.

Colleges;

• In 2020-21, there were 420 enrolments on dental services courses at Scottish colleges.

Universities;

• In 2020-21, there were 25 enrolments on dental nursing courses at Scottish universities.

2021-2022 figures for colleges and universities will not be available until January 2023.

Dental nursing is not a controlled subject and so the Scottish Government, via the Scottish Funding Council does not specify any intake targets for dental nursing. The Scottish Government has no oversight or control of the dental nursing workforce. Rather, we make arrangements with independent contractor dentists to provide NHS dental services and they then employ dental nurses as required.

Colleges operate independently of Government, and it is for them to decide on the shape of their curriculum, taking into account the needs of the region and communities they serve. Colleges plan their course provision in line with the economic needs of their regions, and through working closely with employers, are able to respond flexibly to the skills demands of their region.

I refer the member to the answer to question S6W-10431 on
‎ 6 September 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

To date Giardia has not been found in any beavers in Scotland, though targeted testing has been carried out on both live animals and carcasses in Tayside as well as in Knapdale.

Although beavers can carry this parasite the EPIC report published in 2017 points to other sources of environmental contamination being equally or more likely to be a source of Giardia infection. Humans, livestock and wild animals are all potential sources of Giardia. EPIC conclude ‘the reintroduction of beavers is likely to present a very small additional risk as the number of beavers excreting these organisms will be likely to be small relative to the large number of wild, domestic and livestock animals and humans which contribute to existing public health risk’.

NatureScot continue to carry out general health screening to ensure that beavers released under licence from NatureScot are not acting as a source of disease prior to any translocations.

Where NHS dental services are provided by independent dental contractors, staff including dental nurses are employed by the practice, and not the NHS Board. Terms of service and pension arrangements are set by the practice owner(s).

Where NHS dental services are provided by the Public Dental Service, the dental team is employed by the Board on appropriate NHS terms of service.

We are committed to engaging with the profession on a reform programme for NHS dental services. As part of that commitment we have recently issued a profession-wide survey asking for comments on a list of possible treatment items for inclusion in a future NHS model.

We have also asked for nominees for a NHS dental reform advisory group to the Chief Dental Officer. NHS Boards are currently reviewing the nominations and will put forward the nominees for each Board area in due course.

Scottish Government has provided an unprecedented level of financial support throughout the pandemic to support NHS dentistry. The £50 million of COVID-19 funding was provided directly to NHS dental contractors through the financial support payments. Alongside this, practices have received £35 million of free PPE to support the provision of NHS dentistry.

In addition, £5 million of funding for ventilation improvements and £7.5 million for speed adjusting hand pieces, was made available to NHS practitioners to support recovery and help increase capacity within practices providing NHS dental services. This scope for this funding was subsequently expanded to allow practices to claim for repairs and replacement of a range of dental equipment. This funding was allocated to Health Boards and practices were advised of the process for claiming funding if they wished to submit an application.