Chamber and committees

The current Scottish Stroke Care Standards are available at the following link ( https://www.strokeaudit.scot.nhs.uk/index.html)x . At present, they largely relate to acute stroke care.

However, the Scottish Stroke Improvement Programme also includes performance targets which reflect access to rehabilitation in inpatient settings, intensity of provision in stroke units and access to stroke specialist Early Supported Discharge and community teams. The Rehabilitation Sub-Group of the Stroke National Advisory Committee is currently considering future updates to measure rehabilitation service delivery, patient outcomes and experiences within the Scottish Stroke Improvement Programme report.

The Scottish Stroke Care Standards can be found here: ( https://www.strokeaudit.scot.nhs.uk/index.html ). The current standard relating to brain imaging already sets out that 90% of patients should receive this within 12 hours of arrival at first hospital, unless there is a documented contraindication.

The Scottish Stroke Care Standards are regularly reviewed in line with current evidence and updated guidelines. We monitor the implementation of these standards through the Scottish Stroke Care Audit to ensure that stroke patients in Scotland are receiving high quality care.

Further to the answer to question S6W-04701 I can confirm that the case review was undertaken by a small number of NHS Lothian clinicians who are all suitably qualified and experienced in their relevant fields. As none of the clinicians who undertook the review had previously looked after Mr Slorance there was no conflict of interest in undertaking the review.

The Heart Disease Action Plan 2021, sets out a strategic vision to address the impact of heart disease across Scotland. This means that the plan does not provide detailed information on specific conditions but instead identifies four priority areas. These are 1) tackling risk factors, 2) ensuring timely and equitable access to diagnosis, treatment and care, 3) addressing key issues within the cardiac workforce, and 4) ensuring effective use of data to support improvement.

The actions within these priority areas should impact across a number of cardiac conditions and therefore improve services for everyone with heart disease, including for people living with heart valve disease.

I refer the member to the answer to question S6W-05521 on 24 January 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

Information on hospital admissions for all causes for this date range is not held by the Scottish Government. Information on hospital admissions is published daily by Public Health Scotland (PHS), however, this is only available on a quarterly basis.

Between 23 December 2021 and 16 January 2022 there were 3,360 COVID-19 related hospital admissions.

A breakdown of this figure by primary condition is not available.

However, a recent clinical audit performed by Public Health Scotland has shown that as of 4 January 2022 in NHS Greater Glasgow and Clyde, 9 January 2022 in NHS Dumfries and Galloway and 11 January 2022 in NHS Grampian, 63% of acute hospital admissions were determined to be ‘because of’ COVID-19 (assuming either a definite or probable attribution) as opposed to coincidental ‘with’ COVID-19. These findings relate to analyses by PHS in their COVID-19 and Winter Statistical Report published on 19 January 2022.

Further to the answer given to question S6W-04701 on 23 December 2021, I can confirm that the case note review for Mr Slorance, undertaken by NHS Greater Glasgow and Clyde, was completed in November 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

Information on TAVI procedures in Scotland for 2018-19 and 2019-20 was submitted by sites to the UK National Cardiac Audit Programme. Published data is available from the British Cardiovascular Interventional Society (BCIS) - Audit Results - British Cardiovascular Intervention Society (bcis.org.uk) .

The published reports indicate that in 2018-19 there were 310 TAVI procedures, and in 2019-20 there were 400 TAVI procedures carried out in Scotland. The reports do not break down the number of cases per Scottish site.

The Scottish Cardiac Audit Programme is currently working with TAVI sites across Scotland to collate data for 2020-21 onwards.

I refer the member to the answer to question S6W-05521 on 24 January 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

On 3 November 2020 the Scottish Government published a rapid review of outbreaks to learn lessons for practices within care homes Coronavirus (COVID-19): care home outbreaks - root cause analysis - gov.scot (www.gov.scot)

In doing so, the report collated and evaluated local level experiences and responses to COVID-19 outbreaks within care homes. It identified a number of recommendations to support working practices to prevent transmission of COVID. We continue to work to ensure the recommendations are implemented and have recently set up a working group to examine whether further work is required given where we now are in the pandemic.

Providing consistent high quality, safe and effective personalised care for people is our top priority for our health and care services. We continue to take a public health and a clinical evidence based response to the pandemic. In doing so, this continually ensures working practices are fit for purpose, for example Infection Prevention and Control, Personal Protective Equipment and Testing to Protect which continue to be of paramount importance as we come to deal with the impact of the pandemic and apply lessons learned.

In addition, to support the needs and wellbeing of the social care workforce and unpaid carers, we have put in place a combination of measures including working practices which were outlined in the Adult Social Care Winter Plan available at the following link: Adult social care - winter preparedness plan: 2021-22 - gov.scot (www.gov.scot)

As we look to the future and rebuild and remobilise our social care sector in Scotland, we have a significant opportunity to ensure that staff and users of social care people are placed at the centre of the recovery. We are proactively developing an Older People’s Strategy and a Healthcare Framework for adults and older people living in care homes. These principles will also be critical as we establish a National Care Service in Scotland.