Chamber and committees

The infection, prevention, and control (IPC) guidance for dentistry is currently being reviewed by Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland are responsible for the Scottish Guidance. This Guidance has a provisional publication date of 29 November.

The Cabinet Secretary recently wrote to NHS dental teams describing the proposals from the Scottish Government on how we recover NHS dental services to normal practice. This letter is attached for reference: Letter from the Cabinet Secretary to NHS dental teams | Scottish Dental.

The Scottish Government obtains information which informs how we identify and advise people at highest risk of becoming severely ill or dying from Covid-19 from a variety of reliable UK and international sources. While that evidence is published and readily available, it is not always easy for people at highest risk to understand or to translate into informed choices about individual behaviours. We are therefore planning to publish a summary of the current evidence that underpins our advice in a form that people find accessible this autumn.

Public Health Scotland publish figures quarterly and annually on the number of acute beds broken down by NHS Board of Treatment and Specialty.

The most recent annual publication, covering April 2020–March 2021, was published on 29 September 2020.

There are no plans to undertake an immediate metastatic breast cancer audit. Our focus currently remains on maximizing available clinical capacity to see patients. Our £114.5m National Cancer Plan has a range of measures aimed at benefitting all cancer patients, including implementation of a single point of contact resource that will support patients throughout their pathway, and after discharge, including those with secondary breast cancer. We are however giving further clinical consideration to possible audit work in this area while recognising the ongoing severe pressures in our NHS.

I recognise that there are now a number of apps supporting the Covid response in Scotland, however none of the pre-existing apps (e.g. Protect Scotland) offered the ability to provide secure, authenticated access to an individual’s health record. For this reason, a separate app was required.

Officials also explored whether it was possible to extend the use of the existing NHS App from England – where people in England can access their Covid Status – into Scotland. However, the NHS App was originally designed for a very different purpose, it is linked to GP practices in England and requires use of the separate NHS Login which only exists in England and Wales. In discussion with NHS Digital it became clear it was not a feasible option. This is because the timescales involved in joining the NHS App, coupled with the fact Scotland holds its vaccination data in a different way to England and would mean we would lose control over our own scheme.

People in Wales cannot use the NHS App either, they are currently limited to the shared England/Wales online portal accessible with an NHS Login.

Whilst the certificates that are in use in Scotland have been designed to the same international standards as the rest of the UK, and our paper certificates all follow the same template in the UK to ensure consistency, it is appropriate that we design a scheme that is right for Scotland, works in our context, and offers us the flexibility to adapt to our changing circumstances.

On top of the £1.9 billion provided to support COVID pressures in health and care this year, as set out in the statement, the £300 million represents additional investment to specifically support winter pressures.

This is funded from health and social care consequentials.

The Scottish Government set out the local arrangements that should be put in place to provide clinical and professional multi-disciplinary team oversight for social care services during the COVID-19 pandemic in a letter dated 17 May 2020.

These arrangements, which build on the foundations of health and social care integration, have contributed to the protective arrangements for care home and care at home services during the pandemic. The Scottish Government wrote to local MDT oversight teams in March 2021 setting out the expectation that these arrangements should continue for the remainder of the pandemic and beyond, although these will need to evolve taking account of learning and local circumstances.

The additional funding announced will enable both the establishment of new multi-disciplinary teams and strengthening of existing teams.

As set out in the announcement, the £300 million is both additional and recurring investment, demonstrating Scottish Government’s commitment to enabling longer term planning, particularly on workforce, to ensure a well-supported and resilient health and social care system.

Further detail on planned expenditure will be determined and set out in the forthcoming 2022-23 Scottish Budget. The 2022-23 Scottish Budget will be published on 9 December.

We are committed to ensuring that people with chronic pain are involved in decisions about the services they use. We have established a Patient Reference Group for Chronic Pain, convened and run by the Health and Social Care ALLIANCE, to ensure that the views of those with lived experience are included in Government policy development and service improvement work.

Representatives from the Group are members of the National Advisory Committee for Chronic Pain and have been equal contributors (alongside third-sector groups, researchers, NHS decision-makers and those on the frontline delivering pain management services) in developing a new Framework for Pain Management in Scotland.

Any claims of bullying and intimidation of patient representatives on the Committee by officials are untrue. All members of the National Advisory Committee are free to make whatever contribution they wish to discussions. However, all committee members must abide by the behaviours set out in the Terms of Reference, including the values of respect and mutual collaboration. The National Advisory Committee last met in May 2021 and since then we have communicated with members by correspondence, including reminding them of the behaviours set out in the Terms of Reference.

We will be reviewing how we can best engage the chronic pain community in order to help inform implementation of the Framework to ensure we improve services, support and outcomes for people with chronic pain.

Ministers are not responsible for individual staffing decisions. However, I am confident that the officials involved in supporting our policy development for chronic pain are suitably trained and equipped to do so as set out in my response to question S6W-02871 on 21 September 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.

I refer the member to the answer to question S6W-03808 on‎ 8 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.