Chamber and committees

The membership of the Best Start Review Group and the Best Start Sub-Groups is published in Appendix E and Appendix F of the Best Start Report .

Dr Ian Wallace, at the time Medical Director at NHS Lanarkshire, was a member of the Best Start Review Group and the Neonatal Models of Care sub group.

The Best Start Report, published in 2017 followed a review of maternity and neonatal services in Scotland, and was based on research evidence, the views of clinicians and the views of service users. Based on data on birth data, the report recommended that we move to a model of three intensive care units in Scotland.

The process of determining which units should provide Neonatal Intensive Care followed an Options Appraisal process undertaken by an expert group, including clinical leads and service user representatives. The Royal Hospital for Children in Glasgow, Edinburgh Royal Infirmary and Aberdeen Maternity Hospital scored highest based on an agreed short list criteria, definitions and weighting. The group were asked to recommend three units and there was no consideration given to including a fourth unit.

The 5 reports from the Neonatal Early Implementers have been placed in the Scottish Parliament Information Centre (BIB number 64669).

As noted in S6W-19908 on 31 July 2023, the age ranges for breast screening are based on recommendations from the UK National Screening Committee (UK NSC), an independent expert advisory group which informs decisions taken across the UK on screening programmes. There is no clear evidence that the benefits of screening this age group outweigh the potential harms.

Since October 2022, women aged 71-74, and those over 75 with a history of breast cancer, have been able to self-refer for a screening appointment. Due to the challenges around programme capacity and wait times as a result of the pandemic, self-referrals for those over 75 without a history of breast cancer remain paused. This ensures those between 50 and 70 and for whom screening has clear benefits are prioritised. The most recent statistics show that breast screening uptake has increased across Scotland which is the most important factor when maximising cancer detection and effectiveness of the screening programme.

Considerable work has been undertaken to improve programme capacity, including extending screening hours, using additional mobile units, and optimising appointment allocation. The scale of the challenge facing the screening programme since the pandemic means it has taken time for this work to have a significant impact. However, considerable progress has been made, and the scope to extend self-referrals to all those over 75 remains under active review. Both Parliament and NHS Inform will be updated when any decision is made to lift the current pause.

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

It is not within Healthcare Improvement Scotland’s legal remit to assess decisions made nationally. Healthcare Improvement Scotland’s Community Engagement arm supports, ensures and monitors NHS Boards and Integration Authorities activity in relation to patient focus and public involvement in health services.

When decisions are made by the Scottish Government on NHS services, they are scrutinised through the Parliamentary process, the Health and Social Care Committee and Audit Scotland.

The Scottish Government’s Participation Framework provides information / guidance on relevant commitments to public participation that Scottish Government must adhere to. The Participation Framework supports Scottish Government to take decisions about how to open up opportunities for participation in ways that best suit the needs policy areas, the types of contribution being sought, and the characteristics and needs of the people being engaged with.

Membership of the expert group, remit/terms of reference and minutes of expert group meetings group will be published on the Building and Fire Safety Ministerial Working Group website once they have been agreed. A detailed programme of work is currently under development to establish a timeframe for reporting and will be agreed at the first meeting of the group on 28 November 2023.

Work is ongoing to finalise the guidance to promote the use of automatic fire suppression systems for historic building conversions to hotels in the non-domestic technical handbook and is expected to be published in November 2023.

The Scottish Government is committed to an infrastructure solution to address landslip risks at the A83 Rest and Be Thankful and shares the urgency communities and businesses place on maintaining and improving connectivity of this vital route.

The medium term solution consists of improvements to the existing Old Military Road through the Glen Croe corridor to make it a more resilient diversion route until the long term solution is in place. These improvements will improve the resilience of the diversion route, reduce journey times, and are the quickest to implement, of relatively lower cost and would have the least impacts overall across the range of criteria assessed of the medium term options considered.

A detailed programme for the proposed improvements is being developed. These include debris catch fences, temporary bunds, drainage improvements and widening and discrete realignment to improve bends and avoid flooding. It is expected that these works will be carried out on a phased basis starting later this year with Phase 1 which is realignment of the southern end of the route. It is anticipated that Phases 2 and 3 will commence in financial year 2024-25, subject to obtaining any necessary statutory authorisation consents. Construction of these phases is expected to take approximately 12 months subject to weather conditions.

The Scottish Government remains committed to medium and long term solutions to address the landslip risks at the A83 Rest and Be Thankful. This scheme is a priority for the Scottish Government, it is a key recommendation in STPR2, it is included in the Programme for Government 2023 to 2024 as well as the First Minister’s Policy Prospectus.

The recent exceptional rainfall on the A83 at the start of October resulted in seven landslides reaching the A83 trunk road, encompassing two very significant landslides at the A83/A815 junction, four landslides at Glen Kinglas and one small landslide at the Rest and be Thankful. Four further landslides were captured by hillside mitigation above the trunk road that includes pits, bunds and catch-fences, with two slips occurring at Glen Kinglas and two at the Rest and be Thankful.

The recent storm events in the areas have not impacted the development of the scheme, and we are still very much focussed on progressing this scheme as quickly as we are able to bring the benefits to those who use the A83.

The figure of 10-15% reflects data taken from the 2022 Care Home Census. The latest census will be published in due course and may reflect different data.

Reasons behind this figure include: the fact that registered beds do not necessarily equate to available beds for a wide range of reasons; a UK-wide staff shortage in the social care sector which has an impact on bed availability; different care home providers using different business models which can affect the number of people that can be admitted at any one time.