Chamber and committees

Further to the answer to question S5W-13509, in 2018-19 a final payment of £87,500 has been made in support of this work.

The answer to S5W-14264 on 23 February 2018, clarified that due to data protection laws and the very small number of research posts involved, the Scottish Government cannot release information that could lead to individuals being identified, which would breach their right to privacy.

The following summarises progress against the activities set out in the answer to question S5W-13509:

Consultation on the Core Minimum Dataset (CMD) is now complete. Recent progress, including responses to the consultation exercise, is available at http://www.nhsresearchscotland.org.uk/research-areas/pain/sub-page-2

The Scottish Government is currently liaising with the project team and NHS Information Services Division (ISD) to agree how the Core Minimum Dataset and Quality Performance Indicators will become part of routinely collected data that is reported by ISD.

The evidence-based guideline for the Management of Chronic Pain in Children and Adolescents is now published at https://beta.gov.scot/publications/management-chronic-pain-children-young-people/pages/14/

The systematic review of interventions to support the reduction of opioid treatment is in progress, as part of the implementation of the Scottish Chronic Pain Prescribing Strategy https://www.therapeutics.scot.nhs.uk/pain/ . This will provide standalone guidance for prescribers to support discussions with patients about withdrawing from opioid drugs where this is safe and appropriate. This resource is also being used to update the opioids section of the Scottish Intercollegiate Guidelines Network – Guideline-136.

Updates on the work of the Scottish Pain Research Community can be found at https://www.nhsresearchscotland.org.uk/research-areas/pain .

Scottish Government data is not available for individual local authorities or regions with reference to Munchausen by proxy syndrome or fabricated or induced illness (FII).

The offence of child abuse arising from FII is a criminal offence under Section 12 (schedule 1) (“Cruelty to persons under 16”) of the Children and Young Persons (Scotland) Act 1937. The table below shows the total number of prosecutions in Scotland under section 12 schedule 1 from 2007 to 2017:

Table of Information has been filed with SPICe under BIB Number: 60209

The number of infants up to one year of age that have been admitted to hospital with respiratory syncytial virus (RSV)-related bronchiolitis in each financial year since 2010-11 and the number of these with (a) bronchopulmonary dysplasia (BPD) or chronic lung disease, (b) congenital heart disease and (c) severe combined immunodeficiency syndrome (SCID), is provided in the tables below.

Table 1: Scotland and HB of treatment: 2010-11-2017-18: Number of infants with a diagnosis of respiratory syncytial virus (RSV)-related bronchiolitis).

As part of winter planning activity, Boards routinely monitor HPS updates to help detect and respond to potential increases in influenza and other respiratory infections. Winter plans also take into account the predicted surge of flu activity that can happen between October and March and adequate resources will have been identified to deal with potential flu and other respiratory outbreaks across this period.

I refer the member to the answer to question S5W-19158 on 6 November 2018. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx .

I refer the member to the answer to question S5W-19158 on 6 November 2018. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx .

a) As part of this year’s arrangements for the 2018-19 NHS seasonal flu programme anyone eligible to receive the flu vaccine can make arrangements to do so through their GP practice. As part of the childhood programme, children who are aged 2-5 (and not yet in school) will be offered vaccination at their GP practice and all primary school children will be immunised in school. Provision by community pharmacists is not part of the NHS programme and we have no information on pharmacies offering flu vaccination.

b) The adjuvanted trivalent flu vaccine is currently produced by only one company, who were unable to guarantee sufficient supply to ensure all over 65s in Scotland could be vaccinated before the start of the flu season. Therefore, in line with expert advice, the adjuvanted vaccine is being prioritised for aged 75 and above this year, and will be made available to all those aged 65 and above from next year, assuming sufficient supply can be guaranteed.

Health Protection Scotland will provide analysis of the impact of the seasonal influenza across this season and will publish this on a weekly basis. This data will contribute to the annual report of the impact made across the UK.

Work is well underway to implement the 76 recommendations contained within The Best Start: A Five Year Forward Plan for Maternity and Neonatal Care in Scotland. The recommendations have been split into those suitable for local and national implementation and a lead on local implementation has been identified in all 14 NHS Boards.

The five Early Adopter Boards identified to lead on early implementation of a suite of recommendations relating to continuity of carer and local delivery of care are making good progress and are aiming to roll this new model of care out across their Boards during 2019. The remaining Boards will start their planning for continuity of carer and local delivery of care shortly.

A full written update on progress will be available at the end of the year and will be placed in SPICe.

Workforce data on Health Visitors is published by ISD Scotland.

1. Information on health visitors from 2007 to 2014 can be found on the statistics web site at: https://www.isdscotland.org/Health-Topics/Workforce/Publications/2017-12-05/Non-Medical_Trend_S2017.xls

2. Information on health visitors from 2015 onwards can be found on the statistics web site at: http://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-09-04/Nursing-and-Midwifery.asp .

Health Visitors were part of a review of community nurses data. Therefore, information on the Health Visitor workforce after March 2015 is not comparable with previous years

We have engaged continuously with all Health Boards since the commitment to the delivery of the additional 500 Health Visitors in place by the end of December 2018 was made. The information provided to date suggests we are on track to meet this commitment.

Note: The Nursing and Midwifery dashboard (link in point 2. above) shows the number of Health Visitors since March 2015. You can see this on the Trend tab by setting the

• NHS Board filter to the Boards you wish (NHS Scotland and the territorial Boards),
• Sub Job Family filter to Health Visiting,
• Qualified/Support filter to Qualified,
• AfC Band filter to Bands 6 and above.

You can view the figures by Whole Time Equivalent or Headcount, and also by a chart or table.

The Scottish Government welcomes the recently published ESPAUR report which details progress on tackling Antimicrobial Resistance (AMR) in England as part of the UK AMR Strategy 2013-2018. Health Protection Scotland will publish its next Scottish One Health Antimicrobial Use and Antimicrobial Resistance (SONAAR) Report in November 2018, which will provide similar details of progress with tackling AMR in Scotland. The previous SONAAR report, published in November 2017, can be viewed here: https://www.hps.scot.nhs.uk/resourcedocument.aspx?id=6900 .

The Scottish Government continues to support a broad programme of activities in collaboration with national stakeholders to tackle AMR across human and animal health. This includes surveillance of antimicrobial use and resistance, quality improvement interventions to optimise prescribing of antimicrobials, education of health and care staff, and campaigns to increase awareness of AMR and the appropriate use of antibiotics aimed at patients and the general public.