Chamber and committees

The Scottish Government does not hold estimates of the indirect costs associated with poor diabetes management in Scotland. For the UK, indirect costs were estimated by the York Health Economics Consortium (YHEC) at £13.9bn in 2010-11 (£0.9bn for Type 1 and £13bn for Type 2) out of a total cost of approximately £23.7bn.

Thrombectomy is a highly specialised procedure. We anticipate that the number of thrombectomies for 2017-18 will be similar to provision in 2016-17. The Department of Clinical Neurosciences currently based at Western General Hospital in Edinburgh performed 12 procedures in 2016-17.

In June, the National Advisory Committee for Stroke hosted an initial meeting of an Expert Group on Thrombectomy for Stroke to establish the process for progressing the development of services for thrombectomy in Scotland.

Progress against the Scottish Diabetes Improvement Plan 2014 is being measured through the work plan actions of the Scottish Diabetes Group (SDG).

An overall summary of completed actions will be published in the Autumn and updated each year going forward. Publication will be through our Diabetes in Scotland web site.

The Scottish Diabetes Survey, which provides an annual summary of key issues and trends in diabetes care and treatment will continue to be published annually.

Both Ministers and Scottish Government officials have communicated with representatives of NHS Greater Glasgow & Clyde before and since the decision was taken to refuse the previous proposals to close Lightburn Hospital in 2011. In terms of the provision of resources, under this Government (2006-07 - 2017-18), the Health Board's budget has increased by £475.4m or 29.1%. Over the next five years, the Board's budget will cumulatively be around £11 billion.

It is for individual Health Boards to plan and provide local services from these resources, in line with national policies and frameworks. NHS Greater Glasgow & Clyde has confirmed that £627,000 has been spent on general maintenance at Lightburn Hospital between 2011-12 and 2017-18 (up to 30 June 2017). The Health Board has also confirmed that, during the same period, a further £693,000 has been invested in department and ward upgrades, infrastructure works (including boiler house and mortuary works) and statutory compliance at Lightburn Hospital.

On 15 June 2017, NHS Greater Glasgow & Clyde approved new proposals for rehabilitation services in North East Glasgow, including those provided from Lightburn Hospital. These proposals have been designated as major service change, and they will come to me for a final decision, in line with the well-established process. As in all such cases, I will carefully consider all the available information and representations before coming to a final decision, in the best interests of local patients.

The information requested is accessible in the public domain at www.gov.scot/publications. This link provides a search facility for all Scottish Government publications and can be filtered by subject area and publication year.

Following publication of ‘The Best Start: A Five Year Forward plan for Maternity and Neonatal Care in Scotland’ on 20 January 2017, Jane Grant, Chief Executive, NHS Greater Glasgow and Clyde was appointed on 21 February 2017 to lead the implementation of the recommendations. An Implementation Programme Board has been established and met for the first time on 9 June 2017.

At the first meeting, the Programme Board agreed the high level approach to delivering the 76 recommendations. NHS Boards will be empowered to drive forward recommendations at local level where possible and practical to do so, and we have identified a number of recommendations suitable for local level delivery. Boards have identified local delivery leads and we will begin work with them shortly on development of local delivery plans.

Sub groups will be created to take forward implementation of the remaining national level recommendations. The sub groups will be leading on development of plans for delivery of these recommendations.

The Best Start – a Five Year Forward Plan for Maternity and Neonatal Services report of the review was published on 20 January 2017. The report outlines that it is anticipated that the majority of the recommendations will either be cost neutral or have minor recurring costs associated with them in addition to an element of transitional costs. It also recognises that some of the 76 recommendations will need investment to deliver. As part of the implementation process, the Implementation Programme Board have been asked to develop a more detailed understanding of the costs of delivery and that will inform resource decisions. This will include learning lessons from early adopters to quantify what additional resource may be required.

It is expected that any additional investment required will realise savings over time through improved outcomes for women and babies.

The content of publication summaries can and does change between each release following review of what the key messages are.

NHS ISD is always happy to receive feedback on the content of the information released.

The full information continues to be published by NHS ISD in excel tables on their website:http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp.