Chamber and committees

The Centre for Sustainable Delivery (CfSD) has developed strong clinically-led Specialty Delivery Groups (SDG) which promote multidisciplinary team working and support local adoption of service improvement programmes.

This includes the Cataract Sub-Specialty Delivery Group which brings together key ophthalmology clinical, operational and managerial experts from across NHS Scotland and Scottish Government which has been commissioned to support an increase in surgical throughout across cataract only surgical sessions. This short life working group has supported several new and innovative pathway developments, some of which are now being successfully scaled up in a number of sites across hospital eye services, including: high volume cataract surgery in ring-fenced sessions, and delivering one cataract every 30 mins, as per Royal College of Ophthalmologists’ guidelines.

In tandem with this, The National Eyecare Workstream is undertaking clinically led peer reviews which supports new and efficient ways of working and shares best practices across the country across a number of ocular sub-specialties, including cataracts.

Additionally, the national Trauma and Orthopaedic (T&O) planned care team based within the Centre for Sustainable Delivery (CfSD) are responsible for supporting both scheduled (elective) and unscheduled (emergency) orthopaedic service delivery through implementation of sustainable improvements in Scotland.

The orthopaedic services specialty delivery group is multidisciplinary and clinically led to design, develop and implement consensus driven national clinical pathways with focus on high impact opportunities in outpatient management (active clinical triage and patient initiated review), enhanced recovery and same day arthroplasty and also hip fracture standards of care, whilst reducing unwarranted variation. The National T&O team supports delivery of clinically led peer reviews for Health Boards across Scotland, with the cycle repeating every 3 years. These clinically led peer reviews were initiated from the innovative “Getting It Right First Time (GIRFT)” programme. This programme has been highly successful at leading change, reducing variation, improving clinical pathways as well as significantly reducing costs predominantly through reduction in length of stay and improved procurement.

In conjunction with Public Health Scotland (PHS), the T&O team also supports national audits namely the Scottish Hip Fracture Audit and Scottish Arthroplasty Project. These cost effective audits drive continuous improvements through research, standards of care and by a formal governance programme to monitor outcomes. Annual reports are produced for public information.

Furthermore, as part of our wider work to deliver sustained recovery of our Urgent Care services a whole system improvement approach has been adopted. We are working with local teams through the Urgent and Unscheduled Care Collaborative Programme to develop improvement plans which contain actions for the short and medium term focusing across 5 key areas.

This programme of improvement activity is being driven forward by the Centre for Sustainable Delivery (CfSD), which we have commissioned to support Health Boards implement a range of measures to reduce A&E waiting times and improve patient and staff experience.

Some Health Boards have already started to report improvements. These include:

• Improving urgent care pathways in the community and improving links across the primary and secondary care interface.
• Ensuring patients receive the right care in the right place by optimising Flow Navigation Centres and increasing the routes for professional to professional advice and guidance, signposting and scheduling of appointments to A&E where possible.
• Improving access to Hospital at Home services by supporting Boards and partnerships to adopt evidence-based best practice.
• Optimising assessment and care in our Emergency Departments by improving access to ‘same day’ services, the use of early and effective triage, rapid decision-making and streaming to assessment areas.
• Reducing the time people need to spend in hospital by promoting early and effective discharge planning and robust and responsive operational management.
  

The Computing Science Hardware grant was offered to all Local Authorities to submit a bid to Scottish Government for schools in their Local Authority area and claims were received from a total of 304 schools, representing 85% of all secondary schools in Scotland. Since the scheme was operated at local authority level we are unable to comment on the reasons why individual schools chose not to take up the offer.

I have asked Gerard Hart, Chief Executive of Disclosure Scotland to respond. His response is as follows:

Disclosure Scotland, an Executive Agency of the Scottish Government, is consulting on how disclosure fees could be discounted for certain groups in future. No decisions have been made on this. The consultation response from stakeholders and the public will help to shape decisions by Scottish Ministers.

Disclosure Scotland has published a draft children’s rights and wellbeing impact assessment which considers the possible impact of the proposals made in the consultation on fee waivers and discounting on the rights of children. In doing so they are considering official statistics and surveys, evidence from Disclosure Scotland’s systems, past consultations and stakeholder engagement.

When the Disclosure (Scotland) Act 2020 is implemented Level 2 with PVG scheme membership disclosures will not be available to children aged under 16 years old. Any fees and fee discounting therefore only has a direct impact on children aged 16 and 17 years old.

A copy of the impact assessment can be found on the Scottish Government’s website at: https://www.gov.scot/publications/disclosure-scotland-act-2020-accredited-body-fees-proposals-discounting-under-pvg-scheme-consultation-childrens-rights-wellbeing-impact-assessment/

The latest statistical release for Free Personal and Nursing Care is for the period 2022-23 and was published on 5 September 2023. Two published excel files accompany the publication, one of which provides data on people aged between 18-64, from the years 2018-19 to 2022-23. This can be found at: Supporting documents - Free Personal and Nursing Care, Scotland, 2022-23 - gov.scot (www.gov.scot) .

The relevant information can be found in Tables 3a and 6a.

The provision of infrastructure and equipment at any incident to ensure decontamination is entirely a matter for the Scottish Fire and Rescue Service.

The safety and wellbeing of firefighters is a priority for both the Scottish Government and for the fire service.

The regulation for the pricing and supply of medicines is reserved to the UK Government. Scottish Government officials worked closely with their counterparts in the UK Government during the 2024 Voluntary Scheme for Branded Medicines Pricing, Access and Growth (VPAG) negotiations with the pharmaceutical industry, however, the devolved administrations were not included in the formal negotiations.

Commitments made on medicines and pharmaceutical manufacturing sustainability in the 2024 VPAG can be found in section 7.11 to 7.14 here: 2024 Voluntary Scheme for Branded Medicines Pricing, Access and Growth (publishing.service.gov.uk) .

The First Minister wrote to the UK Prime Minister and the Leader of the Opposition on 18 April to make the Scottish Government’s position clear, the UK Government must respond in a timely manner to the Parliamentary and Health Service Ombudsman’s recommendations, by committing to a fair compensation package for the women born in the 1950’s affected by the changes to state pension age.

State pensions remain reserved to the UK Government. Should the UK Government decide to accept the recommendations from the PHSO report and pay compensation we will work closely with the UK Government to understand if there are any implications for the payment of Scottish social security benefits.

The introduction of Air Departure Tax (ADT) was deferred due to state aid issues raised in relation to the Highlands and Islands exemption. In January 2023, the UK Government replaced EU state aid rules with its own subsidy control regime.

We continue to explore all options to implement ADT in a way that protects Highlands & Islands connectivity and complies with the UK Government’s subsidy control regime.

The Scottish Government recognises the critical role air connectivity plays in the lives of residents and communities in the Highlands and Islands, and in the promotion of sustainable economic growth across the region.

Once a solution to the Highland & Islands exemption has been identified, we will review the rates and bands of ADT prior to the implementation of the tax, to ensure they are aligned with our net zero ambitions.

The UK-wide Air Passenger Duty will continue to apply in Scotland until ADT is implemented.

Each entry on the pilot programme within scope of the SBA as set out in the legislation will proceed to the pathway to assessment through written confirmation to owners from either a developer or, in the case of orphan buildings, government, that the property will either have a pilot SBA refreshed or topped up to ensure it complies with the new SBA specification or that an SBA will be commissioned using the new specification.

The movement and management of fire crews at an operational incident is entirely a matter for the Scottish Fire and Rescue Service.

The safety and wellbeing of firefighters is a priority for both the Scottish Government and for the fire service.