Chamber and committees

The Scottish Government is committed to improving care for people with chronic kidney disease through a number of activities which are aligned with the recommendations set out in Kidney Research UK’s Changing the Future for Chronic Kidney Disease in Scotland report, published in December 2022 with input from Scottish Government clinical advisors and partners.

We are raising awareness of the symptoms, causes, diagnosis and prevention of kidney disease by providing and promoting information on chronic kidney disease for patients and their families on NHS Inform .

Our Donation and Transplantation Plan was published in 2021 and sets out a dedicated priority to increase living donation and reduce the wait for a kidney transplant. This includes a number of recommendations to improve care, including developing resources and information to promote living donation , changing clinical practice in renal units, increasing direct engagement with patients and their families, and developing new guidance on staffing to support living donation.

We also continue to support the work of the Scottish Renal Registry which promotes excellence in renal care in Scotland including audits on the delivery of renal replacement therapy. The most recent report from the registry was published by Public Health Scotland in October 2022 and provides vital information for Health Boards, service managers and individual clinicians to improve care and standards for people with chronic kidney disease.

We recognise the importance of early detection of kidney disease in preventing the progression of chronic kidney disease and its associated complications. We expect NHS Boards to adhere to current guidelines on the diagnosis and treatment options from authoritative sources such as the National Institute for Health and Care Excellence (NICE) and the UK Kidney Association (UKKA).

In Scotland we are at the forefront of using service and performance data to improve care and diagnosis of kidney disease. This includes the work of the Scottish Renal Registry which reports on patients receiving renal replacement therapy and promoting excellence in renal care in Scotland through best practice audits.

The National Cancer Quality Steering Group (NCQSG) has responsibility for the development and oversight of tumour specific national quality performance indicators (QPIs) to measure the quality of care for patients, this includes a set specifically for renal cancers.

We have also invested in research which is intended to inform new approaches for earlier diagnosis of kidney disease through the Scottish Chief Scientist Office: Kidney function and cancer risk: An analysis using creatinine and cystatin C in a cohort study (nih.gov) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8413238/ .

To support the ongoing delivery of Multi-Disciplinary Teams in 2022-23, including pharmacists, mental health workers and physiotherapists, we made available £170 million through the Primary Care Improvement Fund for Health and Social Care Partnerships. This was allocated in accordance with local need, with due consideration to implementation plans and Agenda for Change uplifts.

We published our Changing Places Toilets: Planning Guide and an accompanying easy read in November 2022 for people who are planning to develop Changing Places Toilets now.

Timeframes and processes for the distribution of funding for the construction of Changing Places Toilets are still being finalised. Further information on this investment will be available over the course of this parliamentary term.

The Scottish Government continues to work closely with partners including Higher Education Institutions, Health Boards, Skills Development Scotland, and the Scottish Funding Council on skills development, employability and widening access to NHS Scotland careers, including the development of progressive career opportunities for existing staff and the development of apprenticeship models to provide an ‘earn and learn’ pathway.

1. I refer the member to the recently published recommendations from the Scottish Government’s AHP Education & Workforce Policy Review, which made reference to developing sustainable "earn and learn" routes for the AHP professions in Scotland. This work is being taken forward by the Skills for Health and Social Care Group who are overseeing the development of a suite of progressive career development opportunities for new and existing staff through learn as you earn models. AHPs are represented on this group via the Chief Allied Health Professions Officer and several Scottish Government AHP policy officials.

2. The Scottish Government has protected free tuition for Scottish-domiciled students undertaking under-graduate courses. There is a range of mechanisms to become an AHP at both under-graduate and post-graduate levels. At this moment in time there are no plans to extend bursaries to a wider group of AHPs.

I refer the member to the answer to question S6W-18873 on 20 June 2023. 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

TEC Funding - Total £70.3 Mil

22-23 - £7.3 Mil

21-22 - £15 Mil

20-21 - £ 9 Mil

19-20 - £7 Mil

18-19 - £7 Mil

17-18 - £7.5 Mil

16-17 - £7.5 Mil

15-16 - £10 Mil

The Scottish Government has not made any assessment of the technologies in question in relation to renewable energy trading. As the regulation of energy markets remains reserved, this would be a matter for the UK Government to consider.

All 17 Scottish Government owned buildings, although not fully accessible, have recently (late 2022 to mid-2023) undergone a round of accessibility audits that have graded each as a B (satisfactory, minor works required). These audits will feed into the Scottish Government Asset Planning work which follows on from our Estate Strategy. The Plan will prioritise where investment will be targeted and subsequently where the recommendations of minor works can be taken forward to further improve accessibility where required.

The Security of Network and Information Systems Regulations audit lifecycle continues to assess health boards on a yearly basis against the Public Sector Cyber Resilience framework

Working with the NHS Scotland Cyber Centre of Excellence, the Scottish Health Competent Authority are continuing to support boards in addressing any findings and gaps in their application of the NIS Regulations to mitigate the cyber threat.

This includes improvements around centralised security, monitoring, threat hunting, incident response and training & awareness. We are therefore better enabled in the achievement of security compliance across NHS Scotland, protecting people’s data and improving the resilience of critical services for patient care.