Chamber and committees

The symptom list on NHS Inform focuses on the early symptoms of sepsis. It highlights the importance of a high or low temperature, which can encompass a wide range of sources of infection that may potentially cause sepsis.

On 27 May 2022, Healthcare Improvement Scotland’s (HIS) Scottish Patient Safety Programme (SPSP) issued a statement regarding the Society of Critical Medical Care’s Surviving Sepsis Campaign (SSC) and the Academy of Medical Royal Colleges (AoMRC) Statement on the initial antimicrobial treatment of sepsis. The statement outlines the SPSP’s revised approach to the identification and management of adults with sepsis.

Furthermore HIS’s Scottish Intercollegiate Guidelines Network (SIGN) are currently reviewing SIGN Guideline 139 – Care of Deteriorating Patients to include an updated section on sepsis addressing Primary and Secondary Care considerations.

The requested information is not held centrally by the Scottish Government. NHS National Services Scotland (NSS) has advised the most accurate data source on NHS Scotland waste performance are the annual Public Sector Reports on Compliance with Climate Change Duties which are available for each Health Board. These reports are published on the Sustainable Scotland Network website ( Sustainable Scotland Network - The Sustainable Scotland Network ) and are available from the period 2014-15 to 2020-21.

We have outlined clear actions within the upcoming NHS Scotland Climate Emergency and Sustainability strategy to manage the risk of environmental harm from our activities, promote good environmental stewardship and reduce the impact of our waste. This includes working to improve data recording of waste collections and reporting against the national waste target of recycling and composting 70% of all Scottish waste by 2025, and sending no more than 5% to landfill.

Sepsis improvement is a well-established part of Healthcare Improvement Scotland’s (HIS) Scottish Patient Safety Programme (SPSP). The SPSP launched a revised deteriorating patient driver diagram and change package in 2021 which includes sepsis as a core part of recognising and responding to deterioration.

On 27 May 2022, the SPSP issued a statement regarding the Society of Critical Medical Care’s Surviving Sepsis Campaign (SSC) and the Academy of Medical Royal Colleges (AoMRC) Statement on the initial antimicrobial treatment of sepsis. The statement outlines the SPSP’s revised approach to the identification and management of adults with sepsis.

Furthermore the Scottish Intercollegiate Guidelines Network (SIGN) are currently reviewing SIGN Guideline 139 – Care of Deteriorating Patients to include an updated section on sepsis.

Clinical guideline implementation is the responsibility of NHS Boards. The ultimate decision about a particular clinical procedure or treatment will always depend on each individual patient’s condition, circumstances and wishes and the clinical judgement of the healthcare team.

We were pleased to receive the report and recommendations from the National Partnership for Culture, and recognise that the broad themes in the report align with our priorities across Scottish Government. Scottish Government officials are working together across the Health and Culture portfolios to review the Health and Wellbeing recommendations. Our response to the National Partnership for Culture recommendations will be published shortly.

I refer the member to the answer to question S6W-00456 on 18 June 2021. 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

The requested information is not held centrally by the Scottish Government. NHS National Services Scotland (NSS) has advised waste data collection is not measured by product type or hospital department, therefore the requested information is unavailable.

Within the upcoming NHS Scotland Climate Emergency and Sustainability strategy there is a commitment to work with our existing suppliers to reduce unnecessary plastic and take steps to ensure that unavoidable single-use items contain a high minimum recycled content and are themselves fully recyclable. This strategy is expected to be published in summer 2022.

The Scottish Government, in partnership with COSLA, will publish a new suicide prevention strategy in September 2022. As part of that we will consider how to further embed suicide prevention across health and social care services.

The assessment of people with long COVID is informed by the clinical guideline ‘managing the long-term effects of COVID-19’ developed by the National Institute of Health and Care Excellence, the Scottish Intercollegiate Guidelines Network, and the Royal College of General Practitioners. The guideline recommends using a holistic, person-centred approach when assessing someone for long COVID which should include a comprehensive clinical history and appropriate examination involving physical, cognitive, psychological and psychiatric symptoms as well as functional abilities.

The allocation of £3 million from the long COVID Support Fund to Health Boards across 2022-23 will provide extra resource to support people with long COVID to have a holistic assessment of their needs, both physical and mental, to ensure they can access the community or healthcare support and services most appropriate for their individual circumstances.

Giving people access to clear information is one key part of supporting people to feel more in control of their condition. That is why we have launched a long COVID information platform on NHS Inform, which provides people with information and support including in relation to low mood, depression and anxiety, with signposting to self-help guides that use cognitive behaviour therapy (CBT).

We have also invested £40,000 in a public awareness campaign, through Community Pharmacies across Scotland about how people can access further advice and support in relation to their symptoms.

The Scottish Government is taking steps to make it cost-effective for smaller projects to sell carbon credits under the Woodland Carbon Code, which will benefit crofters given crofts are generally much smaller units of land. It is recognised that the finance that could be available through the sale of carbon credits under the Code could make the difference between projects being viable or not viable. The Woodland Carbon Code Secretariat at Scottish Forestry has developed a ‘streamlined’ application process for small woodland creation projects (up to 5 hectares) which simplifies the prediction of carbon sequestration, reduces the requirement for regular plot surveys and has fewer requirements throughout the validation and verification process.

Projects can also be ‘grouped’ together by a project developer for validation and verification which further reduces cost. This removes some of the cost and administrative barriers for smaller projects. This could open the opportunity for crofters to form informal “co-operatives” where they wish to embark collectively on validating and verifying their projects, but any crofters wishing to do this would should contact Scottish Forestry or one of the WCC project developers for further guidance.

Scottish Forestry has also been working with both crofting and farming tenants through the Integrating Trees Network through a series of webinars allowing both crofters and tenant farmers to ask questions and find out more information about tree planting.

Following my response in January I can provide more detail around the issues pertaining to paediatric audiology in NHS Lothian. I am providing one response that covers all three questions.

The British Academy of Audiology (BAA) reports have been widely distributed amongst professionals, including all GP practices in NHS Lothian, ENT surgeons, community child health doctors, and speech and language therapists. NHS Lothian has had extensive communication with a range of partners including teaching staff and the Director of Education. As part of this process, those working with children who had any concerns about a child's hearing were encouraged to contact the Audiology department directly or to refer the child through the normal route.

The frequently asked questions, which was developed, has also been shared with specialised teams in education in the four local authority areas across NSH Lothian. My officials are also engaging with local authority heads of service for deaf education and NHS Lothian to address any additional concerns regarding support and education planning for families.

So far, 124 families have been contacted directly by NHS Lothian and offered a retest; 39 children have now had their retest with a further 11 with an appointment to date. From the 39 retested, 10 children have been found to have a new hearing impairment.

Officials continue to work closely with NHS Lothian regarding paediatric audiology, including communications. As highlighted, information has been widely circulated amongst professional staff groups working directly with children and their families, with clear mechanisms for children to be referred to the audiology department where there are concerns about their hearing. Indeed, NHS Lothian established a telephone line in December last year and this continues to be operational to make it easy for families to make direct contact with the Board about any audiology concerns, the board is also working closely with the National Deaf Children Society.

The Scottish Government does not hold this information.

A 2018 report by the Mammal Society under contract to Natural England, Natural Resources Wales and Scottish Natural Heritage, which reviewed the status of British mammal populations including the red fox, is the most recent survey to have been carried out.

The full report can be found at: http://publications.naturalengland.org.uk/publication/5636785878597632