Chamber and committees

Claims of bullying behaviour by civil servants are untrue. All members of the National Advisory Committee for Chronic Pain (NACCP) are free to make whatever contribution they wish to discussions.

All committee members are required to abide by the behaviours set out in the Terms of Reference, including the values of respect and mutual collaboration to agree recommendations to help improve care for people with chronic pain. If these behaviours and values were not met, this would be taken very seriously and addressed.

As at December 2021 four representatives of the Chronic Pain Patient Reference Group attending the NACCP had written to officials to resign their positions. Two resignations took place in June 2021, with one in each of October and November 2021. It would not be appropriate to divulge the specific reasons cited by each individual, however I am clear that officials acted on the relevant feedback provided.

For example, as a result we are currently reviewing existing stakeholder engagement processes and structures around our work on chronic pain, including the role of the NACCP. The outcome of this work is intended to ensure meaningful engagement to support the future delivery and implementation of the Framework for Pain Management Service Delivery following completion of the current public consultation.

The Open Market Shared Equity scheme is targeted at first time buyers on low to moderate incomes regardless of the source of their income. This includes those in employment and in receipt of benefits. In 2020-21, the average gross household income of beneficiaries was £27,000 and 43% of households had at least one child.

10,195 hectares of new woodland has be planted in Scotland since 21 st January 2021. The area that was planted as (a) coniferous, (b) broadleaved, (c) native and (d) non-native is shown in Table 1. This balance of planting is in line with SG targets.

The Scottish Government is committed to providing clear information and support for people with long COVID. To help raise awareness of symptoms and signpost people to appropriate support, a marketing campaign ran in October and November 2021. The campaign budget was invested in: print and production of campaign posters for display in community pharmacies and GP surgeries across Scotland, language translations, social media posts and a campaign toolkit sent to 250 direct partner contacts with additional distribution of approximately 3,000 contacts.

The campaign directed people to the long COVID microsite hosted by NHS Inform, accessible at www.nhsinform.scot/long-covid . The microsite had nearly 86,000 users during the campaign period.

I refer the member to the answer to question S6W-04082 on 9 November 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.

We know that it will take time and a series of targeted actions to build back capacity and redesign patient pathways to bring treatment times back within targets for orthopaedic patients.

As part of the NHS Recovery Plan , which is backed by an overall investment of £1 billion, the Scottish Government is investing over £400 million to deliver 10 National Treatment Centres (NTCs) which will create protected elective capacity for an additional 40,000 surgeries and procedures across 12 specialties per year. The first of these opened at the Golden Jubilee in November 2020 and next three NTCs are due to open in NHS Fife, NHS Forth Valley and NHS Highland in 2022. These centres will be crucial to increasing orthopaedic capacity, which will in turn reduce the length of time patients are waiting for treatment.

Services are also embracing new ways of working, including virtual clinics and Active Clinical Referral Triage, which will support shorter time to diagnosis and treatment and continue to ensure patients receive the appropriate advice and support.

The Scottish Government published an updated Business and Regulatory Impact Assessment (BRIA) on 23 November. The BRIA sets out the baseline data currently available and trends, including information from the non-domestic rates valuation roll and about Airbnb, which show a significant growth in the number of properties which are being used for short-term lets.

The BRIA sets out the costs to local authorities and recovery through fees, and provides indicative average fees for a low and high cost scenario. The assumptions behind the average indicative fees for a short-term lets licence have been informed by discussions with local authorities.

The Licensing Order allows local authorities to raise revenue from fees to cover the costs of establishing and running their licensing scheme. The actual fees to be charged will be determined by local authorities following Scottish Government guidance and are likely to include higher and lower tiers, reflecting the varying sizes of premises to be licensed.

The licensing scheme will help to build a comprehensive picture of short-term let activity across Scotland.

The information requested is available from https://www.gov.scot/binaries/content/documents/govscot/publications/factsheet/2020/02/health-and-wellbeing-census/documents/health-and-wellbeing-census-frequently-asked-questions/health-and-wellbeing-census-frequently-asked-questions/govscot%3Adocument/HWB%2BCensus%2B2021-22%2B-%2BQA%2Bdocument%2B-%2BAugust%2B2021.docx.

The Scottish Government published our Heart Disease Action Plan in March 2021. This sets out a number of actions to enable us to achieve our vision of minimising preventable heart disease and ensuring equitable and timely access to diagnosis, treatment and care for people with heart disease. It is relevant to a number of the recommendations of the CPG inquiry report.

Within Priority 1 of the Action Plan, there is a focus on improving the detection, diagnosis and management of risk factor conditions, including atrial fibrillation. Work is underway to deliver the commitments outlined.

In particular, the Scottish Primary Care Information Resource (SPIRE) is developing reporting on atrial fibrillation. This will allow GP practices to monitor patients on particular medications and make sure they are getting the right follow-up care.

The Action Plan also makes commitments to addressing the challenges facing the cardiac physiology workforce. Work is progressing on this. Furthermore, we are progressing commitments in the Integrated Health and Social Care Workforce Plan (2019) for Scotland to promote recruitment of cardiac physiologists over the next 3-5 years into Scientist Training Programmes and Practitioner BSC Programmes.

The CPG inquiry report also identifies the importance of improving access to data to drive improvement. In April 2021 we commissioned Public Health Scotland to develop the Scottish Cardiac Audit Programme. Extensive clinical and patient engagement is currently underway to develop the audit. Two key work streams within that engagement are atrial fibrillation and cardiac devices.

Healthcare Improvement Scotland (HIS) Scottish Intercollegiate Guideline Network (SIGN) have confirmed that they currently have no plans to update SIGN Guideline 122 - Prevention and management of venous thromboembolism.

However, on Wednesday 15 December, SIGN published a new rapid guideline: SIGN 163 - Prevention and management of venous thromboembolism (VTE) in patients with COVID-19.