Chamber and committees

The Scottish Stroke Improvement Programme Lead, who conducts the annual review process, meets with NHS boards on behalf of Scottish Government. This engagement allows us to understand the provision of stroke services, including training and staff capacity across NHS boards, and where challenges or opportunities for sharing good practice exist.

Scottish Government representatives also sit on the National Advisory Committee for Stroke (NACS), where specialists from NHS boards across Scotland provide expert advice and recommendations relating to Scottish Government policy for the provision of stroke care. NACS has recently developed the Progressive Stroke Pathway ( Strokes: progressive stroke pathway - gov.scot (www.gov.scot) ), which was published on 22 March 2022. This document sets out an ambitious vision of what a progressive stroke service in Scotland should look like.

The rehabilitation sub-group of NACS, which is made up of specialists across a range of disciplines from various NHS boards in Scotland, played an important role in helping to shape the Progressive Stroke Pathway recommendations relating to stroke rehabilitation services. On the back of this input, the Progressive Stroke Pathway makes a number of recommendations relating to the provision of stroke care, and the contributions of appropriate training and staff capacity in helping deliver this.

We will continue to engage regularly with these specialists from across Scottish NHS boards as we move into the implementation phase, considering the recommendations made in the Progressive Stroke Pathway.

The SIGN guidelines recommend all diagnoses should ideally be made through a multi-disciplinary process and not done by a single clinician.

There is no requirement for the diagnosis to be made by any particular profession. This should be dependent on who has the skills and experience and may include Psychiatrists, Psychologists, Paediatricians and Speech and Language Therapists.

Not all health professionals will be trained to diagnose as this is a specialist skill, but it is the expectation of the Scottish Government that they should be aware of and have access to referral pathways.

By the end of Core Psychiatry training, trainees must be able to:

• receive a full psychiatric history from and perform a Mental State Examination (MSE) on patients within a range of mental and neurodevelopmental disorders across the lifespan in routine, urgent and emergency situations, incorporating appropriate terminology.
• assess patients from a range of different cultural, spiritual, and religious backgrounds, including asylum seekers and refugees, and demonstrate an understanding of how protected characteristics may impact on clinical presentation.

In order to successfully complete Core Psychiatry training, all trainees must undertake a neurodevelopmental sub-specialty placement, either Intellectual Disability (ID) or Child & Adolescent Mental Health Services (CAMHS), so they are aware of and will be familiar with the process of diagnostic assessment.

General practitioners are essential to recognition and assessment. Autism is covered in the GP Curriculum alongside a range of other neurodevelopmental differences. Clinical psychology doctoral trainees receive training in relation to assessment and intervention for people with neurodevelopmental disorders, including Autism. Undergraduate training ensures that any Speech and Language Therapist at any level can provide or contribute assessment information that could assist an assessment team in making a diagnostic decision.

The Scottish Government commissioned NHS Education for Scotland (NES) to produce the NES Autism training plan, to ensure that staff involved in diagnostic assessments across the lifespan have the right skills and knowledge, prioritising staff from across Scotland who are involved in diagnostic assessment.

The Scottish Funding Council (SFC) publish the number of ‘Funded Places’ and ‘Students Eligible for Funding’ in the Official Statistics release “Students Eligible for Funding” here:

https://www.sfc.ac.uk/publications-statistics/statistical-publications/2021/SFCST042021.aspx

with historic publications available here:

https://www.sfc.ac.uk/publications-statistics/statistical-publications/statistics-schedule/statistical-publication-schedule.aspx

No split by domicile for ‘funded places’ is available.

Concerns about the impact of fireworks on animals has been a strong theme to emerge from both the 2019 and 2021 public consultations on fireworks, and I am grateful to the Dogs Trust, and other animal charities, for their continued engagement throughout our journey with fireworks.

All of the measures within the Bill, including the licensing system, have been developed following a significant programme of consultation, engagement and evidence gathering. This includes the work of the independent advisory Firework Review Group, who considered all of the evidence available and took an options appraisal approach to make a series of recommendations for change to the Scottish Government. The licensing system implements the Group’s recommendation that mandatory conditions should be introduced at the point of sale of fireworks to ensure that the purchase and use of fireworks is a well thought out and planned transaction.

The licensing system has been carefully developed to ensure that robust checks and balances are in place before a member of the public can purchase and use fireworks. This includes a mandatory requirement to successfully complete a training course, which will inform applicants of how to use fireworks in a safe and lawful manner, as well as understanding the impact that fireworks can have on others, including animals.

It is considered that the licensing system strikes the balance between introducing proportionate measures without placing overly restrictive barriers on the legitimate use of fireworks by members of the public, and there are no current plans to require licence holders to record on the relevant local authority website any display that they intend to hold.

The Scottish Fire and Rescue Service has robust procedures in place to ensure complaints are fully investigated and any complaint is considered confidential while being progressed. I am not aware of the details of any complaints made against the SFRS Chief Officer, but I was given initial notice of the situation on 18 February 2022.

The investigation of any complaints against the Chief Officer of SFRS is entirely a matter for the SFRS Board. The Scottish Government has no role in the process and therefore no approval would be required by Scottish Ministers.

As part of the £145,000 funding we announced earlier in March, we are in the process of commissioning research into support services in Scotland. The analysis and research will help us to understand what support is needed to help the people affected by historical adoption practices.

We have also introduced a working group to assist with the implementation of peer support groups where we are working with partners to scope and develop the support service.

The responsibility for the organisation and funding of secure transport lies principally with the local authority responsible for the child’s placement. Information on the use of restraint applied to care-experienced children whilst being securely transported is not held centrally.

The Scottish Government has a contract with GEOAmey for escorting children serving a custodial sentence within secure care, who are Scottish Ministers’ responsibility. As part of that contract GEOAmey must provide the Scottish Government with details of when restraint is used. No incidents of restraint have been recorded during the current contract.

Following the pandemic and the move to a publicly owned ScotRail we are committed to encouraging people to return to our railway. We now have the opportunity to ensure that passenger services reflect changing passenger needs and travel behaviours whilst restoring the financial sustainability of rail services in Scotland.

On 9 May, I launched ScotRail’s 50 per cent off peak ticket offer. This fares offer, funded by the Scottish Government, is the latest ‘Yours to Use’ initiative and is focused on welcoming customers back to rail as the country continues to recover from the pandemic.

The 50 per cent off tickets can be purchased in the following ways:

• Online at scotrail.co.uk/sale
• By phone on 0344 811 0153
• Via the ScotRail app, using the promo code SRSALE in the railcards/promotions field

Earlier this year, I announced that our National Rail Conversation will offer rail staff, passengers and communities an opportunity to contribute to the future Vision of Scotland’s Railway. This will help us to fully understand what the people of Scotland want and need when it comes to choosing rail as their mode of choice.

The current Clyde and Hebrides Ferry Service contract is due to expire in September 2024. Development and planning work is currently underway by officials to consider potential options for future contracts and to create an engagement plan for key stakeholders and local communities.

This work would usually be at a more refined stage but has been impacted largely due to staff resources being redeployed over the past two years to manage the challenges presented by the Covid -19 pandemic. We will be announcing further detail in due course.