Chamber and committees

I refer the member to the answer to question S6W-05487 on 21 January 2022. 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

There is evidence that access to a stroke unit improves outcome for stroke patients.

The Scottish Stroke Care Audit (SSCA) monitors the quality of care provided by the hospitals in all NHS Boards and access to a stroke unit is a standard measured by SSCA, alongside other standards associated with improved patient outcomes. Performance against the standards, and more detail on service models can be found here:

Scottish stroke improvement programme 2021 national report - Scottish stroke improvement programme - Publications - Public Health Scotland .

Planning of community rehabilitation delivery is the responsibility of individual NHS Boards and Health and Social Care Partnerships.

Our vision is for everyone with rehabilitation needs to be able to access the care and support they need to live well, on their own terms. Exploring ways to improve access to rehabilitation is a key aspect of the work underway to develop a progressive stroke pathway document.

With regard to measuring performance, the provision of appropriate rehabilitation, in both acute and community settings, currently forms part of the Scottish Stroke Improvement Programme (SSIP) criteria-based assessments.

These are currently being reviewed and expanded and will form part of the regular reviews which are undertaken by the Scottish Stroke Improvement Programme team with each Health and Social Care Partnership. We will also consider how these might be integrated into the Scottish Stroke Care Audit if effective.

While we do not currently have such plans under consideration, we always keep such matters under review. However, we do continue to engage with MOD as it seeks to further embed the Armed Forces Covenant into legislation through the Armed Forces Act, which received Royal Assent on 15 December. We worked closely with MOD in advance of its introduction to ensure it is fit for purpose in Scotland and continue to work with MOD as they develop the statutory guidance. However, we are satisfied that the Covenant provisions in the Armed Forces Act do not fall within the legislative competence of the Scottish Parliament.

The Scottish Government has committed to invest £10 million over this parliamentary term in our Programme for Government. As part of our commitment to increasing opportunities for disabled people, this funding will increase the number of changing places toilets across the country and support mobile changing places to allow people easier access to outdoor venues and events across Scotland.

Funding will commence in FY 2022-2023 and will be delivered in phases over the course of the parliamentary term. The first phase of work, currently being undertaken, is to develop the plans for the Changing Places Toilets Fund to ensure that the toilets which are built are fit-for-purpose. Further information will be available in due course.

Work on the Global Affairs Framework is continuing and the Framework will be published in due course.

Ash dieback is impacting rural and urban landscapes and ecosystems. Current evidence indicates that at least 50% – 75% of Scotland’s approximately 11 million mature ash trees could be lost to this disease over the next two decades.

a) Environmental impacts: Ash trees play an important role in Scottish ecosystems, and support many other species such as invertebrates, birds and lichens. Ecosystem continuity is a key concern for the long-term recovery of affected landscapes.

b) Financial impacts: Current estimates suggest that ash dieback could potentially cost Scotland in the range of £4 million - £20 million per annum as the disease progresses.

c) Other impacts: The safety of arboricultural and forestry professionals as well as the public is a central emerging issue, as ash dieback and associated secondary pathogens can lead to tree brittleness, potential branch shedding and root weakness. Priority needs to be given to ash trees showing significant health issues in higher risk locations such as near public roads, paths, railways and utilities infrastructure.

i) Action Scottish Government is taking:

Scottish Forestry convened the Ash Dieback Risk Group in January 2020. The group, which brings together expertise from local authorities and sectors such as forestry, transport, utilities and nature conservation, was formed to provide a forum for sharing experience and coordinating actions, and to help advise the Scottish Government on policy development relating to the management of ash dieback.

ii) Support the Scottish Government has offered to relevant stakeholders, including local authorities, to deal with ash dieback:

Scottish Forestry has worked with The Tree Council to produce a Scottish Toolkit for Ash Dieback Action Plans to help Scottish local authorities, public bodies and other large-scale land owners and managers to prepare their own Ash Dieback Action Plans in response to the inevitable safety and environmental issues that affected trees will create.

Whilst there was no new evidence in the James Hutton Institute report to suggest a significant risk to human health or wellbeing in respect to the use of sewage sludge, my officials will continue to engage with both SEPA and Scottish Water regarding the report, to ensure the risk assessment and appropriate, recommended mitigations are in place.

The legislative changes recommended by the review of the Storage and Spreading of Sewage Sludge on Land in Scotland (The Sludge Review), are being introduced via the Integrated Authorisation Framework regulations, which are currently being progressed and will be consulted on in the coming months.

The information requested is not held by the Scottish Government. This would be a matter for individual Health Boards.

Connectivity packages are being procured by individual local authorities to ensure they can be used in line with local digital learning strategies. We do not have detailed information on how they are being procured across all areas and decisions on their use and distribution are taken by councils themselves.