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Chamber and committees

Question reference: S6W-08631

  • Asked by: Dr. Sandesh Gulhane, MSP for Glasgow, Scottish Conservative and Unionist Party
  • Date lodged: 19 May 2022 Registered interest
  • Current status: Answered by Humza Yousaf on 1 June 2022

Question

To ask the Scottish Government what action it is taking to ensure that clinicians are acting in accordance with the Academy of Medical Royal Colleges’ recently-released clinical guidance on sepsis, in light of the National Institute for Health and Care Excellence (NICE) reportedly having also agreed to update its guidance on sepsis.


Answer

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.