- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government how it is addressing the potential impact of climate change on healthcare delivery in rural communities.
Answer
The NHS Scotland Climate Emergency and Sustainability Strategy 2022-26 sets out the approach and actions which will be taken by NHS Scotland, with support from the Scottish Government and working in partnership with others, to respond to the climate emergency and to contribute towards the achievement of the United Nations’ (UN) Sustainable Development Goals (SDGs).
The Strategy emphasises the importance to Health Boards of climate change adaptation, and the need to carry out climate change risk assessments and produce climate change adaptation plans. A recently published report: "NHSScotland Climate Change Risk Assessments and Adaptation Plans: A Summary Report" summarises the assessments that Boards have carried out and their adaptation plans. It includes Boards with rural communities.
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 20 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government what funding is available to rural NHS boards for the development of innovative healthcare delivery models.
Answer
The NRAC (resource allocation formula) is an objective measure of the need for health care services across Scotland. The current formula, which was established in 2005, considers the population share of each Board adjusted for the age/sex composition of the population, the relative health needs due to morbidity and life circumstances, and the excess cost of delivering healthcare to rural and remote areas. We have committed to a review of the funding formula. This supports vital work to reduce health inequalities; ensuring that we continue to allocate funding according to the relative need for healthcare in each Board area.
The Rural Centre of Excellence was established to oversee and develop innovative healthcare pathways in rural areas. The Scottish Government has committed £3.03m in 2023-26 to progressing the National Centre for Remote and Rural Health and Care, which launched in October 2023. The Centre will focus initially on Primary Care and community services priorities in Phase 1 as an initial proof of concept.
In 2022, one of Scotland’s Innovation Centres, the Digital Health and Care Innovation Centre (DHI), secured a £5 million investment from Moray Growth Deal to establish a Rural Centre of Excellence for Digital Health and Care Innovation. This seeks to address health and care issues across rural areas, including addressing citizen data requirements and supporting place-based care in the community. It also supports the acceleration of innovation capabilities to attract important economic growth to Rural Scotland.
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Shona Robison on 29 January 2025
To ask the Scottish Government what the total expenditure on social media-related activities, including management, advertising, and content creation, has been in each of the last five years.
Answer
Social media related activities undertaken by the Scottish Government encompass abroad set of teams and workstreams. A significant proportion of the management of Scottish Government accounts on social media platforms and the production of organic content, is managed by internal teams.
Communication to specific audiences via social media is an integral part of every Scottish Government marketing campaign and incorporates e.g. videos, paid advertisements, website and social content and influencer marketing. Scottish Government marketing content and campaigns run across multiple social media platforms (in either paid-for or organic form) as part of integrated marketing and communications campaigns. All social media activity is developed to support defined policy outcomes and in line with key Scottish Government priorities.
Scottish Government marketing and advertising spend is published each year can be found at https://www.gov.scot/collections/marketing-spend/ including a breakdown by discipline and media type. As the 2024-25 financial year is not yet complete the information is not included.
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government how it is working with NHS boards to enhance access to mobile diagnostic units in rural areas, and what progress has been made in the last five years.
Answer
Neil Gray: Since 2021, we have provided three permanent CT scanners to support core diagnostic imaging capacity within Boards, including a mobile CT pod which is deployed flexibly to Boards that require additional capacity. In addition, one further mobile CT and seven mobile MRI scanners are being used across multiple NHS Boards to provide additional capacity.
In the last 2 years, the Scottish Government has supported the North Imaging Alliance to:
- Test a regional mobile MRI service, hosted within one of the North region boards, with the potential to be used anywhere in the North or across Scotland.
- Provide additional capacity (over and above existing mobile MRI arrangements) to accelerate work on reducing waiting times for MRI.
During 2024-25:
- The regional mobile MRI van is anticipated to remove circa 3,700 patients from waiting lists in the North, participating boards are Grampian, Highland, Orkney, and Tayside.
- 2,408 patients have received scans to date and have been removed from waiting lists
- This has saved NHS Orkney approximately £180k and meant 313 patients were able to receive scans locally rather than having to travel further afield.
Significant additional activity is already underway following the allocation of £30 million funding to target reductions to the national backlogs that built up throughout the pandemic. This includes over 40,000 extra diagnostic procedures.
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government what plans it has to expand the use of artificial intelligence and digital tools in healthcare delivery, and how these can be applied to address challenges in rural healthcare.
Answer
Artificial intelligence is already proving itself to be a force for good in our health and social care service, providing a range of healthcare solutions that are transforming services for the better and in a number of cases, saving lives. An example where AI activity is already taking place in rural areas is through the North of Scotland AI Strategy for Health and Social Care.
AI is a comparatively new technology, and a number of projects and applications for our healthcare services are currently at the research and development stage, or being tested and piloted within particular areas or within single NHS Boards. This is allowing us to learn from what works and what has potential for national scale.
We also recognise that, to harness the benefits of AI at a national level, we need to ensure that our data available across NHS and social care services is fit for purpose to enable AI to work safely and effectively. It’s why, in partnership with COSLA, we launched our first Data Strategy for Health and Social Care in February 2023, committing to adopt a national approach to the ethical, transparent consideration of adoption and implementation of AI-based tools, products and services.
As part of our commitments set out in our Data Strategy we intend to publish a framework for the safe and ethical use of AI across health and social care. This will take place by July 2025 and will set out more information on our approach to AI implementation in Scotland.
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government whether it has any plans for NHS Scotland to combine medical records in a database that is shared with third parties, similar to the reported proposals by NHS Digital for England.
Answer
Health data is shared, typically in an aggregated and anonymised format, with trusted third parties through trusted research environments known as ‘Safe Havens’. These Safe Havens comprise of a national Safe Haven within Public Health Scotland and four regional Safe Havens associated with NHS Grampian, Greater Glasgow and Clyde, Lothian, and Tayside.
Safe Havens play a crucial role in protecting personal data, providing a secure space, and supporting the secure use of NHS data for researchers to access and analyse healthcare data without compromising individual privacy. Within Safe Havens researchers can work with anonymised or pseudonymised data, reducing the risk of re-identification of individuals. By implementing robust security measures and access controls, Safe Havens ensure that only authorised individuals can interact with the data, and that they can only access the level of data that is appropriate and proportionate.
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Shona Robison on 29 January 2025
To ask the Scottish Government what data it holds on the reach and engagement of its social media campaigns, and how it uses this data to guide future spending.
Answer
I refer the member to the answer to the question S6W-33751 on 29 January 2025. 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
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Shona Robison on 29 January 2025
To ask the Scottish Government how it ensures that it is receiving value for money in its spending on social media management and related services.
Answer
I refer the member to the answer to the question S6W-33751 on 29 January 2025. 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
In addition to the evaluation process detailed in response to S6W-33751, the Scottish Government utilises robust procurement frameworks to ensure value for money. The Marketing Services Frameworks are used for provision of social media support as part of a wider portfolio of work. The process involves a mini competition inviting all contractors to tender for the work and awarding to one, with both quality and price assessed. Requirements of the winning agency are therefore clearly stated, and contractually agreed, as are the charges payable for the service requirement with the successful contractor. Framework providers are responsible for ensuring costs are an accurate reflection of the level of work to be undertaken. Outputs are measured as part of the campaign evaluation process. Overall agency performance is evaluated bi-annually between contract owners and agencies.
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government what steps are being taken to ensure that rural areas, including Aberdeenshire, are adequately equipped with healthcare resources to address future challenges posed by climate change.
Answer
It is the responsibility of all Health Boards in Scotland, including those with rural communities, to ensure they put measures in place to address future challenges posed by climate change.
The Climate Change Sustainability and Environment Team within NHS Scotland Assure is available to provide support and advice to Scotland's Health Boards on climate change adaptation actions, including addressing any issues specific to rural areas.
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 21 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government what progress it has made in implementing telemedicine solutions in rural healthcare settings, and what impact this has had on patient outcomes over the last five years.
Answer
See answer to question S6W-33537 on 27 January 2025 regarding progress. Telemedicine related developments focus on ensuring people get choice in how they access care services, support independent living and reduce unnecessary appointments, regardless of where they live.
An example of this is the rollout of Digital Therapy services which has been successfully completed with 35 evidenced digital treatments available in all areas of Scotland, including all rural and remote areas. Across digital therapy services a range of technologies have been integrated into clinical service delivery to ensure that services can be accessed in a variety of ways to meet the circumstances of the individual. Over 74,000 referrals and self-referrals were received into digital therapy services in 2023-24.
Data provided by local services indicates high levels of usage of digital therapy services across remote and rural areas, with good clinical outcomes and showing much greater levels of treatment, accessibility and availability in these areas. NHS Shetland, NHS Orkney and NHS Western Isles are some of the biggest users of digital therapies when adjusted for population.
Near Me video consulting for groups continues to show positive impact in areas such as travel miles saved. However, enabled choice is driving greater uptake and engagement with 81% of people completing Near Me group courses over just 75% attending in person. The average weight loss is 3.2kg for Near Me group sessions for weight management groups, nearly twice the average weight loss (1.7kg) for an in-person session. Further information is published here - near-me-groups-report-march-2023_0.pdf
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