Chamber and committees

I refer the member to the answer to question S6W-03808 on‎ 8 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.

Public Health Scotland publish figures quarterly and annually on the number of acute beds broken down by NHS Board of Treatment and Specialty.

The most recent annual publication, covering April 2020–March 2021, was published on 29 September 2020.

The Scottish Government set out the local arrangements that should be put in place to provide clinical and professional multi-disciplinary team oversight for social care services during the COVID-19 pandemic in a letter dated 17 May 2020.

These arrangements, which build on the foundations of health and social care integration, have contributed to the protective arrangements for care home and care at home services during the pandemic. The Scottish Government wrote to local MDT oversight teams in March 2021 setting out the expectation that these arrangements should continue for the remainder of the pandemic and beyond, although these will need to evolve taking account of learning and local circumstances.

The additional funding announced will enable both the establishment of new multi-disciplinary teams and strengthening of existing teams.

I recognise that there are now a number of apps supporting the Covid response in Scotland, however none of the pre-existing apps (e.g. Protect Scotland) offered the ability to provide secure, authenticated access to an individual’s health record. For this reason, a separate app was required.

Officials also explored whether it was possible to extend the use of the existing NHS App from England – where people in England can access their Covid Status – into Scotland. However, the NHS App was originally designed for a very different purpose, it is linked to GP practices in England and requires use of the separate NHS Login which only exists in England and Wales. In discussion with NHS Digital it became clear it was not a feasible option. This is because the timescales involved in joining the NHS App, coupled with the fact Scotland holds its vaccination data in a different way to England and would mean we would lose control over our own scheme.

People in Wales cannot use the NHS App either, they are currently limited to the shared England/Wales online portal accessible with an NHS Login.

Whilst the certificates that are in use in Scotland have been designed to the same international standards as the rest of the UK, and our paper certificates all follow the same template in the UK to ensure consistency, it is appropriate that we design a scheme that is right for Scotland, works in our context, and offers us the flexibility to adapt to our changing circumstances.

On top of the £1.9 billion provided to support COVID pressures in health and care this year, as set out in the statement, the £300 million represents additional investment to specifically support winter pressures.

This is funded from health and social care consequentials.

There are no plans to undertake an immediate metastatic breast cancer audit. Our focus currently remains on maximizing available clinical capacity to see patients. Our £114.5m National Cancer Plan has a range of measures aimed at benefitting all cancer patients, including implementation of a single point of contact resource that will support patients throughout their pathway, and after discharge, including those with secondary breast cancer. We are however giving further clinical consideration to possible audit work in this area while recognising the ongoing severe pressures in our NHS.

When making the difficult decision to suspend any non-urgent elective surgery, Health Boards are following local decision making on an daily and weekly basis, dependant on where the most pressures are ensuring urgent elective and Cancer surgery continues.

Where there are any changes being made to a patients treatment plan we expect discussions to take place between patient and clinician. The Clinical Prioritisation Framework is being used by Health Boards to ensure that patients with the greatest clinical need are treated first.

To support elective activity mutual aid is being sought between Health Boards and the NHS Golden Jubilee are supporting various Boards across Scotland undertaking Cancer, Ophthalmology and Cardiology services.

Moving forward we have published our NHS Recovery Plan. Recovery focusses on alternatives pathways of care that allow people to be treated more quickly closer to home and also delivers long term sustainability. The plan is backed by more than £1 billion of investment over the next five years.

As set out in the announcement, the £300 million is both additional and recurring investment, demonstrating Scottish Government’s commitment to enabling longer term planning, particularly on workforce, to ensure a well-supported and resilient health and social care system.

Further detail on planned expenditure will be determined and set out in the forthcoming 2022-23 Scottish Budget. The 2022-23 Scottish Budget will be published on 9 December.

The Scottish Government obtains information which informs how we identify and advise people at highest risk of becoming severely ill or dying from Covid-19 from a variety of reliable UK and international sources. While that evidence is published and readily available, it is not always easy for people at highest risk to understand or to translate into informed choices about individual behaviours. We are therefore planning to publish a summary of the current evidence that underpins our advice in a form that people find accessible this autumn.

We continue to monitor closely and assess this next phase of the pandemic. The current package of statutory measures is considered an appropriate public health response to the incidence or spread of infection in Scotland in line with our strategic intent to suppress the virus to a level consistent with alleviating its harms while we recover and rebuild for a better future. We have acted to give as much clarity and consistency as possible to individuals, businesses, and sectors within society, and we will continue to do so. The fact that COVID-19 continues to be a threat – to individual health and to the capacity of our health system – is the reason why our existing mitigations remain in place.

However, we are keeping these measures under review, with regular reviews scheduled every three weeks. As part of this process, we will consider whether any existing mitigations need to be strengthened in light of what the data is telling us.

Cabinet Secretaries and officials have renewed efforts to engage with sectoral stakeholders to re-invigorate stronger messaging on the need to comply with existing baseline measures. This means taking all possible proactive steps to promote and reinforce baseline measures, the promotion of advisory precautionary measures and sector specific good practice in all sectors.