Chamber and committees

We agree that practices in deprived areas must be adequately represented in undergraduate and postgraduate training for GPs. That is why the SG offers 20K GPST bursaries for “hard to fill” posts. “Hard to fill” includes areas of socio-economic deprivation. 101 bursary posts filled in 2018, an increase of 41 from 2017.

In terms of undergraduate teaching, recommendations of the Increasing Undergraduate Education in Primary Care Group, chaired by Dr John Gillies, will be published shortly. The report will make recommendations with a view to increasing the number of undergraduate teaching practices including in areas of deprivation.

The SG has also funded 60 new places at Aberdeen and Glasgow Universities, both of which will offer placements in GP Deep End practices.

In order to avoid any conflict of interest there is a clear separation of duties between the Scottish Parliamentary Corporate Body and the Fund Trustees.  Under Schedule 1, Part B, Rule 8 of the Scottish Parliamentary Pensions Act 2009 (the 2009 Act) the Scottish Parliamentary Corporate Body is responsible for the appointment of Fund Trustees.  Under Schedule 1, Part D, Rule 32 of the 2009 Act the Scottish Parliamentary Corporate Body is also responsible for providing the funding for the employer pension contributions. 

Under Schedule 1, Part B, Rule 5 of the Scottish Parliamentary Pensions Act 2009, the Fund Trustees are responsible for the governance, management and administration of the Scheme and for the management of the Scheme's assets, including decisions around setting the Scheme's investment strategy.  I understand the Trustees discussed the investment strategy at their recent quarterly meeting.  Given their lead responsibility and the statutory position which requires them to operate independently of the Scottish Parliamentary Corporate Body, the Member might wish to raise this matter directly with the Fund Trustees.

The Tackling Child Poverty Delivery Plan set out that, if no action were taken, levels of child poverty in Scotland could rise to affect one in three children by 2030. The independent analysis behind these projections noted that the key reason for these projected increases was the announced UK Government cuts, primarily the benefit freeze and the two child limit. The impact of these cuts was predicted to be most acute in the period to 2020.

To address this challenge, we committed to a range of concrete action within our first Tackling Child Poverty Delivery Plan. This includes new support such as: a new minimum School Clothing Grant of at least £100 for every eligible child; a new Financial Health Check service, and; enhanced support through the Best Start Grant.

We will publish our first annual progress report by the end of this month and provide an update to Parliament on activity underway and future activity planned.

Under the Carers Act, young carers have the right to a personalised plan to identify what support they need. This could include the need for bereavement support where they are caring for someone with a terminal illness. We have just finished consulting on regulations to set priority timescales for preparing such plans for young carers in this situation.

Every Health and Social Care Partnership area must also now have a local information and advice service for carers. These must provide information and advice on a range of carers’ rights and support, including on bereavement support available to carers.

Furthermore, the Scottish Government has committed to appointing a National Childhood Bereavement Coordinator for Scotland over the next two years until April 2021. The position is currently being advertised and we hope to have someone in post before the end of the summer. The coordinator will act as the national champion for understanding the needs of all children who have experienced bereavement and work in partnership with key stakeholders to drive forward improvements in bereavement services support for children and young people across Scotland.

The “Other (known)” category is used by local authorities where the outcome is known but does not fit into any of the other outcome categories listed in the following table. The Scottish Government does not collect any further information regarding what these outcomes are.

The Scottish Government does not hold information on supplies held by NHS Boards in their stores. It is for NHS Boards to manage supplies and to ensure that they support the delivery of quality health care.

Sanitary facilities at NHS sites should address the needs of occupants and visitors, both in terms of availability and accessibility.

NHS Scotland has an increasing number of adult changing facilities and facilities to empty or change medical appliances, such as stomas, across facilities in Scotland. Changing Places Toilets (CPTs) are provided for public use in a growing number of NHS recent and upcoming investments, including Dumfries & Galloway Royal Infirmary; Wishart Health & Community Centre; Stirling Care Village, Orkney Hospital, Skye Hospital, Greenock Health Centre. In many of the older facilities, including Queen Margaret Hospital and Forth Valley, existing toilet facilities have been increasingly upgraded and/ or simply registered (e.g. with www.changingplaces.org) to make them more publicly accessible.

In 2017, the NHSScotland facilities guidance for Sanitary Spaces (HBN 00-02) was updated to include a presumption of a CPT provision within the main public area for all new investments, both refurbishment or new build; unless proven by Equality Impact Assessment as not required, e.g. due to immediate proximity of an CPT.

The practice of company employment or company sponsoring of specialist stoma nurses within NHS Scotland ceased in 2006. The nurses' transfer into direct NHS employment was one of the outcomes from a Scottish Executive review of the supply of stoma appliances in the community, which were circulated to NHS Scotland through a Health Department letter, HDL (2006) 15. A link to that letter is as follows:

https://www.sehd.scot.nhs.uk/mels/hd2006_15.pdf

The rationale for the decision was to improve governance and reduce the risk of conflict of interest for stoma care nurses within Scotland, and that remains the position of the Scottish Government.

I refer the member to the answer to question S5W-23499 on 6 June 2019. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at: http://www.parliament.scot/parliamentarybusiness/28877.aspx .

The Scottish Government is developing a monitoring and evaluation framework to monitor the impact of the Young Carer Grant on the quality of life of young carers. On-going stakeholder engagement will provide the Scottish Government with further opportunities to refine our approach in monitoring the impact of the Young Carer Grant.