Chamber and committees

I refer the member to the answer to question S6W-25063 on 27 February 2024. 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 .

The Scottish Government fully supports rail freight and modal shift, thus this is outlined in the 2016 rail freight strategy https://www.transport.gov.scot/media/5362/ts-rail-freight-strategy-a4-aw3.pdf

In 2019 Network Rail, and the industry, developed a comprehensive Industry Growth Plan for Rail Freight and an updated Plan for longer-term growth is being developed.

Our priority for supporting Rail freight remains in facilitating more efficient operation - through investment in capacity, adjustment of passenger services and encouraging and requiring Network Rail to support rail freight. We want rail freight to be competitive without the need for subsidy.

The Scottish Budget: 2024 to 2025 allocated £2.2 million to the Scan for Safety programme. Funds available will meet initial costs of new systems and necessary licences; provide boards with advisors on implementation; meet the costs of scanning handsets; and, help to introduce scanning in services where implanted devices are used.

The NHSScotland Scan For Safety Programme was established to provide rapid electronic traceability for high-risk implantable medical devices; linking patients to the medical devices used in their care, thus improving patient safety and fulfilling a key theme from the Independent Medicines and Medical Devices Review and a future regulatory requirement. In addition, the improved medical device data will provide a patient implant record and with appropriate safeguards provide an opportunity to improve our knowledge of real world medical device outcomes.

Implementation of NHS Scotland Scan for Safety has now been successfully completed in four specialties within two Health Boards and the Programme Team is currently engaging with the local Board teams to measure the benefits being realised in these Health Board areas. The benefits to be realised over time will cover areas such as patient safety, operational efficiency and clinical productivity. While the level of each benefit will depend on the Health Board implementing scanning technology across all affected specialties within a Board area, the Programme Team will work closely with each Board to ensure the identified benefits are maximised as much as possible between now and programme closure in March 2026.

Since the rollout of the National Inventory Management System (IMS)(a pre-cursor in supporting rollout of the Scan for Safety Programme), across all Health Boards in March 2023, data is now available across all Health Boards which suggests savings may be made regarding stock management in each Board area. This data will be validated with each Health Board as part of the Scan for Safety Programme implementation activity, due to be completed by March 2026. The level of savings (or avoidance) will vary in each Board. These benefits will be aggregated at a national level in due course and reported through to the National Programme Board as implementation progresses. Some benefits, such as the digital tracking of medical devices in the event of a recall, can only be realised and verified if a recall notice is received and this may not happen during the lifecycle of the programme.

The Scottish Government is collaborating with four nations partners on the adoption of data standards and has representation on various UK-level groups. Through our Data Strategy for Health and Social Care we have committed to setting out the preferred standards for use across the sector to facilitate interoperability and the sharing of patient records. In progressing this aim we have recently engaged with English and Welsh colleagues on their approach to adopting and publishing standards.

The NHS Scotland Scan for Safety Programme is focused on improving traceability and patient outcomes for high risk implantable medical devices. The Programme has established pilot sites in NHS Lothian and NHS Golden Jubilee with both sites implementing Point of Care data capture in key specialities.

NHS Western Isles will commence implementation of Scan for Safety in March 2024. Work is underway to confirm further NHS Boards for roll-out in financial year 2024-25. It is planned at present to implement Scan for Safety across territorial boards by the end of March 2026.

The Scottish Government recently provided details of plans connected to electronic patient records to the Health, Social Care and Sport Committee – see Electronic patient record | Scottish Parliament Website

The Scottish Government has no plans to reinstate the Carers Register in GP practices.

The Carers Register was previously undertaken by practices as part of the Quality and Outcomes Framework (QOF). The requirement for practices to complete the QOF was removed in 2016 and quality planning, improvement and assurance within general practice is now carried out through GP Clusters.

The Scottish Government recognises the vital role played by carers and practices can continue to use markers on their patient registrations to recognise those with caring duties.

The existing "Scottish Government Records Management Health and Social Care Code of Practice (Scotland) 2020 has short section on dealing with health records of those who identify as transgender. This links to guidance from the Medical and Dental Defence Union of Scotland, the General Medical Council and NHS National Services Scotland (NSS). It was recognised in 2020 that it was an area under development, and subsequently the Scottish Government's Chief Statistician issued guidance for public bodies on the collection of data on sex and gender (2021). The draft Records Management Code of Practice for Health and Social Care, due out in the spring of 2024 aims to incorporate the Chief Statistician's guidance along with feedback from stakeholders and provide further guidance to NHS Boards.

We recognise the scale and impact of heart disease across Scotland and have set out our strategic direction to address this in our 2021 Heart Disease Action Plan. This includes actions to ensure that people with suspected heart disease have timely and equitable access to diagnosis, treatment and care.

We are making progress in the delivery of these actions including the development of nationally agreed pathways and ensuring the effective use of data to drive improvements.

We expect Health Boards’ 2024-25 annual delivery plans (due March) to clearly set out how they will increase productivity and reduce waiting times across all inpatient, day-case, outpatient specialities.

The information requested on what the current vacancy rate is for cardiac physiologists in NHS Scotland is not centrally available.

Information on Healthcare Science staff in post and cardiology consultants, can be found on the TURAS NHS Education for Scotland workforce statistics site at: NHS Scotland workforce | Turas Data Intelligence .