Chamber and committees

There are 15 prisons located throughout Scotland, 2 of which are managed privately.

Responsibility for providing prison healthcare was transferred from Scottish Prison Service (SPS) to NHS in 2011, and as such the Scottish Government does not hold data on the mental health workforce.

Data such as the number of staff in post or vacancies is collected on specific job roles but not within specific settings such as prisons.

While the Scottish Government provides funding for recruitment under Action 15, workforce and service planning is conducted by Integration Authorities according to the needs of their populations.

Under Action 15 of the Mental Health Strategy 2017-27, 54.4 whole time equivalent (WTE) mental health posts have been recruited to in our prisons.

As of 19 July 2022 we had issued 79 letters to people receiving Personal Independence Payment to let them know the transfer of their award to Adult Disability Payment has begun. These cases were selected as part of our small Personal Independence Payment to Adult Disability Payment pilot. Once Adult Disability Payment launches nationally on 29 August, we will begin selecting large numbers of Disability Living Allowance and Personal Independence Payment awards for transfer.

We have also developed and are delivering a strategic communication and engagement plan for case transfer. This includes a series of stakeholder roadshows to key stakeholders as well as stakeholder newsletters. We have also included case transfer messaging in our Adult Disability Payment communications such as media releases, opinion pieces, social media posts on Scottish Government and Social Security Scotland channels and paid for marketing campaigns that have run in the pilot areas. Paid for activity has covered radio, social media, digital and print. We will continue implementing this communication and engagement plan as the case transfer process continues.

The guidelines for the diagnosis of thrombosis and similar artery and vein clot conditions are provided by the Scottish Intercollegiate Guidelines Network (SIGN), specifically SIGN 122 for the prevention and management of venous thromboembolism.

The Diagnostics in Scotland Strategic Group (DiSSG) is the national group that holds responsibility for ensuring the continued coherent development and delivery of high quality diagnostic services in Scotland. The DiSSG acts as an advisory board including providing strategic direction and advice on new diagnostic tests.

The NHS Recovery Plan commits to innovation in diagnostic procedures and an increase in capacity over the next 5 years of 90,000 procedures by 2025-26, including diagnostics of thrombosis and similar artery and vein clot conditions.

Case transfer is a joint programme between the Scottish Government and the Department for Work and Pensions. We aim to have safely and securely transferred the awards of everyone living in Scotland in receipt of devolved disability and carer benefits currently delivered by the Department of Work and Pensions to Social Security Scotland by the end of 2025.

From 29 August 2022, adults in Scotland in receipt of Disability Living Allowance will have their awards moved to Adult Disability Payment if they would otherwise have been asked by the Department for Work and Pensions to apply for Personal Independence Payment. Final policy is still being developed on moving the awards of all other adults currently in receipt of Disability Living Allowance.

It is not possible to provide the percentage of individuals admitted to NHS Scotland who are assessed for venous thromboembolism (VTE) as this data is not routinely recorded.

The General/Acute and Inpatient Day case Dataset (SMR01) contains records where pulmonary embolism and phlebitis and thrombophlebitis of the lower extremities are listed as the primary diagnosis.

These conditions are usually recorded in an inpatient setting, on the SMR01. The structure of the International Classification of Disease and Related Health Problems 10 revision (ICD10) does not allow for easy identification of Venous Thromboembolism.

I refer the member to the answer to question S6W-08833 on 14 June 2022. 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 has recently announced a new set of ambitious targets to eliminate long waits, with an initial focus on long waits over two years for new outpatients by August 2022 and for inpatients and day case procedures by September 2022.

We have recently stepped down the Clinical Prioritisation Framework that was in place since November 2020 to help Boards prioritise waiting lists throughout the Covid-19 pandemic.

This move is a return to pre-pandemic approach of treating patients on an urgent and routine basis, giving Health Boards and clinicians full flexibility to manage waiting lists with a focus on eliminating long waits, as well as continuing to treat the most clinically urgent patients.

People will have their Disability Living Allowance award selected for transfer to Adult Disability Payment if they would otherwise be required to claim Personal Independence Payment. These will be individuals that were under 65 on 08 April 2013 and, after 29 August 2022, report a relevant change of circumstances, are due to have their award renewed, or that ask to have their award transferred.

We estimate that approximately 3,000 people in Scotland could see their Disability Living Allowance awards transferred to Adult Disability Payment between 29 August 2022 and 29 August 2023.

On 24 June it was confirmed that all Temporary Covid Policies (including Special Leave) will be removed ( https://www.sehd.scot.nhs.uk/dl/DL(2022)21.pdf) and that from 1 September 2022, NHS Scotland colleagues who are absent due to COVID-19 will revert to contractual sick leave entitlement (Section 14 – Sickness Absence https://www.msg.scot.nhs.uk/wp-content/uploads/AfC-Handbook-Master-Scottish-Copy-2021-Revamp.pdf ).

All NHS colleagues benefit from the Once for Scotland Attendance Policy ( https://workforce.nhs.scot/policies/attendance-policy-overview/attendance-policy/ ) which aims to encourage attendance and support employees, where health issues impact on their ability to be at work.

At present, support for people with Long COVID in Scotland is underpinned by the full range of NHS services, including local primary care teams, community based rehabilitation services and referrals for secondary care investigation where needed.

To ensure care continues to be resourced and delivered across Scotland in the most appropriate way, we are investing an initial £3 million from our Long COVID Support Fund over this financial year to support NHS Boards and key partners to take forward a range of projects to improve care and support for people with Long COVID.

This will provide resource to enable Boards to design models of care tailored to the specific needs of their local populations, which may involve strengthening the co-ordination of existing services, or establishing dedicated services where appropriate.

The Scottish Government expects NHS Boards to provide the best possible care for those who have experienced a stroke, including thrombolysis where considered clinically appropriate.

The Scottish Stroke Improvement Programme (SSIP) report, published on 28 June and available at: https://www.strokeaudit.scot.nhs.uk/index.html , notes a clear effect of the waves of COVID-19 on hospitals.

Stroke admission numbers often fell during the early waves of the pandemic, with patients possibly avoiding seeking medical attention due to the COVID-19 pandemic, and this may help explain the increase in stroke admissions between 2020 and 2021. The trend of increased stroke admissions between 2020 and 2021 is not unique to NHS Lothian and was observed across Scotland.

The proportion of patients who received thrombolysis in NHS Lothian in 2021 (8.9%) was broadly in line with the proportion of stroke patients who received thrombolysis across Scotland (9.1%).