Chamber and committees

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%).

There have been four Gateway Reviews of Scotland’s Deposit Return Scheme. Regular Gateway Reviews are a standard part of the Scottish Government’s project management framework, there is no requirement to notify the Scottish Parliament in advance when a Gateway Review is commissioned.

Since May 2021 the Cabinet Secretary for Justice and Veterans has taken a number of meetings and attended events at which victims/survivors have been present. As people will not always disclose or wish to mention the nature of their experiences, or want these recorded, it is not possible to provide a definitive answer. However, at least 14 meetings and events over the period where victims/survivors have been present have been identified.

We have undertaken significant engagement with people who have lived experience of energy limiting conditions and organisations which represent them. Adult Disability Payment has been designed to be inclusive and accessible for people with energy-limiting conditions. Applications can be made through a choice of channels and the questions are relevant to people with fatigue and fluctuating conditions. Social Security Scotland makes entitlement decisions based on the individual’s account of the impact of their disability or condition and other supporting information, including from people’s wider support network. This is particularly helpful for people who may have difficulty accessing a diagnosis or treatment.

Consultations between a client and a health and social care practitioner employed by Social Security Scotland will only be held when necessary. Examinations, such as asking clients to touch their toes, will not be used as they do not provide reliable information, especially in relation to energy-limiting conditions. Social Security Scotland case managers also stringently apply the reliability criteria. This means that entitlement decisions must take into account the full impact fatigue has on individuals when completing activities, including any recovery time needed afterwards.

Regular open and constructive engagement with the early learning and childcare sector continues to be a vital part of our approach to policy development. This includes engagement with the sector representative bodies, and through the Childcare Sector Working Group, which last met on 16 June 2022.

Scottish Government and Education Scotland’s ‘Realising the Ambition – Being Me’, the national practice guidance on supporting young children’s learning, was published in 2020. Private providers contributed to its development via sector representative bodies and through a series of consultation events held across Scotland in order to seek the views of practitioners working in the public, private, third and childminding sectors.

All NHS Boards in Scotland already have access to resources to support the early prevention of thrombosis-related deaths. These include SIGN 122, the national clinical guideline for the prevention and management of venous thromboembolism. The implementation of SIGN guidelines is the responsibility of NHS Boards.

Discussions regarding salary settlements are a matter between the Employer, ScotRail Trains Ltd and ASLEF.