Chamber and committees

The symptom list on NHS Inform focuses on the early symptoms of sepsis. It highlights the importance of a high or low temperature, which can encompass a wide range of sources of infection that may potentially cause sepsis.

On 27 May 2022, Healthcare Improvement Scotland’s (HIS) Scottish Patient Safety Programme (SPSP) issued a statement regarding the Society of Critical Medical Care’s Surviving Sepsis Campaign (SSC) and the Academy of Medical Royal Colleges (AoMRC) Statement on the initial antimicrobial treatment of sepsis. The statement outlines the SPSP’s revised approach to the identification and management of adults with sepsis.

Furthermore HIS’s Scottish Intercollegiate Guidelines Network (SIGN) are currently reviewing SIGN Guideline 139 – Care of Deteriorating Patients to include an updated section on sepsis addressing Primary and Secondary Care considerations.

The requested information is not held centrally by the Scottish Government. NHS National Services Scotland (NSS) has advised the most accurate data source on NHS Scotland waste performance are the annual Public Sector Reports on Compliance with Climate Change Duties which are available for each Health Board. These reports are published on the Sustainable Scotland Network website ( Sustainable Scotland Network - The Sustainable Scotland Network ) and are available from the period 2014-15 to 2020-21.

We have outlined clear actions within the upcoming NHS Scotland Climate Emergency and Sustainability strategy to manage the risk of environmental harm from our activities, promote good environmental stewardship and reduce the impact of our waste. This includes working to improve data recording of waste collections and reporting against the national waste target of recycling and composting 70% of all Scottish waste by 2025, and sending no more than 5% to landfill.

I refer the member to the answer to question S6W-00456 on 18 June 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

The Scottish Government is taking steps to make it cost-effective for smaller projects to sell carbon credits under the Woodland Carbon Code, which will benefit crofters given crofts are generally much smaller units of land. It is recognised that the finance that could be available through the sale of carbon credits under the Code could make the difference between projects being viable or not viable. The Woodland Carbon Code Secretariat at Scottish Forestry has developed a ‘streamlined’ application process for small woodland creation projects (up to 5 hectares) which simplifies the prediction of carbon sequestration, reduces the requirement for regular plot surveys and has fewer requirements throughout the validation and verification process.

Projects can also be ‘grouped’ together by a project developer for validation and verification which further reduces cost. This removes some of the cost and administrative barriers for smaller projects. This could open the opportunity for crofters to form informal “co-operatives” where they wish to embark collectively on validating and verifying their projects, but any crofters wishing to do this would should contact Scottish Forestry or one of the WCC project developers for further guidance.

Scottish Forestry has also been working with both crofting and farming tenants through the Integrating Trees Network through a series of webinars allowing both crofters and tenant farmers to ask questions and find out more information about tree planting.

As referred to in response to S6W-08593 on 1 July 2022, we were pleased to receive the report and recommendations from the National Partnership for Culture, and recognise that the broad themes in the report align with our priorities across Scottish Government. Scottish Government officials are working together across the Health and Culture portfolios to review the Health and Wellbeing recommendations. Our response to the National Partnership for Culture recommendations will be published shortly.

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 first phase of a rail decarbonisation scheme to electrify the Fife route (Haymarket to Dalmeny section), is moving to construction.

Work on this estimated £55 million scheme will begin in June 2022 with the section between Haymarket and Dalmeny. It is due for completion by December 2024.

This scheme forms part of a rolling programme that is expected to see electrification extended to Dundee and Aberdeen.

Beyond this, further development work on the business cases for decarbonising the Borders Line has been approved to progress to the next design phase for partial electrification of the route using battery electric multiple units.

This continues the Scottish Government’s rolling programme of railway electrification, with work already in delivery on the East Kilbride and Barrhead routes.

Approval has also been given for a procurement competition to identify a preferred manufacturer and financier for new trains to operate decarbonised rail passenger services on the Fife and Borders routes .

Action 12 of our Learning/Intellectual Disability and Autism: Towards Transformation Plan committed to explore the establishment of mandatory autism and learning/intellectual disability training for all NHS staff. We will consider how this applies across multi-disciplinary settings and use the evaluation findings from the Oliver McGowan Mandatory Training pilot to inform our approach to learning disability and autism training in Scotland.

The Scottish Government has also commissioned NHS Education for Scotland (NES) to develop the NES autism training framework as a tool for services and learners, alongside funding a Learning Disability Team at NES to improve the knowledge and skills of the health and social care workforce.

The Scottish Government does not hold this information.

A 2018 report by the Mammal Society under contract to Natural England, Natural Resources Wales and Scottish Natural Heritage, which reviewed the status of British mammal populations including the red fox, is the most recent survey to have been carried out.

The full report can be found at: http://publications.naturalengland.org.uk/publication/5636785878597632

Shortages of medicines are an ongoing part of the day to day management of the NHS. Hormone Replacement Therapy (HRT) medicines and all other medicines experience supply issues for varying times and for varying reasons, including difficulty in sourcing core ingredients, divestment by pharmaceutical manufacturers and international market volatility. Many shortages are short in nature.

There are over 70 HRT products available in the UK. There have been ongoing supply problems with some products, some are irregular supply while others are a longer term shortage. The Scottish Government first issued (26 August 2019) NHS Circular PCA(P) (2019) 18 on HRT supply issues. Regular Medicines Supply Alert Notice (MSAN) are issued for any HRT product experiencing supply problems. All MSANs are published at SHOW - Scotlands Health On the Web - Publications

A serious of UK wide Serious Shortage Protocols (SSP)were introduced for the following HRT products

Premique® low dose 0.3mg/1.5mg modified release tablets

Oestrogel® pump-pack 750mcg/actuation gel,

Ovestin® 1mg cream,

Sandrena® 0.5mg and 1mg gel sachets,

Lenzetto 1.53mg transdermal spray

Each SSP is individually developed and authorised clinically, to enable community pharmacists and dispensing doctors to dispense a different strength or formulation or alternative medicine or appliances in accordance with the protocol, rather than having to refer prescribing decisions back to the original prescriber. These protocols are time limited. SSPs can be found at SHOW - Scotlands Health On the Web - Publications .

We continue to press the UK Government to seek a lasting resolution to HRT supply issues as quickly as possible.

We are working closely with NatureScot and Scottish Forestry in exploring the best approach to develop a new National Register of Ancient Woodlands. A new National Register of Ancient Woodlands is part of a suite of initiatives that will be underpinned by a new biodiversity strategy which will be published in Autumn 2022.