Chamber and committees

The information requested is publically available from PHS. This release provides information on alcohol-related inpatient and day case activity within general acute and psychiatric hospitals in Scotland. The release covers general acute hospital activity for the financial years 1981 to 1982, until 2019 to 2020 and psychiatric hospital admissions from 1997 to 1998 until 2018 to 2019. Due to limited data completeness the psychiatric hospital admissions were not updated for the financial year 2019 to 2020.

The most recent publication is available here Alcohol related hospital statistics - Scotland financial year 2019 to 2020 - Alcohol related hospital statistics - Publications - Public Health Scotland.

More detailed information on alcohol treatment will become available for future years following the full implementation of the DAISy system which went live from 1 December 2020.

While the Scottish Government has overall responsibility for health and social care policy in Scotland, it is for the regional health & social care partnerships to determine the level of services that are required to meet local needs and to arrange an appropriate and suitable range of services to meet these local needs, as mandated under statute in the Public Bodies (Joint Working) (Scotland) Act.

Local Authorities are distinct corporate bodies whose powers are set out in statute and as such are entirely separate from the Scottish Government, however it is the expectation of the Scottish Government that Local Public Bodies will operate their own autism strategies which will involve engaging with Autistic people in relation to decisions that affect them in an accessible way.

a) This is not monitored nationally.

b) This is a matter for local public bodies. The information requested is not held centrally.

The Women’s Health Pan will be published by the end of this month, August 2021, and within the first 100 days of the new session of the Parliament.

The dental sector has been disproportionately impacted by the pandemic. Pre-COVID levels of patient volume are currently not achievable within the current framework of infection, protection and control (IPC) measures.

The Scottish Government has recently announced a 50 per cent increase in free PPE to dental practices and new funding of £5m to support improved ventilation facilities in dental surgeries. Both these measures are intending to increase the productivity of practices, enabling them to see more patients, within the current set of IPC constraints.

We can also confirm that we are working closely with UK partners as part of the review of IPC Guidance as we emerge from this pandemic. The intention is to ensure that as soon as it is safe to do so dental services can resume normal levels of activity.

The responsibility for the delivery of prisoner healthcare, including services to women living in the new community custody units in Dundee and Glasgow, rests with local NHS Boards.

The Scottish Government is working collaboratively with the SPS, NHS Tayside and NHS Greater Glasgow and Clyde to determine what the healthcare provision will be in the community custody units. We are aiming to deliver a healthcare model that better meets the healthcare needs of women in custody and aligns with the transformative vision for the new female prison estate.

In October 2019 the Scottish Health Technology Group (SHTG) recommended that: “Where patients understand and are willing to accept the demands, risks and uncertainties of treatment, autologous haematopoietic stem cell transplant (AHSCT) should be considered as a treatment option for patients with relapsing-remitting multiple sclerosis (RRMS) who have evidence of significant inflammatory disease activity that has not responded to adequate treatment with licensed high-efficacy disease modifying therapies (DMTs).”

Following comprehensive clinical assessment, relevant diagnostic testing and consideration by a specialist multi-disciplinary team, AHSCT can be offered to MS patients from Scotland where they meet this criteria and when it is clinically judged that the benefits of treatment outweigh the risks. In these circumstances such patients can be referred by their NHS Consultant for this specific treatment at a specialist centre in England.

Stem cell transplantation is currently undertaken in Scotland for other clinical reasons, however specific expertise in its use for the treatment of MS is still developing. In order to ensure that patients receive the highest level of safe, patient-centred care, clinical consensus is that this is currently best delivered by one of the most experienced centres globally, located in Sheffield. Although delayed by the need to focus resources on COVID-19, key stakeholders within NHS Scotland are continuing discussions regarding a potential Scottish pathway for this treatment.

AHSCT is an intensive treatment which carries a very high risk of infection for many weeks, due to severe immunosuppression as part of the treatment pathway. In March 2020 the Association of British Neurologists (ABN) recommended postponing this treatment in patients with MS until the risk of coronavirus receded, due to the potential for severe illness in those with compromised immune systems. As of November 2020, the ABN advises its use only in exceptional cases of relapsing disease.

I refer the member to the answer to question S6W-01751 on 6 August 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 .

Scottish Government expect Local Public Bodies to engage inclusively with autistic people about decisions that affect them. However, it is the decision of Local Authorities on what engagement should take place and how this is monitored.

While Scottish Government has overall responsibility for health and social care policy in Scotland it is for local Health & Social Care Partnerships to assess local need and arrange support services, as mandated under statute in the Public Bodies (Joint Working) (Scotland) Act. Local Authorities are distinct corporate bodies whose powers are set out in statute and as such are entirely separate from the Scottish Government.

While the Scottish Government has overall responsibility for health and social care policy in Scotland, it is for the regional health & social care partnerships to determine the level of services that are required to meet local needs and to arrange an appropriate and suitable range of services to meet these local needs, as mandated under statute in the Public Bodies (Joint Working) (Scotland) Act.

Local Authorities are distinct corporate bodies whose powers are set out in statute and as such are entirely separate from the Scottish Government, however it is the expectation of the Scottish Government that Local Public Bodies will engage with Autistic people and children, including their families where appropriate, in relation to decisions regarding the allocation of funding for autism services.

Scottish Government decisions on national funding in relation to the autism strategy, are taken in consultation with key stakeholders including autistic people through our national strategy leadership arrangements.

Local authorities are independent corporate bodies with their own powers and responsibilities, separate from the Scottish Government. As such, the information requested is not held by the Scottish Government and would have to be obtained directly from individual local authorities or from COSLA.