Chamber and committees

Audiology Waiting Times have not been published since 27 May 2014, following an agreement between the Scottish Government and Public Health Scotland that this was no longer required. Audiology services are currently measured as part of the 18 Weeks Referral to Treatment (RTT) standard. For more information on this standard, and to view the latest publication, please see the 18 Weeks RTT page . Please note that this publication does not go down to specialty level and shows the performance of NHSScotland and the Health Boards for all specialties only. This information can also be found at ISD Audiology Waiting Times website .

In January 2022 the Cabinet Secretary of Health and Social Care announced an Independent Review of Audiology would be established to examine hearing services provided to both children and adults in Health Boards across Scotland, to ensure public confidence in the quality and effectiveness of current service provision. The group will provide recommendations for a national plan for improvement of the service and its specific remit will be published by the Chair via its Terms of Reference in due course.

Public Health Scotland (PHS) receives monthly data from most NHS Boards on the number of patients covered by the 18 weeks Referral to Treatment (RTT) standard seen within each specialty, including audiology. Due to the aggregate nature of this data collection, the requested detail on average length of wait and age are not available.

However, the following table shows the total number of patients seen and the number that waited over 18 weeks to be seen for audiology services across NHS Scotland, from January 2014 to December 2021 – the latest complete calendar year. This includes all patients reported as seen on the 18-week Referral to Treatment (RTT) pathway for audiology.

Total patients seen and number of patients that waited over 18 weeks, January 2014 – December 2021, NHS Scotland, Audiology

There is no place for racism and we recognise that structural and institutional barriers continue to exist in the NHS.

The NHS ethnic minority forum is working with the Scottish Government to drive change. Work is underway to develop anti-racist resources and targeted interventions to support minority ethnic staff and help them progress in their careers.

A refreshed Fair Work action plan will be published later this year, including a focus on minority ethnic employment. A new ethnicity pay gap strategy will also set out our approach for employers in addressing racial inequality in workplaces.

The Scottish Government is committed to delivering a high quality healthcare service to the people of Scotland, including those with liver disease. To support NHS Scotland ensure it has the workforce capacity to deliver those services, we published the National Health and Social Care Workforce Strategy on 11 March 2022, which outlines our ambitions for recovery, growth and transformation of our workforce. Workforce projections for Health and Social Care will be published later this year. These will incorporate evidence from local Three Year Workforce Plans.

We will support Health Boards with their recruitment needs as set out in their plans directly through investment in international recruitment.

NHS Scotland's staffing levels are at a record high, and have now increased for ten consecutive years. We have also funded record numbers of healthcare education places this academic year.

Scottish Government is committed to ensuring that everyone with liver disease is able to access the best possible care and support and benefit from healthcare services that are safe, effective and person-centred.

We are working with the UK Government and other devolved administrations on the development of the revised UK-wide clinical guidelines for alcohol treatment, which will include the treatment of liver diseases. The updated guidelines are expected to be published for consultation later this year.

We are improving our ability to detect cancer and to treat it successfully. That is why we continue to invest in our £44m Detect Cancer Early Programme, which adopts a whole systems approach to diagnosing and treating cancer as early as possible. This will include the early detection of liver cancer.

General Practice and Primary Care multi-disciplinary teams will continue to play a key role in supporting patients with long-term condition management, including those with a diagnosis of liver disease, alongside specialist treatment services within Scotland’s healthcare system.

The latest findings of the British Liver Trust show that alcohol-related liver disease accounts for 60% of all liver disease and that 94% of British adults associate alcohol with liver disease and people with liver disease often feel stigmatised.

The impact of stigma often prevents people from accessing treatment or limits delivery of a successful intervention.

Liver diseases are generally avoidable, or treatable, if diagnosed at an early stage. Stigma often prevents people from accessing treatment; 75% of people currently being diagnosed are at a stage when it is too late for lifestyle changes or intervention.

The Scottish Government is committed to tackling stigma and ensuring that people are diagnosed and treated more quickly. In December 2021 a national campaign was launched to tackle the stigma people with problematic alcohol and drug use face.

We are working with Scottish Health Action on Alcohol Problems to develop an action plan in relation to alcohol and stigma. This work builds on the earlier work of the Drugs Death Task Force around drugs and stigma.

Living with overweight or obesity is linked with an increased risk of developing a range of health conditions, including non-alcohol-related fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). According to the 2019 Scottish Health Survey , two-thirds of adults in Scotland were overweight or obese. Obesity prevalence in Scotland has remained relatively stable since 2008.

The Scottish Government has not carried out a specific assessment of the impact of rising levels of obesity on NAFLD or NASH.

We want everyone in Scotland to eat well and have a healthy weight. We continue to implement our 2018 Diet and Healthy Weight Delivery Plan . We also continue to support NHS boards to improve weight management services in line with our Type 2 Diabetes Prevention, Early Detection and Intervention Framework and Public Health Scotland’s national standards .

Further information on NAFLD and NASH is available to the public and clinicians on NHS Inform and other professional groups such as British Society of Gastroenterology , and charitable organisations such as British Liver Trust .

Under the Flood Risk Management (Scotland) Act 2009, it is Local Authorities who are responsible for developing and delivering Flood Protection Schemes. The Scottish Government works closely with all local authorities to ensure that appropriate support is available to enable them to fulfil their duties under the Act.

It is recognised that the Grangemouth Flood Protection Scheme is unique in Scotland in terms of scale and complexity. Falkirk Council provide regular updates to the Scottish Government and this collaboration will continue as the scheme progresses towards formal Notification.

Falkirk Council are responsible for the development of the Grangemouth Flood Protection Scheme. They have held a variety of public engagement events since 2019. Public information sessions will continue through 2022 and early 2023 using a variety of means including newsletters, social media updates, and drop in events.

A public exhibition will be held on the proposed flood defences before the Scheme goes into the formal Notification stage. The Notification process is a statutory requirement under Schedule 2 of the Flood Risk Management (Scotland) Act 2009.

A record of previous and future engagement activities are available from the scheme website ( www.grangemouthfloodscheme.com ).

As promoter of the Grangemouth Flood Protection Scheme, Falkirk Council is required and committed to protecting natural habitats and enjoyment of the waterways while constructing flood defences that will safeguard communities.

The Scheme acknowledges the nationally and internationally-significant environmental designations present in the area which provide habitat for large numbers of birds. A precautionary approach has been adopted and consultation with the relevant Statutory Authorities is ongoing. An Appropriate Assessment and Habitats Regulations Appraisal (HRA) will form part of the Scheme documentation.

The Environmental Impact Assessment (EIA) considers the possible impact of the scheme and proposed mitigation measures under a number of headings; including wildlife and biodiversity, air quality, noise and vibration, landscape and cultural heritage. This assessment will be concluded later this year and be published when the Scheme is Notified.