Questions and answers

Question reference: S5W-33443

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 24 November 2020
Current Status: Answered by Joe FitzPatrick on 7 December 2020

To ask the Scottish Government how many people have been hired or seconded to work with the Clinical Priorities Unit on policy on chronic pain and other related long-term conditions; which third sector organisations have been involved; what the cost of the (a) salaries and (b) other expenses have been, and who the team leaders on policy have been in each year since 2011.

The Clinical Priorities Unit currently has six people seconded at B2 and B3 salary bands to deliver policy on chronic pain and other long-term conditions. A number of the secondments are from third sector organisations: Action for ME, Versus Arthritis, Children's Hospices Across Scotland, British Heart Foundation and, the Alliance.

Disclosing salaries and names of team members would contravene the data protection principles in Article 5(1) of the General Data Protection Regulation and in section 34(1) of the Data Protection Act 2018.

Policy responsibility sits with the Healthcare Quality and Improvement Division.

Question reference: S5W-33476

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Monday, 23 November 2020
Current Status: Answered by Clare Haughey on 4 December 2020

To ask the Scottish Government what action it takes to ensure that antipsychotic drugs are not given to older people in care homes or hospitals as a chemical restraint.

The Scottish Government’s Standards of Care for Dementia set out standards for the prescribing, use and review of psychoactive medications across all care settings. Such medication should be prescribed following appropriate individual clinical assessment and consultation with families and only after all other alternatives, including therapeutic interventions, have been explored. The Scottish Government funds two national dementia workforce programmes to support implementation of the standards.

In September, the Scottish Government produced a communication on psychoactive medication prescribing and review which was circulated by Care Inspectorate to care providers. This communication summarised and reinforced current guidance on the prescribing and review of psychoactive medication for people with dementia across all care settings.

Question reference: S5W-33520

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 25 November 2020
Current Status: Answered by Michael Matheson on 4 December 2020

To ask the Scottish Government, further to the answer to question S5W-32413 by Michael Matheson on 29 October 2020, what issues have been raised in correspondence regarding the Spaces for People initiative.

Question reference: S5W-33134

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 10 November 2020
Current Status: Answered by Jeane Freeman on 3 December 2020

To ask the Scottish Government how it is assessing what impact service changes such as virtual GP consultations are having on cancer diagnoses.

The use of Near Me has grown rapidly since March, with over 18,000 consultations now taking place each week. This has grown from around 300 per week pre-covid. Near Me was a Programme for Government commitment and we want to continue to build on this success. We also recently undertook a public engagement exercise on the use of Near Me where we had important patient views as well as positive engagement with MacMillan, Marie Curie and Hospices across Scotland who gave helpful insights into where video consultations worked very well and also where face to face or phone was preferable. The summary report can be found here - https://www.gov.scot/publications/public-clinician-views-
video-consultation-executive-summary/pages/1/

Continued engagement with key partners and with the public will continue to be important on how we deliver this service.

Near Me was developed with patients and clinicians so that it is as easy to use as possible for as many people as possible, though it won’t be for everyone and we will always ensure that a face to face or telephone appointment is available to those who need them. It also offers other benefits including reducing the need to travel and therefore helping the environment.

Question reference: S5W-33477

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Monday, 23 November 2020
Current Status: Answered by Clare Haughey on 3 December 2020

To ask the Scottish Government whether it is aware of any evidence or studies that indicate that the use of antipsychotic drugs in older people can suppress their immune system.

Clinical staff will always make individual clinical decisions and will assessments on prescribing antipsychotic medication based on patient risk factors, benefits and existing conditions.

The Scottish Government’s Standards of Care for Dementia set out standards for the prescribing, use and review of psychoactive medications across all care settings. Such medication should be prescribed following appropriate individual clinical assessment and consultation with families and only after all other alternatives, including therapeutic interventions, have been explored.

The risk of blood disorders (leukopenia/neutropenia/agranulocytosis) which involve a reduction in the number of white blood cells involved in the immune response is a recognised adverse drug reaction for antipsychotic medicines. A reduction of these blood cells can lead to an impaired immune response and an increased risk of infection. The risk of blood disorders when using antipsychotic medicines applies to all patients taking these medicines regardless of their age.

A list of the recognised side effects for every antipsychotic medicine is provided in the product information which accompanies the medicine. This includes the product’s Summary of Product Characteristics for healthcare professionals and a Patient Information Leaflet. The product information for each antipsychotic medicine can be found on the electronic Medicines Compendium website at www.emc.medicines.org.uk .

Question reference: S5O-04843

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 02 December 2020
Current Status: Taken in the Chamber on 10 December 2020

To ask the Scottish Government what plans it has to upgrade the Edinburgh City Bypass.

Question reference: S5W-33135

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 10 November 2020
Current Status: Answered by Jeane Freeman on 2 December 2020

To ask the Scottish Government whether its National Cancer Treatment Response Group will provide an update on the estimated number of people affected by any backlog in cancer services.

Question reference: S5W-33187

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 11 November 2020
Current Status: Answered by Jeane Freeman on 2 December 2020

To ask the Scottish Government what plans it has to recruit retired (a) nurses, (b) doctors and (c) other NHS workers to help with the forthcoming COVID-19 vaccination delivery programme.

We are actively identifying doctors, nurses, allied health professionals and support services staff, who had expressed their interest in returning to service via the NHS Scotland Accelerated Recruitment Portal, to assist with the forthcoming Covid-19 vaccinations programme.

Additionally the Chief Medical Officer and Chief Nursing Officer have written jointly to professional regulators to seek assistance with identifying further suitably qualified personnel who may be on the temporary or emergency registers. We remain in active dialogue with both the regulators and with health boards, in order that they can now take forward appropriate additional recruitment from within these pools.

We will take a sustainable approach to assessing the ongoing workforce and workload requirements associated with the programme. This includes supporting boards to take forward new temporary and permanent recruitment, and working with primary care, pharmacy, dentistry and optometry colleagues who all have a significant contribution to make. Further we are working across the public sector, with local authority partners and with the military, to ensure we have the right end-to-end logistics and delivery infrastructure, as we take forward the largest vaccination programme ever delivered in Scotland.

Question reference: S5O-04823

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 25 November 2020
Current Status: Taken in the Chamber on 3 December 2020

To ask the Scottish Government how much funding it plans to allocate to projects in Lothian that will help support people and jobs.

Question reference: S5W-33089

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Friday, 06 November 2020
Current Status: Answered by Joe FitzPatrick on 25 November 2020

To ask the Scottish Government what assessment it has made of data from Japan and Sweden that reportedly suggests there is a link between vitamin D deficiency and higher mortality and respiratory infection rates in care homes.

Chamber and committees