Chamber and committees

This issue is being considered by the Scottish Government in conjunction with NHS Boards.

Data detailing spending on additional support for learning is collected
from local authorities via the Local Financial Returns (LFR).

Data from 2017-18 is provided in the following tables.

As highlighted in the answer to questions S5W-08627 on 24 April 2017
and S5W-08983 on 8 May 2017, there are issues around the quality of
this data. This means that accurate comparisons between local authorities
and between years cannot be made. A lack of consistency in how local
authorities have broken down the information to primary, secondary and
special categories means that this data does not consistently represent
the levels of spending in different categories of schools in local authorities.

We recognise the challenge facing authorities and that decisions about
prioritisation and budgets, including those for the provision of services for
pupils with additional support needs, are a matter for individual councils,
balancing their need to meet a wide range of statutory duties, local priorities
and local circumstances.

Table 1 shows gross revenue expenditure on additional support for learning
education from 2017-18 split by Pre Primary, Primary, Secondary and Special Education.

Table 1

The Scottish Government will lay an updated version of the Charter before Parliament once the current revision is complete. This work is expected to be completed by Summer 2019. Plans for the publication and effective promotion of the Charter are being developed with NHS Inform meantime.

The Scottish Government recognises the important role of primary care teams in delivering care to patients living with advanced, serious illness or at the end of lives, and their loved ones.

The Daffodil Standards for GPs provides a useful resource for practice teams who wish to improve on the care that they provide to people near the end of life. We will consider if there is more we can do to ensure all GP practices are aware of the standards and this resource.

I refer the member to the answer to question S5W-21701 on 4 March 2019. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx

Prescribing data is not associated with diagnostic data in the Prescribing Information System (PIS) dataset or in the Hospital Medicine Use Database (HMUD). It is reasonable to make the assumption that the prescription of these drugs indicates the patients are being treated for advanced Parkinson’s disease.

The number of people prescribed apomorphine and duodopa in Primary Care in the 12 months up to November 2018 is shown in Table 1.

Table 1. Number of people prescribed apomorphine and duodopa in the community in Scotland in the 12 months up to November 2018.

Since starting inspections in September 2009, a total of 295 safety
and cleanliness inspections have been undertaken in hospitals by
the Healthcare Environment Inspectorate. This is broken down as
follows:

The information requested is not held centrally. However, the number of hospital discharges where a diagnosis of Parkinson’s disease was recorded, per year, for the last 10 years in Scotland, is available.

Note that the same person may be counted more than once in these figures, and that they do not include patients with Parkinson’s disease who were not admitted to hospital during this period.

Number of discharges from an acute hospital with a diagnosis of Parkinson’s disease recorded, by year, Scotland, 2009-18*.

SIGN is part of the Evidence Directorate of Healthcare Improvement Scotland and receives core funding from Healthcare Improvement Scotland. It is editorially independent from Healthcare Improvement Scotland and the Scottish Government.

Any group or individual can propose or request a review of a SIGN guideline by completing a proposal form and returning it to the SIGN Executive. Guideline topics are selected on the basis of burden of disease, the existence of variation in practice, and the potential to improve outcomes. There is a defined process that SIGN follows to support proposers to develop their proposals and then selection criteria that aid the Guideline Programme Advisory Group to decide which proposals to accept for guideline development. The SIGN Council ratifies these accepted proposals.

The Scottish Government recognises the importance of effective asset management and investment planning to ensure that the health and care estate and supporting services are fit for purpose and capable of adapting to and encouraging new models of care delivery.

Our Capital Investment Strategy (CIS) will be brought to Parliament before the end of the financial year. The CIS will take a broad overview of required investment across primary and community care facilities, acute hospital infrastructure, digital technology, and medical equipment and will set out the further steps we will take to support all boards to continue to improve and maintain their estate and asset base.