Chamber and committees

On behalf of the National Advisory Committee for Chronic Pain (NACCP), the Deputy Chief Medical Officer commissioned Scottish NHS Boards to provide information about the quantity of different healthcare professionals working within specialist pain services across Scotland, as well as qualitative information about recruitment/ retention challenges and succession planning for this workforce group.

The information is still being collated and assessed, in accordance with the data protection laws, to consider whether the data is identifiable to individuals and should be treated as personal data. This will determine what information can be shared with the NACCP in the first instance, who in turn will advise what findings should be published, alongside minutes of its meeting, on the Scottish Government website at https://www.gov.scot/Topics/Health/Services/Chronic-Pain/NACCP/NACP-Minutes .

Scottish Government data is not available for individual local authorities or regions with reference to Munchausen by proxy syndrome or fabricated or induced illness (FII).

The offence of child abuse arising from FII is a criminal offence under Section 12 (schedule 1) (“Cruelty to persons under 16”) of the Children and Young Persons (Scotland) Act 1937. The table below shows the total number of prosecutions in Scotland under section 12 schedule 1 from 2007 to 2017:

Table of Information has been filed with SPICe under BIB Number: 60209

Further to the answer to question S5W-13509, in 2018-19 a final payment of £87,500 has been made in support of this work.

The answer to S5W-14264 on 23 February 2018, clarified that due to data protection laws and the very small number of research posts involved, the Scottish Government cannot release information that could lead to individuals being identified, which would breach their right to privacy.

The following summarises progress against the activities set out in the answer to question S5W-13509:

Consultation on the Core Minimum Dataset (CMD) is now complete. Recent progress, including responses to the consultation exercise, is available at http://www.nhsresearchscotland.org.uk/research-areas/pain/sub-page-2

The Scottish Government is currently liaising with the project team and NHS Information Services Division (ISD) to agree how the Core Minimum Dataset and Quality Performance Indicators will become part of routinely collected data that is reported by ISD.

The evidence-based guideline for the Management of Chronic Pain in Children and Adolescents is now published at https://beta.gov.scot/publications/management-chronic-pain-children-young-people/pages/14/

The systematic review of interventions to support the reduction of opioid treatment is in progress, as part of the implementation of the Scottish Chronic Pain Prescribing Strategy https://www.therapeutics.scot.nhs.uk/pain/ . This will provide standalone guidance for prescribers to support discussions with patients about withdrawing from opioid drugs where this is safe and appropriate. This resource is also being used to update the opioids section of the Scottish Intercollegiate Guidelines Network – Guideline-136.

Updates on the work of the Scottish Pain Research Community can be found at https://www.nhsresearchscotland.org.uk/research-areas/pain .

I refer the member to the answer to question S5W-19158 on 6 November 2018. 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 .

Workforce data on Health Visitors is published by ISD Scotland.

1. Information on health visitors from 2007 to 2014 can be found on the statistics web site at: https://www.isdscotland.org/Health-Topics/Workforce/Publications/2017-12-05/Non-Medical_Trend_S2017.xls

2. Information on health visitors from 2015 onwards can be found on the statistics web site at: http://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-09-04/Nursing-and-Midwifery.asp .

Health Visitors were part of a review of community nurses data. Therefore, information on the Health Visitor workforce after March 2015 is not comparable with previous years

We have engaged continuously with all Health Boards since the commitment to the delivery of the additional 500 Health Visitors in place by the end of December 2018 was made. The information provided to date suggests we are on track to meet this commitment.

Note: The Nursing and Midwifery dashboard (link in point 2. above) shows the number of Health Visitors since March 2015. You can see this on the Trend tab by setting the

• NHS Board filter to the Boards you wish (NHS Scotland and the territorial Boards),
• Sub Job Family filter to Health Visiting,
• Qualified/Support filter to Qualified,
• AfC Band filter to Bands 6 and above.

You can view the figures by Whole Time Equivalent or Headcount, and also by a chart or table.

Work is well underway to implement the 76 recommendations contained within The Best Start: A Five Year Forward Plan for Maternity and Neonatal Care in Scotland. The recommendations have been split into those suitable for local and national implementation and a lead on local implementation has been identified in all 14 NHS Boards.

The five Early Adopter Boards identified to lead on early implementation of a suite of recommendations relating to continuity of carer and local delivery of care are making good progress and are aiming to roll this new model of care out across their Boards during 2019. The remaining Boards will start their planning for continuity of carer and local delivery of care shortly.

A full written update on progress will be available at the end of the year and will be placed in SPICe.

The Scottish Government welcomes the recently published ESPAUR report which details progress on tackling Antimicrobial Resistance (AMR) in England as part of the UK AMR Strategy 2013-2018. Health Protection Scotland will publish its next Scottish One Health Antimicrobial Use and Antimicrobial Resistance (SONAAR) Report in November 2018, which will provide similar details of progress with tackling AMR in Scotland. The previous SONAAR report, published in November 2017, can be viewed here: https://www.hps.scot.nhs.uk/resourcedocument.aspx?id=6900 .

The Scottish Government continues to support a broad programme of activities in collaboration with national stakeholders to tackle AMR across human and animal health. This includes surveillance of antimicrobial use and resistance, quality improvement interventions to optimise prescribing of antimicrobials, education of health and care staff, and campaigns to increase awareness of AMR and the appropriate use of antibiotics aimed at patients and the general public.

This data is not centrally held by ISD because the recording of data is subject to variation due to the complexity of this area. As it stands, there is not a way of identifying attempted or completed suicides within Mental Health Units in the Scottish Morbidity Record (SMR) dataset, however, ISD has an ongoing programme of data quality assurance to improve the quality of data collected.

Information broken down by patient age group is not available.

The most recent figures for both routine and urgent wheelchair repairs, broken down by service area for the 12 months up to September 2018, are available at http://www.retis.scot.nhs.uk/wheelchairquality.html under ‘Quality Ambitions Data’.

The number of patients on the waiting list on 30 June 2018 - latest published information - for an urology operations or procedure at Edinburgh Western General Hospital was 922 of which 363 had been categorised by the referrer as urgent and 559 as routine. In the quarter ending 30 June 2018 the median wait for a urology patient to receive inpatient or day case procedure was 65 days.

I am aware that patients requiring treatment across Scotland, including the urology service at Edinburgh Western General Hospital, is below the level I expect which is why I published on 23 October 2018, the Waiting Times Improvement Plan to direct more the £850 million investment to substantially and sustainably improve elective care waiting times, including urology, over the next 30 months. The main areas of the Improvement Plan is to increase capacity across the system, increase clinical effectiveness and efficiency as well as designing and implementing new models of care.

There will also be work undertaken to build on the significant additional recruitment and training which is ongoing across medical and nursing professions including enhancing workforce capacity in key specialties including urlogy. I expect that by Spring 2021 that all patients requiring inpatient or day case treatment to be treated within the 12 weeks legal treatment guarantee, including urology patients to be treated in the Edinburgh Western General Hospital.