Chamber and committees

This specific information is not held centrally. In terms of health and social care more generally, the Scottish Government is working to develop a medium term financial framework, within the context of the budget settlement that the Scottish Government receives. This will be to outline the broad direction for the NHS and care services to meet the changing needs of the people of Scotland, including taking account of such demographic factors and shifting the balance of care towards community health services.

At a local level, Integration Authorities are responsible for strategic planning of adult social care services. The Scottish Government is providing analytical support in local partnerships to support analysis of demand for social care support.

Since April, Integration Authorities have new responsibilities under the Carers (Scotland) Act 2016 for local carer strategies setting out carer support available locally, including short breaks, and an assessment of demand. They are also responsible for publishing short breaks services statements providing information about short breaks available for both carers and those they care for.

Due to developments in the NHS Research Scotland infrastructure, directly comparable data across the clinical specialties is only available from 2015-16. The following table shows patient recruitment to clinical trials by year, broken down by the 27 NHS Research Scotland clinical specialties. The 2017-18 figures are subject to final verification.

Information on consultant numbers, of which consultants working in surgical specialities is a sub category, is published by ISD Scotland and is available at the following web links:

Data from 1997-2007 can be found here: https://www.isdscotland.org/Health-Topics/Workforce/Historic-Data/WFB03_B04_HB_REG.xls

Data from 2007-Dec 17 can be found here: https://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-03-06/Medical_Trend_D2017.xls

The number of health visitors employed by NHSScotland is published quarterly by Board.

• Data from 2015 to the most recent data, published on 5 December 2017, can be found at https://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-03-06/Health_Visitors_D2017.xls .

Further notes:

• Further information on the statistics, including information on how the data are collected and notes to aid interpretation, is given in the 'FAQs' section of the Workforce Statistics website at http://www.isdscotland.org/workforce/

The following table shows the numbers of deaths from (a) external causes which cause hypoxia and (b) fetal hypoxia. It is not practical to provide figures for deaths from all the other diseases in which hypoxia may play a part.

Deaths for which the underlying cause was either (a) an external cause of hypoxia or (b) fetal hypoxia, registered in Scotland from 1999 to 2016.

This question seeks police data, which is not held by the Scottish Government. The Government understands that complete figures may not be available for the time period requested, due to differing approaches among legacy forces.

The Scottish Government supports development of trauma-informed services and work is underway to raise awareness of the impact of trauma and adverse childhood experiences amongst various sectors.

Education Scotland has developed a range of professional learning resources and support materials to support implementation of nurturing approaches across Scottish schools. These include the document “ Applying Nurture as a Whole School Approach ”, a framework for self-evaluation of a Nurturing approach in schools and Early Learning and Childcare settings. https://education.gov.scot/improvement/documents/inc55applyingnurturingapproaches120617.pdf . All materials complement development of trauma-informed schools, offering guidance on meeting the needs of all children and young people but particularly those who have experienced early adversity and trauma.

Education Scotland are developing additional professional learning materials which give further guidance and support for children who have experienced early adversity and trauma, and curricular materials to help children and young people develop an understanding of early adversity and trauma. It is hoped that these will be available in the academic session 2018-19.

In June 2017, a report was published by the multi-disciplinary Scottish Adverse Childhood Experiences Hub, hosted by NHS Health Scotland, to inform thinking about the impact of adverse childhood experiences within education. http://www.healthscotland.scot/media/1517/tackling-the-attainment-gap-by-preventing-and-responding-to-adverse-childhood-experiences.pdf In March 2018, a conference was held by Education Scotland, NHS Health Scotland and the Scottish Government to share best practice on addressing adverse childhood experiences in education.

http://www.healthscotland.scot/events/2018/march/relationships-and-resilience-addressing-childhood-adversity-to-support-childrens-learning-and-wellbeing

In May 2017, NHS Education for Scotland and the Scottish Government published “ Transforming Psychological Trauma: A Knowledge and Skills Framework for the Scottish workforce ”. The Reference and Implementation Group for this Framework now includes representatives of Education Scotland and it is currently developing a training plan to support the workforce to put necessary trauma training in place. This Group will consider how this work can be applied in schools, including how it fits with existing practice around nurturing approaches and development of trauma informed practices in schools.

The Scottish Government provided funding to NHS Lothian in 2017 to support the addition of a VOICES survey component into an evaluation of several other methods of capturing bereaved carer feedback. This work is being taken forward by NHS Lothian and is supported by the City of Edinburgh Health and Social Care Partnership, and by Marie Curie.

Extensive preparatory work is required to conduct this study and this is underway. Navigating this process and identifying potential barriers and solutions to the effective administration of such surveys will be one of the key lessons from this project.

The Scottish Government looks forward to receiving the findings of the study in due course.

The information requested is not held centrally. This information may be available from NHS Boards.

We are continuing to develop the Health Visiting Services to deliver a consistent enhanced service to all families and grow the workforce to meet additional demands. The Universal Health Visitor Pathway, published in October 2015, outlines a core home visiting programme as a minimum standard to be offered to all families with children under 5 years of age. The pathway is being implemented by NHS Boards on an incremental basis as new health visitors are recruited, and it is expected that full implementation will be achieved by 2020.

The Scottish Trauma Network (STN) aims to better meet the needs of the population of Scotland. The STN has been established to support four regional networks (North, East, South East and West), the Scottish Ambulance Service and the Scottish Trauma Audit to working collaboratively across traditional specialty and geographical boundaries to effectively deliver high quality, integrated care to severely injured patients. The STN has made assessment of trauma-informed emergency services, from pre-hospital through acute and into rehabilitation provision. This new approach will save more lives and improve patient outcomes.