Chamber and committees

I can confirm that in 2018-19 the City of Edinburgh Council will again receive an additional £3.9 million in recognition of the increased costs that are associated with Edinburgh being Scotland’s capital city.

Since 2016-17, we have provided £187,500 in project funding to support chronic pain research on behalf of the Scottish Government and NHS in Scotland, at the University of Dundee. This is looking at the development of better data and the collection of best evidence to help drive improvements in pain services, and is phased over a planned three-year period.

The research was initiated to collect detailed data on a one-year long pilot study across three NHS Pain Services (Lothian, Tayside and Fife) in Scotland. Its aim was to assess the process, utility and challenges associated with data collection within these services to improve these NHS services for people affected by chronic pain.

The initial stages of the research have been completed. The current stage aims to translate and implement the findings from the initial phase. Scottish Government receives frequent updates on activity and output from the research team, and these include;

- study of existing data collection from three chronic pain services

- analysis of the strengths and weaknesses of these, and the associated systems

- design of a draft core minimum dataset for collection by pain services across Scotland

- design of draft Quality Performance Indicators, for pain services across Scotland

- consultation with professional stakeholders around these data and QPIs

- initiation and completion of evidence-based guidelines for management of chronic pain in children and adolescents

-systematic review of interventions to support reduction of opioid treatment

- support for the Scottish Pain Research Community's Annual Scientific Meeting, and further development, to inform best management in Scotland.

Any future funding will be considered against progress made towards agreed outcomes.

The reporting of waiting times data was a standing item for discussion at the meetings of the Ministerial Steering Group (MSG) on Chronic Pain. Officials met with ISD on 13 January 2017 to provide feedback from patient representatives of the MSG following discussion of the waiting times publication at the MSG on 4 October 2016.

In relation to waiting times data for return appointments, the MSG maintained a position that as this data would not lead to better outcomes for people with chronic pain other options should be explored and subsequently approved progression of the development of a National Chronic Pain dataset.

The Ministerial group has been replaced by the National Advisory Committee for Chronic Pain, which met for the second time on 19 December 2017 and is chaired by Deputy Chief Medical Officer, Gregor Smith. That group, which includes patient representatives, will oversee the development of the National Chronic Pain dataset.

ISD adheres to the Code of Practice for Official Statistics which is underpinned by the Statistics and Registration Services Act (2007). This is achieved by listening to users of their statistics through consultations and adjusting their statistical outputs accordingly, ensuring their statistical reports are protected from any political pressures, and presenting statistics impartially and objectively.

As part of moving the Chronic Pain Waiting Times Publication from developmental status to Experimental Official Statistics, ISD carried out a consultation with users and published a report in October 2017. ISD will be implementing changes over forthcoming publications and are also happy to receive feedback on publications at any point in time.

In line with the commitment set out in the Cancer Strategy, I can confirm that two radiotherapy physics trainee posts per annum were filled in 2015-16 and 2016-17.

The 2015 Scottish Cancer Patient Experience Survey included all cancers covered by the ICD10 codes from C00 to C96 except C44 (malignant neoplasms) and C84 (some types of lymphomas). This is consistent with the approach taken for other UK Cancer Patient Experience Surveys.

I refer the member to the answer to question S5W-13567 on
9 January 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

The Scottish Government supports NHS Health Boards in their efforts to ensure that they have the right staff in place to meet the healthcare needs of the local population.

NHS Lothian have advised that when the decision was taken to temporary close its Paediatric In-Patient Unit at St John's Hospital on 7 July 2017, a commitment was made to operate a Short Stay Paediatric Assessment Unit (SSPAU) between 08:00hrs to 20:00hrs, Monday to Friday.

NHS Lothian have confirmed that since the introduction of the temporary model, the Board has been able to keep the SSPAU open at the weekends through staff undertaking additional shifts coupled with the use of locum cover. Due to unplanned absence, at short notice, the Board was unable to staff a safe rota for both the 3 and 9 December, resulting in the SSPAU closing on these days.

The Board commissioned the Royal College of Paediatrics and Child Health (RCPCH) to review the work undertaken to secure a sustainable 24/7 staffing model. The College has carried out a review and produced a report which was received by the Board in the Autumn. It concluded that option one remained both the RCPCH’s and NHS Lothian’s preferred option for St John's Paediatric services i.e. 24 hour consultant and Tier 2 [middle grade] cover. The College recognised that the development of this model was a long-term solution depending upon the successful recruitment of consultants, Advance Nurse Practioners (ANP) and Specialty and Associate Specialist Doctors.

NHS Lothian has given an assurance that it is committed to increasing staffing levels and reinstating the 24/7 model.

The information requested is provided in the following table. The results of each iteration of the Health & Care Experience Survey (and its predecessor), including numbers of responses, are available at www.gov.scot/GPSurvey.

A variety of changes have been made for the 2017-2018 Health & Care Experience Survey to maximise efficiency and keep costs down, including:

• A number of aspects of the project which were previously contracted out have been brought in house.

• A survey contractor has been used for administrative aspects of the survey that, for logistical reasons, cannot be completed in house. Value for money was a key criteria in the evaluation of tenders submitted for this work.

• The look of the survey materials has been refreshed to better engage with survey respondents and increase response rates. This has included reducing the length of the questionnaire by a third.

• The sampling and weighting methodologies for the survey have been reviewed to ensure that they remain suitable and proportionate.

• Changes to the mail-out approach for the survey to encourage respondents to complete the survey online.

• Local level results, which have previously been published as static reports, will be presented via an interactive dashboard which will allow individuals and organisations to interrogate the data in different ways to meet their particular needs.

The Scottish Government supports NHS Health Boards in their efforts to ensure that they have the right staff in place to meet the healthcare needs of the local population.

We have been assured by NHS Lothian that despite significant investment, the Board continued to face challenges with recruitment and sustaining a 24/7 workforce. Therefore it reluctantly took the decision, in the interest of children and their families, to implement an interim model on 7 July 2017.

The Board commissioned the Royal College of Paediatrics and Child Health (RCPCH) to review the work undertaken to secure a sustainable 24/7 staffing model. The College has carried out a review and produced a report which was received by the Board in the Autumn. It concluded that option one remained both the RCPCH’s and NHS Lothian’s preferred option for St John's Paediatric services i.e. 24 hour consultant and Tier 2 [middle grade] cover. The College recognised that the development of this model was a long-term solution depending upon the successful recruitment of consultants, Advance Nurse Practioners (ANP) and Specialty and Associate Specialist Doctors.

NHS Lothian has given an assurance that it is committed to increasing staffing levels and reinstating the 24/7 model.