Chamber and committees

Novavax Nuvaxovid is currently available in all Health Boards as an alternative to the Pfizer and Moderna mRNA vaccines and is only to be used in exceptional circumstances. This means that when mRNA vaccines are not considered clinically suitable, the Novavax vaccine may be used for booster vaccination of adults over 18 years. Not clinically suitable means that you can only have Novavax if you have a specific history of allergies to the mRNA vaccines or its ingredients, or your condition makes it unsuitable.

The Scottish Government understands that there is normally a GP or practice nurse routinely present at Leadhills Surgery every week. There has recently been reduced presence due to annual leave but patients were able to see a doctor in the main surgery in Moffat if necessary.

I have raised this issue with Julie White, Chief Officer in the Dumfries and Galloway Health and Social Care Partnership, who has advised that following the temporary closure of the in-patient facilities a total of 52 staff were re-deployed.

The deployed community staff are currently supporting:

• 102 packages of care (535.5 hrs) which equates to circa 120 individuals to support care at home sector
• The opening of 18 beds in Mountainhall Treatment Centre as an intermediate care facility as a step down from Acute Care.
• The Marie Curie and district nursing 24/7 services have resulted in reducing the need for cottage hospital beds as the partnership are able to support caring for more people in their homes.

I refer the member to the answer to question S6W-12387 on 29 November 2022. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

I refer the member to the answer to question S6W-12387 on 29 November 2022. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

I have no current plans to do so but I wrote to Councillor Archie Dryburgh of Dumfries and Galloway Council on 20 October 2022. In that letter I confirmed that the Scottish Government would honour the commitment I made during my visit on 3 November 2021 to provide financial support to the Council. I set out that the Scottish Government will provide £33,000 of revenue funding and £25,000 of capital support, which represents half of the Council’s additional expenditure, in relation to the recovery and replacement of the two footbridges.

Should the Scottish Government become aware that a Health Board was reportedly not ensuring in-person patient access to GPs, where clinically appropriate, was maintained, my officials would engage with the Health Board in question and establish the situation. I recently wrote to all GP practices setting out my expectations on patient access and announcing the General Practice Access Group to establish key principles for access to general practice

Health Boards have a statutory duty to deliver primary medical services.

The Scottish Government is aware of 44 GP practices which are run by partners who are also a partner at one or more other GP practices where the combined total is of more than 12,500 registered patients.

This data is held by Public Health Scotland.

Scottish Government does not hold this information.

Health Boards are responsible for delivering Primary Medical Services, usually through contracting with independent GP practices. Health Boards should be satisfied that GP partners are sufficiently engaged in providing Primary Medical Services as a condition of the contract.

As I stated in Parliament in May, community hospitals form an integral part of local health-care delivery systems, providing care closer to people’s homes which is personalised, holistic and patient-centred.

In April 2020, following the emergence of the COVID Pandemic all areas developed surge plans. As part of this surge planning Dumfries and Galloway command and control took the decision to temporarily close 4 cottage hospital in-patients facilities to allow for surge. It also allowed the partnership to support more people at home, which we knew was the safest place for their care. Additionally, the partnership opened 18 intermediate care beds in Mountainhall Treatment Centre.

Following the pandemic it is essential that services continue to evolve and develop new ways of working that can keep people safe at home, or in a homely setting for as long as possible. However, decisions regarding the future of local services are best done at a local level, in consultation with the local population who use them.