Chamber and committees

As part of wider improvements to General Practice (GP) IT, testing found that Scottish Primary Care Information Resource (SPIRE) could not continue to be fully supported without considerable redevelopment. This means that by the end of August 2023 SPIRE would be unable to provide a representative national data extract from GP systems.

A transition is underway in NHS Scotland from SPIRE to a new data extraction tool. This tool, recently procured by National Services Scotland (NSS), provides similar functionality to SPIRE but has greater national coverage. The tool is trusted and highly valued having successfully been used for vaccination data purposes during the pandemic, and subsequently in obtaining other GP data

Public Health Scotland (PHS) analysts are working closely with NSS to replicate local reports currently used by some practices, using the data provided by the new tool.

Whilst there are no plans to collect GP waiting time data, Mr Yousaf announced last November the formation of the General Practice Access Group, with a view to understanding the challenges and issues affecting access to General Practice. This group will establish high level core principles to support and enhance patients’ experience of accessing ‘The Right Care, Right Time, Right Place’. Patient groups have been consulted and we expect the group’s work to be published later this summer.

The General Access group will help to build on the findings from the Health and Care Experience survey ( https://www.gov.scot/publications/health-care-experience-survey-2021-22-national-results/pages/3/) , which seeks out peoples experiences of accessing and using their GP practice and Out of Hours services.

We need to understand if there are any underlying causes that explain the increase in neonatal mortality across Scotland in 2021-22 and that is why we have commissioned Health Improvement Scotland (HIS) to undertake a review of the deaths. The review will consider the systems, processes and governance for the delivery of neonatal care which are relevant to the review scope. The HIS report will be published later this year.

In addition, the Scottish Government is funding a National Hub to review all child and neonatal deaths which was launched on 1 October 2021. The National Hub is jointly operated by Healthcare Improvement Scotland and the Care Inspectorate, following the successful piloting of the approach in NHS Lothian, NHS Tayside and NHS Lanarkshire.

The Hub’s focus is to use evidence to inform practice to reduce the number of child and young people’s deaths in Scotland and to report annually on its findings. The aim of the National Hub is to ensure that a quality review is undertaken following the death of every child in Scotland and identify themes and trends via the use of standardised forms and processes for Health Boards and local authorities.

We have commissioned NHS Healthcare Improvement Scotland (HIS) to undertake a review of the increase in neonatal mortality across Scotland in‎ 2021-22. The review will consider the systems, processes and governance for the delivery of neonatal care which are relevant to the review scope. The HIS report will be published later this year.

The local authority that has asked for financial support is East Lothian Council.

The Scottish Government is committed to keeping The Promise, which sets out that young people with care experience must have access to independent advocacy and legal representation. The Promise recognises that advocacy requires different approaches and offerings that may be independent of each other. To this end, The Promise Scotland, supported by Scottish Government, are undertaking work to scope a national lifelong advocacy service for care experienced people and advocacy for families coming into contact with the care system. This work is due to report to Ministers by the end of 2023

At present, in Scotland, children and young people with care experience, as with all children and young people, can access publicly funded legal assistance on the broad range of issues adults can. Subject to having legal capacity and satisfying the statutory tests, children and young people can obtain advice from a solicitor about legal problems relating to the application of Scots law covered under the Advice and Assistance Scheme Matters covered by civil advice and assistance - Scottish Legal Aid Board (slab.org.uk) ]. This includes legal aid for children’s hearings, criminal proceedings, or to resolve civil disputes.

Furthermore, through the Children, Young People and Families Early Intervention & Adult Learning & Empowering Communities Third Sector Fund, the Scottish Government provide over £1.4M annually in core funding to 10 organisations that offer support on legal rights and access to independent legal representation for care experienced young people.

In addition to obtaining legal representation, all children and young people can access independent child advocacy services to support them in and around their Children’s Hearings. Whilst children’s advocacy workers are not legal representatives, part of their role is to help children understand and realise their rights. The Scottish Government provides funding to Clan Childlaw to operate a Legal Support Service for independent children’s advocacy workers in the children’s hearing system. The funding also supports training advocacy workers to increase their knowledge of how to use children’s rights to advocate for and support children and young people at children’s hearings. Where a rights breach is identified through the Legal Support Service, the advocacy worker is able to discuss the availability of legal advice and assistance for the child to help them access a solicitor.

Children’s rights realisation requires raising awareness with children as rights holders and what this means in practice, but also requires training and capacity building for those who are implementing decisions. The Scottish Government’s aim is to ensure duty bearers and public authorities achieve a knowledge and understanding of children’s rights and to enable children and their representatives to act upon them. This is central to the implementation of the UNCRC and to embed children’s human rights into the fabric of Scottish society.

The Scottish Government does not hold the information you have requested. The Scottish Government did publish information on the number of people who were discharged to interim care placements procured using the additional funding offer made to Health and Social Care Partnerships. This data showed almost 500 people were discharged to interim care placements using the funding offer between 10 January and 3 April.

Weekly breakdowns of this data can be accessed through this link: https://www.gov.scot/publications/interim-care-placements-uptake/

The Scottish Government routinely publishes the latest data and information on the Ukraine Sponsorship Scheme in Scotland, including the number of people who have disembarked welcome accommodation on the MS Victoria since it became operational on 26 July 2022.

By 5 June, 1,215 guests had disembarked M/S Victoria since 26 July 2022. The contract for M/S Victoria ended on 11 July 2023, with the MS Victoria being successfully disembarked by 4 July 2023.

See Ukraine Sponsorship Scheme in Scotland: statistics - June 2023 - gov.scot (www.gov.scot) for full details and notes.

Work to collate and improve operational data on disembarkation destinations from MS Victoria including breakdowns by local authority and property type is ongoing with a view to publishing these data as experiential statistics in due course, in line with guidance from the Office for Statistics Regulation.

The Scottish Government do not hold this information. Under the current constitutional arrangements in the United Kingdom immigration is fully reserved to the UK Government and is dealt with by the Home Office. If a displaced person from Ukraine has been issued a visa, they are free to travel anywhere within the UK or to leave and re-enter the UK when they wish, as long as they are meeting the conditions within their visa. The UK Government’s Department for Levelling Up, Housing and Communities publish data on arrivals in the UK, with a Scottish Sponsor Visa: Ukraine Sponsorship Scheme: Visa data by country, upper and lower tier local authority - GOV.UK (www.gov.uk)

The Scottish Government publish the latest Scotland-level data and information on people displaced by the war in Ukraine coming to Scotland through the Ukraine Sponsorship Scheme. This data can be found on our website via: Ukraine: analysis and statistics - gov.scot (www.gov.scot) .

The Scottish Government has issued guidance to Health Boards setting out our expectation that Health Boards will ensure Ukrainian refugees have access to local dental treatment and GP practices. Ukrainians living in Scotland have access to the same level of primary and secondary health care services as everyone else and these are designed to ensure that their health needs are identified and addressed appropriately and effectively.