Chamber and committees

The Out of Hospital Cardiac Arrest (OHCA) Strategy for Scotland (the Strategy) was produced through collaboration between, the Scottish Ambulance Service; Scottish Fire and Rescue Service; Police Scotland; British Heart Foundation; Chest Heart and Stroke Scotland; Resuscitation Research Group; University of Edinburgh and Scottish Government.

The Strategy sets out the commitment to improve outcomes after OHCA, with the ambition that by 2020 Scotland will be an international leader in the management of OHCA. This is underpinned by the two main aims of the Strategy, which are to increase survival rates by 10% across the country and to equip an additional 500,000 people with CPR skills by 2020. Success will depend on the commitment and action of many individuals and organisations. Achieving the ambition will involve optimising the elements in the system of care or the “chain of survival” i.e. readiness to intervene in OHCA; early recognition and call for help; CPR; early defibrillation; pre-hospital resuscitation; post resuscitation care; and aftercare. The actions and improvements in the chain of survival are being delivered by a wide range of public and voluntary organisations working in collaboration and together with communities. These utilise and build on the existing work by public services, communities and individuals.

Funding for alcohol and drug treatment services is directed through NHS territorial boards, who determine the final allocation to ADPs from all the funds provided to them by the Scottish Government. Health Secretary Shona Robison set out to boards at the start of this year our expectation for boards to maintain support to ADPs in 2016-17 in order to provide the same level of services delivered in 2015-16.

I refer the member to the answer to question S5W-04749 on 22 December 2016. 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

Data on the capacity of mother and baby inpatient units at St John’s and Leverndale Hospital, and the NHS boards from which people were admitted, is not held by the Scottish Government. The Scottish Government expect that health boards and health and social care partnerships (HSCPs) will deliver mental health care and treatment in a person-centred manner to meet each individual’s needs.

In its Perinatal Themed Visit report in 2016, the Mental Welfare Commission made 13 recommendations to improve the recognition and treatment of perinatal mental health issues. One of these, to establish a national Managed Clinical Network, was for the Scottish Government, which we have agreed to. We will therefore fund the introduction of a Managed Clinical Network (MCN) to improve the recognition and treatment of mental health problems in the perinatal period.

The Mental Welfare Commission report “Perinatal Themed Visit Report – Keeping Mothers and Babies in Mind” published 29 June 2016 contains a survey of all 43 Scottish General adult acute wards, 11 IPCUs and both mother and baby units from July to September 2015. 16 out of 44 mothers admitted during the survey did not receive care with their baby in one of the specialist mother and baby units. Data on how many mothers have been separated from babies in the course of receiving mental health treatment is not routinely collected in Scotland.

Scotland was first nation to introduce a waiting time target for Child and Adolescent Mental Health Services (CAMHS) services in the world, and was the first country in the UK to introduce a waiting time target for psychological therapies - this is an indication of how seriously we take this issue. All people in Scotland are included in these targets, so that would include maternal mental health. We expect that health boards and health and social care partnerships will deliver mental health care and treatment, this includes maternal mental health, in a person-centred manner to meet each individual’s needs.

In its Perinatal Themed Visit report in 2016, the Mental Welfare Commission made 13 recommendations to improve the recognition and treatment of perinatal mental health issues. One of these, to establish a national Managed Clinical Network, was for the Scottish Government, which we have agreed to. We will therefore fund the introduction of a Managed Clinical Network (MCN) to improve the recognition and treatment of mental health problems in the perinatal period.

We expect that health boards and health and social care partnerships (HSCPs) will deliver mental health care and treatment in a person-centred manner to meet each individual’s needs. This would include mother and baby units at hospitals. The Scottish Government does not hold data on whether the mother and baby units at St John's and Leverndale Hospital have had to turn people away.

Data on the number of mothers that have received mental health support outside of their board area is not held by the Scottish Government. However, the Scottish Government expect that health boards and health and social care partnerships (HSCPs) will deliver mental health care and treatment in a person-centred manner to meet each individual’s needs.

In its Perinatal Themed Visit report in 2016, the Mental Welfare Commission made 13 recommendations to improve the recognition and treatment of perinatal mental health issues. One of these, to establish a national Managed Clinical Network, was for the Scottish Government, which we have agreed to. We will therefore fund the introduction of a Managed Clinical Network (MCN) to improve the recognition and treatment of mental health problems in the perinatal period.

I refer the member to the answer to question S5W-05462 on 22 December 2016. 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 works closely with the Scottish Diabetes Group (SDG), our national advisory group, to oversee and drive implementation of our Diabetes Improvement Plan (2014) to improve care and treatment for people living with diabetes in Scotland. The Plan includes Inpatient Diabetes as a priority. Supporting this priority, the development of “Diabetes - Think, Check, Act” has been led by Healthcare Improvement Scotland.

The Scottish Government and SDG have followed progress closely. Monitoring of the project across pilot sites in NHS Lothian and NHS Greater Glasgow and Clyde has demonstrated success with a reduction in the rate of hypoglycaemia and an increase in the rate of hypoglycaemia resolution. This has led to reductions in length of stay, improved patient experience and safer care.

Based on this success, completion of the project is ongoing, with development of a toolkit which includes a range of resources, including e-learning modules for healthcare professionals, to be used to spread the initiative across Scotland.