Chamber and committees

As part of Programme for Government (PfG) commitments made in 2019 and reaffirmed in 2020 we are developing a programme to improve stroke pathways and services.

A progressive stroke pathway document, due by the end of this year, will clearly set out our vision of what we should expect of a progressive stroke service in Scotland in order that services fully meet the needs of people who experience a stroke. This will include consideration of the important role of stroke units.

The Scottish Stroke Care Audit monitors the quality of care provided by the hospitals in all NHS Boards. Access to a stroke unit is a standard measured by SSCA, alongside other standards associated with improved patient outcomes. Performance against the standards, and more detail on service models can be found here: Scottish stroke improvement programme 2021 national report - Scottish stroke improvement programme - Publications - Public Health Scotland .

Thrombolysis is already delivered nationwide in a number of hospitals across Scotland.

The rate of thrombolytic treatment and door to needle (DTN) times for thrombolysis are measured through the Scottish Stroke Care Audit (SSCA).

The SSCA 2021 report can be found here: Scottish stroke improvement programme 2021 national report - Scottish stroke improvement programme - Publications - Public Health Scotland . It concluded that variations in thrombolysis rates were a reflection of the different acute stroke pathways and variable access to stroke specialist assessment and management. It highlighted that improving access to early specialist assessment in emergency departments would increase the overall percentage of stroke patients treated and reduce the DTN times.

The Scottish Stroke Improvement Programme team work closely with services and NHS boards to use learning from SSCA to support improvement across the whole stroke pathway, including timely access to thrombolysis.

The Scottish Stroke Care Audit does not currently measure ongoing support for disability needs. As part of the Programme for Government (PfG) stroke commitments, the stroke improvement team Rehabilitation Sub-Group is currently considering future updates to measure rehabilitation service delivery, patient outcomes and experiences.

All patients who require stroke rehabilitation should be offered it. Rehabilitation may be delivered via a variety of inpatient, early supported discharge and community teams.

The Royal Hospital for Children, Glasgow and the Royal Hospital for Sick Children, Edinburgh provide ICU care as a joint service. There are 20 beds in Glasgow and 10 beds in Edinburgh. Further information can be found at: https://www.nss.nhs.scot/specialist-healthcare/specialist-services/intensive-care-paediatric/

The preservation of a crime scene is for the purposes of protecting the integrity of forensic evidence. A decision to allow a priest to enter an area designated as a crime scene is therefore an operational matter for Police Scotland.

The publication of Cycling by Design was announced to the media and publicised on social media along with targeted distribution of the document via Society of Chief Officers of Transportation in Scotland (SCOTS) and Transport Scotland networks. In addition, the Steering Group, comprising SCOTS, Sustrans and Transport Scotland, who have overseen delivery of the document are currently progressing plans for awareness raising sessions for industry, including training sessions and presentations through professional institutions.

The organisation promoting the scheme is responsible for reviewing and approving designs. Cycling by Design advocates a high level of service whereby schemes will be suitable for most users, including new and less confident users. Where a high level of service cannot be achieved the reasons for this should be documented in the ‘Design Review’ process as recommended in the guidance.

The Steering Group, comprising Society of Chief Officers of Transportation in Scotland (SCOTS), Sustrans and Transport Scotland, who have overseen delivery of the document are currently progressing plans for the development and delivery of training material. Transport Scotland has committed to provide training for staff and designers working on trunk road schemes, and it is a matter for local authorities to consider what training they will require.

The annual drug-related death statistics published by National Records of Scotland ( Drug Related Deaths in Scotland | National Records of Scotland (nrscotland.gov.uk) ) does not contain information about the life circumstances of people who have unfortunately died from a drug-related death.

The National Drug-Related Deaths Database (NDRDD) published by Public Health Scotland was established to collect wider and more detailed information regarding the nature and circumstances of people who had a drug-related death. This report does not currently include detail on whether individuals were care leavers or care experienced. However, Public Health Scotland are working with Research Data Scotland to explore the feasibility of widening out data linkage to non-health datasets and care-experience has been identified as an important area to explore.

( https://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/2018-06-12/2018-06-12-NDRDD-Report.pdf ).

Scottish Government is committed to decarbonising all of Scotland's building stock, including transitioning Scotland’s many valuable heritage assets to low and zero emissions heating in a way that respects and protects the special characteristics of these buildings and places. Our Heat in Buildings Strategy recognises that for traditional and heritage buildings, bespoke approaches, including skilled design and construction, may be required. We are working with stakeholders, including Historic Environment Scotland, to develop more solutions to transition Scotland’s historic buildings to zero emissions heating while respecting and preserving the special characteristics of our buildings and places, and where needed continue to build our evidence base and the guidance available for the heat transition in these buildings and areas, including in our approach to regulation.

To ensure property owners have access to suitably qualified installers, we have developed, with industry, installer skill requirements for our Heat in Buildings Strategy which includes skill requirements for any work carried out on pre-1919 buildings where installers will be required to have a 'SQA Level 3 award in Energy Efficiency Measures for Older and Traditional Buildings'.

A range of guidance is available from Historic Environment Scotland to help with potential options for the installation of micro-renewables technologies, energy efficiency measures and climate change adaptations in listed buildings, traditional homes and buildings in conservation areas. This support can be accessed through the Historic Environment Scotland website at: www.historicenvironment.scot . Of particular interest may be:

Owning a Traditional Property: https://www.historicenvironment.scot/advice-and-support/your-property/owning-a-traditional-property/

Making changes to your Property: https://www.historicenvironment.scot/advice-and-support/your-property/making-changes-to-your-property/

Saving Energy in Traditional Buildings: https://www.historicenvironment.scot/advice-and-support/your-property/saving-energy-in-traditional-buildings/

Domestic loans and grants are available through the Home Energy Scotland service which acts as the gateway to all Scottish Government-funded domestic energy efficiency schemes. Home Energy Scotland advisors can offer free and impartial energy efficiency advice, and advice on how to keep homes warmer and more affordable to heat, and are contactable Freephone on 0808 808 2282. Their website containing details of all Scottish Government energy efficiency schemes available for home owners can be found at: https://energysavingtrust.org.uk/scotland/home-energy-Scotland .

Additionally, property owners may be eligible for support through heritage-related grant schemes or relevant funds which can be found : https://www.heritagefundingdirectoryuk.org/ .