Chamber and committees

The Scottish Government notes the position from the British Social Attitudes survey (BSA) which asks members of the public to rate how satisfied they are with “the way in which the NHS runs nowadays”.

We recognise that the NHS has been under significant pressure in recent years, in particular due to pressures arising from COVID-19.

The ongoing impact of addressing the COVID-19 pandemic has meant that many health services had to be suspended or reduced in scope and scale. This has affected almost all aspects of NHS planned care and as a result of this there are many people who are waiting longer for the care they need. Addressing the backlog of care, while continuing to meet the ongoing urgent health and care needs of the country, is a top priority for the Scottish Government.

We continue to prioritise investment in our NHS to support remobilisation and reform and to deliver world-class, sustainable services for the whole of Scotland. This is underlined by our latest Budget which provides £18 billion for Health and Social Care and takes forward our commitment to increase spending on the NHS in Scotland by at least 20% over the course of this parliament.

As part of our 100 days commitments, we published an NHS Recovery Plan in August 2021 which commits more than £1 billion of targeted investment for the recovery and renewal of our health service. This sets out our plans and key ambitions to address the backlogs of care by March 2026, which includes supporting an increase in capacity to deliver inpatient and day case procedures, outpatient activity, and diagnostics, which will be supported by the implementation of sustainable improvements and new models of care.

Alongside this, NHS Scotland staffing levels are at a record high and have increased for ten consecutive years. However, we recognise that our NHS has experienced unprecedented pressures since the Covid-19 pandemic. Our £300m of new support to help services deal with system pressures over recent months along with the £1bn-backed NHS Recovery Plan introduced a range of direct workforce investments and new measures to enhance Boards’ capacity for both domestic and international recruitment. Various commitments from these plans, such as the recruitment of 1,000 additional healthcare support workers, have already been achieved. We are continuing to implement vital workforce investments at speed.

In terms of the wider situation in Scotland, the Scottish Social Attitudes Survey (SSAS) asks similar, but not identical, questions to the BSA and is due to report in Autumn this year. The SSAS did not run in 2020 due to COVID restrictions and was run in 2021 as a telephone survey which means that results for the 2021 SSAS may not be directly comparable with the previous SSAS findings from 2019.

Other sources reporting information of this kind are the Scottish Household Survey (SHS) and the Health and Care Experience survey (HACE).

The most recent Scottish Household Survey asked participants to rate satisfaction with “local health services”. Whilst this question does not exclusively focus on the NHS, satisfaction was generally positive in Scotland with around 88% of those surveyed reporting they were satisfied with the quality of local health services in 2020. Also from the SHS, 93% of adults trusted “the Health System”, making it the institution that adults were most likely to express trust in. Similarly to the SSAS, the SHS ran in 2020 as a telephone survey, meaning that results for 2020 may not be directly comparable with previous SHS findings.

Scottish Household Survey data collection is ongoing, with 2022 data currently being collected. 2021 data is being processed and is due to be published later in the year.

https://www.gov.scot/publications/scottish-household-survey-2020-telephone-survey-key-findings/

The Health and Care Experience survey (HACE) asks people to rate their experience of using Health and Care services in Scotland which is not the same as asking about people’s attitudes towards health and care services. Similar to the SSAS, the HACE was last run in 2019 with results published in October 2020. The next set of results from the 2021-22 HACE survey will be published in May 2022.

https://www.gov.scot/publications/health-care-experience-survey-2019-20/

I refer the member to the answer to question S6W-07557 on 19 April 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

The successful implementation of the Health and Care (Staffing) (Scotland) Act 2019 is dependent on the engagement of clinical staff groups and the Health Board managers firstly in contributing to the development of the 2019 Act’s Guidance and subsequently in understanding and applying the relevant provisions to their services. The NHS’s main focus has been prioritising, managing and providing services throughout the pandemic. The movement towards remobilisation is now presenting the opportunity for officials to engage with the relevant stakeholders to coproduce an implementation strategy and timetable which the Government will subsequently publish.

The Scottish Government is aware of the cited report and its recommendation that the BS 8414 test must be reviewed. We are also aware of the ongoing research sponsored by the UK Government on BS 8414 testing and the work by the European Commission in the development of a large scale façade fire test.

Following consultation last year, The Building Scotland (Amendment) Regulations 2022 were laid in the Scottish Parliament on 22 April. From 1 June 2022, these regulations introduce a ban on combustible cladding systems on residential and other high risk buildings over 11 metres. For such buildings, BS 8414 can no longer be used as an alternative means of compliance with building regulations.

Scottish Government consultations and supporting documents are published to gov.scot and our consultation hub at consult.gov.scot. We are continuously working to make those websites as accessible and usable as possible for all users.

Past consultations on issues identified as affecting disabled people have been produced in various accessible formats, for example, Easy Read, large print and British Sign Language. Furthermore, accessible consultation events are regularly tailored to meet the different needs of disabled people in partnership with Disabled People’s Organisations. These ensure meaningful engagement with disabled people on issues they identify as being important to them.

In our Equality Outcomes for the 2021-2025 reporting period, we committed to improving and embedding inclusive communication within Government and across the wider public sector. Some of the actions we will take to achieve this include working in partnership with public bodies, equality advocacy groups and people with lived experience to create national standards and best practice examples of inclusive communication. Through this programme of work we want to improve the accessibility of published documents, including consultations, so that everyone can engage with them.

Staff are also provided with a range of training and guidance to help them meet these commitments, and the Scottish Government has established a network of accessibility champions to promote best practice across the organisation.

I refer the member to the answer to question S6W-05799 on 26 January 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

The identification, assessment and management of people with long-term effects of COVID-19 in Scotland is guided by the recommendations of an evidence-based UK-wide clinical guideline developed by the National Institute for Health and Care Excellence (NICE), the Scottish Intercollegiate Guidelines Network (SIGN) and the Royal College of GPs (RCGP).

This is underpinned by the full range of NHS services – including primary care teams and community-based rehabilitation services with referrals to secondary care where necessary.

I refer the member to the answer to question S6W-05799 on 26 January 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

The Scottish Sarcoma Network is tasked with looking at this issue more closely for the whole of Scotland, particularly regarding any educational shortfall that may exist. Additionally, every year the network analyses and reports the Quality Performance Indicators (QPIs) for Sarcoma in Scotland, to identify areas for improvement and ensure quality of care and treatment for patients.

The Picture Archiving and Communication System (PACS) enables all radiologists to work together, and scans indicating a suspicion of sarcoma can be discussed with a sarcoma specialist radiologist.

As covered in the response to S6W-07980 on 26 April 2022, the Scottish Government’s response to the Zero Emissions Social Housing Taskforce report will be published after the Scottish Local government elections. The response will address the review of Energy Efficiency Standard for Social Housing.

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