Chamber and committees

The Scottish Stroke Care Standards can be found here: ( https://www.strokeaudit.scot.nhs.uk/index.html ). The current standard relating to brain imaging already sets out that 90% of patients should receive this within 12 hours of arrival at first hospital, unless there is a documented contraindication.

The Scottish Stroke Care Standards are regularly reviewed in line with current evidence and updated guidelines. We monitor the implementation of these standards through the Scottish Stroke Care Audit to ensure that stroke patients in Scotland are receiving high quality care.

Further to the answer to question S6W-04701 I can confirm that the case review was undertaken by a small number of NHS Lothian clinicians who are all suitably qualified and experienced in their relevant fields. As none of the clinicians who undertook the review had previously looked after Mr Slorance there was no conflict of interest in undertaking the review.

The Heart Disease Action Plan recognises the need to ensure timely and equitable access to diagnostics, including echocardiography.

As set out within the plan, we are working to address key workforce issues relating to cardiac physiology. Cardiac Physiologists are healthcare professionals who are vital to the delivery of many aspects of cardiac care, including the provision of echocardiography.

Furthermore, we have also recently provided funding for the delivery of a pilot project to improve access to echocardiography. The learning from this will support us in understanding how best to further support improvement across Scotland.

Where it is clinically appropriate to do so, patients of all ages will be examined with a stethoscope to listen for breathing and heart sounds. They may also have ECG electrical recordings of their heart rate, blood tests and have access to other investigations such as Echocardiograms, rhythm monitors and blood pressure recordings, should these be required.

Security of electricity supply is a reserved matter and is delivered by National Grid ESO across the whole of Great Britain under regulation from Ofgem. NGESO is also responsible for sourcing generation to meet demand.

Scottish electricity supplies are currently considered secure with around 9GW’s of secure supply to meet peak demand of around 5GW’s. National Grid ESO has conducted a study of the effects of the earlier than expected closure of nuclear generation in Scotland which concludes that the system will remain secure with any potential operational issues and risks being identified and mitigations put in place.

Scotland is a net electricity exporter and in 2020 exported 20.4 TWh of electricity, equivalent to powering every household in Scotland for 26 months. It only imported a little over 1 TWh of electricity, meaning that net exports of electricity were 19.3 TWh in 2020, its highest year on record.

Information on TAVI procedures in Scotland for 2018-19 and 2019-20 was submitted by sites to the UK National Cardiac Audit Programme. Published data is available from the British Cardiovascular Interventional Society (BCIS) - Audit Results - British Cardiovascular Intervention Society (bcis.org.uk) .

The published reports indicate that in 2018-19 there were 310 TAVI procedures, and in 2019-20 there were 400 TAVI procedures carried out in Scotland. The reports do not break down the number of cases per Scottish site.

The Scottish Cardiac Audit Programme is currently working with TAVI sites across Scotland to collate data for 2020-21 onwards.

Service levels and the rolling stock used have been designed to match changing demand during the pandemic period, while at the same time considering efficiency of resourcing and overall affordability, for which Abellio ScotRail is responsible. Decisions on service levels are then considered at Scotland’s Railway Task Force which has met throughout the pandemic.

We expect ScotRail, from 1 April 2022, to continue to operate service levels and train capacity adjusted to reflect and encourage growing levels of demand as wider Covid restrictions are eased.

Priority 2 within the Heart Disease Action Plan makes clear our commitment to developing nationally agreed pathways of care for all cardiac conditions.

This work is underway. It is led by our recently appointed Heart Disease Improvement Coordinator, who is engaging with clinical colleagues across Scotland to understand service provision, identify needs and collate examples of good practice to inform this programme of work.

Primary care professionals have access to multiple sources of education and update regarding heart valve disease and management both at undergraduate and postgraduate level. Through local interface groups local pathways to support diagnosis and management have been developed at board level with opportunities for specialist advice and rapid referral where required.

Scottish Government has no current plans to carry out a public awareness campaign on heart valve disease.

Scotland’s land and the natural capital it supports is one of our most valuable assets, vital to our national prosperity and to our wellbeing as individuals and communities. By addressing the twin climate and biodiversity crises while improving individuals public and community wellbeing, progressive land use and development brings many positive benefits to Scotland by combining sustainable land use/development and people’s requirements in a fair and accountable way. As such it is in line both with our long standing vision and objectives for sustainable land use in Scotland as set out in our Land Use Strategy and the overarching principles of our Just Transition.