Chamber and committees

Patients in Scotland with medication-refractory essential tremor can be referred for MRgFUS treatment to the current centre in London which offers this service. These arrangements are managed through robust commissioning arrangements between NHS England and NHS National Services Scotland’s National Services Division (NSD). Referral to the service is dependent upon the patient’s local neurologist considering their eligibility and whether they would benefit from MRgFUS treatment.

In Scotland a partnership between NHS Tayside and University of Dundee is also enabling a small number of eligible patients to receive MRgFUS treatment at a newly developed facility in Dundee. So far 80 patients have been referred for assessment this year, and around 25% of those have been considered as being appropriate for treatment. The National Deep Brain Stimulation Service in Glasgow has been working closely with the facility to ensure that patient selection is appropriate with a view to the best clinical outcomes as well as patient safety.

While evidence continues to be gathered on the effectiveness of the technology, NSD continues to engage with the clinical team in Tayside with a view to the development of an application for national designation in Scotland.

Since April 2015 the Scottish Government has provided funding to support the planting of over 1.85 million trees and the creation of more than 925 hectares of new urban woodlands to provide opportunities for people to use and enjoy their local woods.

Around £8 million a year is available to support tree planting and greening projects within the Central Scotland Green Network area.

The Scottish Government continues to work with, and provide funding to a range of partners including local authorities, to support them in responding to demand for better access to unban woods through their expansion and improved management. Examples of this partnership approach include the Clyde Climate Forest and initiatives such as the “Wee Forests” that will play a role in improving people’s health and well-being whilst also delivering on our climate change and biodiversity commitments.

The national pancreatic cancer audit is an NHS England initiative and Scotland participates in UK audits (Scottish Cancer Registry data is provided by Public Health Scotland). The Scottish HepatoPancreatoBiliary Network (SHPBN) has reported HepatoPancreatoBiliary (HPB) cancer audits annually since 2010. The 2013-2019 audits are based on quality performance indicators, including some specific to pancreatic cancer. The annual audit reports are available on the SHPBN website. The 2020 audit report is currently in progress.

Through the National Cancer Plan we have placed an emphasis on the less survivable cancers, including pancreatic, and improving their outcomes. We have provided funding and are working with the SHPBN to redesign pancreatic and liver pathways.

During this Parliamentary term we are committed to consulting on ways to increase easily accessible, sustainably managed woodlands, including native woodlands, in urban or peri-urban areas, as part of a just transition. Understanding the benefits currently being delivered under the Woods in and Around Towns scheme, and how best to build on them, will form an important part of that conversation.

The care experience survey programme, of which the Cancer Patient Experience Survey is part of, is due to be under review shortly to allow for the context of COVID-19.

The Scottish Cancer Patient Experience Survey is run in partnership with Macmillan Cancer Support and is designed to be comparable with Cancer Patient Experience Surveys run in England and Wales. A change in methodology, such as altering the sampling frame, surveying people at different stages of treatment or surveying the relatives of those who have passed away, would result in survey results that are not comparable to the English & Welsh survey results. Such a change would require extensive consultation with stakeholders.

In order to capture the experience of patients with a less survivable cancer we are using tools such as Care Opinion and working with our third sector partners to collate best available evidence.

In support of changes to Building Regulations and technical guidance on 1 October 2019, dissemination events were held to provide information to all stakeholders including fire safety companies. These events included information on new requirements for evacuation alert systems to be installed in all new and converted high rise domestic buildings in accordance with British Standard 8629: 2019.

I refer the member to the answer to question S6W-03940 on 2 November 2021.

NHS Scotland already utilises an electronic prescription message between GP practices and community pharmacies which runs in parallel with paper prescriptions. However, the use of paper prescriptions is still a necessity at this stage as a legal requirement.

The Scottish Government has commissioned NHS National Services Scotland (NSS) to take forward a number of digital priorities in response to COVID. This national programme includes investing in development of a new ePrescribing and eDispensing pathway by enabling the use of advanced electronic signatures in primary care and addressing the need for an end-to-end digital solution that will support replacement of the paper prescription from all community settings with a digital solution. The programme recognises that electronic prescribing will help some vulnerable sections of society, but we must also ensure others are not disadvantaged and the solution adopted should address patient needs including digital exclusion. It is difficult to be precise on timescales at present but significant progress on the technical and process models continues at pace and the Scottish Government is committed to deliver a solution through this programme.

Our refreshed Digital Health and Care Strategy includes a clear approach on how we will empower the public to manage their health and wellbeing through digital means. This work will look to give greater access to things like health records and being able to manage prescriptions online.

In addition, patients who have a long-term condition can access the ‘Medicines: Care and Review Service’ at their local community pharmacy. It promotes a partnership approach between the pharmacist, the patient and their GP practice. Patients with stable long-term conditions can receive serial prescriptions for a duration of 24, 48 or 56 weeks which are dispensed in regular intervals by the pharmacy and remove the need to request regular repeat prescriptions.

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 Government’s Heat in Buildings Strategy, published in October 2021, committed to establishing a Green Heat Finance Taskforce by the end of 2021. The Taskforce will forge a new partnership approach between the Scottish public sector, heat decarbonisation experts and the financial sector to explore potential new and value for money innovative financing mechanisms for investment in zero emissions heat. The Taskforce has a crucial role in shaping how the transition to zero emissions heat in Scotland’s buildings is financed, therefore the membership of the Taskforce will be drawn from expertise including green finance, the heat and energy efficiency sector and consumer groups.

The Scottish Government provided support and funding to develop British Standard for evacuation alert systems and engaged with the National Fire Chiefs Council, Scottish Fire and Rescue Service and the UK Government in that work.

The National Fire Chiefs Council and UK Government comprise the Stay Put Technical Steering Group which is overseeing research on means of escape from a design, management and operational perspective. The Scottish Government and Scottish Fire and Rescue Service awaits the research findings, as they are key to informing any potential improvements and future approaches.

During 2020-21 the percentage of total NHS procedures carried out by non NHS-providers was 0.6%. Non-NHS provider figures relate to NHS patients treated in non-NHS locations such as private hospitals, hospices, nursing homes, care homes, etc.

The impact of addressing the COVID-19 pandemic has meant that many health and social care services had to be suspended or reduced in scope and scale. This has affected almost all aspects of NHS Care. As a result, this regrettably means 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 priority for this Government.

The Scottish Government remains fully committed to a publicly funded National health service that is accessible to all of the people of Scotland. That is why the First Minster launched the NHS Recovery Plan on the 25 August which sets out our objectives for tackling the Covid-19 related backlogs of care and putting the NHS on a sustainable path for the future. The plan is backed by more than £1 billion of investment over the next five years of which over £400 million will support nine National Treatment Centres (NTC) – the first of which opened at the Golden Jubilee November 2020.