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The Heart Disease Action Plan 2021, sets out a strategic vision to address the impact of heart disease across Scotland. This means that the plan does not provide detailed information on specific conditions but instead identifies four priority areas. These are 1) tackling risk factors, 2) ensuring timely and equitable access to diagnosis, treatment and care, 3) addressing key issues within the cardiac workforce, and 4) ensuring effective use of data to support improvement.

The actions within these priority areas should impact across a number of cardiac conditions and therefore improve services for everyone with heart disease, including for people living with heart valve disease.

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 Scottish Cardiac Audit Programme, within Public Health Scotland, have been actively seeking data submissions from all sites across Scotland that previously contributed to the UK National Cardiac Audit Programme, managed by the National Institute for Cardiovascular Outcomes Research (NICOR). This includes sites which carry out TAVI procedures.

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.

Employers with ten or more staff are eligible to participate in the workplace asymptomatic testing programme. The programme allows participating organisations to offer COVID-19 testing to any individuals who work at the location, including employees, volunteers, contractors and agency staff. Agencies which meet the criteria can also enrol in the programme to provide their staff with tests. This includes agencies providing staff to the health and social care sectors.

If an employer or agency does not provide workplace testing, lateral flow device test kits are widely available to individuals through the universally accessible testing offer. Kits can be collected from test sites, pharmacies and local authority collection points, or ordered online for home delivery.

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.

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.

Councils must give due regard to the statutory guidance published by the Scottish Government in contracting for retrofit and energy efficiency projects. We would expect councils to apply relevant and proportionate selection criteria to establish the suitability of bidders as part of their procurement. These are the minimum standards or requirements that bidders must meet in order to progress. For example by establishing their suitability; financial standing; and their technical and professional ability to undertake the necessary works.

Councils must clearly target fuel poor areas as part of projects funded through our Area Based Schemes (ABS). For example by showing that a project is located in one of the most deprived 25% of areas by SIMD classification. Councils are expected to obtain the necessary information to confirm that relevant households and properties are also eligible for grant-in-aid based upon the guidance provided by the Scottish Government.

When applying for support through the Social Housing Net Zero Heat Fund projects are required to provide a variety of information including a financial model, a feasibility study, project programme and risk register.

The Scottish Government meets with health boards on a regular basis to discuss the vaccination programme. Ensuring it is as accessible as possible for everyone is a key priority. As individual requirements are different, anyone who has concerns about access arrangements should contact their local health board to discuss any additional support needs they have so that adjustments can be made to accommodate them.

The NHS Inform website provides a breakdown of support available by local health board, including help finding transport to your vaccination appointment.