Current status: Answered by Neil Gray on 20 September 2024
To ask the Scottish Government what provision there is for transporting care home residents to and from hospital appointments.
Where a publicly funded resident under the National Care Home Contract qualifies for transport from the NHS to attend for a clinical appointment/ treatment the provider will, where practicable, ensure this is arranged. For the avoidance of doubt, the cost of providing transport for the resident to and from scheduled medical appointments, as well as emergency admissions to hospital are not covered in the Council’s Approved Rate and are not therefore the responsibility of the provider where they are being paid that rate.
In the absence of free provision by the NHS, transport to the following may also be provided, but shall be charged in addition to the price charged for care and accommodation:
Any private contract between a self-funded resident and a care home may include provision for such transport.
Should the Scottish Ambulance Service be contacted, to provide consistency, all patients are taken through the Patient Needs Assessment (PNA) to assess their eligibility for ambulance transport. SAS ask the PNA questions to allow them to fully understand the patient’s needs and to confirm if they require ambulance transport. From this, SAS can then identify the correct resource required. If the caller indicates the patient can get out and about independently or can travel with the assistance of an escort, SAS will seek to understand what is preventing them from getting to their appointment. If there is a clear clinical or medical need, SAS will look to support this request; otherwise, patients will be signposted to alternative transport options specific to where a patient resides. SAS will always ask that if a patient is able to use other means of transport, this is considered the first choice rather than the Scottish Ambulance Service. A patient or representative is advised at the beginning of the call that if they disagree with their decision then they can ask for their request for transport to be put to appeal and this will be answered by a SAS supervisor.