Seòmar agus comataidhean

I refer the member to the answer to question S6W-30449 on 22 October 2024. 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 has been working with NHS boards to carefully scale up the Family Nurse Partnership (FNP) programme across Scotland, ensuring implementation models are sustainable and delivered with quality.

Under this phased rollout of the programme (a) FNP is not yet offered in Island Boards and (b) we are still in the process of scaling up across NHS Highland areas, noting we began delivering the programme in Argyll and Bute earlier this year.

We want to ensure every eligible mother can access this support, that is why we are testing a number of options to support delivery in remote and rural contexts. The learning will be used to build a sustainable model that could expand the FNP programme to these areas in the future.

The Scottish Government continues to support the Centre for Sustainable Delivery in updating their national headache pathway for Scotland, which was launched last year, which will help to improve care for migraines and headache.

The Scottish Government received no requests for funding to support Migraine Awareness Week 2024. No funding was provided.

a) A national headache pathway was launched in October 2023 by the Centre for Sustainable Delivery at NHS Golden Jubilee. This pathway aids clinicians, including GPs, in the diagnosis and management of headache disorders, including migraine. The pathway specifically includes guidance for the treatment of migraine in primary care.

b) Through the Neurological Care & Support Framework, the Scottish Government provided £221,176 in total to the Migraine Trust across 2022-24, to work with community, primary and secondary care pharmacists to help people with migraine manage their symptoms and treatments more effectively. The work has been undertaken in NHS Grampian, and is being expanded into further NHS Boards who are working towards adopting this model of care.

Through this work an eLearning programme and resource page has been developed on NHS Education for Scotland’s platform TURAS. This comprises a suite of training materials available for all pharmacists and pharmacy teams to access.

The Scottish Government is committed to increasing the availability of medicines that patients in Scotland need.

A national headache pathway was launched in October 2023 by the Centre for Sustainable Delivery at NHS Golden Jubilee. This is to aid clinicians in the diagnosis and management of headache disorders, including migraine, and offers guidance on management of conditions.

Through the Neurological Care & Support Framework, the Scottish Government awarded £221,176 in total to the Migraine Trust across 2022-24, to work with community, primary and secondary care pharmacists In NHS Grampian to help people with migraine manage their symptoms and treatments more effectively.

Through the success of this project, a further seven NHS Boards are working towards adopting this model of care in future.

In Scotland, the Scottish Medicines Consortium (SMC) appraises the clinical and cost-effectiveness of newly licensed medicines, following receipt of a submission from the manufacturer. Where the SMC accepts a medicine, or accepts it with restrictions or on an interim basis, there is an expectation that NHS Boards will consider the medicine and make it (or its equivalent) available. This is considered by each NHS Boards’ Area Drug and Therapeutics Committee.

NHS Boards are expected to reach a decision within 90 days of being informed of the SMC advice, which provides time to consider any issues associated with the implementation of the medicine, such as changes to the care pathway and staff training. Boards should publish their decision on their website within 14 days of the decision.

The SMC appraisal is undertaken independently of Scottish Ministers and is based on the clinical and cost-effectiveness of the medicine at a population level.

The Scottish Government does not hold this information.

Our records indicate that since 2021:

a) The Cabinet Secretary for Health and Social Care has not met with the Migraine Trust.

b) The former Minister for Public Health, Women’s Health & Sport, Maree Todd MSP, met with the Migraine Trust once.

The current Minister for Public Health and Women’s Health, Jenni Minto MSP, has met with the Migraine Trust three times.

c) The Minister for Social Care, Mental Wellbeing and Sport has not met with the Migraine Trust.

Discussions between the former and current Minister for Public Health, Women’s Health & Sport and the Migraine Trust have focussed on the charity’s activities and publications and more generally the improvement of care in Scotland for those with migraine.

The most recent Ministerial engagement with the Migraine Trust was 20 August 2024, when the Minister for Public Health and Women’s Health visited NHS Grampian to learn more about the collaborative project undertaken between the charity and the health board.

Scottish Government’s Fair Work policy sets out actions to promote fair and inclusive workplaces across Scotland. Becoming a 'fair work employer' includes creating a healthy and safe environment where individuals' wellbeing is actively supported.

Scottish Government supports employers to do this via several interventions, including:

• Providing occupational health support for employers via Health Scotland's Healthy Working Lives website and Working Health Services Scotland. Access to occupational health can help enable early intervention and personalised support where required.
• Promoting flexible and hybrid working by providing over £1.1 million in funding through Fair Work and Social Innovation Partnership budgets. Flexible working practices can help people to manage their condition without dropping out of the workplace and incurring a loss of income.

Those who experience a substantial and long-term impact on their lives due to migraine have a right under the Equality Act 2010 to have their employer make reasonable adjustments in the workplace.

The Pain Management Task Force oversees the implementation of the Framework for Pain Management Service Delivery in Scotland. Discussions at the Task Force are centred around delivery of the actions in the Implementation Plan rather than condition specific issues. While there have been no specific discussions on migraine-related issues at the Task Force, many of the actions in the Plan discussed at each Task Force meeting will benefit people with migraine, such as updated quality prescribing guidelines and the creation of a chronic pain Knowledge Hub, a resource available to all NHS Scotland staff and third sector organisations to deepen their understanding of chronic pain.

The Scottish Government does not hold information on numbers of patients travelling and the means of travel. However we are aware of an increase in travel on the sound of Harris Ferry following changes to the Benbecula Stornoway air service in April 2024.

As you may be aware, at the meeting to consider Access to Health Services in the Western Isles on 21 August, it was agreed to establish a working group, led by HITRANS, to consider ways to improve the patient experience.

At the first meeting of this group, NHS Western Isles and CalMac confirmed that they are working together to minimise issues for patients using ferry travel through a block booking of 2 cars per day for NHS Wester Isles patients. It was noted that monitoring of capacity and demand is ongoing by NHS Western Isles and CalMac will consider an increase in pre booked spaces if required.