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Our vision is for everyone with rehabilitation needs to be able to access the care and support they need to live well, on their own terms.

Defined performance markers such as access to acute therapy, access to inpatient stroke therapy, access to community stroke therapy and six-month reviews are being included in the refreshed Stroke Improvement Plan, and annual board reviews carried out by the Scottish Stroke Improvement Programme Team, led by the Scottish Stroke Improvement Programme Lead, will assess rehabilitation performance against these targets.

Following the publication of the National Advisory Committee for Stroke’s Progressive Stroke Pathway, work is underway to develop a refreshed Stroke Improvement Plan by the end of 2022. This will outline how recommendations in the Progressive Stroke Pathway will be prioritized and implemented, as well as a continued emphasis on the importance of the Scottish Stroke Care Standards.

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.

All beavers that have been captured in Tayside and translocated to projects in Scotland, England and Wales are subject to disease screening and appropriate treatment as a licence condition prior to release. This screening ensures that beavers released under licence from NatureScot are not carrying Giardia prior to any translocations.

The Scottish Government recognises that delivery of the acute stroke care bundle is of crucial importance to the provision of high quality stroke care. Monitoring of performance against stroke bundle standards through the Scottish Stroke Care Audit allows the Scottish Government to identify where challenges are being faced in the delivery of high quality stroke care.

We continue to expect Health Boards to identify aspects of their stroke services which do not meet the Scottish Stroke Care Standards and to work to improve standards of care locally.

The Scottish Government does not hold all the data requested. However for 2020-21 (and 2021-2022 for modern apprenticeships), the number of students studying towards a dental nursing qualification was:

Modern Apprenticeships;

• In 2020-21, there were 312 starts on the dental nursing framework.
• In 2021-22, there were 343 starts on the dental nursing framework.

Colleges;

• In 2020-21, there were 420 enrolments on dental services courses at Scottish colleges.

Universities;

• In 2020-21, there were 25 enrolments on dental nursing courses at Scottish universities.

2021-2022 figures for colleges and universities will not be available until January 2023.

Dental nursing is not a controlled subject and so the Scottish Government, via the Scottish Funding Council does not specify any intake targets for dental nursing. The Scottish Government has no oversight or control of the dental nursing workforce. Rather, we make arrangements with independent contractor dentists to provide NHS dental services and they then employ dental nurses as required.

Colleges operate independently of Government, and it is for them to decide on the shape of their curriculum, taking into account the needs of the region and communities they serve. Colleges plan their course provision in line with the economic needs of their regions, and through working closely with employers, are able to respond flexibly to the skills demands of their region.

Where NHS dental services are provided by independent dental contractors, staff including dental nurses are employed by the practice, and not the NHS Board. Terms of service and pension arrangements are set by the practice owner(s).

Where NHS dental services are provided by the Public Dental Service, the dental team is employed by the Board on appropriate NHS terms of service.

We are committed to engaging with the profession on a reform programme for NHS dental services. As part of that commitment we have recently issued a profession-wide survey asking for comments on a list of possible treatment items for inclusion in a future NHS model.

We have also asked for nominees for a NHS dental reform advisory group to the Chief Dental Officer. NHS Boards are currently reviewing the nominations and will put forward the nominees for each Board area in due course.

Scottish Government has provided an unprecedented level of financial support throughout the pandemic to support NHS dentistry. The £50 million of COVID-19 funding was provided directly to NHS dental contractors through the financial support payments. Alongside this, practices have received £35 million of free PPE to support the provision of NHS dentistry.

In addition, £5 million of funding for ventilation improvements and £7.5 million for speed adjusting hand pieces, was made available to NHS practitioners to support recovery and help increase capacity within practices providing NHS dental services. This scope for this funding was subsequently expanded to allow practices to claim for repairs and replacement of a range of dental equipment. This funding was allocated to Health Boards and practices were advised of the process for claiming funding if they wished to submit an application.

To date Giardia has not been found in any beavers in Scotland, though targeted testing has been carried out on both live animals and carcasses in Tayside as well as in Knapdale.

Although beavers can carry this parasite the EPIC report published in 2017 points to other sources of environmental contamination being equally or more likely to be a source of Giardia infection. Humans, livestock and wild animals are all potential sources of Giardia. EPIC conclude ‘the reintroduction of beavers is likely to present a very small additional risk as the number of beavers excreting these organisms will be likely to be small relative to the large number of wild, domestic and livestock animals and humans which contribute to existing public health risk’.

NatureScot continue to carry out general health screening to ensure that beavers released under licence from NatureScot are not acting as a source of disease prior to any translocations.