Seòmar agus comataidhean

I refer the member to the answer to question S6W-03606 on 23 December 2021. 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

Hospitals balance the provision of beds against a number of factors such as staffing levels and anticipated demand to enable them to provide a safe and effective service to patients. Whilst overall workforce numbers in the NHS have never been higher, increased demand for health and social care services is creating significant workforce capacity challenges.

Recently, capacity pressures have been exacerbated by Omicron-related absences. In the week ending 11 January, health boards reported a 31% increase in coronavirus absence compared with the previous week. On average, 7,174 NHS staff were absent per day for reasons related to Coronavirus, or around 4.0% of the NHS workforce.

We continue to work with NHS Boards and their partners to put in place a range of initiatives to maximise capacity. For example, on the 11 November I announced measures to support people with Covid to stay safely at home and free up hospital beds, including £500,000 to fund 25,000 remote monitoring kits, and a dedicated team which will support the early identification of patients who would benefit from antivirals treatments and get these started as soon as possible.

I am assured that NHS boards have opened all available staffed beds.

Our approach to information governance underpins all government business, including our ongoing response to the handling of the Covid-19 pandemic. The Scottish Government Information Management Strategy and Records Management Plan clearly set out the Scottish Governments approach to the preservation of information, in line with the requirements set out in the Public Records (Scotland) Act 2011.

• For further information refer to the Scottish Government Information Management Strategy
• For further information refer to the Scottish Government Corporate Records Management Plan
• For further information refer to the NRS Public Records [Scotland] Act 2011

From 22 December 2021, adults and children (aged 12 years and above) are eligible to be assessed for their suitability for new COVID-19 treatments if they:

• have received a positive PCR test for COVID-19 in the last five days; and
• have symptoms of COVID-19 that started in the previous five days; and
• are associated with one of the patient groups considered at high risk from coronavirus and with a clinical condition prioritised for treatment.

Health Boards can accept a positive lateral flow device (LFD) test result from eligible individuals whilst waiting for confirmation of a positive PCR test in certain circumstances. The LFD test is not complete until eligible individuals report their result, either online or by phone, and receive a result confirmation notification.

Some COVID-19 positive individuals who meet the eligibility criteria will decide not to receive anti-viral treatments, or may be unable to, for example due to other medications they are taking. Patients are asked to contact their local Health Board if they believe they are eligible for treatment.

There is also ongoing work to proactively contact (e.g. by text message) individuals who may be eligible with a reminder of the access arrangements at the point of a positive PCR test result.

It is our intention to make it easier for health & care professionals to access relevant information about the person being cared for, regardless of organisational boundaries. We also intend on providing patient access to their health & care information, as set out in our Digital Health & Care Strategy and in the Programme for Government. The ambition is to enhance and improve existing investments in technology to provide digital views on patient records for both clinicians and citizens to access relevant information when and where they need it. This will support urgent care, decision making and improve patient safety.

The Inquiry must, and will, be given the resources necessary to discharge its task. It will be fully funded by the Scottish Government. Costs are to be determined by how the Inquiry is run by the independent Chair. For that reason, as with other inquiries, we have not set a fixed budget for the Inquiry.

The Inquiries Act 2005 requires the Chair to avoid any unnecessary cost, whether to public funds or to witnesses or others.

Our approach to managing the Covid-19 pandemic has been underpinned by our Framework for Decision Making since its publication in April 2020. The Framework set out the key principles that guide our decision-making in responding to and managing the four key harms of Covid-19. These four harms are distinct but inter-related and comprise the direct health impacts of Covid-19; non-Covid-19 health harms; societal impacts; and economic impacts.

Covid-19 is first and foremost a public health crisis, and the use of legislative powers has been necessary to in order to limit transmission of the virus and save lives. We know that Covid-19 is not about to suddenly disappear, which is why we are currently undertaking work to consider the necessary adaptations to handle any future phases of the pandemic as proportionately and sustainably as possible.

We are working on a revised Strategic Framework, which will set out how we can adapt to managing the virus in the medium to long-term as it becomes endemic. This includes an update to our strategic intent by moving towards developing the necessary flexibility and resilience in our health and social care systems, wider public services, economy and society to deal with potential new variants of Covid-19 or other public health threats.

The updated Framework will set out how we can live as freely as possible while controlling the harms that the virus can cause, using lessons learned during the epidemic to benefit Scotland going forward. We are consulting with businesses, organisations and others across society as part of this process, and we will bring the update to Parliament in the coming weeks.

Public Health Scotland (PHS) releases a quarterly publication presenting statistics on the number of patients waiting for one of the eight key diagnostic tests, which are covered by the national six-week standard. Further information on these tests and the latest available statistics up to the 30 th September 2021 can be found here:

Diagnostic waiting times - Waits for key diagnostic tests 30 November 2021 - NHS waiting times - diagnostics - Publications - Public Health Scotland

In addition, PHS collects data on patients waiting for six other tests not covered by the national six-week standard, including Echocardiography. However, these data are not routinely quality assured and completeness may vary by Board. Verified data for patients waiting for an Echocardiogram is therefore not available centrally.

In Scotland there are key categorised responder organisations, defined in the Civil Contingencies Act 2004 (CCA), such as the blue light services, health boards, local authorities, and SEPA that are responsible for ensuring the effective management of emergencies. They are required by the CCA to be part of one of three Regional Resilience Partnerships (RRPs) who are supported by staff provided by Scottish Government.

Resilience Division leads on civil contingencies and resilience planning within Scottish Government, though all policy areas are responsible for risks that sit within their portfolio, such as Health for public health outbreaks, and Animal Health and Welfare for animal health outbreaks. Resilience Division supports internal and external partners to prepare, respond and recover from emergencies such as severe weather, major incidents and public health outbreaks.

As demand for COVID testing reaches new levels, we continue to adapt the Test & Protect system in order to protect the vulnerable and support the resilience of essential workforces.

From Wednesday 29 December prioritised booking slots have been made available at test sites for all essential workers, including health and care workers and this covers agency staff. Prioritised booking slots can be accessed by clicking to confirm you are an essential worker when booking a test online.

This is in addition to the local arrangements that Health and Social Care Partnerships (HSCPs) and NHS health boards have in place for PCR testing for employees including agency staff.

The report Towards a Scotland that cares , which proposes the new National Outcome on Care for the National Performance Framework, will be fully considered as part of the Review of the National Performance Framework that will commence this year. As the National Outcomes are cross-cutting, this will ensure that the report’s findings can be considered holistically across the full range of outcomes that impact on care. This addresses the report’s recommendation that the Scottish Government further consults on the proposals, as blueprints, outlined in the report during the upcoming public engagement on the NPF.