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Information on the number of full-time equivalent stoma care clinical specialist nurses currently employed by NHS Scotland is not centrally held.

Clinical Nurse Specialist (CNS) data by NHS Board from 2009 to the most recent data published in September 2018, can be found at:

https://turasdata.nes.nhs.scot/media/4ndpx4za/clinical_nurse_specialists_s2018.xlsx

Given data quality concerns all historical data, whilst published, should be treated with caution. NES will continue to work with the Scottish Government and NHS Boards to ensure improved recording going forward.

A national review into the Clinical Nurse Specialist role and its definition is currently under way. NHS Education for Scotland (NES) will work with NHS Boards to improve the quality of CNS data once this is complete.

We recognise and value Stoma Care Nurses as a role in the wider Clinical Nurse Specialist workforce and as such they were included under the auspices of the national work which reviewed the Clinical Nurse Specialist role, in line with the NHS Education for Scotland Career Development Framework and the Chief Nursing Officer Directorate's Transforming Roles Programme.

NES will continue to work closely with the Scottish Government and NHS Boards to develop a clear education and career pathway for Clinical Nurse Specialists to maximise the contribution of the role in line with the current and future needs of Scotland’s health and care system. The existing Education and the Career Pathway model will support Stoma Care Nurses to identify their education needs.

The Scottish Government is committed to ensuring that all people who require stoma care services are able to receive the best possible care and support wherever possible and benefit from healthcare services that are safe, effective and put the patient at the centre of their care.

A range of nurses and support workers with mixed responsibilities can support patients who have stomas across health and social care. There are many nurses within differing units and specialities within NHS Boards and social care, including in the community, who are able to support stoma patients alongside stoma clinical nurse specialists.

Those who experience difficulties carrying out a LFD test can ask someone they trust to assist them with the swabbing and testing process. Walk-in asymptomatic test sites (ATS) can advise people how to use an LFD test. After self-swabbing, the person hands their used swab to a site operative for it to be analysed.

Where a person is part of a workplace testing scheme and is not able to self-swab, if they have capacity to consent, they should be asked if they will allow someone to help them do the test, or to allow someone to do the test for them. Each case should be assessed on a case-by-case basis and if required, the Personal Assistant or family member can consult their GP in case specific care is required to swab the person.

People identified as contacts of a case who are unable or do not have the support to carry out LFD testing can call the National Contact Tracing Centre on 0800 030 8012, for advice.

Regular testing for people without symptoms is voluntary and for some people with additional support needs it may not be appropriate for testing to take place. Those working most closely with individuals with additional support needs, will be best placed to decide whether testing will be appropriate, taking into consideration the needs of the individual.

Since May 2020, the Scottish Government has invested over £48 million in our Connecting Scotland programme, which provides people on low incomes with a device, connection with unlimited data for two years, as well as training and support. Since programme launch 60,000 digitally excluded people in total have been brought online. We are now working to scope out an extension to the programme to reach 300,000 people by the end of this Parliament.

The programme is part of our wider package of support to help everyone in Scotland benefit fully from the advantages of the digital world – from broadband connectivity to digital skills training and support for schools and business.

Each year since 2010-11, and as demonstrated through the Budget publications, the Scottish Government has delivered its commitment to pass on frontline health consequentials to the Health Portfolio. This refers to resource consequentials arising from increases in funding allocated by HM Treasury to the Department of Health and Social Care.

As the Cabinet Secretary for Finance and the Economy has made clear in Parliament, there are some areas of required spend where Covid consequentials have fallen short of expectation. In addition, there are some timing differences between spend in England and equivalent spend in Scotland .

In this context, the Scottish Government has taken steps to align funding from the UK Government with actual spending profiles in Scotland. The Cabinet Secretary for Finance and the Economy highlighted in her letter to the convenor of the Finance and Public Administration Committee, Covid 19 Financial support Scottish Government update | Scottish Parliament Website , that the Scottish Government has required to repurpose some health consequentials to specifically support wider public health measures. Further detail will be provided in the Spring Budget Revision.

The Scottish Government is keen to see all health and social care partnerships maximise their potential to recycle and reuse their community equipment, and benefit from the efficiencies and savings this can result in. For example, EquipU, the joint equipment store covering 6 local authorities and NHS Greater Glasgow and Clyde, reported that during 2021 £4.2 million worth of equipment was recycled, with a reuse cost of only £410,000. The service has also reported a 17% increase in recycling to date this Financial Year. Other areas are reporting similar increases and have also increased initiatives, and public communication to ensure the swift return of unwanted equipment to store services.

Scottish Government officials are currently carrying out a review of the Guidance on Providing Community Equipment and Adaptations, with a consultation planned for March 2022.

I refer the member to the answer to question S6W-05487 on 21 January 2022. 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

For more detail on data relating to echocardiograms, I refer the member to the answer to question S6W-05550 on 21 January 2022. 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

Information on outpatient referrals can be found here ( Waiting times - Data & intelligence from PHS (isdscotland.org) . Waiting times information is not broken down by diagnosis code.

In April 2021, we commissioned Public Health Scotland to develop the Scottish Cardiac Audit Programme, this includes the collection of data on Transcatheter Aortic Valve Implant, and Adult Cardiac Surgery in Scotland, both of which are relevant to the management and treatment of heart valve disease.

Further development of this audit programme and decisions around any future data to be collected will be undertaken in collaboration with clinicians and people with lived experience of heart disease in Scotland.

Regulations made using Covid-19 legislation must be reviewed at least every 21 days by Scottish Ministers. This review process ensures that the measures they provide continue to be necessary and proportionate.

Any new or revised regulations are set out to the Scottish Parliament in plenary and are considered by the Parliament's Delegated Powers and Law Reform Committee and the Covid-19 Committee Recovery Committee.

Regulations made under Covid-19 legislation are considered through the Four Harms approach which draws on evidence and analysis to assess both current and future direct and indirect health impacts and the social and economic impacts of the pandemic and of proposed regulations. This approach is underpinned by Scotland’s Strategic Framework which sets out our approach to managing the pandemic.

Scottish Ministers also produce a report to Parliament every two months with regard to the status and operation of the Scottish and UK Coronavirus Acts – confirming that they have undertaken a review of whether the provisions continue to be necessary and proportionate.