- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Monday, 16 September 2024
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Current Status:
Answered by Neil Gray on 19 September 2024
To ask the Scottish Government what discussions it has had with NHS (a) Fife, (b) Dumfries and Galloway, (c) Ayrshire and Arran, (d) Lanarkshire and (e) Borders regarding the future funding of Rapid Diagnostic Cancer Services.
Answer
Development of Scotland’s Rapid Cancer Diagnostic Services (RCDS) is being led through the Centre for Sustainable Delivery (CfSD). Colleagues in CfSD have regular progress discussions with each of the established RCDS teams.
The Scottish Government have provided funding to each of these services until March 2025, and NHS Boards continue to develop their business cases for sustainable investment.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 04 September 2024
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Current Status:
Answered by Jenni Minto on 19 September 2024
To ask the Scottish Government how many thrombectomy patients have been treated at each of the thrombectomy hub centres in each of the last five years, also broken down by the number of patients who have been transferred in as part of the hub and spoke model.
Answer
The number of thrombectomy patients treated at each thrombectomy hub is shown in the following table.
Year | East of Scotland (Royal Infirmary of Edinburgh) | North of Scotland (Ninewells) | West of Scotland (Queen Elizabeth University Hospital) | NHS Scotland Total |
2020 | 0 | 3 | 0 | 3 |
2021 | 15 | 14 | 0 | 29 |
2022 | 44 | 43 | 25 | 112 |
2023 | 62 | 46 | 20 | 128 |
2024 | 29 | 35 | 49 | 113 |
This data, provided by Public Health Scotland, reflects the position in the East and West of Scotland as of 31st July 2024 and the North of Scotland as of 31st August 2024.
Since 2020, 35 patients have been transferred to hub hospitals for thrombectomy.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 04 September 2024
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Current Status:
Answered by Jenni Minto on 17 September 2024
To ask the Scottish Government how NHS boards match demand for funded stroke beds with the flow of patients, and how many patients have been impacted by not having a fully funded stroke bed during their stay in each month in the last five years.
Answer
The information requested is not held by the Scottish Government. Individual NHS Boards are best placed to advise on the decisions they take to match service provision with demand.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 04 September 2024
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Current Status:
Answered by Jenni Minto on 17 September 2024
To ask the Scottish Government, on average, what proportion of patients who survive a stroke are eligible for rehabilitation within NHS Scotland.
Answer
The information requested is not held by the Scottish Government.
A tool for collection of empirical data relating to stroke rehabilitation provision - including time to rehabilitation assessment, creation of rehabilitation plans, commencement of rehabilitation, input from various Allied Health Professional specialities and time to commencing community rehabilitation - has been developed. This tool is currently being trialled in two NHS Boards, with the aim of using this across Scotland and including this in the Scottish Stroke Care Audit once data collection has been assessed.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 12 September 2024
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Current Status:
Taken in the Chamber on 12 September 2024
Question to be taken in Chamber.
Answer
Taken in the Chamber on 12 September 2024
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 12 September 2024
To ask the Scottish Government what the projected savings will be as a result of thrombectomy being made available to all eligible patients, and how any savings will be used.
Answer
The Scottish Government has not calculated the likely savings resulting from the provision of thrombectomy procedures. However, academic research suggests that thrombectomy is cost-effective and likely to result in long-term savings.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 12 September 2024
To ask the Scottish Government whether it will routinely provide details of stroke outcomes for stroke patients, in light of reported concerns that only information relating to mortality levels is provided in the Scottish Stroke Care Audit report.
Answer
The Scottish Government does not currently plan to provide overall outcome information beyond mortality.
A tool for collection of empirical data relating to stroke rehabilitation provision - including time to rehabilitation assessment, creation of rehabilitation plans, commencement of rehabilitation, input from various Allied Health Professional specialities and time to commencing community rehabilitation - has been developed. Data collection with this tool is currently being trialled in two NHS Boards, with the aim of using this across Scotland and including this in the Scottish Stroke Care Audit once data collection has been assessed.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 12 September 2024
To ask the Scottish Government what projected savings through thrombectomy provision have been made to date as a result of reduced length of stay and reduced care costs due to associated better health outcomes.
Answer
The Scottish Government has not calculated the likely savings resulting from the provision of thrombectomy procedures. However, academic research suggests that thrombectomy is cost-effective and likely to result in long-term savings.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 12 September 2024
To ask the Scottish Government what obligations are currently placed on NHS boards to deliver stroke rehabilitation.
Answer
As part of the Scottish Stroke Improvement Programme Board review process, Boards are expected to demonstrate rehabilitation provision in a variety of settings, and at a range of intensities, as well as outlining a robust rehab assessment process and the availability of symptom-specific rehabilitation pathways.
Boards must also demonstrate that there is a clear pathway for people who have had strokes to re-engage with stroke rehabilitation services as appropriate.
Where rehabilitation provision is found not to fully align with these criteria, the Scottish Stroke Improvement Programme works with stroke services to develop action plans for improvement.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 10 September 2024
To ask the Scottish Government what its position is on whether implementing a robust governance process will remedy any failure of NHS boards to meet Scottish Stroke Standards and national stroke guidelines.
Answer
A robust governance process is one important aspect of delivering effective care and meeting the Scottish Stroke Care Standards measured in the Scottish Stroke Care Audit.
That is why NHS Board reviews conducted by the Scottish Stroke Improvement Programme explicitly ask NHS Boards to set out their governance structure and any plans to improve this.
We have also asked every NHS Board to nominate an accountable individual to take overall responsibility of stroke care, including meeting the Scottish Stroke Care Standards.