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As part of their Patient Transport Service Improvement Programme - which includes investment in new technology, training and staff development - the Scottish Ambulance Service expect that staff numbers are likely to reduce by around 60 and the Patient Transport Service fleet will reduce by around 33 vehicles. All of the staff reductions will be secured by retirement, leavers or redeployment within the service.

I expect the Scottish Ambulance Service to ensure they deliver a consistent, high quality patient transport service for patients, and a service that is demand responsive and person centred. Any efficiencies that are secured through the better use of technology, improved planning and enhanced co-ordination will be reinvested in front-line care.

The Medicines and Healthcare Products Regulatory Authority (MHRA) has not issued any medical device alert on transvaginal mesh products. However, MHRA commissioned the University of York Health Economics Consortium to conduct a systematic review of the available literature.

The report of the review together with advice and information for patients and clinicians was published on 22 November 2012 and is available at the following website:

http://www.mhra.gov.uk/Safetyinformation/Generalsafetyinformationandadvice/Product-specificinformationandadvice/Product-specificinformationandadvice%E2%80%93M%E2%80%93T/Vaginalmeshforpelvicorganprolapse/

There are no inspectors in the Healthcare Environment Inspectorate with the Regulation of Care Award. The Regulation of Care Award is a qualification required by inspectors regulating social care services. This qualification is not required for inspectors working in healthcare services.

All Healthcare Improvement Scotland inspectors are appropriately qualified. Inspectors in the programme of inspections for the care for older people all have a clinical qualification and inspectors working with the Healthcare Environment Inspectorate (HEI) are required to have qualifications in health, public health and environmental health.

National Procurement, which is part of NHS National Services Scotland, has confirmed that it supplies some transvaginal mesh devices to health boards through the National Distribution Centre. These devices are not included in a national contract but are supplied in response to catalogue requests from NHS boards for specific makes and type of device.

As the value and volume of products supplied through National Procurement is relatively low there are no plans to move this to a National Contract.

There were nine Inspector roles advertised in financial year 1 April 2012 to 31 March 2013. Three were advertised in June 2012 and six advertised in March 2013. All were advertised internally and externally.

All inspection reports produced by the Healthcare Environment Inspectorate may have requirements and recommendations. NHS boards are invited to review draft inspection reports to check for factual accuracy. Any factual accuracy amendments that are accepted will lead Healthcare Improvement Scotland to correct the report. If necessary, they may reflect the correction in the requirements and recommendations.

Healthcare Improvement Scotland (HIS) is not a special health board. HIS was set up under the terms of the Public Services Reform Act (2010) as a health body, independent of the organisations it inspects (both NHS and non NHS) and reports independently of Scottish Government.

The information requested is not held centrally.

In 2011-12, 11 people left NHS Health Scotland via voluntary redundancy and 6 via early retirement, which they applied for via the open voluntary redundancy scheme.

In 2012-13, 4 people left NHS Health Scotland via voluntary redundancy.

Ambulance Service activity is published annually in the Information Services Division (ISD) Scotland Cost Book and this can be found at:

http://www.isdscotland.org/Health-Topics/Finance/Costs/