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NHS boards meet the costs of antiviral therapy for HIV from core budgets. The costs of antiviral therapy for hepatitis C is supported by the £28 million funding the Scottish Government provides under the Sexual Health and Blood Borne Virus Framework. NHS boards can determine how best to use that funding, and funding from their own core budgets, to reflect local need. However, under the framework boards are set an annual treatment target hepatitis C. During 2015-20 the aim is for at least 1,500 people per year will be initiated onto antiviral therapy.

In recognition of the new, highly effective therapies for hepatitis C which were approved for use by Scottish Medicines Consortium in 2014, the Scottish Government has provided additional recurring funding to NHS boards from 2015-16 to assist with the costs of new drugs, including hepatitis C therapies.

The Scottish Government has allocated £28 million this financial year to support NHS boards and third sector organisations to implement the Sexual Health and Blood Borne Virus Framework. Funding to support subsequent years of the framework will be subject to spending review decisions.

A key aim of our Diabetes Improvement Plan is to support people with diabetes to self-manage their condition through the provision of timely information and advice. We continue to build on this work to ensure that a range of high quality person-centred structured education programmes are in place and delivered by appropriately trained healthcare professionals. For example, we are providing funding for the development of programmes that are designed for those newly diagnosed with type 1 diabetes.

To complement our wider health strategy to address the underlying risk factors associated with diabetes by reducing obesity, encouraging healthy eating and promoting healthier living across Scotland, the plan contains specific action to develop and implement an appropriate framework for assessing the risk of diabetes for people currently undiagnosed to support early identification, diagnosis and treatment of diabetes.

An essential part of staying healthy with diabetes is to ensure that people receive the appropriate healthcare checks, or care processes, which can help to minimise the risk and detect early signs of the complications of diabetes. We know that more people than ever before have had their HbA1c and foot risk score measured, and have received retinopathy screening. However, there is more to be done to increase uptake of these important health checks.

The Scottish Government’s Diabetes Improvement Plan, published in November 2014, updated and aims to build on the progress made through the implementation of the previous Diabetes Action Plan 2010. The improvement plan outlines a range of key priorities for focussed activity to ensure continued improvement in the care and treatment for people with diabetes.

The annual seasonal flu vaccination programme seeks to protect members of the public who may be at risk of flu due to age or because of certain medical conditions. The annual seasonal flu programme does not provide vaccination to those who may be at risk of flu because of occupational exposure. Responsibility for the health and safety of staff rests with employers. The vaccination of all NHS health care workers against flu is the responsibility of NHS boards as employers. Responsibility for the health and safety of student nurses lies with the relevant university or college occupation health system.

Our Diabetes Improvement Plan sets out a range of measures that we expect NHS boards to report on, including the nine care processes and the provision of structured education.

The health and safety of student nurses falls under the governance and care of university occupational health systems.

Student nurses who may be exposed to the flu during placements in NHS boards should receive flu vaccination in line with all other NHS healthcare workers. Each year the Chief Medical Officer and Chief Nursing Officer issue a letter to the NHS setting out arrangements for the flu season. This letter highlights the importance of staff or other individuals who may be at risk of occupational exposure being offered the vaccine by employers. This programme is supported by a range of marketing materials to raise awareness amongst staff, including posters and leaflets.

A key aim of our Diabetes Improvement Plan is to support people with diabetes to self-manage their condition through the provision of timely information and advice. We continue to build on this work to ensure that a range of high quality person-centred structured education programmes are in place and delivered by appropriately trained healthcare professionals. For example, we are providing funding for the development of programmes that are designed for those newly diagnosed with Type 1 diabetes.

To complement our wider health strategy to address the underlying risk factors associated with diabetes by reducing obesity, encouraging healthy eating and promoting healthier living across Scotland, the plan contains specific action to develop and implement an appropriate framework for assessing the risk of diabetes for people currently undiagnosed to support early identification, diagnosis and treatment of diabetes.

An essential part of staying healthy with diabetes is to ensure that people receive the appropriate healthcare checks, or care processes, which can help to minimise the risk and detect early signs of the complications of diabetes. We know that more people than ever before have had their HbA1c and foot risk score measured, and have received retinopathy screening. However, there is more to be done to increase uptake of these important health checks.

The Scottish Government’s Diabetes Improvement Plan focuses on implementing a wide range of activities to provide advice and guidance to boards to support them in delivering diabetes care. The activities include the CPR for feet campaign, the diabetic-ketoacidosis (DKA) campaign, development of structured education and inpatient care of diabetes, and improving glycaemic control, which is particularly important for those with type 1 diabetes.

In addition, the Scottish Government provides funding for Nutrition and Diet Resources UK to develop a wide range of leaflets that health professionals and dieticians can use with diabetes patients.

Each year a significant amount of work is undertaken by the Scottish Government, Health Protection Scotland and NHS boards to ensure that all healthcare staff, including student nurses, have access to detailed and up to date guidance on preparing for and managing norovirus in hospitals and care homes. This includes a temporary suspension visiting (TSV) check list to consider and enable optimal communications with patients and families/visitors before, during and after TSV is used.

When it is the right and appropriate thing to do – to keep staff, patients and visitors safe – wards will be closed. However, closing wards is not a decision that is taken lightly. It is a clinical decision and an outbreak control measure designed to minimise further spread of infection and the impact on staff, patients and relatives.

Health Protection Scotland has led a proactive national communications campaign, funded by the Scottish Government, to ensure public awareness detailing information on norovirus, including prevention and self-care so that everyone can help prevent the spread of the virus. Top tips to help prevent the spread of infection are also published on the Scottish Government’s website including guidance about visiting hospitals and care settings and the importance of effective hand hygiene for everyone.

To prevent the spread of infection in hospitals, the National Infection Prevention and Control Manual, published by Health Protection Scotland, provides detailed guidance on standard infection control precautions. These mandatory precautions are the basic infection prevention and control measures necessary to reduce the risk of transmission of infectious agents and are to be used by all staff (including student nurses), in all care settings at all times, for all patients.

Students also undertake the Cleanliness Champions Programme developed and co-ordinated by NHS Education for Scotland, a key initiative in healthcare professional’s training and education. The programme was written for and is used by a wide range of healthcare staff, and students in medicine, dentistry and nursing. Students are required to undertake all nine modules of this programme throughout their training.