Seòmar agus comataidhean

I refer the member to the answer to question S5W-11664 on
1 November 2017. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx.

The information requested is not held centrally.

I receive requests from NHSScotland staff on a regular basis to discuss a wide range of matters. All meeting requests are considered on a case by case basis but are not recorded by the employment or whistleblowing status of the individual requesting the meeting.

The recording of requests from NHSScotland staff to meet Healthcare Improvement Scotland and the Care Inspectorate are matters for these bodies to determine.

Under the Public Interest Disclosure Act 1998, prescribed bodies or persons are independent bodies or individuals who whistleblowers can approach to make a ‘protected disclosure’ rather than their employer. Depending on the nature of the concern, these are usually scrutiny or legislative bodies and include Healthcare Improvement Scotland.

This information is not centrally held.

It is the responsibility of Health and Social Care Partnerships to plan and deliver services for their area using the integrated budgets under their control. This includes hospice and palliative and end of life care services.

In 2015, the year before integration went live, the Scottish Government published statutory guidance on strategic commissioning setting out that each Partnership's strategic commissioning plan should be based upon a Strategic Needs Assessment of local people, including those with palliative and end of life care needs. Within this wider context NHS Boards remain responsible for the procurement of palliative and end of life services, including those provided by Hospices.

Last year we announced funding of £30 million over five years to address the specific issue of support for children and young people’s palliative and end of life care needs. This investment brings funding for children's hospice services in line with that provided for adult hospice services.

This information is not centrally held.

The Scottish Atlas of Palliative Care, which was published in September 2016, provides Scotland specific data on levels, location and types of specialist palliative care services across Scotland which has previously been subsumed within UK data. The Atlas can be found at: https://www.gla.ac.uk/media/media_486122_en.pdf

Additionally, the Children's Hospice Across Scotland (CHAS) published the Children in Scotland requiring Palliative Care (CHiSP) study in October 2015. This study sets out the numbers of children and young people in Scotland with palliative care needs and generated evidence to support the planning and delivery of paediatric palliative care in Scotland. The CHiSP study can be accessed at: http://www.cen.scot.nhs.uk/wp-content/uploads/sites/24/2017/02/ChiSP_report.pdf

Guidance for the procurement of palliative and end of life services, including those provided by independent adult hospices, is set out in Chief Executive Letter, CEL 12 (2012). The CEL makes clear that funding of mutually agreed specialist palliative care services should be reached by NHS Boards and independent adult hospices on a 50% calculation of agreed costs.

Last year we announced funding of £30 million over five years to address the specific issue of support for children and young people’s palliative and end of life care needs. This investment brings funding for children's hospice services in line with that provided for adult hospice services.

Training places for social care are not centrally controlled. Demand for places is assessed through colleges working in partnership with employers to meet the needs of local labour markets.

Health and Safety is a reserved matter under the terms of the Scotland Act (1998). The duty holders in NHSScotland under the Health and Safety at Work etc. Act 1974 (HSWA) and relevant regulations, are NHS Boards, as they are separate legal entities to the Scottish Government. Individual NHS Boards are responsible for Health and Safety within their own areas.

Through Healthcare Improvement Scotland and NHS Boards the Scottish Government and its officials ensure that the HSAW act is adhered to. In addition, the Health and Safety Executive (HSE) can and does enforce health and safety legislation within NHS Boards in accordance with its policy on patient safety.

HSE’s role in patient health and safety is explained in the Letter of Understanding between Health and Safety Executive and Healthcare Improvement Scotland and is available at http://www.hse.gov.uk/aboutus/howwework/framework/letter-of-understanding-his.pdf

Reducing Healthcare Associated Infections (HCAI) is a key priority for the Scottish Government. Health Protection Scotland provide the Scottish Government with quarterly and annual reports, which are used to measure the progress in tackling HCAI across NHSScotland. The information also highlights areas of good practice, which is shared across all Health Boards to ensure they continue to drive forward improvements in this area.

Information on the number of Managed Access Schemes for drugs in each year since 1999 is not held centrally by the Scottish Government.

A recommendation contained within Dr Montgomery’s Review of Access to New Medicines was to explore Managed Access Schemes. We are working with stakeholders to take this work forward, in consideration of the interdependencies with implementation of a conditional acceptance provision.

The Best Start recommends that "NHSBoards should redesign maternity services with a focus on local care, built around the concept of multidisciplinary community hubs, with the majority of women being offered routine care and services through these hubs." This is in line with the national strategic direction to deliver multidisciplinary patient centred care as outlined in the National Clinical Strategy and Realistic Medicine. Scottish Government will work with NHS Boards locally to implement the recommendation from the Best Start however it is for NHS Boards to determine where the hubs are located, what services are provided within these hubs and how these are managed to ensure that they offer safe, high quality services to all pregnant women. We expect boards to involve staff and patients in these discussions.

This information has been provided by ISD. ‘NHS support’ has been defined as the number of acute and mental health inpatients with a diagnosis of eating disorder recorded within data returns to ISD. This information is shown in the following table for the financial years 1999-2000 to 2015-2016, broken down by NHS board of treatment. Please note that the figures for the financial year 2016-17 have not yet been published.