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In February 2012, the Chief Executive Letter (CEL 04 (2012)) required Health Boards to increase insulin pump therapy in line with national clinical guidance.

The commitment to provide insulin pump therapy to 25% of under 18s and for people of all ages with type 1 diabetes to more than 2,000 was met by 1^st April 2015 supported by £7.5m of Scottish Government funding.

Since the CEL, the number of people with insulin pumps has increased to over 3,200.

Following the achievement of CEL 04 (2012) the Minister for Public Health, Maureen Watt, wrote individually to all NHS Boards in June 2015.

The letter highlighted the importance of consistent delivery of insulin pump therapy as part of diabetes management. It also asked NHS Boards to make sure that people who are clinically suitable are identified and initiated onto pump therapy at the earliest opportunity.

The additional investment of £10m recently announced will support NHS Boards in meeting those expectations.

The Scottish Government works closely with the Scottish Diabetes Group (SDG), our national advisory group, to oversee and drive implementation of our Diabetes Improvement Plan (2014) to improve care and treatment for people living with diabetes in Scotland. The Plan includes Inpatient Diabetes as a priority. Supporting this priority, the development of “Diabetes - Think, Check, Act” has been led by Healthcare Improvement Scotland.

The Scottish Government and SDG have followed progress closely. Monitoring of the project across pilot sites in NHS Lothian and NHS Greater Glasgow and Clyde has demonstrated success with a reduction in the rate of hypoglycaemia and an increase in the rate of hypoglycaemia resolution. This has led to reductions in length of stay, improved patient experience and safer care.

Based on this success, completion of the project is ongoing, with development of a toolkit which includes a range of resources, including e-learning modules for healthcare professionals, to be used to spread the initiative across Scotland.

I refer the member to the answer to question S5W-05462 on 22 December 2016. 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 Scottish Diabetes Group (SDG), our national advisory group and its subgroups have agreed national glycaemic levels and have been holding quality improvement meetings to promote and share good practice throughout our diabetes communities in order to achieve these.

Further to this, work is progressing to develop early intensification strategies and new national structured education packages for people newly diagnosed with type 1 diabetes.

The Scottish Government has increased the number of insulin pumps to over 3,200 since 2010 supported by funding of £7.5m. This represents an almost fourfold increase against the baseline figure of 696 in December 2010.

The First Minister Nicola Sturgeon MSP recently announced that the Scottish Government would invest £10m during the lifetime of this Parliament, to further increase the provision of insulin pump therapy and Continuous Glucose Monitoring (CGM).

I refer the member to the answer to question S5W-04749 on 22 December 2016. 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

Funding for alcohol and drug treatment services is directed through NHS territorial boards, who determine the final allocation to ADPs from all the funds provided to them by the Scottish Government. Health Secretary Shona Robison set out to boards at the start of this year our expectation for boards to maintain support to ADPs in 2016-17 in order to provide the same level of services delivered in 2015-16.

The Mental Welfare Commission report “Perinatal Themed Visit Report – Keeping Mothers and Babies in Mind” published 29 June 2016 contains a survey of all 43 Scottish General adult acute wards, 11 IPCUs and both mother and baby units from July to September 2015. 16 out of 44 mothers admitted during the survey did not receive care with their baby in one of the specialist mother and baby units. Data on how many mothers have been separated from babies in the course of receiving mental health treatment is not routinely collected in Scotland.

Scotland was first nation to introduce a waiting time target for Child and Adolescent Mental Health Services (CAMHS) services in the world, and was the first country in the UK to introduce a waiting time target for psychological therapies - this is an indication of how seriously we take this issue. All people in Scotland are included in these targets, so that would include maternal mental health. We expect that health boards and health and social care partnerships will deliver mental health care and treatment, this includes maternal mental health, in a person-centred manner to meet each individual’s needs.

In its Perinatal Themed Visit report in 2016, the Mental Welfare Commission made 13 recommendations to improve the recognition and treatment of perinatal mental health issues. One of these, to establish a national Managed Clinical Network, was for the Scottish Government, which we have agreed to. We will therefore fund the introduction of a Managed Clinical Network (MCN) to improve the recognition and treatment of mental health problems in the perinatal period.

People with diabetes access structured education through NHS Health Boards.

Our Diabetes Improvement Plan 2014 supports people with diabetes to self-manage their condition through the provision of timely information and advice. We continue to build on this work by funding a range of high quality person-centred structured education programmes delivered by appropriately trained healthcare professionals within 12 months for those diagnosed with type 1 and type 2 diabetes.

We have recently introduced quarterly reporting that NHS Boards use for monitoring the timely delivery of structured education.

I refer the member to the answer to question S5W-04565 on 21 November 2016. 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.