Seòmar agus comataidhean

I refer the member to the answer to question S6W-08953 on 24 June 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

To date 10 patients have requested referral to either Dr Veronikis or Professor Hashim. It is possible, however, that this number will increase once the contract arrangements with Dr Veronikis have been finalised and the formal referral pathways are in place.

The Affordable Housing Supply Programme was allocated £134 million in Financial Transactions in 2022-23 and we have recently agreed that £60 million will be made available for the Open Market Shared Equity Scheme and £74 million for the Charitable Bond demand led programmes in 2022-23. A further £92 million in Financial Transactions was allocated to the wider housing budget for 2022-23, with £12 million of this earmarked for historic carry forward commitments. All options are being actively considered to maximise the use of the remaining Financial Transactions to support the delivery of homes.

For complex mesh removal surgery, case review by a specialist multi-disciplinary team (MDT) is seen as pivotal in ensuring that all clinical considerations are taken into account in the planning of surgery which meets the needs of the patients. With the agreement of the independent providers, prior to referral, patients will be discussed by the MDT in Glasgow to ensure that they are fit for surgery and that all relevant diagnostic investigations have been undertaken. If, after careful consideration by both the MDT and the patient, it is agreed that surgery is appropriate and the patient wishes to be referred to either Dr Veronikis or Professor Hashim, the team in Glasgow will facilitate this in conjunction with their local specialist within their local Health Board who will then share in the ongoing care of the women following their surgery.

Anyone who wishes to be referred to either Dr Veronikis or Professor Hashim should firstly discuss their case with their GP who will refer them to the local specialist within their Health Board. If considered appropriate they would then be referred to the Complex Mesh Surgery Service for consideration by a full multi-disciplinary team (MDT). The MDT will undertake an appropriate clinical assessment and ensure that all relevant investigations are undertaken to support shared decision making. If, after careful consideration by both the MDT and the patient, it is agreed that surgery is appropriate and the patient wishes to be referred to either Dr Veronikis or Professor Hashim, the team in Glasgow will facilitate this in conjunction with their local specialist within their local Health Board.

We recognise the impact long waiting times can have on a patient, from both a clinical and mental health perspective. At this stage in recovery from the pandemic, long-waiting patients must be considered a priority.

Work is underway, through the Care and Wellbeing Portfolio, to provide more active support to people whilst they are waiting for treatment. This will include the launch this summer of a national system that will provide information on waiting times by health board and by specialty.

More information on ‘waiting well’ and accessible services will also be made available for people to manage their conditions while they wait for treatment.

The contract negotiations with Dr Veronikis are progressing and are expected to reach a positive conclusion imminently. No patients can be referred until this process is complete, however referrals for those who wish to travel for treatment by Dr Veronikis will begin as soon as possible after the contract has been concluded. All negotiations with Spire Healthcare, Bristol are complete and contracts have been signed. For the small number of patients who have requested referral to Spire Healthcare, arrangements for referral are now beginning and it is anticipated that the first patients will travel for treatment shortly.

The Scottish Government is committed to ensuring the sustainability of the NHS and in March 2022 we published, in partnership with CoSLA, the National Workforce Strategy for Health and Social Care . The Strategy outlines our shared vision: a sustainable, skilled workforce with attractive career choices where all are respected and valued for the work they do. To ensure all Health Boards have sufficient capacity, planning guidance has been issued to support the production of new Three Year Workforce Plans, supported by local systems’ workforce data.

Staffing across NHS Scotland is at record levels, having increased by 23.5% under this Government. There are also record high numbers of nursing and midwifery staff, up by 14.8% since September 2006, and numbers of student nurses entering Scottish Government funded degree programmes will increase by 9% in 2022-2023, the 10 th successive increase in recommended student numbers.

We are investing £11 million over the next five years in new national and international recruitment campaigns and have established a national Centre for Workforce Supply to support the development and implementation of resource strategies and services across the system. We are also carrying out work to promote service innovation and redesign, such as utilisation of Associate Physicians, Advanced Nurse Practitioners and Health Care Support Workers; all of which will support maintaining appropriate staffing levels.

In healthcare settings, all incidents of restraint should be recorded and monitored at NHS Board level in line with their individual clinical governance procedures. The Mental Welfare Commission also have a role in publishing guidance in this area and in addressing individual cases following contact from patients, or as a result of their visits and themed reviews.

The Care Inspectorate gathers information on all incidents of restraint and reviews selected cases to ensure staff carrying out the restraint are fully trained and best practice is followed. They also inspect residential and secure care homes at least once each year, and restraint procedures are part of that inspection process.

In education settings, any use of physical intervention in schools, including restraint, must be recorded and monitored by local authorities. As part of their scrutiny and improvement roles in schools, Education Scotland inspectors consider the impact of practice in relation to the use of physical intervention, including restraint, for children and young people.

Information on the number of incidents of restraint and seclusion in these services are not collected at a national level by the Scottish Government.

I refer the member to the answer to question S6W-07994 on 6 May 2022. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers