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The information requested regarding whether the Health and Safety Executive (HSE) has carried out any investigation into deaths due to hospital-acquired infection at the Queen Elizabeth University Hospital is not centrally held by the Scottish Government.

Health and safety at work is a reserved matter. HSE has confirmed that their published policy is generally not to investigate hospital acquired infections Who regulates health care (hse.gov.uk) . They have not investigated deaths at the Queen Elizabeth University Hospital that may have been caused by a hospital associated infection.

HSE did however carry out an investigation into concerns raised with them in December 2019 about the ventilation within two wards at the Queen Elizabeth University Hospital and the control of legionella in water systems across the hospital.

HSE was satisfied with the control of legionella but wrote to the Chief Executive of Greater Glasgow Health Board/NHS Greater Glasgow and Clyde requesting improvements to the ventilation systems. An Improvement Notice was served in relation to the ventilation system within Ward 4C.

Further information is available on the NHS GGC webpage: https://www.nhsggc.org.uk/about-us/media-centre/news/2019/12/hse-improvement-notice/ . The Improvement Notice is being appealed by the Health Board. However, HSE is satisfied that appropriate remedial action has been taken.

The lead investigators on the 9 projects funded through the long term effects of COVID-19 infection call were notified on 22nd December 2020 that their projects had been successful in obtaining funding.

Provisional funding letters were issued in January 2021, with the start of transfer of funds as per the payment profile dependent on the receipt by the Chief Scientist Office of a Start Certificate issued by the host institution Finance Office.

Start certificates were returned for all 9 projects, with confirmation of start dates for individual projects of between 01-02-21 and 01-05-2021.

Post award monitoring is through 6 and 12 month progress reports. In addition, a final report for each project is to be submitted on completion of the project. These final reports will be made publicly available on the Chief Scientist Office website.

The end dates for the 9 projects are:

COV/LTE/20/04 HUNT

28.02.2023

COV/LTE/20/06 PELL

28.02.2023

COV/LTE/20/08 SCULTHORPE

31.03.2023

COV/LTE/20/10 BERRY

31.01.2023

COV/LTE/20/15 SHEIKH

28.02.2023

COV/LTE/20/26 CARSON

31.03.2023

COV/LTE/20/28 LINDSAY

31.01.2023

COV/LTE/20/29 COOPER/DUNCAN

30.04.2023

COV/LTE/20/32 TORRANCE/GRANT

28.02.2023

For reference, details of the 9 above projects are available from the Chief Scientist Office website

Long Covid Call – Chief Scientist Office (scot.nhs.uk)

The Heat in Buildings Strategy confirms our intention to introduce – subject to consultation – regulations requiring Scotland’s homes and other buildings to meet EPC Band C equivalent, where that is technically feasible and cost effective. We also plan to regulate to ensure that buildings use zero emissions heating and cooling systems by 2045.

While the Strategy is clear that these regulations will apply to traditional and heritage buildings, we recognise that regulating and improving these buildings will present specific challenges and may require a bespoke approach. We will work with stakeholders including Historic Environment Scotland to consider what specific support and measures may be needed with respect to such buildings.

We plan to consult during 2022 on our proposals for regulating energy efficiency and zero emissions heating.

Whilst currently closed to new applications, Places for Everyone continues to fund over 250 projects as they progress through stages of development. Officials have met regularly with Sustrans to ensure these existing projects maintain momentum, and also plan for new projects. Sustrans has confirmed that they will re-open for new applications by Summer 2022.

Our Single Building Assessment initial phase is ongoing with 25 buildings across Scotland. We do not expect any remediation will be required for the vast majority of high-rise or other buildings in Scotland.

The Centre for Sustainable Delivery (CfSD) (and prior to this the Modernising Patient Pathways Programme within Scottish Government), have supported the rollout of the Digital Dermatology Appointment (DDA) system. This platform allows patients to interact with dermatologists by answering a series of questions and uploading images of their skin condition for the clinician to review. This system is used for both new and return patients. The system was offered for rollout to all Health Boards during COVID and to date is live in five Health Boards, with over 4000 patients having appointments this way.

In addition, the CfSD is actively promoting Active Clinical Referral Triage in Dermatology and encouraging the use of images to support this where this can be done safely. We are currently engaged in a piece of work to understand the use of images in referral pathways across all Scottish Health Boards and the output of this will support key work in 2022 to increase the use of images to support timely access to Dermatology care.

The Scottish Government has embraced artificial intelligence (AI) as a transformational technology for public good. We were the first UK country to establish an AI Strategy which set out our ambition for Scotland to become a global exemplar in the ethical and innovative deployment of AI.

As part of the Recovery Plans for the NHS, social care and the economy, the Government will support innovation in health care delivery and the adoption of AI solutions into use. Accelerating the adoption of new technologies that support improved access to healthcare, such as the use of artificial intelligence, will be integral to the recovery of NHS services, and there are a range of partner organisations that are central to this work, including the new national Centre for Sustainable Delivery.

All NHS Boards across Scotland have the option of referring patients to the NHS Centre for Integrative Care (CIC) for services not available locally.

It is for individual NHS Boards to decide what complementary and alternative medicines/therapies they make available based on the needs of their resident populations and in line with national guidance.

The CIC is a facility owned and operated by NHS Greater Glasgow and Clyde (NHS GGC), offering people with long term conditions a range of services, including complementary, holistic and homeopathic treatments. It is the responsibility of NHS GGC to manage access to their services.

There is a range of projects being undertaken in Scotland to explore the use of AI in further high-demand medical areas, ranging from robotic surgery to the use of virtual reality in supporting mental wellbeing is currently being researched, evaluated, and implemented in Scotland.

The Industrial Centre for Artificial Intelligence Research in Digital Diagnostics (iCAIRD) website provides more information:

iCAIRD – Industrial Centre for Artificial Intelligence Research in Digital Diagnostics .

Our NHS workforce, across all specialties and care settings, have been remarkable throughout the pandemic. We are deeply grateful for their continued courage, commitment and professionalism.

This year we have made £12 million available to support the wellbeing of our workforce including across primary and social care services.

We are continuing to develop the National Wellbeing Hub, a 24/7 National Wellbeing Helpline, confidential mental health treatment through the Workforce Specialist Service and funding for additional local psychological support. We are also providing further support for practical measures to aid rest and recuperation alongside additional resources including Coaching for Wellbeing and grief and bereavement support.

The Centre for Sustainable Delivery (CfSD) is working with a number of Health Boards to implement the Digital Dermatology app, which allows patients to interact with a clinician at a time convenient to them, without having to attend hospital. This will support dermatology teams in conducting more virtual appointments.