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There is evidence that achieving the stroke bundle reduces mortality and increases the chance of patients returning to their usual place of residence after stroke.

There are a number of other factors in achieving an acceptable level of care for people with stroke. However, the stroke bundle is a simple metric which has been shown to be associated with improved outcomes. The Scottish Stroke Improvement Programme Team will continue to support NHS Boards to achieve the Stroke Bundle as well as supporting improvements across the stroke pathway.

Our Detect Cancer Early (DCE) Programme is aimed at increasing early diagnosis rates of Scotland’s most common cancers while reducing health inequalities. Following an options appraisal exercise, melanoma was selected as the next tumour type for inclusion in the DCE Programme in 2016.

DCE’s website (getcheckedearly.org) and digital channels help to increase awareness of symptoms of a number of tumour groups, including melanoma, on an ongoing basis. The Programme also works closely with third sector to share patient experience stories, to prompt others to take action.

DCE launched a new overarching campaign – Survivors - in September 2018 to reduce fear of cancer and empower people to act early, if they noticed any possible signs of cancer. The NHS Recovery Plan, published 25 August 2021, commits a further £20 million investment to the DCE Programme which will include additional public awareness campaigns.

Work is ongoing to produce a progressive stroke pathway document by December 2021. This will take account of international evidence, including the World Stroke Organisation’s roadmap to delivering quality stroke care, to define what a progressive stroke pathway should look like in Scotland.

The progressive stroke pathway will, similarly to the roadmap, follow the continuum of care starting at the onset of a stroke event through the acute phase (emergency department and inpatient care), and stroke rehabilitation and long term supported recovery.

Following this, an implementation plan will identify any gaps between current capacity and the progressive stroke pathway vision, and outline clear actions to take.

As of August 23rd there are 8,220 records flagged receiving 2 doses of mixed COVID-19 vaccine products in the National Clinical Data Store (NCDS).

There are 7,697,632 total records ( first and second doses ) in the NCDS relating to COVID-19 vaccinations therefore this number is 0.11% of records flagged.

The circumstances for these are not recorded.

Data completeness and accuracy checks have not yet been carried out on each of these records, therefore some of these records may be duplicates, or in fact relate to more than a single individual.

The core criteria for defining a stroke unit are well described in the academic literature, including in Langhorne et al (2002). Though the size and configuration of stroke units across Scotland may vary depending on local factors, most will be in a defined ward setting and have a specialist stroke multidisciplinary team.

Covid-19 has had an unprecedented impact on the world, NHS Scotland and stroke services. Each service will have responded in the best way that it could, depending on the specific issues affecting them.

The 2021 Scottish Stroke Improvement Programme Report (which includes 9 months of the pandemic) shows slight deterioration in performance against the stroke standards for stroke unit access (77% in 2020 compared to 82% in 2019).

While stroke unit access declined, achievement of standards in other areas, including brain imaging within 12 hours of arrival (86% in 2020 compared 84% in 2019), time to carotid intervention (61%; 59%) and mean thrombolysis door-to-needle (DTN) time (51 minutes in 2020 compared to 53 minutes in 2019), improved.

All of these aspects also have an important impact on recovery from stroke, and therefore it is not possible to isolate the recovery impact based on one standard (such as stroke unit access).

The Scottish Stroke Care Audit does not currently directly measure level of disability at the time of hospital discharge. The stroke improvement team rehabilitation sub group is currently considering future updates to measure rehabilitation service delivery, patient outcomes and experiences.

Rehabilitation is a person centred process. People with ongoing impairment and activity limitations following a stroke are assessed by a multidisciplinary team and their wishes and needs are agreed individually as part of their rehabilitation plan. All patients who require stroke rehabilitation should be offered it. Rehabilitation may be delivered via a variety of inpatient, early supported discharge and community teams

The Council act in an advisory capacity to inform our National Strategy for Economic Transformation, which the Scottish Government will publish in late Autumn.

The Advisory Council includes representatives from industry, trade unions and academia, and has been appointed to provide expert advice and insight to the Scottish Government, drawing on their extensive experience and networks. Alongside an extensive programme of engagement with business organisations, the third sector and wider public, this will help shape the National Strategy for Economic Transformation to deliver a stronger, greener, fairer and more inclusive wellbeing economy for Scotland.

NHS bodies, Local Authorities and other public sector bodies that use Scottish Government’s national collaborative framework for the Supply of Natural Gas will see no increase in price this financial year to their wholesale cost of gas. The cost of wholesale gas was fixed in April 2021 and will remain unchanged this financial year. Information is not held centrally for those public bodies that do not use the national collaborative framework.

I refer the member to the answer to question S6W-03232 on‎ 4 October 2021 which is 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 .

I refer the member to the answer to question S6W-03232 on‎ 4 October 2021 which is 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 .