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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 information requested is not held centrally.

We are working collaboratively with COSLA and partners to prepare a response to the review of the Town Centre Action Plan which will be published later this year.

A joint interim response with COSLA was published in March 2021 and can be found at: https://www.gov.scot/publications/interim-joint-response-report-recommendations-review-town-centre-action-plan-new-future-scotlands-town-centres/.

The Scottish Government has undertaken work to assess the impact of provisions in the Nationality and Borders Bill on communities in Scotland. Issues highlighted through this work are set out in my letter of 1 September to the Home Secretary, which is on the Scottish Government website at: https://www.gov.scot/publications/letter-from-the-cabinet-secretary-for-social-justice-housing-and-local-government-to-rt-hon-priti-patel-mp/

The Scottish Government is supporting the rollout of the new Scotland Loves Local Loyalty Card, part of our £10 million Scotland Loves Local programme.

The card is a quick and efficient way to encourage spend and sales growth in our local economies and, thanks to Scottish Government funding, is the first of its kind on a national scale.

We have no plans to replicate the Northern Ireland scheme at present but will be interested to see the impact it makes.

Skills Development Scotland who lead on SG’s Partnership Action for Continuing Employment initiative have been actively engaging with the company and staff, providing support to individuals who may be impacted.

Following closure of the Lowit Unit at the Royal Aberdeen Children’s Hospital in 2014, a programme of CAMHS redesign started in 2015. This included all services for children and young people with mental health issues being redesigned to support children aged 0-18 years.

During this redesign, the majority of staff were co-located in a new purpose redesigned CAMHS building funded by the Scottish Government. The remainder of staff are now based in Moray as part of a Hub and Spoke model of care. This includes Unscheduled Care and Tier 4 staff to support children, young people and their families. All Tier 4 patients are cared for by a Multi-Disciplinary Team, using a Care Programme Approach. The CAMHS service in NHS Grampian is now also part of a North of Scotland regional Tier 4 network with Tayside and Highland and in-patient beds can be accessed within the Young People's Unit, if required.

It is for individual Health Boards to ensure that they provide mental health services in line with the needs of their local population.

NHS Grampian is currently meeting the CAMHS Waiting Times target of patients starting treatment within 18 weeks, with compliance at 90.8% in the last quarter. Waiting times performance since the whole service redesign in NHS Grampian was completed shows the positive impact this has had on access and care.