Seòmar agus comataidhean

I refer the member to the answer to question S6W-04721 on 8 December 2021. 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 .

Information on the number of people diagnosed with malnutrition and associated conditions is not held centrally.

GP practice records show lists of acute and repeat prescribed medication lists during consultations with quantities of medication prescribed. Over ordering of repeat medication (or repeated consultations for acute prescriptions) are therefore visible on the acute and repeat prescribing sections of the medical records. It is therefore possible to add minimum days before reordering of monthly repeat medications to help prevent medication being ordered early or alert future prescribers to the potential for suspected addiction. ‘Special notes’ can be added or alerts to the patient record in daytime practice to inform prescribers of previous medication seeking behaviour or suspected addiction to pain medication. This information can be added to the patients ‘Special notes’ to be visible to Out of Hours services. Scottish Government is developing tools to accurately display prescribing habits to clinicians during consultations in order to help identify medication (including analgesic) over/under use.

The Scottish Government is committed to ensuring that legal assistance continues to be available to all those facing legal concerns. In our Programme for Government we committed to engage with the legal professionals and other stakeholders to review the Legal Aid system, and to introduce a Legal Aid Reform Bill in this Parliament, to deliver a system that is flexible, easy to access and that meets the needs of those who use it.

The Scottish Government consulted on legal aid reform in 2019 and has stated its willingness to take forward supported recommendations that will deliver an enhanced system of legal aid across Scotland and reiterated its commitment to retaining a demand led Fund to support a wide scope of actions. Particular consideration will be given, during the development of the Bill, to how more targeted and planned interventions can support user need and align with identified government priorities. There is real value for both users and providers in achieving a user-focused and diverse delivery model; users can access appropriate interventions at the right time, and providers can better target their expertise to those who require it.

The Scottish Government put in place and agreed a three year financial package in 2019-20 which sees an annual a fixed percentage uplift of 2.5% to the global sum each year of the current remuneration package. This ensures funding for continuous expansion in the quality and number of services that can be offered by community pharmacy contractors to local communities.

The Scottish Government have also invested £10 million over the course of the 3 year financial settlement in NHS Pharmacy First Scotland, seeing it increase the range of common clinical conditions which are able to be treated by the community pharmacist without the need to see a GP. We have also put in place a National Foundation Programme and Independent Prescriber Career Pathway. This pathway aims to maximise pharmacists’ expertise in medicines and, with the introduction of the new NHS Pharmacy First Scotland service, the opportunity for pharmacists to enhance patient care will further increase. Increasing the number of Independent Prescribers and establishing the core use of the IP qualification in the community setting will enhance the pharmacy networks’ role in the clinical pathway of patients.

The Scottish Government Health and Social Care Integrated Workforce Plan commits to increasing Pharmacy pre-registration training places by 120 over the next 4 years and we are currently increasing training places available for pharmacy technician training. Scottish Government will continue to work with partners to ensure not only the stability of the network but also that the balance of high quality pharmaceutical care is maintained across the whole pharmacy workforce in all sectors.

There were 42 proposed flood protection schemes set out in the Flood Risk Management Strategies published by SEPA in December 2015.

Of the 42 projects 8 have been completed.

The Chief Medical Officer issued guidance in his letter of 21 September on the vaccination of severely immunosuppressed individuals. This letter is published here: COVID-19 vaccination programme: JCVI advice on the vaccination of severely immunosuppressed individual (scot.nhs.uk) . On 19 October a tailored Primary Care Update communication was cascaded direct to primary care networks to ensure GPs and others were aware of arrangements for this cohort.

The Joint Committee on Vaccination and Immunisation (JCVI) advice on third primary doses is complex both in terms of eligibility and timing, as the ideal time for a third dose may differ from person to person. There has therefore been clear national communication to health boards to assist them in delivery to this cohort.

There are many rare conditions and guidance on specific conditions which may benefit from inclusion is not necessarily exhaustive. Where a condition is not on the list but a patient’s clinician believes they should be included, they can add people to the list and refer them for vaccination to their local health board, if in their judgement, they feel that their patient should be eligible for a third dose.

More information on this is available at: Coronavirus (COVID-19) third dose vaccination | The coronavirus (COVID-19) vaccine (nhsinform.scot).

The Scottish Government does not hold information on the number of pharmacies that have closed over the past 12 months nor reasons for closures. The provision of community pharmacy pharmaceutical care services are the responsibility of territorial Health Boards as set out in the National Health Service (Pharmaceutical Services) (Scotland) Regulations 2009, including pharmacy closures. Each Health Board holds separate data on those community pharmacies that have been unable to deliver pharmaceutical care services due to closures.

Any challenges faced by community pharmacies in ensuring the safe and effective dispensing of treatments should be discussed with the local Health Board.

Preventing litter is essential to protecting wildlife. We have taken steps to address increased litter of PPE as the result of the pandemic. Scottish Government’s “coronavirus (COVID-19): public use of face coverings guidance” also includes information on wearing reusable face coverings and disposing of face coverings.

Zero Waste Scotland has developed the “Face It: Reuse Beats Single Use” campaign which encourages the public to dispose of face coverings responsibly and wear reusable face coverings. This includes a toolkit of social media assets that can be shared by stakeholders. This initially ran in Spring 2021 and an updated campaign was launched on 2 December 2021.