Seòmar agus comataidhean

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 .

Inbound international travel restrictions were eased across the four nations on 4 October. These changes mean that people who have received two doses of different vaccines are regarded as having completed a full course of the vaccine and therefore are treated as ‘fully vaccinated’ for travel purposes. This applies to people who have been vaccinated by accepted vaccines in countries that are already eligible under the vaccinated traveller policy.

Travellers from non-red list countries who have been fully vaccinated in a country that meets recognised standards of certifications will no longer be required to provide evidence of a negative test result before they can travel to Scotland, and will not be required to self-isolate or take a day 8 test. They must still currently take a day 2 PCR test, though we have announced that we intend to align with the UK post-arrival testing regime later in October, with further details to be announced in due course.

Those who are not considered eligible fully vaccinated travellers must continue to take a pre-departure test, self-isolate for 10 days upon arrival and take day 2 and 8 tests. All arrivals from red list countries must continue to book and stay for 10 days in a managed isolation hotel.

Travel restrictions are in place to prevent cases of COVID-19 being imported to Scotland. Travel restrictions will be in place as long as they are required and Scottish Government will continue to liaise with affected groups and stakeholders over any restrictions and exemptions that may apply.

Further guidance for international arrivals can be read at: https://www.gov.scot/publications/coronavirus-covid-19-international-travel-quarantine/pages/red-amber-and-green-list-countries/

Please find the requested information set out in the following table.

We continue to work with key partners across Scotland to ensure that relevant information from patient health records is available to healthcare staff when and where they need it. Significant investment in national IT systems, such as those for GP practices and the TrakCare hospital patient management system in secondary care, has improved the flow of information across different healthcare settings and services. In addition, the availability of Regional Clinical Portals, the roll out of HEPMA ( Hospital Electronic Prescribing and Medicines Administration ) and availability of the patient Emergency Care Summary (ECS) to Community Pharmacists, Dentists and Optometrists have all improved the accessibility and quality of electronic patient information available to frontline staff.

Further improvements will be made including the implementation of Office365 across the entire NHS. This will include the rollout of single identities for NHS staff which will simplify secure access to relevant patient information. The refreshed Digital Health & Care Strategy, scheduled to be published in September 2021, will set out ambitions for greater access to medical information both for staff and the public.

ScotGEM students are very specifically entitled to apply for a £4,000 per year ‘return of service’ bursary. This means for every year they take this they are committing to stay and work in NHS Scotland for a corresponding amount of years. Once the first cohort of ScotGEM students graduate in Summer 2022, we intend to evaluate the effectiveness of the ScotGEM bursary in retaining trainee doctors in hard to fill posts within our healthcare service. Further consideration to any extension can be made at that point.

The Scottish Government has no current plans to provide financial support for HVO. However, we already offer a comprehensive support package for domestic heat and energy efficiency measures through our Home Energy Scotland service.

Our Heat in Buildings Strategy, which will be published in due course, outlines four key no and low regrets areas strategic technologies for the transition, including energy efficiency, heat pumps in on and off gas grid areas and low and zero emissions heat networks. It also highlights that here may be a small number of buildings for which bioenergy, including HVO among others, may play a role for home heating if displacing fossil fuels in off-gas-grid areas where electric heating or heat pumps are unsuitable.

We wish to see bioenergy used where it has the greatest value in reducing emissions, however this decision is also dependent on which sectors will make the best use of the bioenergy feedstocks that we can grow sustainably or produce domestically in comparison with those we may need to import. For this reason we have assembled a Scottish Government working group which will develop a strategic framework for bioenergy, taking into consideration the competing demands on land for feedstock production, sustainability, technical capabilities and opportunities of a just transition to net-zero. This will help to inform a more detailed Bioenergy Action Plan by 2023 which will urgently tackle these challenging issues as we begin the next stage of decarbonisation in Scotland.

We have also published a Bioenergy Update paper where we outline how we intend to move forward over the next 18 months to understand the most appropriate and sustainable use of bioenergy resources in Scotland.

As we deliver our Heat in Buildings programme following the publication of the Strategy our delivery programmes and support mechanisms will support the mass move from fossil fuel reliant systems to low and zero emissions heating in tandem with achieving a good standard of energy efficiency across all buildings in line with our strategic priorities.

The options selection work will be concluded by Transport Scotland, Network Rail and ScotRail by summer 2022. In accordance with the Rail Enhancements Capital Investment Strategy each of the options will be appraised to identify which offer the most benefits and also represent value for money.

Network Rail recently confirmed that positive progress is being made on the project with ground investigation works starting in October 2021.

Transport Scotland expect Network Rail to produce the final programme for delivering the project during autumn 2022.

Delivery of any section of the programme can only commence if approved under the relevant statutory procedures and thereafter a timetable for progress can be set in line with available budgets.

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.

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).