Seòmar agus comataidhean

Further to the answer provided to question S6W-11404 issued on 4 November 2022, I can confirm that all Health Boards now have access to Clinical portals within acute services.

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

The Scottish Government does not yet have complete YPFF data for the whole period of 2022-23. We expect Health Boards to have provided this data by the end of May 2023.

The Scottish Government does not assess clinical diagnostic interventions.

However, non-invasive liver scans, including transient elastography devices such as FibroScan, are recommended by NICE in primary care settings and are currently used in several NHS Boards throughout Scotland to assess liver disease.

Currently, there is limited evidence on the efficacy of these scans in a community care context. Trials to test the expanded use of non-invasive liver scans are ongoing in both primary care and for populations at higher risk of liver disease in community care.

Our ambitious 10-year cancer strategy is nearing completion, with publication planned this Spring. The strategy will be under-pinned by action plans which will evolve with the changing cancer landscape. The strategy will take a comprehensive approach to improving patient pathways from prevention and diagnosis through to treatment and post-treatment care.

It will encompass a new earlier cancer diagnosis vision for Scotland and will continue to focus on those cancer types that are the largest burden and have poorer survival, in particular the less survivable cancers, including liver cancer.

A consortium of 12 NHS Health Boards has procured a Laboratory Information Management System (LIMS) for Scotland which is described as National LIMS.

NHS Fife will be the first Board to make use of the intelligent Liver Function Tests (iLFT) with the roll out of National LIMS in 2023. Roll out will then follow across the rest of the consortium over the next few years.

Whilst national LIMS implementation in Scotland is in its early stages, some NHS Boards already utilise iLFT and have this capability within their current LIMS.

Those Boards that are not part of the consortium can also procure the product should they wish to do so.

The Scottish Government are currently undertaking a programme of work to improve the Community Health Index (CHI) systems. The new CHI is a single national system replacing the existing eight separate CHI systems and is due to go live in late summer 2023.

I refer the member to the answer to question S6W-16943 on 28 April 2023. 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

Since the inception of work to better understand the Arrochar litter sink in 2017, we have determined that approximately half of the litter has originated from the River Clyde catchment, and half from the open sea. We are using this knowledge to focus efforts on tackling the source of the litter over which we can have most influence, that from the River Clyde.

As such, the recently updated Marine Litter Strategy for Scotland includes actions on riverine litter, to prevent it and to support its removal. Our key delivery partner Keep Scotland Beautiful and their Upstream Battle project enables communities, businesses, and schools on the River Clyde to develop local solutions to reduce littering, and also support its clean-up. This initiative also supports citizen science and the outputs will inform further riverine litter policy, aiming to reduce and intercept litter before it reaches our seas. In addition, we are also engaging with Glasgow City Council to consider more options to increase litter removal from the River Clyde.

Despite ongoing significant pressures, we continue to see progress in reducing long waits following the introduction of targets in July 2022. The latest Public Health Scotland data shows:

• The total number of patients waiting than more two years for a new outpatient appointment was reduced by 60 per cent in six months;
• 18 of 30 inpatient / day-case specialities have fewer than ten patients waiting more than two years
• 61 per cent of new outpatient specialties have fewer than 10 patients waiting over 78 weeks.

We have also progressed significant immediate and long term solutions to support Boards to clear their remaining long waits. In addition to the targets introduced last year, the Centre for Sustainable Delivery is supporting Boards to maximise their capacity and increase theatre efficiencies, including through Active Clinical Referral Treatment and Patient Initiated Review.

Four National Treatment Centres will also open this year, providing significant additional capacity for orthopaedics, ophthalmic and diagnostic treatment. This includes NTC-Fife and NTC-Highland, which opened in March and April respectively, and NTC-Forth Valley and the second phase of the NHS Golden Jubilee which will open later in the year.

The forthcoming 10-year cancer strategy will be accompanied by a 3-year action plan aligning with the ambitions set out in our strategy. There will not be additional action plans for specific cancer types, however in both the strategy and plan we will continue to focus on those cancer types that are the largest burden and have poorer survival, in particular the less survivable cancers.