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We do not hold information about incentive schemes for coeliac disease and irritable bowel syndrome centrally. We do not have plans to establish national incentive schemes at this time.

All of Healthcare Improvement Scotland (HIS) inspection reports and action plans are published on the following website address. Find an NHS hospital or service: inspection reports (healthcareimprovementscotland.org)

In relation to HIS inspections, the QEUH has only had unannounced inspections since it opened in April 2015.

National Records of Scotland publishes data on the number of people who have died in Scotland. Data for the period March 2020 to March 2022 on population deaths by occupation group, including data on deaths with Covid-19 mentioned on death certificates, is available here (table M7): https://www.nrscotland.gov.uk/files/statistics/covid19/covid-deaths-22-monthly-data-week-14.xlsx

Data is available on ‘Health care worker’, provided below. Data on pharmacists and other employees who work in pharmacies is not available.

The requested information is not centrally held. NHS Education for Scotland publishes annual data on joiners/leavers, but this information does not specify start date or professional background of joiners.

Information on joiners/leavers by staff group for each financial year can be found (turnover tab) here: https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/01-march-2022-workforce/dashboards/nhsscotland-workforce/?pageid=6429 .

In relation to (a), (b) and (c)(i), the Care Inspectorate does not hold data in relation to care homes that have closed. However, the number of adult care home services in the public, private and third sectors which have had their registrations cancelled in each of the last five years is in the following table:

In 2021-22, the Scottish Government funded NHS 24 £2,372,209 to support the delivery of Breathing Space, a free, confidential phone and web based service for people in Scotland experiencing low mood, depression or anxiety.

The Scottish Government recognise that demand for mental health support from NHS 24 continues to be high, that is why a significant investment of nearly £5 million was made from the Recovery and Renewal fund in 2021-22 to support the NHS 24 Mental Health Hub.

The Mental Health Hub is available for any individual calling the 111 service seeking support for their wellbeing and mental health, or if they are in distress, 24 hours a day, seven days a week.

Breathing Space and the Mental Health Hub will continue to support people experiencing mental health impacts as a result of the cost-of-living crisis as spending plans are developed and agreed with NHS Boards through the usual channels.

(a) Psychiatry

Table 1 sets out the number of established training places in each of the various psychiatric specialties. This data reflects trainee establishment levels from August 2016 – August 2022.

National Records of Scotland publishes data on the number of people who have died in Scotland. Data for the period March 2020 to March 2022 on population deaths by occupation group, including data on deaths with Covid-19 mentioned on death certificates, is available here (table M7): https://www.nrscotland.gov.uk/files/statistics/covid19/covid-deaths-22-monthly-data-week-14.xlsx

I refer you to the answer of the aforementioned question S6W-07924, specifically:

"...We are, however, actively engaged with our partners, including local government, to understand what impact the increase in fuel prices is having across Scotland, and how social care providers can support their staff to ensure they can continue to deliver the invaluable support they provide."

In relation to this answer, I can reconfirm that my officials engaged with relevant officials at COSLA as early as 7 April, to consider the impact of rising costs, including fuel costs, on our social care workforce and are working together to better understand the situation.

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 SIGN guidelines recommend all diagnoses should ideally be made through a multi-disciplinary process and not done by a single clinician.

There is no requirement for the diagnosis to be made by any particular profession. This should be dependent on who has the skills and experience and may include Psychiatrists, Psychologists, Paediatricians and Speech and Language Therapists.

Not all health professionals will be trained to diagnose as this is a specialist skill, but it is the expectation of the Scottish Government that they should be aware of and have access to referral pathways.

By the end of Core Psychiatry training, trainees must be able to:

• receive a full psychiatric history from and perform a Mental State Examination (MSE) on patients within a range of mental and neurodevelopmental disorders across the lifespan in routine, urgent and emergency situations, incorporating appropriate terminology.
• assess patients from a range of different cultural, spiritual, and religious backgrounds, including asylum seekers and refugees, and demonstrate an understanding of how protected characteristics may impact on clinical presentation.

In order to successfully complete Core Psychiatry training, all trainees must undertake a neurodevelopmental sub-specialty placement, either Intellectual Disability (ID) or Child & Adolescent Mental Health Services (CAMHS), so they are aware of and will be familiar with the process of diagnostic assessment.

General practitioners are essential to recognition and assessment. Autism is covered in the GP Curriculum alongside a range of other neurodevelopmental differences. Clinical psychology doctoral trainees receive training in relation to assessment and intervention for people with neurodevelopmental disorders, including Autism. Undergraduate training ensures that any Speech and Language Therapist at any level can provide or contribute assessment information that could assist an assessment team in making a diagnostic decision.

The Scottish Government commissioned NHS Education for Scotland (NES) to produce the NES Autism training plan, to ensure that staff involved in diagnostic assessments across the lifespan have the right skills and knowledge, prioritising staff from across Scotland who are involved in diagnostic assessment.