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The Scottish Government is committed to ensuring that all people who require stoma care services are able to receive the best possible care and support wherever possible and benefit from healthcare services that are safe, effective and put the patient at the centre of their care.

A range of nurses and support workers with mixed responsibilities can support patients who have stomas across health and social care. There are many nurses within differing units and specialities within NHS Boards and social care, including in the community, who are able to support stoma patients alongside stoma clinical nurse specialists.

Since May 2020, the Scottish Government has invested over £48 million in our Connecting Scotland programme, which provides people on low incomes with a device, connection with unlimited data for two years, as well as training and support. Since programme launch 60,000 digitally excluded people in total have been brought online. We are now working to scope out an extension to the programme to reach 300,000 people by the end of this Parliament.

The programme is part of our wider package of support to help everyone in Scotland benefit fully from the advantages of the digital world – from broadband connectivity to digital skills training and support for schools and business.

Each year since 2010-11, and as demonstrated through the Budget publications, the Scottish Government has delivered its commitment to pass on frontline health consequentials to the Health Portfolio. This refers to resource consequentials arising from increases in funding allocated by HM Treasury to the Department of Health and Social Care.

As the Cabinet Secretary for Finance and the Economy has made clear in Parliament, there are some areas of required spend where Covid consequentials have fallen short of expectation. In addition, there are some timing differences between spend in England and equivalent spend in Scotland .

In this context, the Scottish Government has taken steps to align funding from the UK Government with actual spending profiles in Scotland. The Cabinet Secretary for Finance and the Economy highlighted in her letter to the convenor of the Finance and Public Administration Committee, Covid 19 Financial support Scottish Government update | Scottish Parliament Website , that the Scottish Government has required to repurpose some health consequentials to specifically support wider public health measures. Further detail will be provided in the Spring Budget Revision.

The Scottish Government is keen to see all health and social care partnerships maximise their potential to recycle and reuse their community equipment, and benefit from the efficiencies and savings this can result in. For example, EquipU, the joint equipment store covering 6 local authorities and NHS Greater Glasgow and Clyde, reported that during 2021 £4.2 million worth of equipment was recycled, with a reuse cost of only £410,000. The service has also reported a 17% increase in recycling to date this Financial Year. Other areas are reporting similar increases and have also increased initiatives, and public communication to ensure the swift return of unwanted equipment to store services.

Scottish Government officials are currently carrying out a review of the Guidance on Providing Community Equipment and Adaptations, with a consultation planned for March 2022.

For more detail on data relating to echocardiograms, I refer the member to the answer to question S6W-05550 on 21 January 2022. 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 outpatient referrals can be found here ( Waiting times - Data & intelligence from PHS (isdscotland.org) . Waiting times information is not broken down by diagnosis code.

In April 2021, we commissioned Public Health Scotland to develop the Scottish Cardiac Audit Programme, this includes the collection of data on Transcatheter Aortic Valve Implant, and Adult Cardiac Surgery in Scotland, both of which are relevant to the management and treatment of heart valve disease.

Further development of this audit programme and decisions around any future data to be collected will be undertaken in collaboration with clinicians and people with lived experience of heart disease in Scotland.

I refer the member to the answer to question S6W-05487 on 21 January 2022. 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 information requested on the cancellation and postponement of hyperthermic intraperitoneal chemotherapy is not centrally held.

NHS Lothian have, as part of their action plan agreed with the Scottish Public Services Ombudsman, the British Academy of Audiology and the Scottish Government, contacted 92 children identified in the review as being of clinical concern and requiring possible retesting.

The Board continues to undertake work to review children known to the service who have risk factors for hearing loss and, based on the outcome of each review, recall children where appropriate in line with national guidance.

The information requested on the amount spent on hyperthermic intraperitoneal chemotherapy is not centrally held.

Organisations delivering services are responsible for implementing standards at a local level, and local quality frameworks and procedures will assist them in monitoring progress.

We are committed to exploring national governance arrangements as a part of the Independent Review of Audiology Services announced on 21 January 2022. This will include reviewing opportunities to improve data collection and a national peer review mechanism for monitoring progress in implementation of these standards across Scotland.