Seòmar agus comataidhean

I refer the member to the answer to question S6W-04313 on 3 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.

Further to this answer, I can update that the public consultation on the draft Framework for Pain Management Service Delivery is now available at https://www.gov.scot/publications/draft-framework-chronic-pain-service-delivery.

Substance misuse services (often catering for drugs and alcohol misuse) are accessible either by open access or through GP referral to these services for review and support. These vary across Health boards with regards to support and resource available and mode of initial access.

This information 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 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.

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.

Having spoken to Public Health Scotland, I can confirm that only limited information is published in the Stage of Treatment publication on cancelled planned operations. You will find this information at: Cancelled planned operations - Month ending 30 September 2021 - Cancelled planned operations - Publications - Public Health Scotland

If you would like more detailed information, I would suggest contacting NHS Greater Glasgow and Clyde directly.

The primary objective of the booster programme is to maintain protection against severe COVID-19 disease, specifically hospitalisation and deaths over winter 2021-22, and is aimed at maintaining protection in those most vulnerable, and to protect the NHS.

The Joint Committee on Vaccination and Immunisation (JCVI) reviewed all the currently available evidence and data in respect of the newly emerging Omicron variant of COVID and has concluded that a COVID-19 booster vaccination should not be given within three months of completion of the primary course. They have advised that the booster vaccination should now be offered in order of descending age groups, with priority given to the vaccination of older adults and those in a COVID-19 at-risk group.

We will continue to work at pace to deliver booster doses in line with this new JCVI advice.

As set out in the Programme for Government 2021 - 22, published on 7 September 2021, the Scottish Government is committed to establishing a dignified and compassionate miscarriage service by the end of 2023. This commitment includes ensuring women’s services have dedicated facilities for women experiencing unexpected pregnancy complications.

As part of delivering on this commitment, we will carry out a scoping exercise to establish current service provision across all 14 Health Boards and host a series of roundtables to discuss with stakeholders what more can be done to improve miscarriage care and support for women who experience complications during pregnancy. The first roundtable will take place in early 2022.

Each Health Board operates their own escalation policy for the management of inpatient capacity that includes well established processes with locally agreed trigger points for maintaining a safe service and ensuring patient safety. At present, we are only aware of NHS Lanarkshire operating at the highest level of their local escalation - “Black”.

Health Boards across the country are operating under significant pressure due to the direct and indirect consequences of the pandemic, which has been the biggest challenge the NHS has faced in its 73 year existence.

The Scottish Government is in daily contact with all Health Boards to monitor the pressures in the system and continues to support improvement work to minimise delays for patients no matter where they are in the system.