- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 12 September 2024
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Current Status:
Taken in the Chamber on 12 September 2024
Question to be taken in Chamber.
Answer
Taken in the Chamber on 12 September 2024
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 12 September 2024
To ask the Scottish Government what the projected savings will be as a result of thrombectomy being made available to all eligible patients, and how any savings will be used.
Answer
The Scottish Government has not calculated the likely savings resulting from the provision of thrombectomy procedures. However, academic research suggests that thrombectomy is cost-effective and likely to result in long-term savings.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 12 September 2024
To ask the Scottish Government whether it will routinely provide details of stroke outcomes for stroke patients, in light of reported concerns that only information relating to mortality levels is provided in the Scottish Stroke Care Audit report.
Answer
The Scottish Government does not currently plan to provide overall outcome information beyond mortality.
A tool for collection of empirical data relating to stroke rehabilitation provision - including time to rehabilitation assessment, creation of rehabilitation plans, commencement of rehabilitation, input from various Allied Health Professional specialities and time to commencing community rehabilitation - has been developed. Data collection with this tool is currently being trialled in two NHS Boards, with the aim of using this across Scotland and including this in the Scottish Stroke Care Audit once data collection has been assessed.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 12 September 2024
To ask the Scottish Government what projected savings through thrombectomy provision have been made to date as a result of reduced length of stay and reduced care costs due to associated better health outcomes.
Answer
The Scottish Government has not calculated the likely savings resulting from the provision of thrombectomy procedures. However, academic research suggests that thrombectomy is cost-effective and likely to result in long-term savings.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 12 September 2024
To ask the Scottish Government what obligations are currently placed on NHS boards to deliver stroke rehabilitation.
Answer
As part of the Scottish Stroke Improvement Programme Board review process, Boards are expected to demonstrate rehabilitation provision in a variety of settings, and at a range of intensities, as well as outlining a robust rehab assessment process and the availability of symptom-specific rehabilitation pathways.
Boards must also demonstrate that there is a clear pathway for people who have had strokes to re-engage with stroke rehabilitation services as appropriate.
Where rehabilitation provision is found not to fully align with these criteria, the Scottish Stroke Improvement Programme works with stroke services to develop action plans for improvement.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 10 September 2024
To ask the Scottish Government what its position is on whether implementing a robust governance process will remedy any failure of NHS boards to meet Scottish Stroke Standards and national stroke guidelines.
Answer
A robust governance process is one important aspect of delivering effective care and meeting the Scottish Stroke Care Standards measured in the Scottish Stroke Care Audit.
That is why NHS Board reviews conducted by the Scottish Stroke Improvement Programme explicitly ask NHS Boards to set out their governance structure and any plans to improve this.
We have also asked every NHS Board to nominate an accountable individual to take overall responsibility of stroke care, including meeting the Scottish Stroke Care Standards.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 10 September 2024
To ask the Scottish Government whether it will provide an update on the reporting of data in relation to stroke care across Scotland, as referenced in its updated Stroke Improvement Plan 2023.
Answer
A tool for collection of empirical data relating to various stroke rehabilitation outcomes - such as time to rehabilitation assessment, creation of rehabilitation plans, commencement of rehabilitation, input from various Allied Health Professional specialities and time to commencing community rehabilitation - has been developed. Data collection with this tool is currently being trialled in two NHS Boards, with the aim of using this across Scotland once this has been assessed.
We are in the process of developing a tool to capture and publish patient experience of rehabilitation in each NHS Board.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 10 September 2024
To ask the Scottish Government when the reporting of organisational data in relation to stroke care will be routinely published.
Answer
The Scottish Stroke Care Audit already tracks the number of beds by health board as part of the Scottish Stroke Improvement Programme. This information will be added to the dashboard of the most recent annual report within the next two weeks.
We will continue to work with Public Health Scotland on the most effective methods of capturing and reporting organisational data, including staffing levels.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 10 September 2024
To ask the Scottish Government for what reason only NHS Tayside, NHS Lanarkshire, NHS Shetland and NHS Borders have reportedly achieved an acceptable level of stroke care governance, according to the latest Scottish Stroke Care Audit report, and when it expects that the remaining NHS boards will have appropriate governance in place.
Answer
The revised criteria assessing NHS Boards requires more rigorous reporting on stroke service governance structures and data reporting, and these will take time to fully implement.
I expect NHS Boards to prioritise their stroke governance structures and have scheduled a roundtable meeting with the accountable individuals from all NHS Boards where the importance of service governance will be emphasised.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 16 August 2024
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Current Status:
Answered by Jenni Minto on 10 September 2024
To ask the Scottish Government what obligations NHS boards have to meet Scottish Stroke Standards and national stroke guidelines, in light of the latest Scottish Stroke Care Audit report, which reportedly shows a failure to meet many of these key standards.
Answer
The Scottish Stroke Care Standards are designed to enhance service delivery and improve patient outcomes. Monitoring performance against these standards through the Scottish Stroke Care Audit allows us to identify where challenges are being faced in the delivery of stroke care and implement quality improvements where required.
We recognise the standards are challenging and continue to expect Health Boards to identify aspects of their stroke services which do not meet these standards and to work to improve their standards of care locally to meet the Scottish Stroke Care Standards.