- 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.
- 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 patients in stroke units are being cared for by a full complement of stroke professionals who are fully trained to provide timely interventions as necessary.
Answer
We expect staff providing care for individuals who have had a stroke to be fully trained in providing stroke care. However, in smaller Health Boards, it is not always possible to maintain a dedicated stroke unit.
A range of online stroke care competency training programmes are available and as part of the Scottish Stroke Improvement Programme review process all NHS Boards are asked to complete an education template highlighting the training stroke staff have undertaken.
We expect staff providing care for individuals who have had a stroke to be fully trained in providing stroke care. However, in smaller Health Boards, it is not always.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 15 August 2024
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Current Status:
Answered by Neil Gray on 6 September 2024
To ask the Scottish Government what total cost has been incurred to date in relation to the planned National Treatment Centre in NHS (a) Ayrshire and Arran, (b) Grampian, (c) Lanarkshire, (d) Lothian and (e) Tayside.
Answer
The cost incurred to date in relation to the planned National Treatment Centre in NHS Ayrshire and Arran, NHS Grampian, NHS Lanarkshire, NHS Lothian and NHS Tayside is as follows.
Board | Cost incurred to date on National Treatment Centre |
Ayrshire & Arran | £4,843,600 |
Grampian | £6,474,000 |
Lanarkshire | £268,000 |
Lothian | £12,342,000 |
Tayside | £12,111,438 |
Total | £36,039,038 |
- 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 5 September 2024
To ask the Scottish Government what action it plans to take to improve out-of-hours thrombolysis times, in light of data reportedly showing that out-of-hours demand exceeds in-hours demand.
Answer
The Scottish Stroke Improvement Programme team works closely with stroke services in all NHS boards to use learning from the Scottish Stroke Care Audit to support improvement across the whole stroke pathway, including timely access to thrombolysis.
We have established a National Stroke Engagement Forum, with representation from every NHS Board, with the aim of tackling common challenges in the delivery of stroke care and sharing best practice and novel approaches to care delivery. Improving thrombolysis times will be a focus of the National Stroke Engagement Forum.
- 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 5 September 2024
To ask the Scottish Government what its position is on whether the Scottish Stroke Improvement Plan RAG (red, amber, green) charts, which reportedly show a large number of amber ratings for various rehabilitation priorities, indicate that many patients are not getting the help that they need to achieve their stroke recovery potential.
Answer
The Scottish Stroke Improvement Programme Board review process allows for an evaluation of stroke service performance, identification of areas for improvement and agreement of steps to implement local action plans to improve the delivery of stroke care in every Board.
Many of the areas on the RAG chart, especially those around rehabilitation pathways, were new requirements in the last reporting year to reflect the commitments in the Stroke Improvement Plan. The expectation is that boards will progress and improve in their status as they implement the guidance.
Where areas of stroke care have been identified as not fully meeting criteria, Boards are asked to agree action plans to drive service 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 5 September 2024
To ask the Scottish Government what a funded stroke bed is, as referenced on page 9 of the latest Scottish Stroke Care Audit report, and how many will be available over the next year across Scotland.
Answer
A funded stroke bed is a bed which has established funding for the provision of stroke nurse and therapist staffing. There are currently 531 stroke beds available in Scotland, including hyperacute, acute and integrated stroke beds. However, stroke services may adjust the number of beds available to meet service demands.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 08 August 2024
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Current Status:
Answered by Kate Forbes on 5 September 2024
To ask the Scottish Government how much it spent on (a) internal and (b) external legal costs in pursuing or defending any court action involving former First Minister, Alex Salmond.
Answer
Internal legal costs are not available because in line with usual practice, details of individual tasks carried out by civil servants, including the number of hours spent on them, are not routinely recorded because there is no business need to do this.
The legal costs in defending and settling the Judicial Review brought by Mr Salmond in 2018 are published on the Scottish Government website.
The costs of legal services regarding the former First Minister’s judicial review are published at: Costs of legal services regarding former First Minister's judicial review: FOI release - gov.scot (www.gov.scot).
The costs of the settlement in respect of the former First Minister’s legal fees in the Judicial Review are published at: Former First Minister Legal fees: FOI release - gov.scot (www.gov.scot).
As the action brought by Mr Salmond against the Scottish Government is live litigation, we are not able to publish the Scottish Government’s legal costs at this stage. We will publish this information in due course.