Seòmar agus comataidhean

I refer the member to the answer to question S6W-08462 on 23 May 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 .

This information regarding nursing roles is not held centrally.

I refer the member to the answer to question S6W-08462 on 23 May 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 Board is ensuring the pyramid of support for patients with MS by working in partnership with NHS Greater Glasgow and Clyde’s Neurology Service who provide a specialist neurology service through a Service Level Agreement. The NHS Western Isles Neurology Team has weekly discussions with their NHS Greater Glasgow and Clyde colleagues to discuss the Team’s caseload.

NHS Western Isles is also working to meet Commitment 9 in the Neurological care and support: framework for action 2020-2025, namely testing innovative ways of delivering health and social care, including new roles and new arrangements for co-ordinating care and support for people with neurological conditions such as MS.

The Board also aims to recruit to an Advanced Clinical Nurse Specialist – Neurology role who will work with the current Parkinson’s specialist nurse to support people with neurological conditions including MS that require specialist support, ensuring equity of care.

Information on the number of MS specialist nurses were in post in each of the last five years is not centrally held.

Clinical Nurse Specialist (CNS) data by NHS Board from 2009 to the most recent data published in September 2018, can be found at:

https://turasdata.nes.nhs.scot/media/4ndpx4za/clinical_nurse_specialists_s2018.xlsx

Given data quality concerns all historical data, whilst published, should be treated with caution.

A national review into the CNS role and definition is currently underway, NES will work with NHS Boards to cleanse their CNS data once this is complete.

Work on the refresh of the Sexual Health and Blood Borne Virus Framework is underway. It is anticipated that it will be published in Autumn 2022.

The Scottish Government remains committed to achieving the 2024 elimination of hepatitis C target; however, we must acknowledge the impact that the Covid-19 pandemic has had on all our health services.

We are working closely with the Scottish Health Protection Network hepatitis C Elimination group and Public Health Scotland to understand the current Hepatitis data. We are actively considering where focused interventions would bring about the biggest impact and support us to reach our target of elimination. We intend to include concrete proposals in the next iteration of the sexual Health and Blood Borne Viruses Framework, which we expect to publish later this year.

We do not have similar figures in Scotland because we do not hold data on whether a care home has unionised staff. There are no plans to collect that information, however in May 2021, the Care Inspectorate published a report analysing different factors affecting Covid-19 care home deaths (e.g. care home size, care home provider).

In line with JCVI advice, adults aged 75 years and over, and residents in a care home for older adults, as well as individuals aged 12 years and over who are immunosuppressed, will be offered an additional booster dose in spring 2022, at least 24 weeks after their last dose.

As per clinical guidance in the Green Book, health boards have the flexibility to offer spring boosters sooner than this (at least 12 weeks since last dose) where appropriate, to help provide additional protection during the spring and summer months. Those eligible will receive a scheduled appointment letter and should wait to be contacted.

Ministers did not direct officials or CMAL to enter into the contract; nor did officials or CMAL seek such a direction or “written authority” from Ministers. Transport Scotland and CMAL ensured that Ministers were informed of, and accepting of, the risks associated with this contract following which Ministers provided some additional assurances sought by CMAL. These exchanges have been set out in the public record since 2019.

The Auditor General confirmed last week that Audit Scotland was “clear in our judgment that there was no formal written authority”.