Seòmar agus comataidhean

The legislative duty provides flexibility for the development of future communication equipment technology. Through the assessment process health boards should ensure they have justification based on the circumstances of each individual regarding necessity and reasonability, and taking into consideration the needs, views, and choices of each individual, as is the case with other health provision.

Since 2018, NHS boards across Scotland have had a legislative duty to provide children and adults who have lost their voice or have difficulty speaking with communication equipment and support, necessary to meet their requirements.

As such, this information is not held centrally by the Scottish Government as it is for local NHS Boards to determine the levels of funding required for services providing Augmentative and Alternative Communication (AAC), based on local priorities and clinical needs.

Since 2018, NHS boards across Scotland have had a legislative duty to provide children and adults who have lost their voice or have difficulty speaking with communication equipment and support, necessary to meet their requirements.

To support and monitor the delivery of this duty, a National Augmentative and Alternative Communication (AAC) advisory group with representation from AAC Executive Leads across all NHS boards including NHS Greater Glasgow and Clyde, was established. Its membership brought together knowledge and influence, as well as specialist expertise to enable best practice to be shared to drive improvement.

In February 2020, the Provision of Communication Equipment and Support Progress Report was published, informed by contributions from the National AAC Advisory Group members, local government, people who use AAC and third sector providers. The report set out progress in the implementation of the legislative duty since commencement in 2018, which included:

• The publication of guidance on the Provision of Communication and Support,
• The development of a National AAC core pathway
• The development of AAC topic related learning modules

More information can be found in the report: Provision of Communication Equipment and Support : Part 4 of the Health (Tobacco, Nicotine etc. and Care) (Scotland) Act 2016 (www.gov.scot).

This information is not held centrally by the Scottish Government.

Since 2018, NHS Boards across Scotland have had a legislative duty to provide children and adults who have lost their voice or have difficulty speaking with communication equipment and support, necessary to meet their requirements.

Information on the specific technology and communication equipment that is available in NHS boards is not held centrally by the Scottish Government.

Augmentative and Alternative Communication (AAC) support is being delivered across Scotland by NHS boards, primarily through speech and language therapy and often in collaboration with Education, Social Work, and the Third Sector, as appropriate to the assessed needs of each individual.

Following an assessment by a healthcare worker, the NHS will provide the necessary equipment to support the clinical needs of a patient free of charge. This includes the provision of a wheelchair. Seating is also provided to individuals free of charge following an assessment. For those living in a care home (residential and nursing), it is the responsibility of the care home to purchase and provide seating to their residents.

However, should an individual choose to purchase other forms of equipment which is not available on the NHS or not assessed by the healthcare worker as required for their needs, they may be able to do so by using their Self-Directed Support (SDS) budget, if the equipment clearly meets an identified personal outcome in their support plan.

Another option is support via Adult Disability Payment. The key intent of Adult Disability Payment is to provide individuals with payments to help mitigate the costs they incur because of a disability or long-term condition. This means individuals can use it to pay for things such as care, access to community resources, transport, social activities, and any other goods or services of their choosing, including aids or equipment.

Following a clinical assessment, the NHS will always provide the necessary equipment to support the healthcare needs of a patient. This includes the provision of a wheelchair.

However, should an individual choose to purchase a wheelchair which is not available on the NHS, they may be able do so using their Directed Support (SDS) budget, if the wheelchair clearly meets an identified personal outcome in their support plan.

Another option is support via Adult Disability Payment. The key intent of Adult Disability Payment is to provide individuals with payments to help mitigate the costs they incur as a result of a disability or long-term condition. This means individuals can use it to pay for things such as care, access to community resources, transport, social activities, and any other goods or services of their choosing, including aids or equipment.

The Migraine Trust were awarded £85,675 in 2022-23 through the Scottish Government Neurological Care & Support Framework, for work upskilling community, primary and secondary care pharmacists across NHS Grampian to help people with migraine manage their symptoms and treatments more effectively.

The Scottish Government funded an additional £135,501 in 2023-24 to further embed this work locally, and to partner with other Health Boards to extend the reach of pharmacists trained and increase care and support for people living with migraine based on the blueprint NHS Grampian approach.

We understand that a further six NHS Boards are working towards adopting this model of migraine care in future, including NHS Lanarkshire, NHS Lothian & NHS Tayside who have project teams in place with plans to undertake work with support from the NHS Grampian/Migraine Trust project team.

An eLearning programme for NHS Education for Scotland’s platform TURAS has been developed through the project. This comprises a suite of training materials available for all pharmacists and pharmacy teams in Scotland to access.

The project in Grampian has forged links with Robert Gordon University’s School of Pharmacy and Life Sciences with the aim of helping to shape students’ learning, towards create a sustainable change to the way migraine care is given.

We receive regular progress updates from the Migraine Trust and myself visited the project in August. We are discussing options with the Migraine Trust for further adoption of this approach to delivering care for people with migraine.

Court operational matters, including the system and arrangements for jury service, fall within the remit of the independent Scottish Courts and Tribunals Service.

Jury service is an important civic duty, and I am grateful to all those who undertake it.

The Scottish Government currently has no plans to review the list of “persons excusable as of right” for jury duty as set out in Schedule 1 of the Law Reform (Miscellaneous Provisions) Scotland Act 1980.

It is the view of the Scottish Government that the pool of potential jurors should be as wide as possible, to ensure that an accused person is being judged by their peers from all walks of life. This also prevents the burden of jury service falling on a narrower section of society than can reasonably be helped.

However, it is recognised that there will always be people who have difficulty in serving as jurors. Therefore, in addition to those eligible to be excused as of right as set out in statute, individuals may also apply for excusal.

Clerks of Courts will be as sympathetic as they can to requests for excusal, and will consider, amongst other things; commitments at work, the cancellation of which would cause abnormal inconvenience - while at the same time balancing the need to have sufficient numbers of prospective jurors from which to ballot a jury.

The Scottish Government has made no assessment of the impact of GP medical receptionists being called for jury duty. Individual GP practices are responsible for ensuring that they are adequately staffed for normal contingencies.