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We do not have a single measure that captures performance against this aim, as the provision of palliative care depends on the interaction of a range of services - formal palliative care, care at home and care home services, and access to hospice and hospice-at-home services - that vary considerably in definition between local systems. Good care at end of life requires collaborative, multi-disciplinary support, which is why Integration Authorities have been given statutory responsibility for meeting this need. Integration Authorities regularly report on their progress using the 23 indicators ( https://www2.gov.scot/Topics/Health/Policy/Adult-Health-SocialCare-Integration/Outcomes/Indicators/Indicators ) that support the statutory outcomes set out in the Public Bodies (Joint Working) (Scotland) Act 2014.

The indicator currently used nationally to gauge progress on improving palliative and end of life care provision is the percentage of last six months of life spent in the community. Integration Authorities met their planned trajectory for this indicator of 88% for 2017-18, which is an increase from 86.7% since the publication of the Health and Social Care Delivery Plan in 2015-16. However, we recognise that this indicator is only a measure of place of care, rather than quality or experience of care, and is not sufficient on its own. We are working with partners in local systems and health and social care professionals to develop better measures for this aim.

The Scottish Government sets strategic policy for NHSScotland. The responsibility to deliver safe and sustainable services rests locally with Health Boards.

ISD Scotland publish quarterly national workforce data, broken down by NHS Board.

Data on Medical Consultants is available on ISD's 'Medical' dashboard:

http://www.isdscotland.org/health-topics/Workforce/publications/2018-09-04/Medical-and-Dental.asp

Use the ‘Grade’ dropdown to select ‘Consultant’ and ‘Specialty’ drop down to select ‘All Medical Specialties’.

Data on Anaesthetists/Doctors is available on ISD's 'Medical' dashboard:

http://www.isdscotland.org/health-topics/Workforce/publications/2018-09-04/Medical-and-Dental.asp

Use the ‘Specialty’ drop down to select ‘Anaesthetics’.

Data on Psychiatry is available on ISD's 'Medical' dashboard:

http://www.isdscotland.org/health-topics/Workforce/publications/2018-09-04/Medical-and-Dental.asp

Use the ‘Specialty’ drop down to select any/all of the specialties that end in ‘Psychiatry’ as it is a field that is split into different areas.

Data on Nurses is available on ISD's 'Nursing and Midwifery' dashboard:

http://www.isdscotland.org/health-topics/Workforce/publications/2018-09-04/Nursing-and-Midwifery.asp

Use the ‘Sub Job Family’ drop down to select ‘Nursing’.

Data on Physiotherapists is available on ISD's 'Allied Health Professionals' dashboard:

http://www.isdscotland.org/health-topics/Workforce/publications/2018-09-04/AHP.asp

Use the ‘Profession’ drop down to select ‘Physiotherapy’.

Data on Occupational Therapy is available on ISD's 'Allied Health Professionals' dashboard:

http://www.isdscotland.org/health-topics/Workforce/publications/2018-09-04/AHP.asp

Use the ‘Profession’ drop down to select ‘Occupational therapy’.

Data on Pharmacy is available on ISD’s ‘Other Staff Groups’ dashboard:

http://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-09-04/OSG.asp

Use the ‘Job Family’ drop down to select ‘Other Therapeutic Services’ and then ‘Sub Job Family’ drop down to select ‘Pharmacy’.

Data on Addiction is available on ISDs ‘Clinical Nurse Specialists’ table:

https://www.isdscotland.org/Health-Topics/Workforce/Publications/2017-12-05/Clinical_Nurse_Specialists_S2017.xls

Centrally-held data on Addiction specialists is only available for CNSs. Data is not available for the total number of staff working in the area.

Data on Psychologists is available on ISD’s ‘Psychology Workforce' tables:

https://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-09-04/2018-09-04-Psychology-Workforce-Tables.xls

Tab 1.1 contains overall psychology figures by board. Tab 3.2, under ‘Physical Health’ provides numbers for ‘Pain’.

The Scottish Government recognises that effective workforce planning is essential in order for NHS Boards and Integration Authorities to provide safe and high quality patient care. That is why we have published a National Health and Social Care Workforce Plan covering the NHS, Social Care and Primary Care. The Plan includes a number of recommendations that will bring about improvements in workforce planning.

Student nurses, midwives and allied health professionals who may be exposed to the flu during placements within NHS Boards should receive the flu vaccination in line with all other NHS healthcare workers.

A joint letter is issued each year from the Chief Medical Officer and Chief Nursing Officer to the NHS setting out the arrangements for flu season. This highlights the importance of the flu vaccination being offered by employers for staff or other individuals who may be at risk of occupational exposure.

The Scottish Government sets strategic policy for NHSScotland. The responsibility to deliver safe and sustainable services rests locally with Health Boards.

The Health Care Needs Assessment of Adult Chronic Pain Service in Scotland report was commissioned by the Scottish Public Health Network. Appendix 5 of the report contains information provided to the Network by NHS Boards, rather than centrally-held ISD data.

ISD Scotland publish national workforce data containing the staff group, profession and specialty of staff in post. The data does not capture the service(s) that an individual employee may contribute to. ISD’s latest workforce data is available at:

http://www.isdscotland.org/health-topics/Workforce/publications/2018-09-04/visualisation.asp .

The Health Care Needs Assessment of Adult Chronic Pain Service in Scotland report was commissioned by the Scottish Public Health Network (SPHN). This report’s methodology is a matter for SPHN, who can be contacted by using the following link: https://www.scotphn.net/contact-us/ .

The information requested on ‘chronic pain services’ is not centrally available. National workforce data records the staff group, profession and specialty of staff in post. It does not capture the service(s) that an individual employee may contribute to.

The Scottish Government has overall responsibility for health and social care policy in Scotland. However, the statutory responsibility for delivering or commissioning services at a local level lies with local authorities, NHS Boards and integrated health and social care partnerships. From 2015 the Scottish Government provided additional financial support to enhance clinical nurse specialist provision and care. The report on specialist nursing and care fund published in September 2017 can be accessed here https://www.gov.scot/publications/report-specialist-nursing-care-fund/ . Operational decisions, including the care of people with myeloproliferative neoplasms (MPN) and whether there is a need for additional MPN specialist nurses, are therefore matters for these bodies. To date, NHS Boards have not raised any concerns with me about a lack of MPN specialist nurses.

The additional funding provided to Boards since 2017 was allocated on a criteria based assessment process, that ensured that funding was directed to initiatives that specifically addressed patients waiting the longest in specialties with the longest waits. Boards have been required to meet milestones and trajectories that demonstrate they are reducing numbers of patients waiting, and these milestones are reviewed on an ongoing basis.

The effectiveness of funding will be measured against and determined on the basis of performance achieved in relation to the reduction of patients waiting and the degree to which sustainable solutions have been put in place to reduce demand capacity gaps. I refer the member to the answer to question S5W-18635 on 8 October 2018 for information on the key specialties being funded in 2018-19. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx .

The Scottish Government does not hold this information centrally. Since 2016, it has been the responsibility of Integration Authorities to commission and plan specialist palliative and end of life care services and supports to meet the needs of their local population. Before 2016, this responsibility lay with Health Boards and Councils for health and social care services respectively.

Funding for specialist palliative and end of life care services is drawn from the overall funds allocated to Integration Authorities by the Scottish Government. As such, officials are unable to provide the information in the way Mr Briggs has requested.

The Scottish Government is working with the Chief Finance Officers and Chief Officers of Integration Authorities to improve clarity on financial reporting arrangements. A consolidated financial report is now provided on a quarterly basis to the Scottish Parliament's Health and Sport Committee and provides an overview of the finances of the Integration Authorities.