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NHS Lothian are in the process of developing their business case and it will be submitted as soon as possible.

All patients making a new or unplanned return attendance at A&E departments are included in the A&E statistics, regardless of the condition they present with.

In terms of the average waiting time for patients with stomach or gastro concerns, this information is not centrally available.

Agency spend figures for each NHS Board are only available from 2006-7 to 2016-17 and are given in the following table. Information on NHS Board spend on bank staff is not held centrally.

Agency Spend by NHS Board (in £’000)

The following tables shows the number of people from Scotland who have received treatment in hospitals in other parts of the UK in each year since 1999. The data across the UK is not directly comparable due to differences in data definitions.

Information is provided in the following table on the number of finished admission episodes for patients resident in Scotland who have received healthcare from the NHS in England since 1999.

Source: Hospital Episode Statistics (HES), NHS Digital (England)

Information is provided in the following table on the number of patients resident in Scotland who have received healthcare from the NHS in Wales since 1999.

Source: Patient Episode Database Wales (PEDW), NHS Wales Informatics Service

Information is provided in the following table on the number of patients resident in Scotland who have received healthcare from the NHS in Northern Ireland since 1999.

Source: Hospital Inpatient System, Northern Ireland Health Department

The Scottish Government and NHS Scotland actively promotes the participation of traditionally underrepresented groups within the NHS workforce; this is underpinned by fair and inclusive recruitment policies, supported by a clear and unequivocal Staff Governance Standard.

The Race Equality Framework and the Disability Delivery Plan set out specific actions through which we are pursuing an explicit goal that Scotland’s health and social care workforce better reflects the diversity of Scotland’s communities. Equally, we have established a national partnership with Stonewall Scotland, through which all NHS Boards are encouraged to participate in the Workplace Equality Index. Through the partnership, NHS Scotland has founding partner status on the ‘Proud Employers’ Website, accordingly NHS boards can actively promote both board and executive level appointments.

Health Protection Scotland have reported data on community acquired cases of clostridium difficile (C. diff) since January 2017 and so cannot be provided back to 1999. The following link provides recent information on cases of community acquired C. diff. 

Implementation of HPV primary screening is underway and is expected to be introduced to the Scottish Cervical Screening Programme during 2019-20.

The Full Business Case (FBC) for the introduction of HPV primary screening was developed in consultation with a range key stakeholders including experts and professionals from across the Cervical Screening Programme. The FBC was also shared and approved by NHS Board Chief Executives and the Scottish Screening Committee

Stakeholders, including NHS Boards and charities, are represented on a number of working groups supporting implementation.

Scottish mental health and incapacity legislation is based on rights and principles. Our mental health legislation promotes patients’ rights and provides safeguards which include that any function should be carried out for the maximum benefit of the patient, with the minimum necessary restriction on the freedom of the patient and having regard to the views of the patient.

Our legislation is compliant with the European Convention on Human Rights and Fundamental Freedoms (“the Convention”) and has never been found, in part or in whole, by the European Court of Human Rights to be incompatible with the Convention. In addition, the Human Rights Act 1998 ensures that every public authority in Scotland is obliged to act compatibly with the Convention and enables human rights cases to be taken in domestic courts.

We have recently implemented the Mental Health (Scotland) Act 2015 and are undertaking a range of work through the Mental Health Strategy to move forward Scottish mental health and incapacity legislation.

During the passage of the 2015 Act, the United Nations Convention on the Rights of Persons with Disabilities was influential. For example, measures were taken to strengthen the provisions in the existing 2003 Act. These promote supported decision making so that users are able to exercise their capacity. This includes:

• more autonomy for patients in the right to have a named person (often a relative or friend);

• promoting the right to make an advance statement setting out what treatments they would or would not like to be given; and

• promoting the right to support from an independent advocate.

The Scottish Government is working with partners including the Mental Welfare Commission, the Office of the Public Guardian and professional and human rights bodies to develop changes to the Adults with Incapacity Act (2000) in relation to deprivation of liberty, and to assess compliance with UN Convention on the Rights of Persons with Disabilities. A full public consultation on reform of the Adults with Incapacity legislation has just been launched.

We have also commenced the review to consider how the provisions of the 2003 Act fulfil the needs of people with learning disability and autism.

As previously stated, the Scottish Government is planning on allocating additional funds to support these plans and the current estimate is that NHS Lothian will require an additional £15 million to deliver this project. This estimate is based on advice received direct from NHS Lothian, following an extensive process to prioritise service requirements against available capital funding. The Scottish Government will continue to engage direct with NHS Lothian and additional funding assumptions will be updated as their plans develop.

The information requested is not held centrally.