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The following table shows the number of new cases of diabetes amongst those aged 0 to 19 in each year from 2009 to 2016.

Type 2 diabetes: Number of new cases, age 0-19

The National Census data, which is held centrally by ISD Scotland, are for staff employed directly by NHSScotland and includes the postcode of residence.

Staff working as and when required, such as bank and agency staff, are excluded from this data capture.

At 30 th June 2018 census, this information was complete for 97.8% of census records for nursing and midwifery staff in post. Of the 68,111 staff (headcount) involved, 69 (0.1%) staff had a non-Scottish postcode of residence.

My officials meet regularly with NHS Lothian to discuss waiting times including the specialty of urology. I am aware that waiting times for urology in NHS Lothian is below the level I expect. NHS Lothian has received £3.7 million as part of the £25 million initially issued to Boards from the £50 million announced at the end of May 2018. The Board are using £162,000 for urology services to support additional outpatient activity and theatres with a further £344,000 allocated for urology diagnostic tests. This should support activity for around 1,500 patients. I expect to see improvements during this year.

The recently published programme for Government committed me to publish a plan to substantially and sustainably improve waiting time performance in the face of rising demand for services - this plan will be published shortly.

The Convention of Scottish Local Authorities (COSLA) holds annual negotiations with Scottish Care, the representative body of the independent care home sector, to set appropriate and consistent fee levels across Scotland for publicly funded clients as part of the National Care Home Contract.

A programme of work around the reform of the NCHC undertaken by COSLA and Scottish Care has led to a significant uplift in the NCHC rate in 2018-19 of 3.39%, using detailed benchmarking data to accurately reflect the cost of providing care to care home residents.

In recognition of the costs of residential care to self funders, we have increased the Free Personal and Nursing Care payments to self-funders with inflation in 2018 to £174/week for personal care and £79/week for nursing care. We are proud of the continued provision of free personal care to over 65s, and from 1st April 2019, those under the age of 65 will also benefit from this policy.

The information requested is not held centrally. Mesh used in a transvaginal setting is procured directly by Health Boards and ‘transvaginal mesh kits’ have never been procured through national contracts. The amount of mesh procured cannot be accurately established, given that there are a range of suppliers and varying units and systems within Health Boards to procure small volume medical devices, such as mesh, as required.

The Scottish Government does not hold information centrally on waiting times for the delivery of care packages for people diagnosed with life-limiting conditions.

However the Scottish Government publishes information on the time interval between completion of assessment and service delivery for people aged 65+ with personal care needs. The figures are shown for Scotland and for each local authority. This can be found on the Scottish Government website: https://www.gov.scot/Topics/Statistics/Browse/Health/Data/QuarterlySurvey/ECWT082017

Delayed discharges are on an annual downward trend, with the latest annual report showing a 7% reduction on 2016-17, builds on a 3% reduction the year before and a 9% reduction 2015-16.

This is good progress which we recognise. None the less, more needs to be done and officials are currently working with Health and Social Care Partnerships to explore ongoing challenges and drive long-term, sustainable improvements.

I refer the member to the answer to question S5W-18974 on 2 October 2018. 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 timing of financial reporting by individual Integration Authorities is aligned to the local release of information in to the public domain and associated with Board Meetings which generally take place every few months. For practical reasons there is currently no intention to increase the frequency of reporting from quarterly to monthly.

Patients using Continuous Positive Airway Pressure (CPAP) should have access to a blend of technician and nurse specialist advice and support at follow-up clinics, drop-in service or telephone helplines.

Guidelines are available from the Scottish Intercollegiate Guidelines Network (SIGN) and the National Institute for Care Excellence (NICE).

The Scottish Government reports to the Health and Sport
Committee on the financial position for all Integration
Authorities on a quarterly basis and the reports are publicly
available on the Scottish Parliament’s website:

http://www.parliament.scot/parliamentarybusiness/Current
Committees/108233.aspx

The first two quarterly reports are available at:

http://www.parliament.scot/S5_HealthandSportCommittee/
Inquiries/20180502_NHS_Finance_letter_from_Cab_Sec.pdf

http://www.parliament.scot/S5_HealthandSportCommittee/
Inquiries/20180822_Letter_IN_from_Paul_Gray_-_Budget_
Scrutiny.pdf

The Scottish Government expects all Integration Authorities
to continue to develop their plans and work towards delivering
a balanced financial position and for the consolidated overspend
to reduce throughout the year as savings plans continue to be
developed, expenditure patterns become clearer and use of
reserves and additional financial support from partners is
confirmed. Additional funding from Health Boards to address
the overspend is factored in to the overall Health and Sport
Portfolio budget, which remains on track to deliver a balanced
outturn position.