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Public Health Scotland (PHS) uses the national waiting times warehouse to collect electronic patient records covering the waits that patients experience waiting for treatment as an inpatient or day case under the Treatment Time Guarantee. This data source can be used routinely to identify the specialty of treatment. However, although the records are designed to collect coded information on the procedure that is planned for the patient, this information is often either incomplete, lacking in essential detail and/or its accuracy cannot be assured. In addition, for patients who have completed their wait, the procedure(s) that was planned may not always reflect that actually performed after they were admitted for treatment. The latter is not captured through the warehouse. Consequently, PHS is not currently able to report accurately on waiting times to this level of detail. More detailed information on the procedure(s) that is planned or undertaken for a patient will be held locally by NHS Boards.

Statistics relating to the waits patients experience for inpatient or day case treatment at specialty level are published up to 31 December 2021 and can be found using the link below:

https://publichealthscotland.scot/media/11657/ipdc_feb22.xlsx .

I refer the member to the answer to question S6W-05015 on 7 January 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

All NHS Boards in Scotland, have a named Motor Neuron Disease (MND) clinical nurse specialist, either employed directly by the Board or provided by a neighbouring Board through Service Level Agreements. NHS Dumfries and Galloway is in the process of recruiting to their vacant post, with specialist nurse resource being provided by NHS Greater Glasgow and Clyde in the interim.

The information for which NHS Board areas have a MND clinical lead is not held centrally, however all Scottish Health Boards have a named Consultant Neurologist who diagnoses and undertakes clinical oversight of patients with neurological conditions including MND.

Investment of over £1.6 billion for social care and integration in the 2022-23 budget progresses our commitment to increase spend in social care specifically by 25% – over £840 million – by the end of this parliament, and supports measures to strengthen the implementation of Self-directed Support, improve prevention and early intervention and to increase the delivery of more community-based support.

The Scottish Government has also committed to abolishing charges for non-residential social care and support and we are currently working with stakeholders to develop options to do so as soon as practicable.

The Resource Spending Review is due to be published in May 2022 and will include details on the Scottish Government’s multi-year funding arrangements across all Portfolios.

As set out in the STAG Managers Guide , an appraisal using Scottish Transport Appraisal Guidance (STAG) is required whenever Scottish Government funding, support or approval is needed to change the transport system. It may also offer a suitable framework for other funders.

STAG is applicable to all transport interventions. Option generation as part of STAG should be unconstrained and should fully reflect the range of multi-modal options available. Typically, the STAG process is not used for developing and comparing alternative designs for the same mode-specific option, for example alternative corridors for a new road project, however the principles for appraisal and evaluation are similar and the basis of determining socio-economic impacts derive from HM Treasury Green Book.

A transport appraisal in accordance with STAG aligns with the Strategic Business Case (SBC) stage, the initial stage of business case development in line with Transport Scotland’s Guidance on the development of Business Cases , where a decision is taken to progress any option to the next stage.

Certain transport options which emerge from the STAG process may then require further consideration using mode-specific guidance at the next stages of business case development, for example:

• Project Acceleration in a Controlled Environment (PACE) – for rail projects; and
• Design Manual for Roads and Bridges (DMRB) – for roads schemes.

STAG is not usually adopted when considering maintenance issues of an existing asset which will not significantly change or affect the operation of the transport system.

The total amount of publicly available electric vehicle charge points registered on the ChargePlace Scotland (CPS) network are as follows -

31 December 2019 = 1226

24 April 2022 (latest update) = 2244

Weekly management information published as part of the Coronavirus (Covid-19): Trends in Daily Data publication ( https://www.gov.scot/publications/coronavirus-covid-19-trends-in-daily-data/ ) shows that delays first exceeded pre-pandemic levels (1,640 delays in January 2020) on 19 January 2020, with 1,664 delays recorded. Delays remained above 1,640 for the next two weeks before reducing again to pre-pandemic levels between 9 February and 23 March.

The whole health and social care system is under severe pressure and staff continue to work tirelessly to provide safe care. However, we continue to see extreme pressures across the whole health and social care system, with more people coming through hospitals who need high levels of care and support to go home, alongside high levels of unmet need in the community.

To address this significant additional funding has been allocated to support social care, including £62m to enhance care at home capacity; £48m to increase the hourly rate of pay; £40m to provide interim care arrangements; and £20m to enhance multi-disciplinary teams. Funding is also being used to rapidly scale up Hospital at Home services, which aim to reduce acute admissions and support timely discharge.

As with all our major trunk road projects, Transport Scotland carried out a rigorous assessment process to establish the preferred line for the A82 Tarbet to Inverarnan scheme. This three-stage assessment process is based on the standards and good practice set by the Design Manual for Roads and Bridges (DMRB), and covers environmental, engineering, traffic and economic considerations. Value for Money Reviews were carried out during each stage of the DMRB assessment process and I can confirm that all route options considered for the scheme were subject to this process. This has helped to ensure that scheme objectives are achieved while optimising value for money in terms of the potential costs, benefits, and risks. Further details on each stage in the assessment process is available from the project pages on the Transport Scotland website at https://www.transport.gov.scot/projects/a82-tarbet-to-inverarnan/project-details/ .

The Scottish Government remains committed to an infrastructure solution to address the A83 Rest and Be Thankful landslip risks.

Work continues on the design of the long term options along with data gathering. The Government recently awarded a £1.8 million ground investigation works contract to best inform the design process and are working towards announcing a preferred route for a long term solution in 2023.

At the same time work is also progressing on the medium term resilient route and with formal proposals scheduled for late 2022.

In terms of short term measures since August 2020, Engineers have installed various landslide mitigation measures including drainage improvements, debris fences, a catch pit and material barriers. The mitigation has been augmented by the construction of a 175m long, 6m high debris bund, which further protects the Old Military Road. As a result of the major landslides in August and September 2020, and to mitigate a similar event from recurring, a further catch pit is being formed to be completed in summer 2022.

The catch pits and fences are designed to ‘capture’ debris material from a landslip and prevent it from reaching the road. To reduce disruption while keeping all road users and roadworkers safe, temporary traffic light system has replaced the convoy operations on the A83 and now remain in operation. A convoy system is only used, where ground readings or heavy rain forecasts would determine such requirement.

The protection afforded by these measures has meant that the A83 and the Old Military Road local diversion have been able to remain in operation for all but eight occasions during 2021 and 2022 to date, meaning traffic did not have to use the longer diversion via Inveraray and Crianlarich.

I refer the member to the answer to question S6W-08101 on 11 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