- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 29 January 2025
To ask the Scottish Government what steps it is taking to advance professional expertise in the training of neurologists in (a) immunology and (b) virology, and what action it is taking to improve the integration of neurological practice with these specialities.
Answer
Neurology trainees are provided with training in immunology and virology. The curriculum for neurology training, published by the Joint Royal Colleges of Physicians Training Board, includes Capabilities in Practice (CiPs) on managing inflammatory and infectious disorders.
These CiPs make clear expectations upon neurology trainees regarding:
- understanding of the underlying anatomy and pathophysiology of inflammatory and infectious diseases of the nervous system, including the treatments and their side effects
- ability to select, request and interpret relevant investigations including serology, genetic testing, imaging of the brain and spine, neurophysiology, tissue culture and histology in order to diagnose and manage such disorders
- ability to work with other relevant clinicians both in treating and monitoring patients and in referring them to other disciplines as appropriate.
There is robust educational Governance through NHS Education Scotland (NES) for neurology training in Scotland. NES does not consider it necessary to require neurologists to be experts in either immunology or virology, but to be able to clinically assess, investigate and manage people with neuroimmunological conditions and neuroinfectious disease using an evidence-based approach.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 29 January 2025
To ask the Scottish Government how many (a) neuropsychologists and (b) trainee neuropsychologists there are, broken down by NHS board.
Answer
The latest data received by the Scottish Government from NHS Education for Scotland (NES) is as follows:
a) WTE Applied Psychologists working in Neuropsychology in NHS Scotland as of 30 September 2024:
NHS Board | WTE Applied Psychologists working in Neuropsychology |
NHS Scotland | 53.1 |
NHS Ayrshire & Arran | 5.9 |
NHS Borders | 0.0 |
NHS Dumfries & Galloway | 0.8 |
NHS Fife | 2.3 |
NHS Forth Valley | 2.4 |
NHS Grampian | 8.6 |
NHS Greater Glasgow & Clyde | 14.8 |
NHS Highland | 3.1 |
NHS Lanarkshire | 3.6 |
NHS Lothian | 8.3 |
NHS Orkney | 0.0 |
NHS Shetland | 0.0 |
NHS Tayside | 3.4 |
NHS Western Isles | 0.0 |
State Hospital | 0.0 |
Golden Jubilee National Hospital | 0.0 |
NHS Education for Scotland | 0.0 |
b) NHS Education for Scotland (NES) does not hold this information centrally.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Tuesday, 14 January 2025
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Current Status:
Answered by Jenni Minto on 28 January 2025
To ask the Scottish Government when the Scottish Screening Committee will next meet, and whether lung cancer screening will be an item on the agenda.
Answer
As set out in the answer to question S6W-33241 on 24 January 2025, Screening Oversight and Assurance Scotland are developing a business case for the implementation of a targeted lung screening programme, which is expected by the end of February 2025.
Following receipt, the Scottish Screening Committee will be convened to discuss its findings and consider next steps.
All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at /chamber-and-committees/written-questions-and-answers
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Tuesday, 14 January 2025
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Current Status:
Answered by Jenni Minto on 24 January 2025
To ask the Scottish Government what recommendations it has received from the Director of Screening, NHS National Services Scotland, regarding implementing lung cancer screening as a new targeted screening programme.
Answer
I refer the member to the answer to question S6W-33241 on 24 January 2025. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at /chamber-and-committees/written-questions-and-answers
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Tuesday, 14 January 2025
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Current Status:
Answered by Jenni Minto on 24 January 2025
To ask the Scottish Government, further to a recent article published on Healthandcare.scot, which claimed that “Ministers say they will introduce a lung cancer screening programme in adults aged 55-74 with a history of smoking, in line with a recent recommendation from the UK National Screening Committee”, by what date the programme will commence, and whether it will include an incidental findings pathway for people diagnosed as having chronic obstructive pulmonary disease (COPD) during their CT scan.
Answer
Screening Oversight and Assurance Scotland, supported by the work of an expert advisory group and led by the Director of Screening, is currently developing a business case for implementation of targeted lung screening. This is expected by the end of this winter, and will consider the matter of incidental findings. Following receipt of the business case, the Scottish Government and delivery partners across the NHS will have greater scope to make an evidenced-based assessment of implementation timescales.
The roll-out of any screening programme is a complex undertaking, and the UK National Screening Committee acknowledged in its recommendation that there remain a number of significant issues that must be worked through before a full programme of lung screening can be implemented. This means a national screening programme is likely to take years rather than months to implement.
In the meantime, lung cancer remains a national priority. The Scottish Government has a dedicated chapter in our £114.5 million National Cancer Plan, and in December 2023 we redesigned lung cancer diagnostic services to help ensure patients receive faster access to treatment.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 17 January 2025
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Current Status:
Answered by Jenni Minto on 24 January 2025
To ask the Scottish Government, in light of the commitment in its Stroke Improvement Plan 2023 to deliver a detailed plan for further development of the national thrombectomy service before the end of 2023, whether it remains committed to publishing such a plan, and, if so, when it plans to do so, and whether it will commit to publishing this in 2025.
Answer
The commitment in the to publish a plan for further development of the national thrombectomy service in the second half of 2023 was published in December 2023, available at: Thrombectomy Service Update and Expansion Outline
It should be noted that, since publication, the National Thrombectomy Programme Board has, on the advice of NHS National Services Division, moved away from an options appraisal approach in favour of maximising access to thrombectomy and a stepwise approach to service expansion.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 24 January 2025
To ask the Scottish Government how many people with a terminal neurological condition have met the criteria for requiring palliative care in each year since 2021-22, broken down by how many received specialist palliative care.
Answer
This information is not held centrally by either Scottish Government or Public Health Scotland (PHS).
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 24 January 2025
To ask the Scottish Government how much it has invested in clinical research into (a) dementia, (b) neurodegenerative conditions, (c) non-neurodegenerative conditions and (d) other neurological conditions in each of the last five years.
Answer
Within the Scottish Government, funding for Health and Care Research comes under the policy remit of the Chief Scientist Office (CSO)
CSO directly funds research through its research project and fellowship schemes. These are open to applications from across the clinical spectrum. All applications go through the same independent expert review process to enable funding decisions to be made
For multi-year projects and fellowships, the funding figure is allocated to the year corresponding to the start date and is the total amount committed to the project or fellowship
The 4 categories listed have been interpreted as follows:
Dementia - category including Alzheimer's; Frontotemporal Lobe Dementia; Lewy Body Dementia
2024-25 | 28,115 |
2023-24 | 299,999 |
2022-23 | 592,437 |
2021-22 | 260,978 |
2020-21 | 20,000 |
Neurodegenerative Conditions - category including MND/ALS; Multiple Sclerosis, Parkinson's
2024-25 | 132,368 |
2023-24 | 356,955 |
2022-23 | |
2021-22 | 1,947,038 |
2020-21 | 73,325 |
Non-neurodegenerative conditions - category including Epilepsy; Migraine; Seizures
2024-25 | |
2023-24 | 501,704 |
2022-23 | |
2021-22 | 379,814 |
2020-21 | |
Other neurological conditions - category including Ischaemic and Haemorrhagic Stroke; Cerebral Small Vessel Disease; Acquired Brain Injury
2024-25 | 550,919 |
2023-24 | 300,000 |
2022-23 | 856,698 |
2021-22 | 762,439 |
2020-21 | 78,744 |
In addition to directly funding research projects and fellowships, CSO also funds the NHS Research Scotland infrastructure that supports the running of Clinical Trials in the NHS here. This infrastructure includes topic-specific research networks which act as the interface between the research community, the NHS and patients themselves, facilitating the set up, delivery and completion of clinical studies across Scotland within their specific clinical areas
The research networks in Dementia/Neuroprogressive Conditions; Stroke; and Pain support the delivery of clinical studies across one or more of the above categories.
Details of CSO funding for these 3 research networks is provided in the table below:
Network / Specialty | FY 2020-21 | FY 2021-22 | FY 2022-23 | FY 2023-24 | FY 2024-25 | Total per area |
Neuroprogressive & Dementia | £506,000 | £677,000 | £777,000 | £829,000 | £855,000 | £3,644,000 |
Stroke | £616,000 | £641,000 | £689,000 | £734,000 | £757,000 | £3,437,000 |
NRS Pain | £14,404 | £14,821 | £18,000 | £28,500 | £30,000 | £105,725 |
Total per Financial Year | £1,136,404 | £1,332,821 | £1,484,000 | £1,591,500 | £1,642,000 | £7,186,725 |
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 24 January 2025
To ask the Scottish Government which NHS boards have not received any direct investment in neurology services since the start of the period covered by the Neurological Care and Support Framework for Action 2020-2025.
Answer
All Health Boards in Scotland receiving baselined funding from the Scottish Government toward their neurology services. As part of Planned Care funding, the Scottish Government has also invested £217,000 in total towards improving waiting times in NHS Tayside and NHS Greater Glasgow and Clyde.
Through the Neurological Framework, the Scottish Government has given direct investment to numerous territorial Health Boards to undertake projects focusing on neurological care, in line with the Framework’s commitments. Health Boards that have received direct investment are:
- NHS Ayrshire and Arran
- NHS Forth Valley
- NHS Grampian
- NHS Greater Glasgow and Clyde
- NHS Lanarkshire
- NHS Lothian
- NHS Orkney
- NHS Tayside
Third sector organisations have also been awarded funding to work in partnership with a number of statutory organisations to better integrate services, including NHS Greater Glasgow and Clyde and NHS Fife. The Migraine Trust has worked in partnership with seven NHS boards to improve treatment for migraine in community pharmacy.
A full list of projects funded through the Neurological Framework can be found
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 24 January 2025
To ask the Scottish Government whether it will expand the Young Patients Family Fund eligibility criteria to (a) those attending day treatment and (b) under-25s.
Answer
There are no plans to expand eligibility of The Young Patients Family Fund (YPFF) at this time.
In addition to support available under the YPFF, financial support for travel to hospital is available via the patient travel expenses reimbursement schemes. Under those schemes, patients and authorised escorts can reclaim reasonable costs of travel associated with attending a hospital appointment, in line with eligibility criteria and medical requirements.