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This Government understands the critical role of rehabilitation in supporting people affected by chest, heart, and stroke conditions, long COVID and other long-term health conditions. We are committed to ensuring that all adults who require rehabilitation have timely access to the right information and services by the end of 2025 through our Once for Scotland Rehabilitation Approach.

Our Heart Disease Action Plan, Respiratory Care Action Plan and Stroke Improvement Plans recognise the importance of timely and equitable access to care for people living with chest, heart and stroke conditions. We are working closely with NHS Boards and people with lived experience, as well as our national advisory groups as we implement these strategies. We have also established a £10 million long COVID Support Fund to support NHS boards to increase the capacity of existing services, develop these into more clearly defined local pathways and provide a more co-ordinated experience for people living with long COVID.

We are aware that people living in remote and rural areas may face disparities in access to health care. To address this we are committed to publishing a Remote and Rural Workforce Strategy and have recently established a National Centre for Remote and Rural Health and Social Care.

The Scottish Government expects that where Health Boards are aware of any patient who has been adversely affected by any poor-quality infant auditory brainstem response (ABR) assessment, the relevant Health Board follows up with the patient and their family to provide appropriate support, reassurance and advice on next steps.

Care and support for people with chest, heart and stroke conditions or long COVID is being provided across the full range of services being delivered by our NHS. This includes local primary care teams, community-based rehabilitation services and referrals for further investigation delivered in secondary care settings where needed.

The Scottish Respiratory Advisory Committee identified three initial priorities for implementation of the Respiratory Care Action Plan (2021) which were; child to adult transitions, access to data and pulmonary rehabilitation. The child to adult transitions sub-group has produced recommendations which will be shared shortly. We have recently commissioned Public Health Scotland to begin scoping work to develop a respiratory audit programme, and we are working closely with services across Scotland to deliver improvements in pulmonary rehab.

We are making progress on delivery of our Heart Disease Action Plan (2021) and have recently completed a scoping exercise with cardiac rehabilitation services to identify priority areas for improvement.

Since publication of the Stroke Improvement Plan in June, the Scottish Government has appointed a Consultant Stroke Physician as Clinical Lead for Stroke to lead on its implementation. We are developing a bundle of rehabilitation measures for inclusion in the Scottish Stroke Care Audit and are also developing measures of patient experience of rehabilitation.

We have established a £10 million long COVID Support Fund to support NHS boards to increase the capacity of existing services, develop these into more clearly defined local pathways and provide a more co-ordinated experience for people living with long COVID. We made an initial £3 million available from the fund over 2022-23, and a further £3 million is being made available from the fund over this financial year.

The New Model of Neonatal Care is aimed at the most premature and sickest of babies and is based on a review of evidence carried out by Dr Anna Gavine, Dr Steve MacGillivray and Prof Mary Renfrew of the University of Dundee and a summary of the evidence review is published within The Best Start ( ).

The evidence showed that outcomes for very low birth weight babies (VLBW) are better when they are delivered and treated in Neonatal Intensive Care Units with full support services, experienced staff and a critical mass of activity (expert recommendation defines this as care for a minimum of 100 VLBW babies a year).

This evidence has since strengthened with the publication in 2021 of the , which sets out optimal arrangements for neonatal intensive care.

The Scottish Government is currently considering all of the recommendations made as part of the Independent Review of Audiology Services in Scotland.

We will provide an update to Parliament on next steps in due course.

Families told us, as part of the Best Start engagement process, that they wanted the best care possible for their babies. Evidence tells us that the very smallest and sickest babies will get the best outcomes if they care cared for in high volume units.

This change will affect families in many different parts of Scotland, and the Chief Executive of Bliss sits on the Best Start Programme Board and was a participant in the options appraisal process, representing the views of neonatal families.

Scottish Government will be consulting with families in the affected areas on implementation of the new model, so that we can take account of their concerns when the pathways and processes for the new model of care are designed. This will affect a very small number of families, however, it is important that we hear the voices of those families to input into design of service delivery.

Neonatal units will also continue to seek parent feedback locally to ensure opportunities to improve experiences of care for families are identified.

The Scottish Government is considering all of the recommendations made as part of the Independent Review of Audiology Services in Scotland.

We will provide an update to Parliament on next steps in due course.

The Scottish Government is considering all of the recommendations made as part of the Independent Review of Audiology Services in Scotland.

Although it is NHS Boards who are responsible for ensuring staff receive the appropriate training and ongoing development to be able to undertake their role safely and effectively, in response to the concerns highlighted by the Independent Review the Scottish Government has provided Health Boards with £26,000 to support further training in auditory brainstem response (ABR) assessment for staff working in paediatric audiology services.

I refer the member to the answer to question S6W-22410 on 7 November 2023. 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