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Our staff are at the heart of our NHS. The welfare of NHS staff is critically important with every health board required to have policies in place and to comply with national policies on managing health at work.

The Staff Governance Standard for NHSScotland commits all boards to providing a continuously improving and safe working environment promoting the health and wellbeing of staff, patients and the wider community. Through our monitoring arrangements, we are ensuring that boards have policies and actions in place to support staff.

We are currently in the process of updating the Partnership Information Network (PIN) policy for Managing Health at Work. This is in consultation with boards.

We are currently in the process of updating the Managing Health at Work PIN policy that will be researched and prepared on a partnership basis involving NHSScotland employers, trade unions, professional organizations and the Scottish Government.

The NHSScotland Staff Governance Standard already places a specific obligation on NHS boards, as employers, to ensure that all staff have access to communication channels which offer the opportunity to give and receive feedback, either directly or via their trade union/professional organisation, on organisational and service delivery issues at all levels.

The NHSScotland Partnership Information Network (PIN) policies, which underpin the Staff Governance Standard, provide a minimum standard of practice in employment, helping to ensure fair and consistent management of staff which meets both current legislative requirements and best employment practice. These policies, which are promoted locally, and accessible via a range of mediums, cover, amongst other things, whistleblowing and bullying and harassment.

The National Standards for Clinical Governance and Risk Management, published in 2005, set out the requirement for NHS boards to self-assess their arrangements for clinical governance and risk management to support the delivery of safe, effective and person-centred care and services.

The Scottish Government published the in 2013. This sets out the respective roles and responsibilities of the Scottish Government, NHS board chief executives, NHS board chairs and non-executives and all staff and includes recommended actions in respect of risk management to support the oversight, planning, and delivery of healthcare services.

In addition, the , published by Healthcare Improvement Scotland in April 2015, includes risk assessment and prevention actions for boards to minimise risks in order to provide high quality care.

In order to ensure high quality, continuously improving health and social care, the Scottish Government recognises that it is important to strike the right balance between improvement, performance management and scrutiny. Through the Local Delivery Planning (LDP) process, the Scottish Government engaged with a range of stakeholders in considering the performance standards for the NHS in Scotland. In recent years there has been significant reduction in the number of standards and targets that are monitored through the NHS performance frameworks. Reflecting this changing approach boards were asked to develop LDPs for 2015-16 which focused on new actions planned in a small number of priority areas for improvement including prevention and health inequalities, antenatal and early years, person centredness, safety, primary care and integration.

We will continue to review the performance standards and the LDP process for the NHS in Scotland.

In addition Healthcare Improvement Scotland is currently consulting on new enhanced proposals for scrutiny of the quality of care, structured around a more comprehensive set of measures that cover all of the factors knowing to contribute to the quality of health and care. The consultation can be found at:

The Scottish Public Services Ombudsman’s Complaints Standards Authority is already leading work for the Scottish Government on the development of a revised NHS complaints procedure, in line with one of the recommendations of the Scottish Health Council’s Listening and Learning report on how feedback, comments, concerns and complaints can be used to drive improvement across NHS services in Scotland. A working group, with membership drawn from across health boards, was recently convened to progress this and will meet for the first time in September 2015.

Neither the Scottish Government nor its agencies have a contract with the Scottish Provincial Press to deliver marketing or other publications.

The government acknowledges and welcomes the work of third sector groups, business, public sector organisations and others in providing CPR training.

As part of the implementation of the Out-of-Hospital Cardiac Arrest Strategy, the government is working with stakeholder organisations to develop ideas and initiatives to increase CPR training. In addition, a report is in preparation on how public attitudes and behaviour can be influenced in order to increase rates of bystander CPR. This report will inform our approach to increasing CPR training rates.

The government currently has no such plans.

The Scottish Government published Out-of-Hospital Cardiac Arrest: A Strategy for Scotland in March 2015. We continue to work with a wide range of stakeholders to deliver the aims of the strategy and improve outcomes for people experiencing out of hospital cardiac arrest.

In the context of a complex, multi-organisational system, it is difficult to calculate the net additional costs of improving out of hospital cardiac arrest (OHCA) given that it is not clear at this stage what proportion of the proposed improvements might be absorbed through different and more effective use of existing resources. Or what efficiencies might be achieved through better co-ordination amongst stakeholders.

Since announcing in October 2014 that an OHCA strategy would be produced, the government has committed over £300,000 to support delivery. Statutory organisations, including the Scottish Ambulance Service and the Scottish Fire and Rescue Service, and third sector organisations, including Chest Heart and Stroke Scotland and the British Heart Foundation have also invested significant resources.

A number of police officers are already trained in the use of defibrillators, e.g. through the First Aid at Work scheme. Police Scotland has undertaken to add training in the use of defibrillators to the annual Scottish Police Emergency Lifesaving Saving Course. This means that by the end of 2016 all serving police officers – up to and including the Chief Constable – will be trained in the use of defibrillators.