Questions and answers

Question reference: S6W-14417

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 26 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what it is doing to support NHS boards to optimise diabetes in-patient care in hospitals and reduce any avoidable adverse events.

As part of the Scottish Diabetes Group (SDG), we have an inpatient sub-group, with a focus on improving diabetes care in hospitals.

The inpatient group, with support from the SDG, will carry out a national inpatient audit this year. The purpose of the audit is to review the diabetes care currently being provided in hospitals The data will also highlight any areas for improvement and help NHS Boards to make any necessary improvements to the care and treatment of people living with diabetes in hospitals.

Healthcare Improvement Scotland’s professional education toolkit ‘Think, Check, Act’ has also been reviewed and was updated in December 2022. We are continuing to work with NHS Boards, NHS Education for Scotland and other key stakeholders to embed Diabetes ‘Think, Check, Act’ modules into healthcare professional education to ensure that people with diabetes have access to the best possible care and treatment whilst they are in hospital.

Question reference: S6W-14406

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 26 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what it has done to improve linkages between diabetes and pregnancy clinical systems.

Question reference: S6W-14381

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 26 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what percentage of people with type 1 diabetes have had access to insulin pump therapy in each year since 2007.

Question reference: S6W-14416

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 26 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what training and education on diabetes is available to all healthcare professionals, and what percentage of healthcare professionals have received that training, broken down by body.

This information is not held centrally. However, the Scottish Diabetes Education Advisory Group (SDEAG) has been working with undergraduate medical education partners in order to ensure that appropriate education on diabetes is included in the curriculum. The Inpatient Sub-Group of the Scottish Diabetes Group has also been working to improve the ‘Think, Check, Act’ training module hosted by Healthcare Improvement Scotland.

The Type 2 Prevention Framework has also provided opportunities for several professional groups to participate in continued professional development, including training on trauma informed care and the psychological impact of overweight and obesity on diabetes management.

Question reference: S6W-14382

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 26 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what percentage of people with type 1 diabetes started on insulin pump therapy within six months of referral in each year since 2007.

Question reference: S6W-14390

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 26 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what it has done to support improvements in care and outcomes for adults with type 1 diabetes.

As part of the Scottish Diabetes Group, we have a Type 1 Sub-Group, focussing on improving care for people with Type 1 diabetes. The group has been focused on strategies for prevention of Diabetic Ketoacidosis (DKA) and improving access to technology.

We are currently working with the Centre for Sustainable Delivery (CfSD) on a project which would support the roll-out of diabetes technologies across Scotland. There is now robust evidence on the benefits of Closed Loop Systems on glycaemic control for individuals with Type One Diabetes, and this will be one of the first innovations to be considered for the ANIA pathway

The Scottish Diabetes Education Advisory Group (SDEAG) has established a short life working group which is currently developing a ‘Once for Scotland’ education pathway to ensure that everyone diagnosed with Type 1 diabetes is able to access appropriate and timely education.

Question reference: S6W-14383

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 26 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what percentage of people with type 1 diabetes have had access to continuous glucose monitoring in each year since 2007.

Question reference: S6W-14371

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 26 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what percentage of people with type 1 diabetes have been recorded as having diabetic ketoacidosis (DKA) at diagnosis in each year since 2007.

Question reference: S6W-14351

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Monday, 30 January 2023
Current Status: Answered by Elena Whitham on 9 February 2023

To ask the Scottish Government how many tribunals there are; how (a) much funding and (b) many staff each has in 2022-23, and in which year each was established.

There are three types of tribunals which operate in Scotland. Scottish tribunals which deal with devolved issues and have specific jurisdiction in Scotland (such as the First-tier Tribunal for Scotland) and tribunals which deal with reserved issues but have specific Scottish jurisdiction and structures (such as the Pensions Appeal Tribunal for Scotland), these are administered by the Scottish Courts and Tribunal Service. Other tribunals exist which deal with reserved issues and have Great Britain wide structures administered by His Majesty’s Courts and Tribunals Service (such as the Employment Tribunal). The Scottish Government can only comment on those administered by the Scottish Courts and Tribunal Service.

As at 1 February 2023, the Scottish Courts and Tribunal Service administer the Scottish Tribunals (consisting of the First-tier Tribunal for Scotland and the Upper Tribunal for Scotland), the Mental Health Tribunal for Scotland, the Lands Tribunal for Scotland, and the Pensions Appeal Tribunal for Scotland. The First-tier Tribunal for Scotland is split into six Chambers.

The respective funding, staffing and year established for each of these tribunals is listed in the following table.

Tribunal		Funding*	Number of staff in post as of 1st February 2023	Year established
Created by Tribunals (Scotland) Act December 2014
Upper Tribunal for Scotland**		£7,413	0	December 2016
First-tier Tribunal for Scotland	Housing and Property Chamber	£4,157,686	61	December 2016
	Health and Education Chamber	£388,545	4	January 2018
	Social Security Chamber^	£3,361,006	26	November 2018
	General Regulatory Chamber †	-£6,096	5	January 2018
	Tax Chamber	£116,693	2	April 2018
	Local Taxation Chamber	£750,414	11	Commences April 2023
	- Council Tax Reduction Review Panel	£104,790	2	October 2013, functions transfer into the Local Taxation Chamber April 2023
Other Tribunals
Mental Health Tribunal for Scotland		£9,343,829	70	October 2005
Pensions Appeal Tribunal Scotland		£399,470	4	Present form since 1943 (in existence since 1919)
Lands Tribunal for Scotland"		£95,302	2	October 1970 (originally legislated 1949)
*Funding is for operational funding (direct running costs) and does not include overheads.
** Does not include judicial resource costs of £93,299 transferred to the Judicial Office for Scotland.
^staff posts and funding includes additional 11 staff to transfer in from His Majesty's Courts and Tribunals Service on 1st March 2023.
† Costs within the General Regulatory Chamber are recharged to local authorities.
" Does not include salaried tribunal members.

Question reference: S6W-14402

Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
Date lodged: Monday, 30 January 2023
Current Status: Answered by Maree Todd on 9 February 2023

To ask the Scottish Government what work has been done with (a) NHS boards, (b) clinicians and (c) the third sector to promote good practice in mental health support for people with diabetes.

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