A copy of data tables on the major acute sexually transmitted infections diagnosed in Scotland since 1999 by NHS board has been placed under BIB number 59019.

The Scottish Government will chair a meeting of the NHS Sexual Health and BBV Executive Leads on 29 September to discuss the situation of STI infections at board-level and to consider appropriate local as well as national responses.

Note: The data presented are based on laboratory positive diagnoses for chlamydia and gonorrhoea infection, and for infectious syphilis, Health Protection Scotland use an enhanced surveillance system based on clinical and laboratory reporting.

Since 1999, testing technology has improved for both chlamydia and gonorrhoea detection. The implementation of the SIGN 42 guidelines in 2001 (Management of genital Chlamydia trachomatis infection) led to improvements in sampling and the use of nucleic acid amplification tests (NAATs) which have greater sensitivity and specificity for the detection of chlamydia infection. Similarly, since 2008, NAATs have been increasingly used across Scotland for the detection of gonococcal infection with full geographic coverage by 2012. There has been an increase in detection and thus, diagnoses during this time. Since 2013, however, testing strategy has stabilised and trends since 2013 are more comparable than that with previous years.

Infectious syphilis infection re-emerged in Scotland in the early 2000s and the current data collection system began in 2002/2003. Prior to this, diagnoses were recorded using the genitourinary medicine clinic-based system. Data from 1999 to 2001 indicate there were 12, 22 and 24 diagnoses recorded, respectively.

In addition, as the data tables contain sensitive data, they have been adapted in accordance with National Services Scotland’s Statistical Disclosure Control Policy to prevent deductive disclosure. Thus, where there are values <5, these have been replaced by an asterisk (*); there may also be some secondary masking to prevent revealing values through adding and subtracting in rows and columns, these are also marked with an asterisk.

Information on the numbers of self-funded IVF cycles carried out in the 4 Assisted Conception Units that deliver NHS IVF, in each year since 1999 and associated costs, are not collected centrally.

As part of the work for the National Infertility Group, Information Services Division collected figures, where information was available, highlighting the numbers of self-funded IVF cycles carried out by NHS Assisted Conception Units. The information was subsequently published in the National Infertility Group report – March 2016, which can be accessed at: http://www.gov.scot/Resource/0050/00501403.pdf

This information is not held centrally.

The Scottish Government published a respiratory prescribing strategy in 2014. Work is underway to develop an updated version. This is being led by officials and colleagues from NHS Scotland. It is intended that the strategy be published later in 2017.

This information is not held centrally, it is a matter for individual Health Boards.

Registration arrangements at GP practices in Scotland are based on national regulations.

The regulations are clear that either parent can apply for registration on behalf of a child. There is nothing in the regulations to say that it has to be the child's mother, rather than the father. The regulations also allow for a non-parental guardian to be able to register a child.

The Scottish Government having discussed the situation with NHS Lothian understand the Board's decision to delay opening of the new hospital.

Their decision has been made in order to protect the commissioning period to ensure that the new facility is fully safe and ready to accept patients and staff. This follows their recent review of construction progress and quality. During any commissioning period there are significant works to carry out such as fully equipping the hospital, staff recruitment familiarisation and induction, snagging where required, testing of equipment and facilities and adequately stocking of the hospital. The Board wish to ensure a smooth transition of their clinical teams to the new facility reducing any risk to patient and staff safety.

The Scottish Government will be working closely with the Board to ensure that no further delays arise and agree with the Board's decision at this point in time not to set a definite specific revised date for opening. NHS Lothian will be closely monitoring the situation over the next few weeks and once they have certainty, will release a new opening date.

This information is not held centrally, it is a matter for individual Health Boards.

Generally GPs should not refuse a person registration unless there are exceptional circumstances. According to the national regulations either parent can apply for registration on behalf of a child. The regulations also allow for a non-parental guardian to be able to register a child.

One possibility where a parent (either mother or father) would not be allowed to register a child with a GP practice is if the child lived outwith the practice area (i.e. they are living with the other parent or another guardian). This would be reasonable grounds for refusal under the regulations.

It is also possible that in certain circumstances i.e. a custody dispute, a court could make an order prohibiting one parent from registering the child, or an order saying where the child should be registered.

This information is not held centrally by the Scottish Government

The 2005 universal core program, Health for All Children (Hall 4) sets out the minimum routine screening, surveillance and health promotion checks which all children and young people should receive. A New Look at Hall 4 (2011) sets out the way forward for the successful delivery of Health for All Children (Hall 4) in the early years. This now requires to be delivered in the context of duties and provisions set out in the Children and Young People (Scotland) Act 2014, supporting guidance and the Getting it Right for Every Child (GIRFEC) policy. The programme set out in Hall 4 can be delivered by any member of the primary care or wider Child Health Support Team, including General Practitioners, Family Nurses, Early Years Support Workers or Health Visitors.

The Universal Health Visiting Pathway, published in October 2015, outlines a core home visiting programme as a minimum standard to be offered to all families with pre-school children. The programme consists of 11 home visits to all families, 8 of which are in the first year of life. It also sets out 3 Child Health Reviews between 13 -15 months, 27-30 months and 4-5 years. We expect full implementation of the universal health visiting pathway by 2020.

The 27-30 month review, introduced in April 2013 is offered to every child in Scotland reaching the appropriate age. The most recent publication of statistics on the child health 27-30 month review was published in February 2017. Figures for 2013-14, 2014-15 and 2015-16 are provided in the accompanying excel workbooks. http://www.isdscotland.org/Health-Topics/Child-Health/Publications/2017-02-07/2017-02-07-Child-Health-27m-review-Summary.pdf?