Date lodged: 26 September 2017
To ask the Scottish Government what funding the NHS will provide for improved (a) rehabilitation strategies, (b) rehabilitation for cognitive difficulties, (c) vascular dementia care, (d) thrombectomy and (e) evidence-based practices in the next 20 years to reduce the impact on the NHS of people who have had a stroke.
Answered by: Shona Robison 25 October 2017
The Scottish Government does not hold official estimates of current and projected spend on stroke in NHS Scotland. The allocation of spend is determined by territorial Health Boards and where appropriate, Integrated Joint Boards.
Our Health and Social Care Delivery Plan published in December 2016 sets out our aim to provide Scotland with high quality services with a focus on prevention, early intervention and supported self-management. Our programme of health and social care integration aims to ensure that those who use services get the right care and support whatever their needs, at any point in their care journey.
The plan sits alongside our National Clinical Strategy, which evidenced the need to change the way services are delivered in order to continue to meet the healthcare needs of our population, setting out the framework for developing health services in Scotland for the next 10-20 years, including stroke care.
Our Stroke Improvement Plan (2014) sets out a comprehensive programme for further reducing the number of deaths from stroke and improving stroke treatment care across the whole patient pathway. This includes Priority 7; Transition to the Community and Priority 8; Supported Self-Management and Living with Stroke that encompasses rehabilitation.
Scotland's approach continues to be to promote best clinical practice based on current evidence as outlined by Scottish Intercollegiate Guidelines Network (SIGN) guidelines including SIGN guidelines 108; Management of Patients with Stroke or TIA and 118; Management of Patients with Stroke: Rehabilitation, prevention and management of complications, and discharge planning.