The deployment of medical agency staff, including locum psychiatrists, is a matter for individual NHS Scotland Health Boards. Health Boards should always be seeking to secure best value whenever they enter into arrangements regarding use of locums in order to maximise the impact that investment has on the quality and availability of patient care.

To address specific challenges in the recruitment and retention of permanent psychiatrist posts in Scotland, we have established a Working Group which is actively considering locum usage. The specific challenges facing psychiatry have been considered by the Medical Locums Task and Finish Group. The Psychiatry Working Group will make a series of recommendations and are expected to report to Ministers in Spring 2025.

Scottish Ministers have a number of mechanisms open to them to drive improvements in the delivery of services across NHS Scotland, with powers of direction under the National Health Service (Scotland) Act 1978 being just one of those.

Social Security Scotland carefully considers what information on counter fraud can be placed into the public domain to ensure it does not undermine the ability of Social Security Scotland to prevent and detect crime and protect the public purse. It does not disclose details of the size of the Counter Fraud Branch.

Counter Fraud Branch consists of officials who work closely together to prevent, detect, identify and investigate allegations of fraud against Social Security Scotland. The staff undertake fraud risk assessment, intelligence management and investigation activities and are located throughout Scotland.

The majority of the staff resources within the Counter Fraud Branch are fully engaged in delivering the Counter Fraud activities highlighted above. A small proportion work to understand, monitor and where appropriate investigate potential internal threats – which includes, but is not limited to, insider fraud. This team also provides specialist investigation support to other business areas within Social Security Scotland.

There is a requirement for Health Boards to maintain accurate and up to date information on PACS Tier Two requests and their outcomes. The Scottish Government does not hold validated data on the number of PACS applications that Health Boards have granted. This information would need to be requested from Health Boards directly.

Health Boards are required to capture and share data as retrospective “in confidence” summary reports with the Scottish Government on a quarterly basis. The data received by Scottish Government are retained for internal management purposes only and are not formally validated.

Notably, the majority of collated PACS Tier Two requests are for fewer than five medicines; and data for numbers fewer than five are deemed to be patient identifiable and cannot be published.

About 1 million people in Scotland live with hearing loss and an estimated 70% are over 70 years old. Unaddressed hearing loss can cause distress due to cognitive decline and reduced social interaction, communication and education. Hearing loss is often accompanied by tinnitus, vertigo and balance problems and can be a contributing factor in dementia. Deaf people and people with hearing loss are less likely to be employed and have a lower household income than people with normal hearing. Hearing loss may also be a contributing factor to early retirement and could cost the UK economy £38.6 billion by 2031 (NHSE, 2017).

Guidance on the Peer Approved Clinical System (PACS) Tier Two process was published on 29 March 2018. This guidance remains valid for all Health Boards in Scotland.

Scottish Government continues to call on the UK Government for analysis and mitigation of the impact of National Insurance changes on all commissioned services in the public sector, including GP practices.

Since the Autumn Statement published on 30 October 2024, Scottish Government has made continued representation to the UK Government on the significant impact that the changes will have on the health and social care landscape. In particular we note the continued inequity which leaves many commissioned services unable to claim the Employment Allowance, despite its extension to more businesses from 6 April due to the relaxations announced in the Budget.

The Cabinet Secretary for Finance and Local Government wrote to the Chief Secretary to the Treasury last month again highlighting the risks to GPs and other contractors and asking for specific consideration and review of the Employment Allowance to allow them to claim this relief. She further pressed the Chief Secretary on the impact of the National Insurance changes in a meeting on 27 February.

It remains the view of Scottish Government that mitigations are essential to safeguard existing service provision, and that greater recognition is needed of the impact to these vital public services – and the people who rely on them – if appropriate compensatory funding or extension of existing tax reliefs is not afforded.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

I can confirm that to date, the liquidated damages provisions have not been triggered.

The Scottish Government is committed to reducing the need to practice restraint and seclusion. Across all settings we are clear that the use of restraint should only be used as a last resort in exceptional circumstances when it is the only practicable means of securing the welfare or safety of the child or another person.

A statutory framework covering all settings, including secure and residential care, health services and education settings would not be the most effective way of achieving a reduction of restraint and restrictive practice. Any scaffolding and support for children and young people in relation to restraint and seclusion, is best considered and addressed by each area independently to ensure that any support, training, guidance and reporting meets their needs in those particular settings.

The Scottish Government is committed to working with key partners, including the Children and Young People’s Commissioner and the Scottish Physical Restraint Action Group, to continue to reduce the use of restrictive practices through embedding transformational practice change and supporting developments in trauma responsive care.

I can advise Parliament, that today, I’m launching the roll out of a new National Planning Skills Commitment Plan. This involves a co-ordinated skills and recruitment drive for the planning sector, being led by the Scottish Government and underpinned by a partnership approach across the built and natural environment. Over 100 people, across almost 60 organisations, will collectively contribute to the delivery of the Commitment Plan.

Delivery will take place through a range of actions to be progressed for, and by, people from a broad range of sectors and interests. In supporting skills development, industry representatives are contributing their time and knowledge to participate. The Commitment Plan also adopts a more direct approach to recruitment to attract the next generation of planning professionals. That will include steps to help modernise the image and reputation of the planning profession, as a positive force for delivery of investment in the high quality development that Scotland needs now and for years to come.

Taking forward the committed actions, each month will have a dedicated theme for both skills development and recruitment. For example, in March 2025, housing is the key focus topic for training through webinars and hands-on learning. Meanwhile, to boost future recruitment, the Scottish Government is currently taking forward a Future Planners scheme, for 18 Post Graduates, and is about to launch an expanded Bursary programme, trebling the number from 10, last year, to 30 this year.

I believe that all sectors have a vital role to play in addressing the skills and capacity challenges in planning. Professionals are moving forward with a shared ambition to strengthen resilience across Scotland’s planning system and public services.

Details of the National Planning Skills Commitment Plan

https://www.ourplace.scot/resource/training-and-recruitment-opportunities.

Performance management procedures in place for Senior Civil Servants and for Civil Servants at delegated grades, are regularly reviewed and include procedure in relation to management of poor performance and dismissal.

While workforce and terms and conditions of employment for Scottish Government civil servants are delegated to Scottish Ministers, the terms and conditions of Senior Civil Servants (SCS) are reserved to the UK Government and any changes made by UK Ministers and their application will be considered by Scottish Ministers in due course.