Chamber and committees

As part of the preparation of the SBA (Single Building Assessment process) Scottish Government has had conversations with the wider sector, including Fire Engineers and Assessors where we have discussed the need for a FRAEW (Fire Risk Appraisal of External Wall).

When assessing an existing building’s EWS (External wall system), it is noted that existing buildings cannot be expected to meet modern Building Regulation standards for risk to human life as these buildings were built during a time when less onerous Building Regulations were in force. The PAS 9980 will be used by assessors to make an informed expert decision of whether or not the EWS is a low, medium or high risk and dictate from this whether or not the current build up is tolerable, and no further remediation is required, or the risk is intolerable and therefore remediation should be undertaken.

The aim of a SBA is not to bring a building into compliance with current Building Regulations, but to ensure that the risk to building occupants is reduced to a tolerable level. The focus of the remediation is to follow the recommendations in the SBA in how to bring the relevant parts of the building to either a low, or tolerable risk level. Where large areas of the façade are being remediated, alterations will be required to comply with current (fire) building regulations including the use of acceptable materials. To note that the current ban applies to any new building warrant applications only.

The Scottish Government and partners have been supporting pilot phases of the Scottish Childminding Partnership recruitment model, led by the Scottish Childminding Association, to recruit and train new professional childminders across rural, island and urban communities.

The first phase operated in 10 rural local authorities, including: Argyll and Bute; Dumfries and Galloway; Highland; Moray; North Ayrshire (Arran and Cumbrae); Orkney; Scottish Borders; Shetland; Stirling and Cne Siar.

The second phase tested the model in urban areas, including: Edinburgh; Glasgow; Dundee and East Renfrewshire. However, a number of rural areas continued to participate, including: Dumfries and Galloway; Highlands (Sutherland, Caithness and Isle of Skye); areas within Cne Siar; Orkney; and Arran in North Ayrshire.

As announced in the 2023 Programme for Government, the Scottish Government is committed to scaling up these innovative pilots to grow the childminding workforce by 1,000. We are currently working with the Scottish Childminding Association to develop a new national programme of recruitment and retention activity which will be offered to all Local Authorities.

Unauthorised access to information by the cyber threat actor was contained to information on the NHS Dumfries and Galloway network.

Grants to organisations for people with care experience by age

The Scottish Government recognises that childcare costs can be a challenge for many parents and carers, particularly those experiencing poverty. Data from the nationally-representative Scottish Household Survey in 2022 showed that of households with at least one child aged 0-11 years 14% found it difficult or very difficult to afford childcare, although 53% of households found it very easy or easy. Across the full year, almost three quarters of households (73%) had no childcare costs, with around a fifth (19%) spending less than 10% of their average monthly income. A further 5% spent between 10 and 20% of their income on childcare.

The Scottish Government is continuing to invest nearly £1 billion a year in high-quality, funded early learning and childcare. Scotland is the only part of the UK to offer 1,140 hours a year of funded ELC to all three and four-year-olds and eligible two-year-olds. This offer has been in place since 2021 and, if families paid for this themselves, it would cost them around £5,800 per eligible child per year. We also remain committed to designing and building a system of School Age Childcare that supports parents, particularly on low incomes, to have secure and stable employment. This is why, over the next year, we will work with Local Government and other partners to develop the infrastructure and services needed to provide childcare in specific communities in six local authority areas: Shetland, Fife, Clackmannanshire, Inverclyde, Glasgow and Dundee. This work will enable us to begin to create and test, for the first time, what an all-age childcare system will look like for Scotland. We are taking a person-centred and place-based approach to designing this system – that means involving children, parents and providers in co-designing services to meet their needs.

The Mental Health Strategy 2017-2027 set out a 10-year vision of where mental health funding would be focused. This included areas such as additional investment for mental health workers and improved provision of services including CAMHS.

In addition, our Mental Health Transition and Recovery Plan was introduced in 2021-22 which set out the key commitments in responding to the mental health needs resulting from COVID. This included funding for Children, Young People and Families, Older People, Distress Interventions and other areas listed in the Plan. This was backed by a £120 million Recovery and Renewal Fund which has subsequently been included in the overall budget allocation for mental health services in each financial year since.

The Centre for Sustainable Delivery (CfSD) has developed strong clinically-led Specialty Delivery Groups (SDG) which promote multidisciplinary team working and support local adoption of service improvement programmes.

This includes the Cataract Sub-Specialty Delivery Group which brings together key ophthalmology clinical, operational and managerial experts from across NHS Scotland and Scottish Government which has been commissioned to support an increase in surgical throughout across cataract only surgical sessions. This short life working group has supported several new and innovative pathway developments, some of which are now being successfully scaled up in a number of sites across hospital eye services, including: high volume cataract surgery in ring-fenced sessions, and delivering one cataract every 30 mins, as per Royal College of Ophthalmologists’ guidelines.

In tandem with this, The National Eyecare Workstream is undertaking clinically led peer reviews which supports new and efficient ways of working and shares best practices across the country across a number of ocular sub-specialties, including cataracts.

Additionally, the national Trauma and Orthopaedic (T&O) planned care team based within the Centre for Sustainable Delivery (CfSD) are responsible for supporting both scheduled (elective) and unscheduled (emergency) orthopaedic service delivery through implementation of sustainable improvements in Scotland.

The orthopaedic services specialty delivery group is multidisciplinary and clinically led to design, develop and implement consensus driven national clinical pathways with focus on high impact opportunities in outpatient management (active clinical triage and patient initiated review), enhanced recovery and same day arthroplasty and also hip fracture standards of care, whilst reducing unwarranted variation. The National T&O team supports delivery of clinically led peer reviews for Health Boards across Scotland, with the cycle repeating every 3 years. These clinically led peer reviews were initiated from the innovative “Getting It Right First Time (GIRFT)” programme. This programme has been highly successful at leading change, reducing variation, improving clinical pathways as well as significantly reducing costs predominantly through reduction in length of stay and improved procurement.

In conjunction with Public Health Scotland (PHS), the T&O team also supports national audits namely the Scottish Hip Fracture Audit and Scottish Arthroplasty Project. These cost effective audits drive continuous improvements through research, standards of care and by a formal governance programme to monitor outcomes. Annual reports are produced for public information.

Furthermore, as part of our wider work to deliver sustained recovery of our Urgent Care services a whole system improvement approach has been adopted. We are working with local teams through the Urgent and Unscheduled Care Collaborative Programme to develop improvement plans which contain actions for the short and medium term focusing across 5 key areas.

This programme of improvement activity is being driven forward by the Centre for Sustainable Delivery (CfSD), which we have commissioned to support Health Boards implement a range of measures to reduce A&E waiting times and improve patient and staff experience.

Some Health Boards have already started to report improvements. These include:

• Improving urgent care pathways in the community and improving links across the primary and secondary care interface.
• Ensuring patients receive the right care in the right place by optimising Flow Navigation Centres and increasing the routes for professional to professional advice and guidance, signposting and scheduling of appointments to A&E where possible.
• Improving access to Hospital at Home services by supporting Boards and partnerships to adopt evidence-based best practice.
• Optimising assessment and care in our Emergency Departments by improving access to ‘same day’ services, the use of early and effective triage, rapid decision-making and streaming to assessment areas.
• Reducing the time people need to spend in hospital by promoting early and effective discharge planning and robust and responsive operational management.
  

The latest statistical release for Free Personal and Nursing Care is for the period 2022-23 and was published on 5 September 2023. Two published excel files accompany the publication, one of which provides data on people aged between 18-64, from the years 2018-19 to 2022-23. This can be found at: Supporting documents - Free Personal and Nursing Care, Scotland, 2022-23 - gov.scot (www.gov.scot) .

The relevant information can be found in Tables 3a and 6a.

The introduction of Air Departure Tax (ADT) was deferred due to state aid issues raised in relation to the Highlands and Islands exemption. In January 2023, the UK Government replaced EU state aid rules with its own subsidy control regime.

We continue to explore all options to implement ADT in a way that protects Highlands & Islands connectivity and complies with the UK Government’s subsidy control regime.

The Scottish Government recognises the critical role air connectivity plays in the lives of residents and communities in the Highlands and Islands, and in the promotion of sustainable economic growth across the region.

Once a solution to the Highland & Islands exemption has been identified, we will review the rates and bands of ADT prior to the implementation of the tax, to ensure they are aligned with our net zero ambitions.

The UK-wide Air Passenger Duty will continue to apply in Scotland until ADT is implemented.

The First Minister wrote to the UK Prime Minister and the Leader of the Opposition on 18 April to make the Scottish Government’s position clear, the UK Government must respond in a timely manner to the Parliamentary and Health Service Ombudsman’s recommendations, by committing to a fair compensation package for the women born in the 1950’s affected by the changes to state pension age.

State pensions remain reserved to the UK Government. Should the UK Government decide to accept the recommendations from the PHSO report and pay compensation we will work closely with the UK Government to understand if there are any implications for the payment of Scottish social security benefits.