Chamber and committees

Information on how many midwives there have been in the NHS in (a) Scotland and (b) each NHS board area, in each year since 2016, broken down by (i) headcount and (ii) full-time equivalent terms can be found in the following link: NHSScotland workforce | Turas Data Intelligence

Neither the Scottish Government nor Public Health Scotland (PHS) currently gather data on paediatric audiology waiting times. You may wish to contact NHS Highland directly to request this information.

The Energy Company Obligation (ECO) is a UK Government scheme. Last year Scottish Ministers proposed a more flexible approach to how the new ECO4 scheme would operate in Scotland. Unfortunately the UK Government did not agree to this and has repeatedly failed to engage with us on these matters.

We continue to work with local councils, energy suppliers and stakeholders to ensure as many households as possible benefit from the scheme in Scotland. Further information about delivery of ECO4 financed measures in Scotland will be published on the UK Government website: Household Energy Efficiency Statistics - GOV.UK (www.gov.uk)

The Scottish Government would welcome a meaningful discussion with UK Government Ministers about how ECO4 can better tackle fuel poverty in Renfrewshire and more generally across Scotland. We will be writing again to UK Ministers seeking a dialogue about these issues, following the most recent changes in UK Government policy and Ministerial responsibilities.

The Scottish Government published a summary of progress towards implementation of the 2018 GMS Contract and its associated Memorandum of Understanding (MoU) in June 2022:

Primary care improvement plans: summary of implementation progress - March 2022 - gov.scot (www.gov.scot)

As the publication sets out, there are now 3,220 whole time equivalent (WTE) healthcare professionals, such as pharmacists, mental health workers and physiotherapists, recruited into multi-disciplinary teams supporting general practice teams. Of this total, nearly 700 are working in areas with remote and rural communities.

It should, however, be noted that it is not expected that all GP practices in Scotland will take up these NHS Board provided services. As service delivery models are designed specifically according to local population needs, there are variations in approach across the country.

The next progress update will be published in summer 2023.

We are also actively incentivising remote and rural General Practice in several ways. The Golden Hello scheme offers a one-off bursary of £10,000 to every GP taking up an eligible post in a remote and rural area.

Furthermore, ScotGEM is a four-year graduate-entry medical degree which began in 2018, with a focus on rural medicine and healthcare improvement, supporting graduates to choose careers in general practice. Students on the ScotGEM course are offered a 'return of service' bursary, a grant worth up to £16,000 in total, in exchange for working in NHS Scotland for up to four years. 70 places will be offered on the course from 2022-23 onwards, following an increase of 15 places in line with the recent PfG commitment.

The Scottish Government is also working closely with partners including the Scottish Rural Medicine Collaborative (SRMC) to find solutions for remote and rural GP recruitment. The four rural boards in the north of Scotland have piloted an innovative recruitment campaign called Rediscover The Joy (RTJ). RTJ aims to recruit experienced GPs to provide support for remote and rural practices and, to date, this has been an initiative run in NHS Shetland, Orkney, Highland and Western Isles.

(a) The number of people accepted onto pre-registration midwifery training courses since the 2016-17 academic year is shown in the following table:

Place Directors are senior civil servants (directors or deputy directors) who volunteer for the role alongside their day-to-day responsibilities. Each Place Director represents Scottish Government in one of Scotland’s 32 local authority and Community Planning Partnership areas. They don't receive any additional remuneration beyond their existing salary.

The role of Place Directors is to understand, promote and support how public services work together and with communities, to improve wellbeing and outcomes on local and national priorities. They provide a bridge between local areas and the Scottish Government, providing two-way intelligence, constructive criticism and, where valuable, support for local capacity building. Their strategic role complements the more detailed responsibility of civil servants in relevant Scottish Government policy teams for testing and supporting how specific policies, services and reform programmes are taken forward in places across Scotland.

The National Cancer Medicines Advisory Group (NCMAG) provides advice on the off-label uses of certain cancer medicines, which are out with the remit of the Scottish Medicines Consortium (SMC). Early in the COVID-19 pandemic, the NCMAG provided rapid national decisions regarding the use of cancer medicines (sometimes out with the licensed indication for the medicine) to help meet the overall aim of reducing patient risk of COVID-19 infection and to mitigate the potential burden on cancer services.

Cancer services remain under considerable pressure, and cancer patients continue to be vulnerable to COVID-19 infection. As a result, it was agreed that existing COVID-19 NCMAG advice would remain in place until the end of March 2023, after which it will be withdrawn. More generally, extant Scottish Government guidance states that unless there is a specific clinical reason, clinicians should not continue to use an unlicensed medicine or a medicine off-label where there is an available licensed medicine, which has been accepted for routine use by the SMC.

Since 2007 the Scottish Government has retained, and subsequently deployed, any and all net underspends which have been available following the conclusion of the Final Outturn process at the end of each financial year. The mechanism for doing so is via the Scotland Reserve and previously the Budget Exchange Mechanism.

The amount of underspends arising from each year since 1999 was detailed in the answer to question S6W-09370 on 13 July 2022.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

I refer the member to the answer to question S6W-11355 on 1 November 2022. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

A list of all projects recommended for support through the Regeneration Capital Grant Fund can be found on the Scottish Governments Website at https://www.gov.scot/publications/regeneration-capital-grant-fund-rcgf-recommended-projects-2014-2022/ .

The Town Centre Capital Fund was allocated to local authorities in 2019-20.