Chamber and committees

A procurement process is underway for a web-based PROMS system to track the condition of long-waiting patients. Information and resources are being updated on NHS inform, and some joint work is ongoing with Versus Arthritis.

Earlier this year, the Scottish Government announced an extra £240,000 through the Chronic Pain Winter Support Fund to help 13 Scottish Government-funded projects across Health Boards, third-sector and other partners to enhance the support available for people with chronic pain. The money will go towards a range of services for people experiencing painful conditions, including those with knee pain, and also provide support to help people remain physically active.

There are currently no plans to add fluoride to the public water supply nationally. However, the Water (Fluoridation) Act 1985 continues to enable Health Boards, with the support of local communities, to ask Scottish Water to introduce water fluoridation. Where a Health Board with the support of its local communities wishes to ask Scottish Water to fluoridate the water supply, Scottish Government would be supportive of such a move.

Financing for retrofitting will be largely dependent on the ownership of the buildings.

There are a number of potential sources of financing including those referenced in our Infrastructure Investment Plan published in February 2021 and the latest Infrastructure Investment Plan Programme Pipeline Update from September 2021.

The number of flights operating between Scotland and Heathrow in the future will be determined by demand, capacity, and competition from airlines serving other global hubs and how successful Scotland is in growing direct international connectivity. Similarly the environmental impact of these flights will depend on the type of aircraft and fuel used, with aerospace companies aiming to develop the first zero-emission commercial aircraft by around 2035. Detailed forecasting has not yet been carried out in respect of the possible future scenarios due to the high level of uncertainty around the different variables, for example the long term impact of COVID-19 on travel patterns, including demand for air travel.

I refer the Member to the answer to question S6W-06655 on 14 March 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

Reducing health inequalities is a clear priority for the Scottish Government and one of the biggest challenges we face, exacerbated by the Covid-19 pandemic. Providing people with the right support locally and connecting them to the right services is crucial if we are to improve their wealth and their health.

The SG established a Short Life Working Group (SLWG) in October 2020 in acknowledgement of the key role of Primary Care in relation to tackling inequalities. The purpose of the group was not to conduct an academic or systematic review of the literature but to draw on the expertise of a wide range of stakeholders with extensive experience in this field. The group has also worked closely with an expert reference group of people who have lived experience of suffering the impact of health inequality first hand.

The SLWG’s remit was to identify service improvements and actions specifically for Primary Care to help reduce health inequalities and improve health equity. The report of the Primary Care Health Inequalities SLWG can be accessed here: https://www.gov.scot/isbn/9781804351642 . It makes a series of recommendations which cover a range of short-term and long-terms actions, which will tackle health inequalities and inequity head-on in primary care settings and wider communities. These include actions to improve equalities data in general practice, strengthening the focus of inequalities through the GP contract and a new Enhanced Service for the first time focussed on activating practices’ full potential to proactively support vulnerable people at risk of poor health outcomes.

I intend to give detailed consideration to the recommendations made and implementation options. I also wish to place on record my sincere thanks to the SLWG and the Chance to Change Group, both of whom gave considerable time and energy to this key priority during Covid-19.

The introduction of a criteria to determine the reopening of the Edington Hospital in North Berwick was determined by the East Lothian Health and Social Care Partnership. The criteria was agreed with input from senior nursing colleagues and is intended to support NHS Lothian Gold Command consider the potential options for returning bed capacity to the Edington Hospital.

Decisions about local provision are best made locally, so when to re-open Edington is one for NHS Lothian and East Lothian Health and Social Care Partnership to make. However, any decision made must take into account the needs of the local population, and ensure an appropriate level of service is in place to meet those needs.

I have frequent discussions with Ministerial colleagues on a range of matters. We are committed to reforming council tax to make it fairer, working with the Scottish Green Party and COSLA to oversee the development of effective deliberative engagement on sources of local government funding. including Council Tax, that will culminate in a Citizens' Assembly.

Any new benefit intended to top-up reserved benefits would have to be developed with research and testing among potential users, and close collaboration with DWP and other stakeholders. For delivery of new benefits, we need to develop and test all application and case management systems to ensure households are able to apply, in addition to obtaining data from DWP and HMRC in order to process and administer the benefit. Any work of such nature is extremely complex and takes a considerable period of time to develop, build and deliver. It would require other priorities to be set aside.

New benefits also require legislation to be made by the Scottish Parliament. The procedures for scrutinising proposed legislation are set out in the Standing Orders of the Parliament. There may also be a requirement for amending regulations to be laid by the UK Government, to ensure that any new income provided by the top-up of reserved benefits does not affect entitlement to other reserved benefits.

The 22 zero-emission electric buses owned by First Bus, which were partly funded through Transport Scotland's Scottish Ultra Low Emission Bus Scheme (SULEBS), are all now in service on routes in Glasgow following COP26 in October.