Chamber and committees

The Scottish Government has been working with CoSLA to look at options for removing non residential care charging. Given pressures being faced across the system, this has focussed on financial analysis but has also included modelling on potential increases in the number of people accessing social care should charges be removed.

The Scottish Government is working with COSLA to explore possible options for removing non-residential social care charges within the current budget settlement as part of ongoing social care improvement and reform activity.

Public Health Scotland (PHS) are responsible for the delivery of the Fracture Liaison Services (FLS) audit which was commissioned by Scottish Government in July 2024. PHS has informed Scottish Government that there was a delay in recruitment required for audit development, however this has now been completed. PHS are now working at pace in line with the business case requirements to establish this new audit.

HIV transmission elimination is funded as part of the wider Sexual Health and Blood Borne Virus (SHBBV) budget. Many of the interventions which support this have wider impacts on sexual health improvement and blood borne virus elimination.

Prior to the Sexual Health and Blood Borne Virus Action Plan 2023-26, the SHBBV Framework was supported by approximately £2 million, to support delivery of the outcomes between 2018 and 2021. This funding came to an end in March 2021.

Due to the pandemic, during 2021-22 interim arrangements were made for third sector organisations to continue to receive funding under the Framework from an SHBBV budget of around £0.8 million, with an additional £0.5 million allocated as part of COVID-19 planning to support recovery actions.

The SHBBV budget is approximately £1.7m per year since 2023-24. This supports delivery of the Sexual Health and Blood Borne Virus Action Plan 2023-26, including a range of projects focused on HIV transmission elimination (details of which were published with the Plan).

Other specific projects the Scottish Government has funded include the national HIV anti-stigma campaign (£250,000 in 2022-23), the development of an ePrEP clinic (£400,000 in 2022-23), emergency department opt-out testing pilots (£145,000 in 2023-24), online postal self-sampling for sexually transmitted infections and HIV (£119,000 in 2023-24 and £300,000 in 2024-25), the Terrence Higgins Trust HIV self-test service (around £120,000 per year) and a workforce education project led by Waverley Care to reduce stigma in health and social care settings (£95,000 in 2024-25).

A national HIV testing week was carefully considered by the HIV Transmission Elimination Scoping Group, including clinical and public health experts, who did not recommend that it should be prioritised in the short to medium term. Based on the Group’s advice, our HIV Transmission Elimination Delivery Plan 2023-26 sets out our approach to addressing stigma and promoting HIV testing on a consistent, year-round basis. However, the Scottish Government has committed to reviewing the potential costs and benefits of a national testing week once priority actions to expand capacity and improve access to testing have been progressed.

I refer the member to the answer to question S6W-34901 on 3 March 2025. 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.

We recognise the importance of good quality care for children and young people living with ME/CFS.

The Scottish Budget 2025-26 includes £4.5 million to deliver specialist support across the country for long COVID, ME/CFS and other similar conditions. We are carefully considering how this new investment can best benefit people with these conditions across Scotland.

ME/CFS can present a broad range of symptoms, and we know there is no ‘one-size fits all’ response. Children and young people with ME/CFS who require investigation or input from secondary care specialities may access this via an appropriate GP referral, according to their needs.

We have funded the dissemination of an online learning module on ME/CFS for GPs and health professionals in Scotland, which is improving participants’ ability to diagnose and manage ME/CFS. NHS Education for Scotland have also published a Practice Based Small Group Learning module about ME/CFS for GPs and Primary Care professionals.

There are a number of national policy and strategic drivers which aim to ensure children and young people receive the best quality care & support. The Maternal and Child Health page on the Scottish Government website outlines the latest pieces of work towards our priorities in supporting children and young people.

The Health and Social Care Standards set out what we should expect when using health, social care or social work services in Scotland. We have also set out guidance regarding health and social care and supporting disabled children, young people and their families.

We want every child and young person in Scotland to reach their full potential. All support and planning for children and young people with ME/CFS should be underpinned by Getting it Right for Every Child (GIRFEC) - the national approach in Scotland to supporting the wellbeing, and to improving outcomes, of our children and young people.

As promised in the Scottish Parliament debate on Young Carers Action Day on 14 March 2024, I have tasked my officials with looking at the feasibility of the Scottish Government committing to the Young Carer Covenant. The Covenant’s overarching principles are cross policy in nature, and touch on many aspects of the Scottish Government work.

This work is ongoing. I will write to the member to advise her of the outcome.

Under the Carers (Scotland) Act 2016 every young carer has a right to a personalised support plan, called a young carer statement. The process of producing the statement must include identifying the young person’s needs, such as support to take a break, or to succeed in their own personal goals. To strengthen these rights, we are planning to use the National Care Service (Scotland) Bill currently in Parliament to amend this Act and establish a right to breaks for carers.

In addition to this, the published Scottish Budget for 2025-26 includes an uplift of £5m for the voluntary sector Short Breaks Fund, bringing the fund to £13m. Short breaks through this fund are delivered via several schemes, all of which can benefit young carers in different ways. This includes the Young Scot Young Carer package, aimed at all young carers aged 11-18.

We recognise the importance of young carers being identified in schools so that they can be supported in achieving their educational and wider goals, as set out in our National Carers Strategy.

To help achieve this, we fund a full time Education Officer post at Carers Trust Scotland to work with Education Scotland, the General Teaching Council for Scotland, and the Scottish Qualification Authority on improving young carer awareness, identification, and support in education. This has led to an accredited e-training module to help education staff understand, identify, and support young carers.

Young carers should also receive support under the Additional Support for Learning Act. Education authorities have duties to identify, provide for and review the additional support needs of their pupils. This includes support for children and young people with caring responsibilities.

Additionally, we funded Young Scot to work with young carers to create a page on the Young Scot website, which hosts information and resources for young carers about what support is available to them at key transitions, including going from Secondary School onto further education or work. Skills Development Scotland (SDS) is also highlighting to career advisers the additional support young carers may need at this pivotal time. SDS will continue to look at how we can support young carers as they move into employment.

The Scottish Government invited Health Boards to submit requests for hot food appliances required to support resident doctors in late 2022. In February 2023, invitations were closed and Scottish Government provided funding to responding Health Boards to enable purchase of approximately 55 appliances, including kettles, microwaves, fridges and toasters. This was a one-time provision to support staff facilities. Scottish Government cannot confirm how quickly these were purchased by the participating Health Boards.

It remains the responsibility of individual Health Boards to manage their facilities to ensure they meet staff needs. NHS employers should take steps to provide staff with access to nutritious hot food and out-of-hours catering wherever possible.

The Scottish Government continues to work with stakeholders to consider further initiatives across health, social care and social work to enhance staff wellbeing.