Chamber and committees

Cancer remains a national priority, within the Scottish Government and across NHS Scotland, with urgent suspicion of cancer referrals continuing to be prioritised. NHS Grampian provided a 62 day performance improvement plan with an associated £973,764 funding from Scottish Government in 2023-24. Officials continue to work with NHS Grampian to ensure there is sustained focus locally to deliver these plans.

We are committed to reducing inpatient and day-case waiting lists by an estimated 100,000 patients over the next three years, backed by planned investment of an extra £100 million annually, subject to the annual Scottish Budget process, we will work closely with NHS boards and stakeholders on a number of key actions which will see patients treated as quickly as possible.

An initial investment of £30 million will now be funded as part of our on-going management of this and will target reductions to the national backlogs that built up throughout the pandemic, including orthopaedics treatments, diagnostics for cancer referrals and patients with the longest waits. This will enable NHS Scotland to maximise capacity, including theatre capacity, build greater resilience and deliver year-on-year reductions in the number of patients who have waited too long for treatment.

Updated guidance on the use of mobile phone technologies in schools will be published in the coming weeks. The current guidance to education authorities and schools on this issue remains available from Guidance on Developing Policies to Promote the Safe and Responsible Use of Mobile Technology in Schools (www.gov.scot).

There are standard procedures in place in hospitals across Scotland for treating patients who present with an overdose, regardless of the substance involved.

We recognise the ongoing impact that adverse weather conditions are having on Scotland’s agricultural industry – conditions that are a direct result of climate change.

The poor weather conditions experienced in the early spring will be presenting challenges to farmers and crofters at the time of peak lambing and calving, and will be impacting the ability to sow crops. The Farm Advisory Service, funded by the Scottish Government, provides resources for farmers and crofters in responding to the wet weather this year.

The Farm Advisory Service is also signposting people towards the charity RSABI. RSABI provide practical, emotional and financial support to all people involved in the Scottish agricultural industry.

While the Scottish Government sets the strategic policy for the NHS in Scotland, legal responsibility for service delivery rests locally with Health Boards and their healthcare professionals. As part of the service redesign under the GP contract, the focus is on reconfiguring a number of services at scale, across the country, including Vaccinations and Community Treatment & Care services. The Scottish Government did not stipulate delivery models; Health Boards, Integration Authorities and Local Medical Committees have been asked to work together to design services which will meet the needs of patients in their areas, including accessibility.

It remains the Scottish Government’s intention to update the School Premises (General Requirements and Standards) (Scotland) Regulations 1967.

Given the time elapsed between the consultation that took place in 2017-18, we must now consider the updated context that the regulations exist in.

We are now taking this work forward and will re-consult on the Regulations in due course.

Through the Redesign of Urgent Care (RUC), we have bolstered capacity at NHS24, which has seen staffing levels increase by 65% since 2007 and now operates as a 24/7 service, and are providing more hospital alternatives to prevent unnecessary attendances to A&E.

The combination of services has significantly contributed to reduced attendance at Emergency Departments, with self-presentations between February 2023 – January 2024 down by over 90,000 (around 11%) compared to pre-Covid levels.

The Scottish Government works closely with the Centre for Sustainable Delivery (CfSD) to support delivery of improvement programmes, including the Urgent and Unscheduled Care collaborative, to ensure sustainable ways of delivering services, improving access for patients, and reducing unnecessary demand for services. A Speciality Delivery Group meets regularly to monitor progress and support initiatives which are enhancing the RUC pathway.

It is important to note that through the Redesign of Urgent Care Programme, NHS 24 is available 24/7 and will be able to assist patients across Scotland, including the North East Scotland region, access the most appropriate healthcare pathway over a 24 hour period.

The decision to close the service overnight is an operational decision for local health boards and integrated joint boards to get the best combination of local and specialist services that meets the needs of their population in line with the National Clinical Strategy. It has been reported by NHS Grampian that this bring this service in line with other services across Moray and Aberdeen City. The Scottish Government do not have a specific policy on the provision of Minor Injury Units in communities.

It is important to stress that these Minor Injury Units will continue to operate during the day and the Board report that there is minimal activity at these units during the out of hours period. These services are only equipped to deal with minor injuries which do not need immediate attention. Those patients that may have attended the MIU during the proposed closure times will either be provided with a scheduled appointment through NHS 24 to attend the next morning, or if an emergency will be directed straight to A&E.

Minor injury services are also available at the majority of the local GP practices.

The Scottish Government continues to support NHS Dumfries and Galloway respond to the cyber-attack through the provision of the Scottish multi-agency cyber incident support arrangements. These arrangements bring national agencies, including the National Cyber Security Centre, law enforcement (including Police Scotland), NHS Cyber Security Centre of Excellence, NHS Boards and the Scottish Government together to support the response and recovery to the incident.

For further information I refer the member to the answer to question S6T-01869 on 19 March 2024 which is available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/official-report/search-what-was-said-in-parliament .

The Scottish Government and its partners on the Serious Organised Crime Taskforce - which includes Police Scotland and the National Crime Agency - oversee work to address the threats highlighted in the Scottish Multi-Agency Strategic Threat Assessment.

Decisions around the detection and disruption of drug supply are an operational matter for the relevant law enforcement agencies. I thank those bodies for the vital work they do to take drugs off our streets and dismantle organised crime groups.

While the law enforcement response to drug trafficking is essential, it is also crucial that we tackle the market for drugs. This Government's position is that tackling the drugs emergency requires a concerted public health approach to improve and save lives.