Chamber and committees

Safety and security on our railways is reserved to UK Government and as such it would be inappropriate for me to comment on resourcing or operational plans for British Transport Police. However I have asked my officials to request BTP (D-Division Scotland) contact you directly to advise of its current and future plans to tackle anti-social behaviour on our rail network.

The Scottish Government has no part to play in the recruitment of officers for British Transport Police.

The Scottish Government is seeking to commission independent research in relation to protests and vigils that take place outside of abortion clinics to collect evidence of both the scale and impact of protest and vigils. The research will provide meaningful insight into the effects of protests and vigils on those who choose to protest, and those who are affected. Whilst the research will not be completed in time for the launch of Gillian Mackay MSP’s Member’s Bill, it will help provide a robust evidence base going forward.

The Scottish Government are committed to ensuring that all people living in Scotland with long-term conditions such as arthritis are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and put the person at the centre of their care.

I have had two meetings with Versus Arthritis at which they outlined their campaign. I also spoke at their webinar/conference, which was held earlier this year.

The Scottish Government will continue to engage with Versus Arthritis regarding how best to jointly support patients living with arthritis. This will be an ongoing process involving essential collaboration with patients, carers and service providers, including the third sector and clinicians.

ScotRail’s Safety and Security team has been developing options relating to the current ban on consumption of alcohol on trains. I understand that the ScotRail Trains Ltd Board will consider these options shortly and will take account of the range of stakeholder views, including those of Trade Unions and any further representations that are made. I will then consider any recommendation ScotRail provides, giving due cognisance to staff and passenger safety.

Over the course of the last five years, the force has created separate Divisions for specialist officers such as CID. As a national police force, these specialist officers are not bound by traditional geographical borders. Therefore, to provide an accurate breakdown of resource placement in Scotland my officials have requested this information from the British Transport Police and I will write to the member in due course.

The exact number of unpaid carers living in Scotland is not known. Therefore, the number of unpaid carers in Scotland is estimated from national survey data. The preferred survey used to estimate the number of unpaid carers is the Scottish Health Survey , as it samples both adults and children and allows for detailed breakdowns.

The latest estimates from the 2020 Scottish Health Survey telephone survey , which ran with a reduced number of questions due to the Covid-19 pandemic, suggest that there were around 839,000 (between 738,000 and 939,000) adult unpaid carers (aged 18+) living in Scotland in 2020.

This report cannot be compared to previous years due to differences in methodology from the main Scottish Health Survey series.

Data from the 2021 Scottish Health Survey will be published in Autumn 2022.

The pandemic has been the biggest shock our NHS has ever faced. It has necessitated the imposition of Infection Prevention Control measures in order to contain its spread, particularly prior to the vaccination programme being fully rolled out.

These IPC measures, which have recently been deescalated, changed the way GPs see their patients. The Scottish Government wants to see greater availability of face-to-face appointments and is working with the BMA and RCGP to ensure this happens as quickly as possible. However, Covid has not gone away yet, therefore some precautions remain in place. We are clear that where clinically necessary face-to-face consultations will always be available to those who need them.

We must continue to move toward a position where choice is being offered routinely, and the Scottish Government welcomes the GMC’s proposed changes to the Good Medical Practice guidance placing a greater emphasis on shared decision-making between GPs and their patients.

Many GP practices did offer patients video or phone consultations as well as in-person face-to-face consultations before the pandemic changed the balance and we expect a number of patients will wish to continue afterwards with video or phone consultations rather than travel to their GP practice. Ultimately, what is most important is that appointments are agreed through shared decision making, balancing patient choice and clinical judgement.

We continue to explore new ways and approaches to support people to, for example, upload an image of their skin condition for review. This can support people to seek advice in a way that best supports their needs and requirements whilst also ensuring they still have access to a face-to-face appointment.

All GP practices are expected to follow the Infection Prevention and Control Manual for in-person visits as well as their local Health Board's guidance.

In August 2021 we published the NHS Recovery Plan, which set out actions and commitments that will support inpatient, daycase, and outpatient activity to address backlogs. This will be delivered through the implementation of sustainable improvements and new models of care. This includes the National Treatment Centre Programme, which will deliver capacity for ring-fenced elective activity. Four centres will open in the next year in NHS Fife, NHS Highland, NHS Forth Valley and NHS Golden Jubilee specialising in orthopaedics.

We recognise the impact long waiting times can have on a patient, from both a clinical and mental health perspective. At this stage in recovery from the pandemic, long waiting patients must now also be considered a priority. That is why earlier this month we updated the Clinical Prioritisation Framework to allow Health Boards the flexibility to treat the longest waiting patients in parallel with the most urgent. The expectation is that NHS Boards will follow the principles of this Framework to prioritise patients based on their particular clinical needs and those who have waited longest. This will allow NHS Board to ensure that the patients with the greatest needs are treated quickest.

The pandemic has been the biggest shock our NHS has ever faced. It has necessitated the imposition of Infection Prevention Control measures in order to contain its spread, particularly prior to the vaccination programme being fully rolled out.

These IPC measures, which have recently been deescalated, changed the way GPs see their patients. The Scottish Government wants to see greater availability of face-to-face appointments and is working with the BMA and RCGP to ensure this happens as quickly as possible. However, Covid has not gone away yet, therefore some precautions remain in place. We are clear that where clinically necessary face-to-face consultations will always be available to those who need them.

We must continue to move toward a position where choice is being offered routinely, and the Scottish Government welcomes the GMC’s proposed changes to the Good Medical Practice guidance placing a greater emphasis on shared decision-making between GPs and their patients.

Many GP practices did offer patients video or phone consultations as well as in-person face-to-face consultations before the pandemic changed the balance and we expect a number of patients will wish to continue afterwards with video or phone consultations rather than travel to their GP practice. Ultimately, what is most important is that appointments are agreed through shared decision making, balancing patient choice and clinical judgement.

We continue to explore new ways and approaches to support people to, for example, upload an image of their skin condition for review. This can support people to seek advice in a way that best supports their needs and requirements whilst also ensuring they still have access to a face-to-face appointment.

All GP practices are expected to follow the Infection Prevention and Control Manual for in-person visits as well as their local Health Board's guidance.