Chamber and committees

The Service commissioned an independent Demand and Capacity Review in 2017. Funding has since been approved on a phased basis, with the third phase of the review scheduled to be concluded and changes implemented by November 2022.

Since agreement of phased funding, SAS have been actively recruiting staff at pace and increasing vehicles on the ground on a transition basis into priority locations across the country. Seven additional satellite stations have already been established, with a further three still to be established, enabling resources to be spread across busy urban areas to better match patient demand.

Alongside this, the service having been working in partnership to design new rosters. SAS are expecting new rosters to be implemented in April 2022 for the majority of locations across the East and North Regions. The West Region full implementation is expected to be concluded by the end of July.

Recruitment for phase 3 of the review has commenced and will enable SAS to increase their establishment by a further 162 staff as well as further increase our station locations and vehicles on the ground.

Internationally renowned modelling company Operational Research in Health (ORH) were commissioned by the Scottish Ambulance Service to carry out an analysis on 7 years’ worth of data to help inform the review of demand and capacity.

ORH used a population growth data to predict future demand and resources required to meet performance standards. This included patient demand, types of clinical presentation, on scene times, at hospital times, travel times, vehicle tracking data, resourcing levels, receiving hospitals, station locations, rest periods and standard operating procedures.

In addition, Working Time Solutions were also commissioned to assist with the design and implementation of rosters that better match demand profiles.

Following approval, SAS will publish the third phase of the business case.

The Scottish Ambulance Service continues to provide data each year to Operational Research in Health (ORH) to continually update the model. This enables resourcing requirements to be modelled each year to take account of changes in the data and wider health and social care system, therefore the most recent modelling includes the impact of COVID 19.

In light of the pressures of the COVID-19 pandemic, the wellbeing of our health workforce, wherever they work, remains a key priority. The 2021/22 pay uplift saw staff receive an average 4% pay rise, the highest in the UK. The Scottish Government is committed to ensure that NHS Scotland nursing staff continue to benefit from the best pay and conditions in the UK.

In 2021-22, the Scottish Government made £12 million available to support the wellbeing of the workforce. This includes £8 million from the NHS Recovery Plan to provide ongoing wellbeing support for the workforce alongside an additional £4 million to provide further support to address winter pressures.

To complement this at a local level, we also have a range of resources including the National Wellbeing Hub, a 24/7 National Wellbeing Helpline, confidential mental health treatment the Workforce Specialist Service and funding for additional local psychological support. We are also providing further support for practical measures to aid rest and recuperation alongside additional resources such as Coaching for Wellbeing and grief and bereavement support.

Nursing and midwifery staffing is also at a record high, up by 13.1% since September 2006.

A full public consultation into proposed restrictions on the advertising and promotion of vaping products was launched on February 3. The consultation will run for 12 weeks and all responses will be independently analysed.

The Scottish Government acted on requests by retail organisations not to launch the consultation in the run-up to Christmas which is the busiest trading period and may not have allowed retailers the full opportunity to share their views. We took the opportunity to liaise with a short-life working group and update the consultation in line with the most recent emerging evidence.

Scottish Water is the only shareholder in Scottish Water Horizons Holdings Ltd, Scottish Water Horizons Holdings Ltd is the only shareholder in Scottish Water Business Stream Holdings Ltd and Scottish Water Business Stream Holdings Ltd is the only shareholder in Scottish Water Business Stream Ltd.

The £10m of equity invested by Scottish Water Business Stream Holdings Ltd in Scottish Water Business Stream Ltd (SWBS) was part of the precautionary funding facilities which were put in place for SWBS during 2020-2021 in response to the Covid-19 pandemic and will be eligible to receive future dividends from Scottish Water Business Stream Ltd.

Scottish Water set out in its 2021 Delivery Plan its expectation that it would invest between £570m and £650m (excluding responsive repair activity) in 2021-22. Scottish Water forecasts that it will outturn in the upper half of this range.

Scottish Water Horizons Holdings limited acquired the PFI companies for £16.2m on 19 December 2018 (see note 11 to the Scottish Water’s financial statements for the year ending 31 March 2019). The value of bank debt as at 31 March 2022 will be c. £31m. Scottish Water is the only shareholder in Scottish Water Horizons Holdings Ltd.