Chamber and committees

In line with the actions set out in the Scottish Government’s Donation and Transplantation Plan: 2021-2026 , a short-life working group has been set up to consider the issue of “timely transplantation” and to discuss perceived barriers to pre-emptive living donor kidney transplant and timely listing for deceased donor transplant. The group is currently gathering data and will report at the December 2024 meeting of the Scottish Donation and Transplant Group, which brings together key stakeholders.

In addition, as part of the Living Donation Scotland initiative, link nephrologists from each Renal Unit meet at an annual living donation event supported by the Scottish Government. A key objective is to work with nephrology colleagues to document transplant suitability on all electronic patient records in their patient groups so the multi-disciplinary team is aware of the individual pathway and progress, and this is now supported by the Renal Education and Choices at Home (REACH Transplant) nurses in each Renal Unit.

NHS Blood and Transplant (NHSBT) publishes transplant waiting list statistics across the UK on a quarterly basis. As of 30 June 2024, there were 459 people recorded by NHSBT as being on the active waiting list for a deceased donor kidney transplant in Scotland.

As set out in the Scottish Government’s Donation and Transplantation Plan: 2021-2026 , in order to deliver the best outcomes any individual in Scotland who would benefit from kidney transplantation should ideally have no or minimal time on dialysis, thereby avoiding the restrictive diet and some of the health problems associated with dialysis. A pre-emptive transplant (a kidney transplant before the patient needs to start dialysis) has many benefits including a lower risk that the body will reject the new kidney.

With regards to the recruitment of staff, the Scottish Government’s role is to set policies and frameworks at a national level broadly to ensure sufficient workforce supply. Health Boards are autonomous institutions and as such, are responsible for their own recruitment activity taking into account, retention, absence rates and budgets when making decisions.

Whilst it is hoped that all graduates are able to join the NHS within their trained field upon graduation, this is not always possible as vacancies can fluctuate across NHS Scotland boards and by specialism.

The Scottish Government has been engaging with Health Boards regarding their current position in relation to job offers and supply. Health Boards remain committed to maximising opportunities for new qualified nurses to find employment

The Scottish Government’s Donation and Transplantation Plan: 2021-2026 sets out a number of actions designed to help reduce waiting lists for a kidney transplant. This includes the use of novel technologies, which offer the opportunity to allow transplant units to use more “marginal” organs that may previously have been declined, by means of closer joint working between transplant units, and through work to increase living kidney donation.

Working through the Scottish Donation and Transplant Group, which brings together key stakeholders, and by means of NHS National Services Division's commissioning planning, we will to continue to monitor organ utilisation to encourage good practice. In addition, the Scottish Government and NHS Boards continue to raise awareness about organ donation in order to help increase numbers of deceased organ donors, for example during Organ and Tissue Donation Week, which will take place in September 2024.

The Scottish Government recognises the importance of access to interdependent services, including those provided by allied health professionals such as physiotherapists, in order to optimise kidney transplant outcomes.

Under the Scottish Government’s Donation and Transplantation Plan: 2021-2026, a working group on transplant recipient aftercare has been set up. Access to physiotherapy services, which are generally provided when needed both via the Transplant Units themselves and by referring centres, has not so far been identified as an issue of particular concern for chronic kidney disease patients who have received a transplant in Scotland. We will continue to monitor the situation closely including by means of the working group.

I refer the member to the answer to S6W-26620 on 25 April 2024 for information on the progress of installing CSO monitors.

Overflow data is being published on Scottish Water’s website at https://www.scottishwater.co.uk/Your-Home/Your-Waste-Water/Overflow-Event-Data . As new monitors are installed, more information will become available in line with commitments under the Improving Urban Waters Routemap.

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 .

As the member is aware from previously submitted questions, most recently S6F-01607 on 8 December 2022, arrangements for setting water charges are set out in the Water Industry (Scotland) Act 2002, and the role of setting of annual price rises is primarily a matter for the Board of Scottish Water. During 2021-27, customers are protected by a cap on charges of CPI+2% as set out in the Water Industry Commission for Scotland’s Final Determination.

The answer to S6F-01607 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 .

Drinking water quality is regulated by the Drinking Water Quality Regulator. The Scottish Environment Protection Agency monitors the water environment by assessing water quality and quantity.

Both regulators publish information on their websites about the compliance of drinking water quality and environmental water quality on their websites at https://dwqr.scot/public-water-supply/national-water-quality/ and https://www.sepa.org.uk/environment/water/

As the former First Minister reported to the member in answer to S6F-01607, the Scottish Government expects the Board of Scottish Water to take a proportionate position when setting charges; balancing affordability with critical investment needs to protect the quality of our drinking water and the environment.

The Scottish Government is committed to supporting people in light of the rising costs of living and has already taken action on affordability of water charges; from 1 April 2021 – the start of the current 6-year regulatory period for the water industry - we increased the maximum discount under the water charges reduction scheme from 25% to 35% to support those struggling to pay their bills.

The answer to S6F-01607 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 does not hold data on how many whole-time equivalent GPs have (a) been employed and (b) retired or left the profession, in each year since 2019.

Data on the GP Workforce is published annually by NHS Education for Scotland in the General Practice Workforce Survey report and includes the whole time equivalent number of GPs in Scotland.