Chamber and committees

The financial pressures across public services, not just health care, are by far, the most challenging since devolution as a result of rising inflation, and the ongoing impact of Covid and Brexit.

It is therefore necessary to make very challenging decisions, including reprofiling budgets, across Government in order to meet our statutory requirement to deliver a balanced budget.

Our published delivery plan, linked here Care in the Digital Age: Delivery Plan 2023-24 – gov.scot (www.gov.scot), reflects our planned deliverables against the current budget which includes the agreed savings of £11.6m.

With regard to the reasons behind the rationale for budget reprofiling, the exceptionally challenging financial conditions as outlined in the letter from DFM and Cabinet Secretary for Finance to the Convenor, regarding “Update on 2023 – 2024 In Year Budget Changes” on the 21 November 2023 advise these.

The Scottish Government are not seeking to increase the number of plans for individual health conditions and are therefore not developing a national strategy to tackle chronic kidney disease. Rather, we are focussed on how we can best support Health Boards to deliver high quality, value-based, person-centred care for all people, irrespective of condition.

The Scottish Government is committed to ensuring that all people living with kidney disease in Scotland are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and put people at the centre of their care.

We expect all NHS healthcare workers in Scotland to follow best practice when providing care for people with kidney disease and we continue to raise awareness of the symptoms, causes, diagnosis and prevention of kidney disease by providing and promoting information on chronic kidney disease for patients and their families on NHS Inform .

We also continue to support the work of the Scottish Renal Registry which promotes excellence in renal care in Scotland including audits on the delivery of renal replacement therapy. The most recent report from registry was published by Public Health Scotland in October 2023 and provides vital information for Health Boards, service managers and individual clinicians to help improve care and standards for people with chronic kidney disease.

The Scottish Government is fully cooperating with both the UK and Scottish Covid-19 Inquiry and is in regular communication with Inquiry teams as required as both a core participant and a provider of material.

The Scottish Government is unable offer a running commentary on the conduct of the UK public inquiry which should be allowed to carry out its investigations and liaison with parties like the Scottish Government as it sees fit.

As of 06 November 2023, there are 40 civil servants working within the Covid Inquiries Response Directorate. The breakdown by civil service grade is as follows:

The Scottish Government first established the Covid Inquiries Information Governance Division in July 2021 to support the Scottish Government in promptly responding to requests for information from the both the UK and Scottish Covid-19 Inquiry.

The division then became the Covid Inquires Response Directorate in February 2022 and is part of Director General Corporate. I have portfolio responsibility for the Covid Inquiries response.

As part of the recently concluded information gathering exercise on the provision of stoma care and stoma specialist nurse coverage across Scotland's 14 territorial health boards, all boards supplied information on the stoma services that they provide, particularly with regard to care for stoma patients once they return home after their surgery. This information will be a key element of the consideration by the Scottish Executive Nurse Directors (SEND) of the results of the exercise.

I refer the member to the answer to question S6W-22410 on 7 November 2023. We are working with health boards to understand how best to achieve national consistency so that patients undergoing home dialysis are protected from the impact of high electricity prices, wherever they live. I expect to provide a further update on this in the coming weeks. 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 .

The Scottish Government has recently concluded an information gathering exercise on the provision of stoma care and stoma specialist nurse coverage across Scotland's 14 territorial health boards. The results of this exercise will be presented to the Scottish Executive Nurse Directors (SEND) to identify any shortfalls and inconsistencies in the level of care provided across the country and the actions that may be needed to address them.