Chamber and committees

Scottish Government officials are continually engaging with NHS Boards to identify particular areas of concern. This includes the gathering of daily capacity and weekly absence reporting from all territorial Health Boards.

Through this ongoing engagement, NHS Highland advise that they have embedded an established structure for daily clinical and care huddles which are designed using the principles of the Scottish Patient Safety Programme. These forums are used for reviewing staffing and escalating any concerns in relation to patient safety and quality and staff wellbeing.

We are fully aware of the unprecedented pressure that the pandemic is putting on services within NHS Highland and across Scotland. That is why we have announced a record £300 million of investment to support Health Boards and their staff over the coming months.

As part of this investment, NHS Highland is receiving additional in-year and recurring finance to support international recruitment of registered nurses and additional Healthcare Support Workers for acute services. The Board has also received a share of in-year investment to provide additional support to its recruitment team and to recruit an international recruitment lead.

Safety is at the heart of everything we do and the Scottish Government wants everyone in Scotland to receive the best possible care and treatment from our health and care services. Along with NHS Scotland, the Scottish Government has a shared vision for an open and learning culture and we want to learn when there has been dissatisfaction or harm and encourage organisations to identify improvements.

Our commitment to this is strongly demonstrated in the development of our approach to openness and learning in the introduction of the statutory Organisational duty of Candour legislation, and in our commission to Healthcare Improvement Scotland and NHS Education for Scotland to work together on a Joint Commission to make this a reality.

A number of reviews and processes are in scope for the Joint Commission, which will seek to take a human factors/ safety science approach to minimising duplication and reducing variation in review processes as well as supporting and upskilling staff in leading and taking part in these.

NHS Health Boards are responsible for delivering safe, effective, person-centred care at a local level, which includes leading on learning and improvement in areas of challenge and to drive quality; creating an environment that values staff and supports them when concerns are raised; and monitoring and improving the quality of health care which is provides to individuals. The Scottish Government and NHS Health Boards work closely together to ensure local policies and processes are implemented and improved in line with national policy and frameworks.

The Staff Governance Standard, which has legislative underpinning, requires all health Boards to demonstrate that they are ensuring that staff are appropriately trained and developed and that resources, including time and funding, are appropriately allocated to meet local training and development needs taking into account the current priorities of both the service and service users.

Boards are expected to have systems in place to identify areas that require improvement and to develop action plans that will describe how improvements will be made. The Scottish Government also seek assurance from all Boards that they are meeting the Standard through the annual Staff Governance Monitoring exercise.

The Scottish Government does not hold data on the number of care homes allowing new admissions in NHS Highland.

We are progressing an options appraisal using Scottish Transport Appraisal Guidance to identify potential improvements on the A9 between North Kessock Junction and Tore Roundabout. The latest report on this appraisal is expected to be published by 10 December and will set out a short list of options recommended for further consideration. Transport Scotland will review these recommendations and consider the next steps, taking account of the feasibility of the options and available resources.

In the short term, works to install street lighting at the A9/B9161 Munlochy junction will commence this month. In addition, a review of the speed limit around Tore Roundabout will be carried out, along with investigations into improvements to active travel facilities and road markings at the roundabout

The section from Longman Roundabout to south of the North Kessock junction is already subject to a 50mph speed limit. A speed limit reduction to 50mph on the section north of this, to Tore Roundabout, is an option being considered in the current appraisal. This option is not consistent with national guidance on speed limits, given the current average speeds and rural environment of this dual carriageway road. Lowering the speed limit has potential to cause platooning of traffic, reducing the gaps available to turn right at junctions. Furthermore, the process to make any speed limit reduction allows those disadvantaged by the proposal to object. The public consultation results indicated overall negative views towards this option, meaning that a significant number of objections are likely. The findings of the options appraisal will be published mid-December.

The Scottish Government is investing significant levels of funding in frontline services to support survivors of domestic abuse. This includes funding of over £1 million (in 2019-22) to Scotland’s Domestic Abuse and Forced Marriage Helpline, which provides support and signposting to other services and is open 24/7. The Delivering Equally Safe Fund for 2021-23 will provide £19 million per annum to organisations providing support services and working to prevent gender-based violence. This includes approximately £100,000 of funding for SACRO’s Fearfree project, which supports male and LGBTI survivors of domestic violence; as well as over £500,000 of funding to ASSIST, a specialist independent domestic advocacy service that aims to ensure survivors of domestic abuse are safe, informed and supported throughout the court process.

The government’s Mental Health Transition & Recovery Plan includes specific action on the mental health impacts of domestic violence, abuse, and coercive control. We have also commissioned research from the Improvement Service to help us better understand and address the mental health and wellbeing needs of women and girls experiencing gender based violence and the report will be published this month. We will work with women and girls affected by all forms of gender based violence to determine next steps once we have considered the recommendations of the report.

The Scottish Government recognises the effect that the Covid-19 pandemic has had on women looking to flee violence at home. That is why over the past 2 years we have invested an additional £10 million to allow rapid re-design of services and address backlogs, supporting organisations such as Scottish Women’s Aid and Rape Crisis Scotland. We have created a new Delivering Equally Safe Fund (£19 million per annum in 2021-23) and recently confirmed allocations to 121 projects from 112 organisations working to provide services and prevent gender-based violence. This includes support for women as well as services targeting male survivors such as the Respect Men’s Advice Line and SACRO’s FearFree project.

The Scottish Government and COSLA, in partnership with Public Health Scotland and the Improvement Service, developed supplementary guidance last year for local authorities and other key community planning partners. It ensures that a sustainable, joined-up approach to safeguarding the needs of women, children and young people experiencing domestic violence during the pandemic is embedded at a local strategic level. This is underpinned by our Equally Safe strategy.

We support suppliers including Green Deal installers through our Sustainable Energy Supply Chain programme, administered by the Energy Saving Trust (EST). The programme has been running since 2013 and provides assistance and support for installers and other suppliers in Scotland to help them participate fully and effectively in the supply chain for energy efficiency and micro-generation measures and installations.

Over 100 events and training courses have taken place to date supporting over 4,000 individuals, many of whom work for small and micro-sized businesses. Support for Green Deal has included awareness raising events and targeted workshops to help suppliers become Green Deal approved.

The Sustainable Energy Supply Chain programme has also developed a procurement guide to help small and micro-sized businesses bid more effectively for public sector contracts. This was also supported by workshops and webinars across Scotland.

We are also working with industry to co-produce a new ‘Heat in Buildings Supply Chain Delivery Plan’ by Summer 2022 specifically focussed on strengthening the broad supply chains needed to deliver at the pace and scale we need.