Chamber and committees

The Scottish Government has no plans to reduce the allocated £10m in sustainability payments to general practices.

Scottish Government allocates sustainability payments on a per patient basis. Practices with higher list sizes will receive a proportionally larger sum than smaller practices.

The 15km value noted in the Strategic Transport Projects Review is representative of the average maximum range from the benchmarking study of similar cities and aligns well with the adjoining urban area of Greater Glasgow. However it is indicative, the exact extents of any Metro system will be for consideration as part of the future business case and design development work to determine.

Work has been undertaken throughout 2022 to scope a Clyde Metro Programme Level Business Case. This is being undertaken collaboratively, led by Transport Scotland and its partners Glasgow City Council and Strathclyde Partnership for Transport. A Delivery Plan will be prepared following the completion of the Programme Level Business Case.

A benchmarking exercise was undertaken, as part of the second Strategic Transport Projects Review’s appraisal of Clyde Metro. That work considered UK and international cities, with a comparable population to Glasgow for both the city itself and the wider urban areas and/or metropolitan area and a comparable mix of urban public transport offerings in terms of mode, historical systems, modern systems, etc.

Applying this criteria, resulted in the identification of a list of thirteen cities across the UK and eight other European countries, comprising:

• Newcastle (UK);
• Manchester (UK)
• Copenhagen (Denmark);
• Dortmund (Germany);
• Dusseldorf (Germany);
• Rotterdam (The Netherlands);
• Bilbao (Spain);
• Lille (France),
• Gdansk (Poland);
• Nuremberg (Germany);
• Lyon (France);
• Helsinki (Finland); and
• Oslo (Norway).

The transport systems in each of the above cities was then reviewed against the following criteria; the different public transport systems on offer (e.g. commuter rail, metro, tram) and the interaction between these; the historical development of the network; socio economic factors; engineering aspects including underground running; density of stations; total length of network; and distance served by mode.

The average distance of Metro services was assessed at around 14km from a City Centre, while Tram has an average range of 9km and Commuter Rail has an average range of 40km. The 14km range is comparable to the urban area of greater Glasgow and Glasgow also had a good suburban rail network density. Therefore it was on this basis that Clyde Metro was put forward as a transport system serving up to around 15km in range from the city centre.

The Scottish Government intends to lay an affirmative Scottish Statutory Instrument in January 2023 that will seek to amend The Civic Government (Scotland) Act 1982 (Licensing of Short-term Lets) Order 2022. Subject to the approval of the Scottish Parliament, this amendment will extend the deadline by which existing hosts must apply for a short-term let licence from 1 April 2023 to 1 October 2023.

This is a one-off 6 month extension recognising the wider economic circumstances of the cost of living crisis that is placing pressure on existing short-term let hosts and businesses. It will not unduly delay our primary aim of ensuring that all short-term lets across Scotland meet consistent safety standards and are provided by fit and proper people.

I refer the member to the answer to question S6W-09498 on 28 June 2022. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at Questions and answers | Scottish Parliament Website.

AposHealth for osteoarthritis of the knee is being reviewed by the National Institute for Health and Care Excellence (NICE) and their draft guidance on AposHealth is currently out for consultation, with an expected publication date of March 2023.

Although NICE medical technology guidance does not have official status in Scotland, the Scottish Government is awaiting publication of the NICE guidance before deciding next steps.

The Scottish Government are aware that living with chronic pain and painful musculoskeletal conditions can be extremely challenging and debilitating, which is why we are committed to ensuring people experiencing chronic pain can access appropriate support, when they need it.

The Scottish Government’s Framework for Pain Management Service Delivery – Implementation Plan was published in July 2022 and sets out the Actions we will take to improve the quality and coordination of care for people with chronic pain. We want people living with chronic pain to take control of their condition to improve their quality of life and be more empowered to participate in decisions on their care.

Expenditure on clinical and associated travel costs arising from mesh removal surgery undertaken by the independent providers will be incurred following receipt of invoices from the contracted providers and travel agency. Separately, administrative costs have arisen in the NHS from the process of referring patients to the providers in question, however it is not possible at present to break these down in the manner requested.

AposHealth for osteoarthritis of the knee is being reviewed by the National Institute for Health and Care Excellence (NICE). The draft medical technologies guidance on AposHealth is currently out for consultation with an expected publication date of March 2023.

Whilst NICE medical technology guidance does not have official status in Scotland, the Scottish Government will await publication of the NICE guidance before deciding next steps. This could include commissioning the Scottish Health Technologies Group (SHTG) – who provide the equivalent of NICE medical technology assessments for Scotland – being asked to review and adapt guidance for NHS Scotland.

SHTG has a remit to provide evidence support and advise NHSScotland on the use of new and existing health technologies. However, it is ultimately a decision for individual NHS Boards to decide whether to offer this as part of their treatment options for patients or not.