Chamber and committees

An implementation timetable for the Health & Care (Staffing) (Scotland) Act 2019 has been published. Implementation will be a collaborative and iterative process with frontline staff, taking account of the learning from the pandemic whilst recognising the new environment within which services will now operate. The timetable sets out an intended full implementation date of April 2024.

We welcome Leukaemia Care’s report and its recommendations to improve patient outcomes. We are pleased to say that we are closely aligned to the recommendations found in this report. Our Scottish Referral Guidelines for Suspected Cancer, published in January 2019, ensure patients on active monitoring are accounted for in planning cancer care and support primary care clinicians in recognising cancer symptoms, including chronic lymphocytic leukaemia.

We continue to work with health professionals and the Scottish Primary Care Cancer Group to raise awareness of symptoms and promote referral best practice.

Alongside this work, funding of up to £2.5 million has been issued over 2021-22 and 2022-23 to support 12 pilot programmes across Scotland to deliver a single point of contact (SPoC) for cancer patients. This contact will support patients to discuss questions or anxieties related to their clinical care from the point of diagnosis, receive timely and accurate advice on their appointments, test and results, have the chance to discuss what non-clinical support may be available for them and their family following a cancer diagnosis, understand their treatment plan and expected timelines for treatment delivery, self-manage (aspects of) their condition, and access available services as appropriate following discharge.

Additionally, we have worked with the Scottish Cancer Coalition (SCC) to produce a patient leaflet to highlight the work of the charities which are members of the coalition and the support they can provide to patients.

To date our commitment to provide long-term investment of over £500 million on bus priority infrastructure has taken the form of the Bus Partnership Fund (BPF) and the Bus Priority Rapid Deployment Fund (BPRDF). Both funds aim to support local authorities – in partnership with bus operators – to tackle the negative impacts of congestion on bus services.

In March 2020, the BPF was paused as a result of the COVID-19 pandemic. The BPRDF provided funding to local authorities to deliver temporary bus priority measures during the pandemic. The BPF relaunched in November 2020 for proposals for permanent priority measures on local roads. Through BPF, an initial £25.8m of funding has been awarded to eleven partnerships covering 28 local authorities for initial appraisal work to develop ambitious new bus priority infrastructure.

Building on the success of the bus priority on the M90 / M9 Queensferry Corridor Actively Managed Hard Shoulder (AMHS) for buses, Transport Scotland recently opened an additional section on the M8 eastbound approach to Hermiston Gait.

Through the Bus Partnership Fund, Transport Scotland has awarded £25.80m of funding for local bus partnerships to design and deliver bus priority measures on both local and trunk roads. This initial funding is for appraisal work to support local transport authorities towards developing business cases for further bus priority investment in their regions. Next steps will be dependent on the outcomes of this work.

Transport Scotland is also currently finalising the strategic business case for the Glasgow managed motorway network, which includes consideration of bus priority on the M8 alongside the M80, M77 and M74. This will be published along with information on the next steps, once the second Strategic Transport Projects Review has been finalised.

All these measures are aimed at reducing the negative impacts of congestion on bus services and addressing the decline in bus patronage.

The Scottish Government welcomes the Promise Scotland’s Oversight Board report and the continued focus and momentum across all stakeholders to Keep The Promise.

The Scottish Government remains committed to Keeping The Promise by 2030, working in partnership with Local Authorities, The Promise Scotland, third sector, health boards and importantly the care community.

The Scottish Government Keeping The Promise Implementation Plan published on 30 March 2022 sets out a wide range of actions over a range of areas including education, health, justice and child poverty and how we will continue to work with The Promise Scotland, COSLA, Local Authorities. This includes actions on data gathering and monitoring.

The setting up of the Promise Collective as a strategic forum to ensure alignment of all Scottish Government funded delivery and improvement initiatives that are working to Keep The Promise. The group will be co-Chaired with COSLA, Scottish Government and The Promise Scotland.

The Scottish Government has committed £500m over the course of this Parliamentary term, beginning with £50m in 2022-23, to preventative spend through the Whole Family Wellbeing Funding. We will evaluate the impact of this funding on supporting transformational change and this will inform future policy, planning and development.

Working with The Promise Scotland to build an evidence base to understand the best governance, financial arrangements and models of care to assess how we can best Keep The Promise. This will explore the options for the future of children’s services from an evidence based position and enable us to assess the best way to Keep The Promise.

We are developing an Outcomes Framework for Children, Young People and Families which will provide a holistic understanding of what we mean by wellbeing, based on what children and families have told us matters, and rooted in GIRFEC and children’s rights.

The Scottish Government acknowledges the recent research publication Thyroid Dysfunction – Can it Help Explain the Gender Wage Gap? and notes the implications that hypothyroidism can have on women’s labour market opportunities. We are committed to ensuring that people living with hypothyroidism are able to access the best possible support and benefit from healthcare services that are safe, effective and put people at the centre of their care. Information on symptoms and treatments are available at NHS Inform .

We are currently working with stakeholders to inform a refresh of our Gender Pay Gap Action Plan alongside and aligned with our Fair Work Action Plan and Disabled People’s Employment Gap Action Plan, to ensure that we take appropriate focussed and intersectional actions to tackle the Gender Pay Gap.

We are currently working in partnership with Simon Community Scotland to pilot and evaluate an innovative Managed Alcohol Programme for people who experience homelessness.

Funding allocated to Alcohol and Drug Partnerships (ADPs) is for both alcohol and drug treatment services. In 2021-22 ADPs and Health Boards received over £106m for alcohol and drug services.

This funding is used to ensure that services meet the needs of people who experience alcohol as well as drugs harms, including preventative approaches.

The level of uptake in South Lanarkshire as of 7 June 2022 was 23%, this is an increase of 8% since 13 May 2022, however I recognise South Lanarkshire are not yet at the level of other Local Authorities in terms of application rates. Following my meeting with COSLA last week I will be writing to all new administrations in our local authority areas, including South Lanarkshire. Meantime I have asked my officials in Transport Scotland to contact the new administration in South Lanarkshire in relation to their work to support the implementation of the under 22s free bus travel scheme.

We have not undertaken any recent assessment of the costs to individuals or the economy of using reusable nappies compared to single-use nappies. However, in line with the waste hierarchy, the Scottish Government’s focus is on measures to promote reusable alternatives, like the reusable nappy vouchers in the Baby Box.