Chamber and committees

The Resource Spending Review set out broad parameters for resource spend to 2026-27, provided an overarching financial framework to support the focus on delivery of key Scottish Government priorities and put in place a foundation for ongoing efficiency and reform. It was not a budget, with the normal processes of the Programme for Government and annual budget being where policy and funding decisions are made.

Under the Redesign of Urgent Care (RUC) programme, NHS 24 is now available 24/7 and individuals or their carers who think they need to go to A&E but it is not an emergency can first call 111. Their symptoms will be assessed by trained professionals who will direct them to the most appropriate setting for their healthcare need.

Individuals may be directed to their local pharmacy, and they may also be offered a phone or video appointment with their GP or an A&E triage nurse, thereby avoiding a trip to hospital altogether. If A&E attendance is necessary an appointment time can be scheduled to reduce the time they need to spend in the department.

The RUC program aims to improve urgent care pathways for all, however it is potentially particularly beneficial for people with conditions such as Alzheimer’s disease and other dementias, who can find long waits in A&E particularly distressing.

The Scottish Government continues to co-fund Alzheimer Scotland Dementia Consultants in NHS Boards to provide expert advice on dementia care issues within acute, community and mental health hospital settings - as well as wider community locations including care homes.

They will support established principles and standards such as that systems are in place so that staff can easily identify someone with dementia and that hospitals have access to advice or assessment by a liaison service specialising in the diagnosis and management of dementia.

As outlined in the Programme for Government 2021 – 22 A Fairer, Greener Scotland: Programme for Government 2021-22 - gov.scot (www.gov.scot) published in September 2021, the Scottish Government is committed to establishing a dignified and compassionate miscarriage service. As part of this, the Scottish Government wants to ensure that NHS Boards are able to provide dedicated facilities for women who are experiencing unexpected pregnancy complications.

As part of delivering on this commitment the Scottish Government will support the development of individualised care plans after a woman’s first miscarriage and take forward specific recommendations made in the Lancet series on miscarriage published on 26 April 2021 https://www.thelancet.com/series/miscarriage .

A scoping exercise into the availability of services within NHS Boards for miscarriage and unexpected pregnancy complications is underway. The results of this exercise will be analysed over the summer and will inform improvements to miscarriage services.

The Scottish Government’s super sponsor scheme was introduced on 18 March 2022, to offer sanctuary in Scotland to displaced people from Ukraine. It works within the UK Government’s Ukraine Sponsorship Scheme and provides a fast and safe alternative to private sponsorship, meaning people can travel immediately and be provided with temporary accommodation, meals and a range of support, from assessing medical needs to applying for benefits. The Scottish Government is extremely thankful for the generosity of everyone right across Scotland who has expressed an interest in hosting, or who has offered their support to people displaced by the current conflict.

Statistics published on 7 July by the UK Government show that, as at 5 July, 22,451 confirmed applications sponsored by the Scottish Government had been made under the Homes for Ukraine scheme, and 17,377 Scottish Government sponsored visas had been issued. Scotland has to date welcomed 7286 displaced people from Ukraine – 11.5% of all arrivals in the UK – 4666 of whom arrived under the super sponsor scheme. Scotland has welcomed the highest number of applications, visas issued and arrivals per head of population of the four nations of the UK.

The rate of visa applications, visas issued and arrivals in Scotland under the super sponsor scheme continues to rise. As at 5 July, visa applications listing the Scottish Government as sponsor were up 21% on the previous week, with visas issued up 27% and arrivals under the super sponsor scheme up 20%. Based on applications submitted already, we could see between 9,000 and 18,000 additional arrivals in the coming weeks and months.

As set out in a policy position paper published today, the Scottish Government’s priority is to provide safe, comfortable accommodation and a wraparound support offer to the displaced people from Ukraine who have arrived in Scotland, and to those who will arrive in the weeks ahead, having applied for visas already.

In order to achieve that objective, the Scottish Government has taken the decision to pause the super sponsor scheme from 9:00am on Wednesday 13 July for a period of 3 months. This will allow us ensure that those displaced people who are already here, and those who will shortly be travelling to Scotland, are able to stay in appropriate temporary accommodation and get the right support ahead of moving into safe, sustainable longer-term accommodation.

The pause on new applications will not affect anyone who has already made an application or had their visa granted.

We will review our position in three months, but of course if circumstances change during that time we will bring that date forward.

This is a humanitarian crisis requiring a whole of Scotland response, and the Scottish Government will continue to work closely with local councils and with the Convention of Scottish Local Authorities to ensure that those displaced people who are already here, and those who have applied and are granted permission to travel, will be safe, secure and supported for as long as they need, after the dangers they have faced at home.

The Scottish Government has no plans to introduce legislation to restrict a property factor business’ ability to own 50% or more of residential buildings.

Legislation to restrict ownership of property to particular categories of business or individual would raise fundamental property right issues.

There are also no plans for the Scottish Government to introduce legislation to ensure that homeowners retain decision-making rights rather than property factor companies.

In tenements, owners have the right to vote to make decisions on the commonly owned areas of their property regardless of whether they own one property or numerous properties. Procedures on voting are laid down in title deeds or, where these are unclear, unworkable or non-existent, then the default provisions of the Tenement Management Scheme (TMS) under schedule 1 of the Tenements (Scotland) Act 2004 will be followed. Under the TMS a majority is required for undertaking repairs and maintenance. A unanimous decision from owners is required for undertaking improvements unless reasonably incidental to the maintenance.

The Scottish Government wants to ensure the quality, fairness and consistency of social care support provision regardless of where people live in Scotland.

Eligibility criteria can be a barrier to accessing social care support. We want the focus to be on people getting the support they need when they need it, not on eligibility. The Scottish Government is committed to overhauling the current mechanism of eligibility criteria. We set out proposals for doing this in the National Care Service consultation and will be working with partners and stakeholders to co-design the development of alternative approaches.

Action 12 of our Learning/Intellectual Disability and Autism: Towards Transformation Plan committed to explore the establishment of mandatory autism and learning/intellectual disability training for all NHS staff. We will consider how this applies across multi-disciplinary settings and use the evaluation findings from the Oliver McGowan Mandatory Training pilot to inform our approach to learning disability and autism training in Scotland.

The Scottish Government has also commissioned NHS Education for Scotland (NES) to develop the NES autism training framework as a tool for services and learners, alongside funding a Learning Disability Team at NES to improve the knowledge and skills of the health and social care workforce.

Healthcare Improvement Scotland is working to provide updated advice to NHS Boards to enable routine prescribing of sapropterin. We now expect this to be in place in June. In the meantime, doctors can request access to medicines that are not generally available on the NHS on an individual case-by-case basis through local health board medicine governance processes.