Chamber and committees

Since 2016, the Scottish Government has provided funding to ensure that adult social care workers, delivering direct care in commissioned services, are paid at least the Real Living Wage (RLW). This pay uplift has been extended to workers delivering direct care to children and young people in commissioned services for the first time this financial year. We have transferred £230 million to Local Government to deliver this £12 minimum wage for adult social care workers and a further £20 million has been transferred to support the uplift for children’s social care workers.

The Scottish Government is proud to be leading the way in increasing minimum hourly rates of pay for the social care workforce among the four UK nations.

We are working in partnership with key stakeholders – including trade unions, providers and COSLA – to introduce sectoral bargaining for the commissioned adult social care sector. Once developed and introduced, sectoral bargaining will encourage improvements in pay, and terms and conditions, and also take into consideration the varied roles and responsibilities across the sector.

The Scottish Government and our partners are also taking action to promote social care roles as an attractive career, support routes in to the sector, and enable career development.

In collaboration with COSLA, we established the Joint Social Services Taskforce (JSST) to address priority workforce issues. One of the JSST Workstreams led by the Scottish Social Services Council and NHS Education for Scotland, is the development of a new Career Opportunities Tool to map the range of roles and careers on offer in social care, and potential pathways open to new and existing staff.

The Scottish Government relies on advice on prostate screening from the UK National Screening Committee (UKNSC).

The UK NSC does not currently recommend population screening for prostate cancer – this was last reviewed in November 2020. As part of this review, the use of the prostate specific antigen (PSA) test to identify prostate cancers was considered.

The PSA test identifies the levels of PSA in a male’s blood, however, levels can be raised for a number of reasons and doesn’t confirm the individual has prostate cancer. As a result, while the PSA test can be one helpful tool for GPs when assessing a patient, the test is not definitive enough to detect prostate cancer which may require treatment, can falsely find people who do not have prostate cancer and can also miss some cancers. Therefore, the UK NSC determined that the test would not be a suitable test for a national expansion.

It is anticipated that the UK NSC will review their recommendation for prostate screening in 2024-25, and will take account of any new evidence as part of that process.

Scotland’s agricultural land and farming sector have a critical role to play in Scotland’s food security, producing food for consumption in Scotland, and increasing our economic resilience through exports of food and drink worth £7.6 billion in 2023.

National Planning Framework 4 (NPF4) Policy 5 (Soils) sets out that development proposals on prime agricultural land, or land of lesser quality that is culturally or locally important for primary use, as identified by the local development plan, will only be supported in limited circumstances. This includes for the generation of energy from renewable sources where there is secure provision for restoration and the layout and design of the proposal minimises the amount of protected land required.

All development proposals are subject to site specific assessments.

Where a publicly funded resident under the National Care Home Contract qualifies for transport from the NHS to attend for a clinical appointment/ treatment the provider will, where practicable, ensure this is arranged. For the avoidance of doubt, the cost of providing transport for the resident to and from scheduled medical appointments, as well as emergency admissions to hospital are not covered in the Council’s Approved Rate and are not therefore the responsibility of the provider where they are being paid that rate.

In the absence of free provision by the NHS, transport to the following may also be provided, but shall be charged in addition to the price charged for care and accommodation:

• Chiropody
• Opticians
• Dentistry
• Physiotherapy
• Transportation
  and Staff escorts to and from medical appointments

Any private contract between a self-funded resident and a care home may include provision for such transport.

Should the Scottish Ambulance Service be contacted, to provide consistency, all patients are taken through the Patient Needs Assessment (PNA) to assess their eligibility for ambulance transport. SAS ask the PNA questions to allow them to fully understand the patient’s needs and to confirm if they require ambulance transport. From this, SAS can then identify the correct resource required. If the caller indicates the patient can get out and about independently or can travel with the assistance of an escort, SAS will seek to understand what is preventing them from getting to their appointment. If there is a clear clinical or medical need, SAS will look to support this request; otherwise, patients will be signposted to alternative transport options specific to where a patient resides. SAS will always ask that if a patient is able to use other means of transport, this is considered the first choice rather than the Scottish Ambulance Service. A patient or representative is advised at the beginning of the call that if they disagree with their decision then they can ask for their request for transport to be put to appeal and this will be answered by a SAS supervisor.

The service the Scottish Ambulance Service (SAS) provide is based on a medical and mobility requirement and the Patient Needs Assessment (PNA) is designed to identify the patients who have the following needs. All patients requesting patient transport are taken through the PNA.

SAS support patients who:

• Require a high level of mobility assistance
• Need specialist ambulance equipment to help them mobilise
• Require oxygen and are unable to self-administer this during transportation
• Have a communicable disease with which travel on public/community transport or in a taxi is not advised, and do not have access to appropriate private transport
• Have undergone a procedure and the potential side effects of the treatment require the assistance of a trained ambulance crew for the return journey
• Have been clinically determined by an HCP as at risk from using alternative transport due to being immunocompromised and do not travel routinely by other means
• They have a cognitive or sensory impairment that requires oversight to safely travel, and no escort is travelling
• Have dementia, mental health conditions that means they are unable to make their own way with alternative transport and could be a risk to themselves or others

More information on Scheduled Care Service can be found on the SAS website at www.scottishambulance.com including information on some other alternative transport providers within the local area. Alternatively, patients/representatives can contact the attending hospital who may be able to provide additional advice on options for travelling to and from any future hospital appointments and if eligible, patients may be able to claim help with travel costs.

The Scottish Government is taking a range of steps to promote awareness of ADHD, often targeted at professionals in healthcare and education settings in order to maximise impact.

The Scottish Government published the National Neurodevelopmental Specification: Principles and Standards of Care for Children and Young People in 2021. This specifies the standards that all children’s services should follow to ensure access to support is effective and consistent across Scotland. Whilst aimed at service providers, it nevertheless serves to promote general awareness of the needs of children with ADHD across NHS Health Boards and Local Authorities.

Additionally, last year, resources on ADHD were published on Education Scotland’s website. These cover the common features, positive traits and challenges of ADHD. This was accompanied by a webinar, attended by over 300 individuals.

As part of our work on implementing Adult Neurodevelopmental Pathways, the Scottish Government is working with the National Autism Implementation Team (NAIT) to ensure that Health and Social Care Partnerships across Scotland are equipped to support adults with ADHD.

The Scottish Government provides funding to NHS Education for Scotland (NES) to deliver neurodiversity training resources for staff across agencies, including health and social care, and education. This training is delivered both in-person and via an online learning hub. It equips staff to deliver for neurodivergent individuals, including those with ADHD, across the lifespan. In 2023, at least 1,243 individuals attended webinars that dealt specifically with ADHD across the lifespan, and at least 2,189 individuals accessed the recordings of these sessions at a later date.

As part of our consultation on potential provisions within a future Learning Disabilities, Autism and Neurodivergence Bill, consideration is also being given to the possible introduction of mandatory training on neurodivergence, including ADHD, for public-facing staff in some public services.

The Scottish Government does not currently provide dedicated funding to organisations and services providing post-diagnostic support for adults with ADHD.

However, we know that ADHD often co-occurs with autism. Accordingly, through the Adult Autism Support Fund, we are funding 14 organisations that are providing post-diagnostic support to autistic adults, some of whom will also have ADHD. One organisation, Lochaber Hope in the Highland council area, specifically provides online workshops on Autism and ADHD, as well as a Neurodivergent group for women and non-binary people.

We are also working to ensure that local diagnostic pathways for adults adopt a stepped care model and a neurodevelopmental approach, inclusive of ADHD.

The Scottish Government has provided funding to National implementation Team (NAIT) to support the Health and Social Care Partnerships to develop action plans to introduce adult neurodevelopmental pathways. NAIT will also provide ADHD professional learning workshops and establish adult neurodevelopmental professional networks.

Scottish Ministers are responsible for the safe operation and maintenance of the trunk road network. The requirements for surfacing materials used on the trunk road network are laid out in the Specification for Highway Works and the Design Manual for Roads and Bridges. These documents do allow some use of road planings in certain circumstances. They can be used in the lower foundation layers of all road types, depending on levels of traffic or as a base layer when mixed with a small amount of cement and foamed bitumen. Finally, small proportions of road planings can be recycled into hot and warm mix asphalt, which are generally used in the upper layers of a road.

The Roads (Scotland) Act 1984 places the statutory responsibility for local roads’ improvement, maintenance and repair with local road authorities. Local authorities have a duty to manage and maintain local roads in their area and duties under the Road Traffic Regulation Act 1984 to secure the expeditious, convenient and safe movement of traffic.

Where the maintenance liability for new roads being built within new residential developments is to be adopted by the Local Authority then the relevant local road authority will define the required specifications and standards and these govern what may be used.