Chamber and committees

I refer the member to the answer to question S6W-35102 on 5 March 2025:

The Scottish Government’s approach to dealing with RAAC is to follow the guidance set out by Institute of Structural Engineers.

The Scottish Government funded a survey of all NHS facilities suspected of RAAC and it is known where RAAC is present. These phase 1 surveys did not identify any immediate concerns that have not already been acted on.

We are funding a second more detailed phase of surveys of all sites with RAAC to ensure that the right approach is being taken to dealing with it. As a result of this type of detailed survey, necessary remedial works at Knoll Hospital have been identified and are being actioned – in line with the systematic approach to RAAC discovery and investigation across the NHS.

NHS Borders notified the Scottish Government on 27 January 2025 that there was an evolving situation regarding RAAC at Knoll Community Hospital. When a health facility is assessed as requiring maintenance work this does not automatically mean the facility is not safe, and the specialist Structural Engineers who conducted this survey on behalf of NHS Borders, and who are the survey partner for the NHS RAAC programme, have not reported that Knoll Hospital is unsafe.

Phase 2 surveys will be carried out across all NHS properties known to contain RAAC. Where any previously unidentified issues are found during phase 2 surveys, Health Boards are expected to assess, communicate and action with appropriate pace to ensure safety.

For all instances of RAAC identified as requiring an annual reinspection from the Phase 1, Discovery Survey programme, a programme of annual reinspection is currently underway and due to complete in March 2025.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The Scottish Government recognises the importance of people being able to access the care that they need. We have overall responsibility for health and social care support policy in Scotland and have published clear social care standards setting out what people should expect when using health, social care or social work services in Scotland. Whereas it is local authorities and Health and Social Care Partnerships (HSCPs) who have the statutory responsibility to ensure that these standards are upheld and that social care support services are in place to provide people with the appropriate social care support in the right place and at the right time.

Under the Social Work (Scotland) Act 1968 local authorities and Health and Social Care Partnerships have a duty to assess the social care support needs of people and decide, in light of that assessment, whether to arrange any services, and if so, which services

There is currently no legal requirements for local authorities to conduct financial assessments at specific intervals or to communicate changes to rates and capital limits. However, the COSLA guidance recommends a consistent framework for financial assessments and charging, encouraging local authorities to follow best practices.

Local authorities determine their eligibility thresholds based on local guidance, which may vary between authorities. However, individuals at critical or substantial risk are generally prioritised over those assessed as moderate or low risk. Guidance on charging and financial assessments for the City of Edinburgh Council can be found here: Social Care Charging Policies (Contributing to your care).

The Scottish Government continues to consider that a) responsibility for building maintenance, including in respect of reinforced autoclaved aerated concrete (RAAC), is a matter for property owners, supported by appropriate professionals and b) building owners should continue to follow the guidance of organisations such as the Institution of Structural Engineers.

The Scottish Government will be responding to Environmental Standard Scotland’s (ESS) report by 4 March 2025, as requested by ESS. Scottish Water and SEPA have also been asked to respond to the report by the same deadline.

The pilot surveys' purpose was to prove the methodology proposed to be adopted in the more detailed Phase 2 survey programme.

The pilots utilise point cloud technology which creates a digital representation of the area being assessed. This method provides an accurate and detailed picture of the structure's shape and dimensions, including identifying any areas of deflection, sagging, or damage that are not visible to a visual inspection. By comparing point clouds captured at different times, surveyors can monitor any changes in the condition of the RAAC structure over time. This is particularly important for NHS sites, as we will likely be using these sites for many years to come and we want to minimise the time and disruption of each survey.

The result of the point cloud surveys inform the location of intrusive surveys required by the surveying Structural Engineer. Once access has been provide in the required locations the surveying Structural Engineer will conduct their detailed surveys and provide a report on the observations.

Two of these pilot surveys were completed, the third has had a Point Cloud completed but requires a follow-up survey. The two completed Pilot surveys satisfactorily proved the methodology which has been adopted in the procurement of the full Phase 2 survey programme. In the two completed Pilot surveys the Structural Engineers Report has identified remedial actions but nothing critical.

The Chair and Chief Executive of NHS Borders met with myself on 30 January to discuss the situation with Knoll Hospital. NHS Borders have also been providing regular situation reports to the Scottish Government updating them on developments.

Following the collapse of a school roof in 2018, the Standing Committee on Structural Safety (SCOSS), alerted NHS Scotland Assure to the issue and the following steps were then taken:

• May 2019 - The Standing Committee on Structural Safety (SCOSS), alerted Health Facilities Scotland (HFS) to the issue in May 2019, this was circulated to NHS Scotland
• February 2020 – paper presented by NHS Scotland Assure to the NHS Strategic Facilities Group outlining a proposal for identifying and managing RAAC across the NHS estate
• May 2021 – NHS Assure gather a local assessment of RAAC from each local NHS Board, and conclude that a national survey programme would be best;
• November 2022 – a lead adviser is appointed and the desktop survey programme starts.
• December 2022 – NHS Scotland Assure commissioned a survey team to establish the extent of RAAC across the NHS Scotland Estate and the condition it is in.
• January 2023 – Desktop review begins
• July 2023 – Phase 1 Discovery survey work begins
• April 2024 – Discovery survey programme complete (except for several revisits and several later additions)
• May 2024 – three pilot detailed surveys commissioned to inform a programme to undertake a detailed survey of all buildings with RAAC in the NHS Estate.
• June 2024 – two pilot detailed surveys completed to inform a Phase 2 Survey Programme
• October 2024 – Scottish Government commissioned an Annual Inspection Programme to complete annual re visits required during the 2024/25 financial year
• November 2024 – Annual Inspection Programme commenced
• November 2024 – procurement of a Phase 2 Survey Programme

It is the NHS Boards responsibility for any actions identified in the Survey reports to be undertaken timeously.

The Scottish Government have confirmed that they will provide an additional capital allocation to NHS Borders to allow them to remediate the RAAC situation at Knoll hospital. For other potential RAAC related issues across the NHS Scotland estate, requests for additional capital funding will be considered on a case by case basis.

As set out in answer to Parliamentary Question S6W-34995 on 27 February 2025, the implementation phase of the Nursing and Midwifery Taskforce has now begun, and two Implementation Delivery Groups are being established to oversee swift delivery of all 44 recommended actions. One group, chaired by the Interim Chief Nursing Officer, will meet at the end of February and then recurrently every 6 - 8 weeks. A further Implementation Delivery Group will be chaired by the Cabinet Secretary for Health and Social Care and will meet in Spring and then every six months. These two Groups will ensure that priorities are clearly defined, progress is measurable, and key milestones are met. A detailed work plan and timeline to guide the delivery of the recommended actions will be agreed in Spring.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The implementation phase of the Nursing and Midwifery Taskforce has now begun, and two Implementation Delivery Groups are being established to oversee swift delivery of all 44 recommended actions. One group, chaired by the Interim Chief Nursing Officer, will meet at the end of February and then recurrently every 6 - 8 weeks. A further Implementation Delivery Group will be chaired by the Cabinet Secretary for Health and Social Care and will meet in Spring and then every six months. These two Groups will ensure that priorities are clearly defined, progress is measurable, and key milestones are met. A detailed work plan and timeline to guide the delivery of the recommended actions will be agreed in Spring.