Chamber and committees

The Scottish Government is aware of emerging access issues within NHS Dumfries and Galloway, noting that this is an area which has suffered disproportionately with dental workforce issues in the past – an issue which has only been heightened by the significant loss of EU workforce as a result of Brexit.

Whilst a formal evaluation on the provision of NHS dental services in Dumfries and Galloway over the last year has not been undertaken, as it is a matter for the NHS Board, Scottish Government is working closely with the Board through an Annual Delivery Plan to mitigate against the drivers of access issues. This includes regular meetings to strategically plan on the design and implementation of more sustainable dental services across the Board area. While this work continues, unregistered patients will continue to be able to access emergency and urgent care via Public Dental Service clinics.

The current fee structure for NHS dental payments, as of 1 November 2023, is detailed in Determination I of the Statement of Dental Remuneration (SDR), which can be accessed online at: Statement of Dental Remuneration | Scottish Dental .

The fee structure for NHS dental payments prior to 1 November 2023 is detailed in previous versions of the SDR, which are also available at the above link.

The Scottish Dental Access Initiative (SDAI) was introduced in 1997. Over the course of this period, areas of NHS Borders included within the scheme have varied depending on the access to NHS dental services at a particular time.

The whole area of NHS Borders was added for inclusion to the scheme from 26 April 2023.

The NCS TOM reference group last met on the 19 May 2022. The meeting was a workshop focused on review of the current system and potential options for future systems. Consideration was given at this meeting to the potential approaches for the structure of the NCS.

Health and Social Care Management Board (HSCMB) last met on‎ 24 January 2024, and it discussed strategic, tactical, and operational matters which contribute to the delivery of health and care service across Scotland.

Health and Social Care Assurance Board (HSCAB) last met on‎ 8 November 2023. At this meeting, the Co-Director of Social Care and NCS Development, provided an update on the progress of the National Care Service.

The Scottish Government remains committed to ensuring funding is distributed equitably across the country as set out in the 2021-22 Programme for Government. The existing National Resource Allocation Formula (NRAC) is updated on an ongoing basis for a range of factors including population demographics, relative health needs and remote and rural factors. We will continue to assess the need for a more detailed review of the formula, in line with developments in National Care Service funding and Integration reform.

The formula is inherently complex and the review will take time. However, work to determine how the review should be taken forward is underway, with initial meetings of the Technical Advisory Group on Resource Allocation (TAGRA) having taken place, considering the next steps to determine scope and timing of the review.

Further work is required prior to confirmation of a timeline for the publication of the updated formula.

Acknowledging the importance of Demand Responsive Transport (DRT) as a transport solution, the Strategic Transport Planning Review (STPR2) recommends investment in DRT and Mobility as a Service (MaaS) as a means to provide improved public transport connectivity, which in turn forms part of the suite of policy interventions the Scottish Government is delivering in order to achieve its target of a 20% reduction in car kilometres travelled by 2030.

Digital technologies can improve access to real time journey information, including journey planning, scheduling, retailing and fulfilment methods across multiple modes of transport, including Digital Demand Responsive Transport (DDRT) in rural areas. By providing more reliable, personalised and dynamic information about public and shared transport services, MaaS and DDRT can reduce car dependency and use in the areas surrounding Scotland’s towns and cities.

It is for Integration Joint Boards to govern, plan and resource adult palliative care in their areas, including independent hospice care, using the integrated budget under their control.

The Scottish Government is not taking action to increase capacity in hospices. We are gathering data on current and projected needs for palliative care over the next two decades, to inform the development of the new national strategy for palliative care in Scotland. The strategy will address a range of models to meet those needs and provide palliative care and care around death in a range of settings, including specialist inpatient and outpatient units, hospices, hospitals, community hospitals, care homes and peoples’ own homes.

The most recent bulletin on Criminal Proceedings in Scotland covers cases that concluded in court up to the end of March 2022. There are no convictions under Section 56 of the Housing (Scotland) Act 2014 up to this point.