Chamber and committees

A Transvaginal Mesh Implants Learning Package is available on Turas Learn for all primary care staff.

This was issued to all Primary Care Leads and NHS Board leads for Mesh by the Chief Medical Officer in October 2023 along with information and resources including the referral pathway for mesh patients available on the NHS Greater Glasgow and Clyde website, patient information on pelvic floor available on NHS Inform and the importance of sharing information with patients and obtaining fully informed consent using the use of BRAN during consent discussions: what are the benefits, risks, and alternatives, and what if I do nothing.

Topics within the learning package include:

• an introduction and background to pelvic floor disorders for women;

• a review of the background history to pelvic mesh in the UK;

• an overview of pelvic mesh complications; and case studies

The learning package remains the most comprehensive resource for primary care.

As part of their Continuous Professional Development (CPD), GPs are also required to access a wide range of professional development resources to support their continued professional development which includes online learning, information from colleges and interface working with primary and secondary care teams.

The Scottish Government has not held recent discussions with the Port of Cairnryan, P&O Ferries or Clyde Marine Recruitment regarding the Fair Work Convention and ferry services between Cairnryan and Larne.

While employment law remains reserved to the UK Government, we will use our Fair Work policy to promote fairer work practices across the labour market in Scotland. In December 2022, we announced the strengthening of our conditionality approach, and now recipients of public sector grants awarded on or after 1 July 2023 are required to pay at least the real Living Wage and provide appropriate channels for effective employee voice.

Both shipping and employment law remains reserved to the UK Government and we would expect all ferry operators to ensure compliance with UK regulations on employees’ pay and conditions.

We remain 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.

Public Health Scotland review the calculations each year, which informs the geographical allocation of the NHS budget, ensuring resources are distributed fairly. The Scottish Government is not involved in the calculation of the target values. However, we use the formula to ensure appropriate allocation of resource. In 2024-25, we will provide an additional £31.1 million in parity funding, ensuring that all Boards remain within 0.6% of their target.

Work to determine how the review should be taken forward is underway, with an initial meeting of the Technical Advisory Group on Resource Allocation (TAGRA) having taken place to consider the next steps to determine scope and timing of the review.

Please note that the main driver of the NRAC formula is the population size of each area for the target year and as such each run incorporates the most up-to-date population information available. This includes the latest population estimates (including census data) and sub-national projections published by National Records of Scotland (NRS).

Advanced Nurse Practitioners are employed within a range of settings within Primary Care.

The 2023 General Practice Workforce Survey ( https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/general-practice-workforce-survey-2023/annual-report/?pageid=10709 ), reports that there are 553.7 whole-time equivalent (WTE) Advanced Nurse Practitioners (ANPs) employed by and working in General Practices.

Alongside this, the ‘Primary Care Improvement Plans - Implementation Progress Summary’ ( https://www.gov.scot/publications/primary-care-improvement-plans-summary-implementation-progress-march-2023/ ) reports that a total of 219.9 WTE ANPs employed by Health Boards within Urgent Care services.

The latest NHS Scotland Workforce data published by NES ( https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/05-march-2024-workforce/ ) shows that there are 4.8 WTE ANPs employed by the Scottish Ambulance Service, as well as 1.0 WTE ANP employed by NHS 24.

The current phase of Clyde Metro is being led by Strathclyde Partnership for Transport, working alongside Glasgow City Council and with Transport Scotland providing support in a project assurance role.

I am advised that the multi-partner project team has been engaging with colleagues from the Trams to Newhaven project and across the private and public sector to learn from experiences elsewhere in the development of mass transit projects and ensure lessons learned and best practice are embedded within Clyde Metro’s future development.

NHS Education for Scotland (NES) support the development and delivery of healthcare education and training for the NHS, health and social care sector and other public bodies. This includes the development of best practice guidelines as appropriate.

With regards to GP receptionists, NES published the Core Competency Framework for General Practice Administration Staff and Practice Managers in September 2023, which includes an accompanying learning needs analysis tools and training packages.

The Scottish Government has made no payments to P&O Ferries since 17 March 2022.

The Scottish Government remains committed to keeping the NHS true to its founding principles – publicly-owned, publicly-operated, and free at the point of need.

Health Boards might arrange treatment for some patients outwith NHSScotland for clinical reasons in exceptional circumstances. In all patient cases, the originating Health Board retains responsibility for the funding, consultation, diagnosis and treatment of their patients.

Guidance on establishing the responsible commissioner has been issued to NHS Boards from the Scottish Government to ensure services are always provided in the best interests of the patient: https://www.publications.scot.nhs.uk/files/cel2013-06.pdf .

Healthcare Improvement Scotland (HIS) is the national authority for the development of evidence-based advice, guidance and standards for health and care professionals. All Independent Healthcare Service providers, are required to register with HIS who regulate such services in Scotland. It is a matter for HIS to detail specific guidance available, however more information is set out on their website: https://www.healthcareimprovementscotland.scot/inspections-reviews-and-regulation/regulation-of-independent-healthcare/ .

Figures provided by Ofcom.org.uk, show that, as of September 2023, 98% of premises in the Clydebank and Milngavie constituency could access fixed line superfast broadband.

This is, in part, thanks to publicly-funded digital programmes which have connected around one million properties across Scotland to fibre broadband to date, with the vast majority receiving superfast speeds. This includes the Digital Scotland Superfast Broadband (DSSB) programme, which delivered over 10,000 connections in the constituency of Clydebank and Milngavie.

Our Scottish Government commitment to deliver 100% superfast broadband across Scotland is delivered through the three strands of activity that make up the Reaching 100% (R100) programme – the three R100 contracts (North, Central and South), our demand-led R100 Scottish Broadband Voucher Scheme (SBVS) and the ongoing expansion of commercial coverage including newly emerging technologies such as Low Earth Orbit (LEO) satellite connections.

As a result, all homes and businesses should now be able to access superfast broadband.

The information in the following table has been supplied by CalMac. This information is not held by calendar year but has been supplied by Contract Year (CY) which begins in October.