Chamber and committees

I last met with representatives of Coalfields Regeneration Trust (CRT) on 14 September 2023 to discuss its funding level for 2023-24. Regeneration officials met with CRT on 27 November to build on discussions from that meeting and are in ongoing discussion with CRT.

The Scottish Government is committed to making sure that the necessary resources and support are available for professionals and volunteers working in child protection roles.

We are working with partners and the workforce who support children and families to improve the skills, knowledge and shared values of all those who contribute to the national outcomes for children, young people and families through the implementation of Getting It Right for Every Child, UN Convention of the Rights of the Child, The Promise, and through delivery of our Early Child Development Transformational Change Programme.

The National Guidance for Child Protection in Scotland was updated in August 2023 and supports everyone who works with children, young people and their families in Scotland by outlining responsibilities and expectations regarding child protection. The National Guidance will be updated as necessary to remain up to date with significant legislative, policy or practice changes.

Last year, we commissioned the Scottish Social Services Council to lead on a refresh of the Common Core training framework for the workforce providing support to children, young people and families. The Framework focuses on the core skills, values and learning the workforce requires to deliver holistic family support and rights-based practice in accordance with UNCRC and GIRFEC principles.

We have also worked with partners on the development of NHS Education for Scotland eLearning resources to support health professionals in their child and adult protection roles. In 2022 four eLearning modules were published on Turas Learn, thereby improving accessibility to high quality learning and consistency in practice across Scotland.

Furthermore, we continue to work with partners to support the workforce to develop a wider trauma-informed approach to the provision of care. As part of the National Trauma Transformation Programme (NTTP), we continue to rollout 'Transforming Connections', a tailored ‘Trauma-Skilled’ level training and coaching package, to people who work alongside care experienced children and young people in priority sectors of the Children and Families workforce in Scotland.

To support the child protection workforce with learning and development, the Scottish Government is funding a National Learning and Development Co-ordinator post for two years. The post holder has worked with a stakeholder group and Scottish Government colleagues refreshed the National Framework for Child Protection Learning and Development in Scotland, which was published on 1 March 2024, and to develop a range of resources for Child Protection Committees (CPCs) which will be made available on a Knowledge Hub site later in March 2024. CPCs are the key local bodies for developing, implementing and improving child protection strategy across and between agencies, bodies and the local community.

Child abuse and neglect have significant detrimental effects on children and young people’s emotional, physical and mental health, social development, education and future employment.

Scotland’s approach to child protection is set within the “Getting It Right For Every Child” (GIRFEC) approach to planning and providing support and care to children and families. The GIRFEC approach supports prevention of child abuse and neglect by driving forward a multi-agency approach to working with and supporting children and young people.

The National Guidance for Child Protection in Scotland 2021, updated in 2023, provides information to support practitioners to identify and respond to cases of child abuse and neglect. We are also developing national multi-agency training on inter-agency referral discussions (IRD), which are the start of the formal process of information sharing, assessment, analysis and decision-making following reported concerns about abuse or neglect of a child or young person. This will further support practitioners to prevent and intervene early so risk and harm to children and young people is recognised and acted on quickly and effectively.

We continue to learn from good practice both in Scotland and internationally to deliver positive action to reduce child abuse and neglect including initiatives like Scotland’s baby box, the Best Start Grant, Best Start Foods, Parent Club and universal free school meals for children from primary 1-5.

Responsibility for delivery of Primary Medical Services rests with Health Boards and Health and Social Care Partnerships, and delivery plans should take account of local population health need. To assist local partners, in November 2023 the Scottish Government published The General Practice Access Principles [ General Practice Access Short Life Working Group: access principles - gov.scot (www.gov.scot) ]. This report sets out a clear framework for the core principles of how general medical services should be delivered. To support general practice, we have significantly expanded the primary care multi-disciplinary team workforce to support GPs and practice teams ensuring more people get the right care in the right place at the right time.

The Scottish Government is committed to investing more in General Practices servicing disadvantaged areas through targeted action like the Inclusion Health Action in General Practice project in Greater Glasgow & Clyde, with £1.3 million funding dedicated so far, and stabilising our Community Link Worker capacity in Glasgow, with £3.6 million funding already confirmed for three years from 2024-25 to 2026-27.

The National Complex Mesh Surgical Service assesses patient needs and, where appropriate and subject to shared decision making and informed consent, performs mesh removal surgery. To date, 135 mesh removal procedures have been undertaken by the Service. Many women make the choice following assessment and discussion with the specialist team to follow a conservative pathway of care and do not undergo surgery.

The needs of patients and their goals may differ and therefore their definition of success will vary too. The removal of mesh is often only part of the treatment journey, with further reconstructive surgery depending on clinical need taking place at a later date. Patients may also have other needs which require to be addressed by other members of the clinical team.

The service is required to comply with normal clinical governance mechanisms in place within NHSGGC to provide an assurance that the service being delivered is safe and of an appropriate quality.

The Scottish Government is looking to launch its consultation on crofting legislative reform in spring this year, as committed to in the Programme for Government 2023-24.

The Council Tax Freeze that was announced by the First Minister, and accepted by almost all Councils, relates only to the 2024-25 financial year. It will provide certainty to households during a time of economic uncertainty and rising prices.

The funding provided in 2024-25 for the purposes of freezing Council Tax will be baselined into the General Revenue Grant in future years for those councils which freeze their Council Tax.

Zero Waste Scotland advise that the information gathered was for individual schools’ use only and cannot be used as an overarching baseline of school food waste data.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

The health and wellbeing of those who live and work in our prisons is a key priority for the Scottish Prison Service and we continue to work with numerous organisations to offer those in their care a suite of support to address both their addiction and recovery journey.

1. Current reporting incident categories do not align with the above question and make it impossible to answer. SPS do however record instances of those in our care who are believed to be under the influence of substances.

SPS are reviewing reporting processes that should allow this information to be captured in a more robust and accurate manner.

2. Staff are advised in line with Staff Notice 053/17 to follow procedures if they believe they have been exposed to an unknown substance, this includes recording of the incident by way of an Accident at Work.

With regards to the recording of medical attention, NHS are responsible for the release of this information due to patient confidentiality; and in the case of SPS staff members, SPS will record accidents at work, however, it is at the individual’s discretion if they chose to report such incidents, despite advice and guidance detailed in staff notice 053/17.

The Scottish Government has been working with AssistFM and the Improvement Service to map breakfast provision across Scotland, the findings will be used internally to inform the policy development on national breakfast provision. The first phase of the mapping work is now complete. The second phase of the work will take place across April-May 2024 and will survey all primary and special schools in their approach to the provision of breakfast.