Chamber and committees

The Scottish Government commissioned Centre for Sustainable Delivery (CfSD) is playing a central role in working with Health Boards to ensure that they are able to continually identify new ways to increase capacity, and to respond to demand through service innovation and redesign.

CfSD programmes have developed strong clinically-led Specialty Delivery Groups (SDG), including one for Ear, Nose & Throat (ENT), which promote multidisciplinary team working, and support local adoption of service improvement programmes. These groups are now well established and have supported several new and innovative pathway developments to free-up additional capacity in the NHS system, many of which are now being successfully scaled up across Scotland. For ENT this includes Active Clinical Referral Triage (ACRT), Discharge Patient Initiated Review (PIR) and Opt-In Pathways.

We know there is more to do but we are making progress; since the introduction of our long wait targets in July 2022, ENT waits over two years have reduced by 93% for new outpatient appointments and by 54% for inpatient and day-case patients.

The Scottish Prison Service (SPS) as the sole public sector operator of prisons in Scotland has a strong track record in keeping prisons safe and secure with a focus on care and rehabilitation. They are well placed to deliver quality services at HMP Kilmarnock while benefitting from the skills and experience of the existing staff group there.

The tankers will travel by road from the Isle of Grain LNG terminal in Kent to Troon.

The Scottish Government is committed to improving access to abortion services, underpinned by aims outlined in the Women’s Health Plan. Progress has been made in particular by updating Scottish Abortion Care Providers guidance on early medical abortions in Scotland to take account of the recommendations of the March 2023 evaluation of early medical abortion at home .

One of the actions in the Women’s Health plan is working with NHS Boards to enable all women having later stage abortions to be treated in Scotland.

The Scottish Government commissioned National Services Scotland (NSS) to develop a specification to deliver abortions between 20-24 weeks gestation, for all indications, within Scotland. This options paper was discussed at the National Planning and Delivery Board.

To enable a decision on the most feasible way of delivering this, it was agreed that a short life working group should work with key groups of staff in Health Boards and bring back recommendations to the Planning and Delivery Board. Once proposals for a service model have been agreed by that Board any staff training requirements will be considered as part of that.

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

HMP Glasgow will deliver safe and secure accommodation, with maximum possible benefit and opportunity to those who live and work there, as well as the surrounding communities.

The new prison will provide a better quality of living environment and enable strong relationships with staff and those in our care. Based on the current plans, HMP Glasgow has a design capacity of 1344.

The Women's Health Plan: A Plan for 2021-24 sets out 66 actions to improve women’s health inequalities across the short-term (year one), medium-term (year one to three) and longer-term (year three and beyond).

The Women’s Health Plan First and Second Annual Reports on Progress set out the progress made to date on delivering the Plan.

Further to the response given by Miri McAllan MSP, in a particularly challenging fiscal landscape, the Scottish Government has had to take difficult decisions to deliver balanced and sustainable spending plans for the 2024-25 financial year.

The UK Autumn Statement was a worst-case scenario for Scotland. Our block grant funding, derived from the UK Government’s spending decisions, has fallen by 1.2 per cent in real terms since 2022-23 and our capital spending power is due to contract by almost 10 per cent in real terms over five years.

A significant proportion of the expenditure in the Transport, Net Zero and Just Transition portfolio is legally and contractually committed, and I have ensured that those commitments are met in full in this budget as well as allocating funding to support critical maintenance and renewal expenditure to ensure that the people of Scotland have access to a safe and reliable transport system. This has been compounded by continuing high inflation, which has further reduced our room for manoeuvre.

The reduction in the rail services line reflects increased revenue, as passenger numbers recover, which reduces the subsidy required by ScotRail. This accompanies a significantly reduced capital budget required, reflecting the accounting and recognition of lease arrangements in year.

As Miri McAllan MSP indicated, the Equalities and Fairer Scotland Budget Statement and Carbon Assessment were published alongside this Budget. These impact assessments not only analyse the budget and the impact of the decisions contained in it, they also consider the process of making those decisions, and how we make sure the needs of all people are actively considered. The Transport, Net Zero and Just Transition portfolio was actively engaged in the analysis and production of these assessments.

The overall policy intention behind simple procedure is to provide a quicker, less formal, and more accessible route to justice for individuals involved in low-value civil disputes. It is therefore suitable for party litigants to raise or defend an action and conduct their cases to a conclusion themselves.

While the current monetary limit is £5,000, there are provisions for flexibility and case-specific considerations within the simple procedure framework. Even if the sum sought exceeds the monetary limit for simple procedure cases parties can agree to transfer a case to the Simple Procedure. In such cases, there is no obligation to lower the sum sought to meet the £5000 limit.

The Scottish Government considers the average value of simple procedure claims does not support an immediate need to increase the £5000 limit. We remain of the view that the current limit and flexibility within the simple procedure framework strikes the right balance between providing an accessible and cost-effective legal avenue while ensuring fairness and proportionality in resolving disputes.

The Government will continue to keep the monetary limit for simple procedure under review.

The Crown Office and Procurator Fiscal Service (COPFS) is operationally independent of the Scottish Ministers.

The UK Government have established an independent inquiry into the Post Office Horizon IT system and the Scottish Ministers agreed with the UK Government that this inquiry should consider devolved matters relating to Scotland. The prosecution of sub-postmasters in Scotland by COPFS is being considered by the inquiry and COPFS have provided evidence to them.

The Scottish Government is open to considering all options and will continue to work with the industry and other stakeholders to achieve improvements in pig welfare.