Chamber and committees

In 2022-23 and 2023-24 over £70m of Whole Family Wellbeing Funding (WFWF) was invested by the Scottish Government to deliver a transformational change in holistic family support so that families get the right support, in the right way and at the right time. The funding was distributed as follows:

• £32m provided annually for Children’s Services Planning Partnerships (CSPPs) to build local service capacity for transformation and the scaling up of holistic family support in local areas. This funding is being provided on a recurring, multi-year basis to 2025-26.
• £0.8m for National Support for Local Delivery – including a package of activity aimed at supporting local transformation. This part of the funding also supports the wider evaluation and research work for WFWF.
• £5.3m was provided to Scottish Government led national policy delivery for 12 specific projects that are transforming how families are supported.

We have prioritised £50m funding in 2024-25 to maintain the programme of activity above. Further details will be provided in a Whole Family Wellbeing investment approach to be published in due course.

Community First Responders (CFRs) are trained to operate within a clinically approved Scope of Practice. CFRs can be asked to attend a range of urgent and emergency medical emergencies including cardiac arrests, chest pains, breathing difficulties, strokes, choking and other similar types of call where a local and quick response may be beneficial to complement the emergency response.

Community First Responders generally respond to calls within a designated geographical area known as a polygon. The polygon is agreed between the Community First Responder scheme and the Scottish Ambulance Service. The size of the polygon may vary from scheme to scheme and will be dependent on factors such as geography, base location of volunteers, and predicted travel times.

Co-ordination of Community First Responders (CFRs) and Wildcat Cardiac Responders sits within the Scottish Ambulance Service National Risk and Resilience Department (NRRD). The Community Resilience team within NRRD provide governance, recruitment, training, and support to CFR schemes and ensure the consistency of operating practice across Scotland.

CFRs subscribe to an agreed governance framework and clinically approved Scope of Practice. The primary focus of the role is responding to cardiac arrests, heart problems, chest pains, breathing difficulties, stroke and choking. Volunteering is flexible and there is no minimum requirement.

CFRs are dispatched, predominantly via Airwave radio, by the Alternative Resource Desk (ARD) within the Ambulance Control Centre. CFRs may also use the GoodSam app to ensure an expedited response to known and suspected cardiac arrests.

The Scottish Ambulance Service started using the GoodSAM system in 2017 in a limited capacity – initially this was aimed at SAS clinicians to register. This was paused during the Covid-19 pandemic. Full implementation of GoodSAM, which was open to all, was launched in October 2022. Since this date, effectiveness has been measured based on month on month increase to both registrations and alerts accepted through it. Data modelling is now ongoing to establish how best to optimise the system for different parts of Scotland.

The 2019 recruitment and retention Action plan for Disabled People has been superseded by the Diversity and Inclusion Employer Strategy for Scottish Government published April 2024. Having a workforce more representative of the people of Scotland it serves, remains one of our Employer Equality Outcomes. We have higher levels of disabled staff than ever before but still have further progress to make. The overall proportion of disabled people working in the Scottish Government has more than doubled over the last ten years, rising from 6.4% in 2013 to 14.1% in 2023.

Connecting people to non-clinical options which can help with their health is an important part of a healthcare professional's toolkit. This is very much in line with the principles of Realistic Medicine, supporting our healthcare professionals to deliver a more personalised approach to care. The resources and services to which people are connected can range from financial, housing and welfare support through to engagement with cultural activity, community cafés, opportunities to be physically active and many others depending on what works for the individual. Connecting people to nature is one option which is available to health professionals where appropriate. There is a great deal of excellent work taking place across the country to deliver relevant initiatives. We are working with partners to understand how we can best support this local activity and develop our policy to ensure that these approaches are supported and valued.

The Scottish Government prepared its draft Transport to Health Plan in 2023, we are continuing to engage with the relevant partners on the commitments contained within the plan. It is expected that the plan will be published by September 2024.

We have committed to implementing new infrastructure-levy regulations under the Planning (Scotland) Act 2019 by spring 2026. On 3 June a discussion paper was published setting out the research undertaken previously and seeking views on the various options for a levy. The discussion phase will run until 30 September. After that, and subject to the views received in response to the discussion paper, draft regulations will be prepared which will be subject to a formal consultation in early 2025.

The information requested is not held centrally, it is the responsibility of NHS Health Boards to implement these controls.

The Scottish Government Public Sector Cyber Resilience Framework which applies to all public bodies in Scotland, including health boards and Local Authorities is the framework to which Network Information Systems Regulation 2018 NHS Health Board compliance audits are conducted against.

Controls within the Scottish Government Public Sector Cyber Resilience Framework require that multi-factor authentication is implemented to cover and manage security risk, defending systems against cyber-attack, detecting cyber security events, and minimising the impact of cyber security incidents.