No additional funding has been confirmed as part of the Chancellor’s statement, with the consequential position, as per normal practice, confirmed as part of the Supplementary Estimates process in January/February 2025.

The Scottish Government will continue to work with the UK Government to seek clarity on changes that have an impact on funding.

Information on future year funding will be outlined as part of the UK Government Spending Review, the first two years of which will be published alongside the Autumn Statement on the 30th of October.

We intend to resume Tranche 1 of the Sustainability Loan Scheme in 2024-25 once we have completed the disbursement of funds for those loans already completed and confirmed a budget. This will likely not be until midway through the financial year.

Our preference remains to continue the loan scheme into Tranche 2 and beyond – however, this is dependent on whether the UK Government resumes the allocation of Financial Transaction Capital to the Scottish Government.

The Scottish Government, through the Infrastructure Investment Plan 2021-22 to 2025-26 published in 2021, has enabled the upgrade to the Edinburgh Cancer Centre (ECC) at the Western General Hospital in NHS Lothian, which will complete this financial year.

Beyond this, given the extremely challenging financial position, all capital projects are now under review. Publication of the revised Infrastructure Investment Plan will be considered only once allocations from the new UK Government are confirmed and fully appraised by the Scottish Government.

The Scottish Government does not hold this information centrally. It is for Health Boards to ensure best use of available resources whilst prioritising patient safety and care.

Each GP practice’s “Global Sum” allocation is adjusted every quarter to account for changes in their registered patients lists; growing practices should receive a greater share of national funding.

The Scottish Government annually uplifts General Medical Services funding specifically to account for population growth. In 2023-24, this amounted to £8.3 million.

All capital projects are under review and a revised Scottish Government infrastructure investment plan will be published later this year. All due consideration will be given to which projects can be included within that revised plan to ensure it is affordable and deliverable, while providing the best value for money. Our emphasis for the immediate future will be on addressing backlog maintenance and essential equipment replacement.

Where new development proposals come forward, fourth National Planning Framework (NPF4), ensures that the impacts of proposals on communities and nature, including cumulative impacts, are important considerations in the decision-making process. All applications are subject to site specific assessments and the cumulative impacts of energy development proposals are also required to be considered through statutory Environmental Impact Assessment processes, where relevant and applicable.

The Scottish Ministers have an expectation that communities are engaged at an early stage and can meaningfully influence development proposals in their area. Where there is a need for co-ordination between applicants proposing development in the same area, all parties are expected to work together to co-ordinate development and minimise any impacts on communities and the environment.

When determining applications under the Electricity Act 1989, Scottish Ministers are required to seek advice from planning authorities to ensure that decision-making is co-ordinated to reflect local circumstances.

Since 2019, NHS Tayside has been focusing on developing and stabilising breast cancer services. They have successfully recruited new Breast Oncologists to their local service, including two Breast Clinical Oncologists who work solely for NHS Tayside alongside a joint Breast Medical Oncologist post with NHS Lothian.

NHS Tayside is replacing a radiotherapy linac machine, which has generated some constraints in physical radiotherapy capacity. To ensure patients can access radiotherapy in a timely manner, NHS Tayside has collaborated with NHS Highland to offer faster access to radiotherapy for a small number of patients with breast cancer. Once the linac is fully replaced, and with the new breast oncologists now in place, NHS Tayside will deliver the full pathway of Breast Cancer Care locally with a continued drive to improve patient experiences and outcomes.

A needs based distribution methodology based on factors, including population, is used to distribute the funding available for Local Government at a council level and is agreed with COSLA on behalf of all 32 local authorities each year.

As independent corporate bodies, it is the responsibility of individual local authorities to manage their own budgets and to allocate the total financial resources available to them on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

As part of the Population Balance pillar of the Scottish Government's Population Strategy, we are working with COSLA and a range of local authorities facing population growth to understand approaches to addressing this distinct challenge. It is intended that this will be considered at a future meeting of the Ministerial Population Taskforce.

Scottish Government funding has been provided to improve the resilience and sustainability of Hospital at Home services for older people in Scotland. Distribution of funds is decided in collaboration between Scottish Government and Healthcare Improvement Scotland. NHS Fife received £18,100.56 which was the full amount of funding requested.

The Scottish Government continue to work at pace with COSLA to develop a Fiscal Framework underpinned by an Accountability and Assurance Framework. The concept of a power of general competence for local government is a consideration in those discussions.

This work is being supported by working groups consisting of Scottish Government officials, COSLA officers and representatives of CIPFA Directors of Finance and SOLACE.