Chamber and committees

The following table shows Scottish Government staffing costs for Health Inequalities (HI) policy functions from 2020 to 2023, and the total over this period.

Five years on from the joint agreement between Scottish Government and the British Medical Association (BMA) on the 2018 GP contract, we have made significant progress in the implementation of Primary Care Improvement Plans (PCIPs). The Vaccination Transformation Programme element of the 2018 GP contract is complete.

While the Scottish Government will seek continuous improvement of our vaccination services, I would envisage neither a return to a model of default GP provision nor local models based on optional GP participation. This is because the aim of the Vaccination Transformation Programme was to ensure that GP practices are able to focus on the work only they can do, such as complex care and diagnosing undifferentiated presentations. Vaccinations can be administered in a wide range of different settings by a wide range of healthcare professionals.

The GP profession voted as a whole in 2018 in favour of not providing vaccinations and this position remains extant. There will always be exceptions to this of course, in rural areas and where the need to vaccinate quickly is paramount. Notwithstanding these exceptions, I would not anticipate making any fundamental changes to our vaccination model which are counter to our 2018 agreement with GPs about the future of the profession.

All Healthcare Improvement Scotland’s resources are reviewed regularly by the clinical team supporting HIS. The high risk medicines framework has been reviewed and has been identified as a useful resource for teams to use within their local settings. These are live resources and the Scottish Patient Safety Programme team welcomes feedback or suggestions for further developments.

Officials and Ministers are in regular contact with business, including some of the biggest producers, and sector organisations in relation the delivery of the Deposit Return Scheme. The lack of clarity around an Internal Market Act exclusion has regularly been raised at these meetings and causes uncertainty and inhibits planning and preparation.

In keeping with the commitment to bring forwar d a Bill this parliamentary year, the Circular Economy Bill will be introduced ahead of summer recess.

The Scottish Patient Safety Programme (SPSP) Medicines Collaborative was hibernated in 2020. Since then, the following elements have restarted:

• Non-Steroidal Anti-Inflammatory Drugs (NSAID) Safer Care Bundle
• NSAID Communication Care Bundle
• Medicines Sick Day Rule Cards
• High Risk Medicines Framework
• High Risk Medicines Discussion Framework

Two elements which have ceased are:

• Omitted medicines, which has moved to the Excellence in Care team
• Reducing Medicines Harm Across Transitions

Medicines safety continues to be a priority across Healthcare Improvement Scotland (HIS) and their current focus is on supporting the implementation of primary care pharmacotherapy services. This includes quality improvement work to ensure safe and timely access to medicines using resources from the acute prescribing and serial prescriptions toolkits. These toolkits have been developed in collaboration with primary care teams to ensure people have safe and timely access to medicines including regular, person-centred medication reviews. HIS also provides hands on implementation support to teams who can apply to join a seven week sprint programme. During this programme teams are supported to understand their local system and implement the tools and resources within the pharmacotherapy toolkits.

The Scottish Patient Safety Programme (SPSP) has developed a number of tools and resources to improve medicines safety. One area of focus has been on developing resources around the use of high risk medicines, and within high risk situations. The high risk medicines framework and discussion tool has been reviewed by the clinical team supporting Healthcare Improvement Scotland (HIS) to ensure they remain up to date and beneficial. There are also some more in-depth evaluations and updates of specific resources. The sick day rule cards are being updated in collaboration with the Quality Prescribing and Therapeutics Division of the Scottish Government and will be included in polypharmacy guidance, and HIS has commissioned the University of Strathclyde to complete a national evaluation of the Non-Steroidal Anti-Inflammatory Drugs (NSAID) safety bundles. This evaluation will be completed in the coming months and a report will be issued outlining the findings.

A programme of stakeholder engagement has taken place to develop our strategic approach to workforce planning for mental health and wellbeing. Our strategic approach, which will align with the Health and Social Care: National Workforce Strategy published March 2022, will be included within the forthcoming Mental Health and Wellbeing Strategy.

We continue to work closely with stakeholders to develop the Mental Health and Wellbeing Workforce Action Plan which will accompany the Strategy's delivery plan, with the intention of publishing in Autumn 2023.

The TSI Scotland Network is not a formally constituted group; it is a grouping of organisations with a shared purpose namely the TSIs. It does not have Office Bearers.

Some TSIs are partnerships where the role is shared across two or more organisations, others are single entities. Most of the organisations which form TSIs are registered charities, and often they are also registered companies. More information about the Network can be found at www.tsi.scot .

A list of the organisations which make up the TSI Network is given in the following table.

The 2022 Achievement of Curriculum for Excellence Levels (ACEL) data tells us that 79% of P7 pupils achieved the expected Curriculum for Excellence (CfE) level for reading by the end of primary school, which represents an increase of around 4 percentage points on the previous year. 2022 also saw increases in overall pass rates for National 5, Higher and Advanced Higher English since the last exam year in 2019.

Education Scotland continues to support teachers’ understanding of curriculum, pedagogy and assessment in the area of reading at national, regional and local levels. Their literacy networks, the National Literacy Network and the Literacy and English Curriculum Network, provide the forums to share effective literacy practice with local authorities and schools.

A National Response to Improving Literacy (NRIL) co-led by Education Scotland, Scottish Government and ADES, is underway to identify excellence as well as opportunities for improvement in literacy. The NRIL programme board consists of representatives from a range of stakeholder organisations including each of the six Regional Improvement Collaboratives and The Scottish Council of Deans of Education.

In addition, the Scottish Government also funds the Scottish Book Trust to deliver a range of programmes aimed at improving a young person’s literacy levels and encouraging a reading for pleasure culture in schools, at home and in the community.