Chamber and committees

NHS Lothian has made significant progress with regards to the BAA recommendations, they have provided sufficient assurance through evidence of significant progress against the plan, improved governance and culture, and sustainable changes that NHS Lothian will be de-escalated to Stage 2 in the first instance with continued support and monitoring from SG.

We know that poverty is a key driver of poor mental health, and that those already struggling with poor mental health and money worries are likely to be amongst the hardest hit.

It is vital, therefore, that people can access the right practical advice and support to help them cope with the cost of living crisis and that this is accessible to everyone who needs it, in a range of formats.

Officials routinely engage with individual NHS Boards, providing a platform for Boards to openly discuss any particular pressures they are seeing with government. These meetings include discussion around the impact the cost of living is having on systems, referral rates and severity of presentations. This helps inform government policy around this issue, and is routinely escalated to Ministers. We also provide Boards with access to professional advice to manage any impacts the cost of living crisis has on services.

We have invested £36 million over 2021-22 and 2022-23 through our Communities Mental Health and Wellbeing Fund for adults which seeks to address the mental health inequalities made worse by the pandemic and the cost crisis. The Fund aims to build and develop capacity within community organisations and grass roots groups to support the mental health and wellbeing of individuals and has a particular focus on supporting at-risk groups including people facing socio-economic disadvantage. A range of community projects have been funded in 2021-22 which provide financial support and advice which can help provide a response to the cost crisis affecting communities across Scotland.

The Scottish Government has also launched a dedicated Cost of Living portal, signposting to helpful information across a range of subjects including energy and bills; debt and money; children and families; and health and wellbeing. Cost of living crisis - Cost of Living Support Scotland (campaign.gov.scot) .

CalMac Ferries informed Transport Scotland on 16 December 2022 of risk MV Isle Mull overhaul would be delayed. This resulted in CalMac Ferries introducing an amended single vessel service on the Oban-Craignure route from 26 December 2022 to 18 January 2023.

The Scottish Government has not undertaken any assessments regarding the viability of a fixed link across the Corran Narrows.

The Scottish Government is aware of work carried out by HITRANS on behalf of The Highland Council to consider a range of options for the Corran Narrows. As any decision to deliver a fixed link would be a matter for the Local Authority, it would not be for the Scottish Government to undertake an assessment of viability.

We continue to monitor the introduction of the £2 fare cap in England, however in Scotland we already provide free bus travel for more of the population compared to the rest of the UK, investing £300 million annually to the benefit of over 2 million people, helping improve access to education, leisure, and work. The network support grant plus was also extended to 31 March 2023 which is conditional on participating operators meeting terms and conditions including in relation to freezing fares to help keep bus travel more affordable.

Additionally, the Scottish Government is progressing the Fair Fares Review to ensure a sustainable and integrated approach to public transport fares that supports the long term viability of our public transport system as we recover from the pandemic. The Review is considering both the cost and availability of services and the range of discounts and concessionary schemes which are available on all modes including bus, rail and ferry.

Transport Scotland continues to collaborate with bus operators through the bus taskforce, to support the industry in addressing the immediate challenges, and improve bus services for people in Scotland.

I refer the member to the answer to question: S6W-14424 on 10 February 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

The health and social care staff wellbeing programme started in 2020 – 21. Prior to this, it did not have a dedicated budget.

In 2020 – 21 we spent £5 million. In 2021 – 22 we spent £12 million. The 2021- 22 spend was much higher due to additional Covid consequentials funding that is no longer available.

The Scottish Government has engaged with The Highland Council during the previous appraisal work carried out by HITRANS, on behalf of the Council, which considered a range of options for the Corran Narrows. We are aware the Council is now pursuing an upgrade to the existing ferries, but maintain a longer term aspiration for a fixed link connection across Loch Linnhe.

The Highland Council was part of regional working group which helped to inform the second Strategic Transport Projects Review. During this time, the transport options for the Corran Narrows was raised by the Council. However, ferry services and their replacement were not within the scope of that national review.

The Independent External View of Skye, Lochalsh and South-West Ross Report written by Sir Lewis Ritchie contained 15 recommendations. Progress has been made on most of the recommendations, including preservation of in-patient bed provision at Portree Hospital, increasing Scottish Ambulance Service capacity, restoring sustainable out of hours care to the communities of Raasay and Glenelg & Arnisdale and promoting digital innovation - the SkyeLab* project.

24/7 urgent care provision at Portree Hospital was partially suspended during the Covid-19 pandemic in 2021 and then fully suspended in 2022, because of severe staff shortages. Workforce recruitment and retention issues continue to be a challenge for all health services, something which is not just felt in the Highlands and Islands but across the UK. Partial restoration of the out of hours (OOH) service at Portree Hospital began on 9 January 2023 with weekend and public holiday opening 9am-6pm. In 2022, Sir Lewis Ritchie made two visits to Skye (in May and November) to assess progress, a further visit is planned for later in 2023.

I refer the member to the answer to question S6W-14415 on 9 February 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers