Chamber and committees

Patients travelling outwith their local Health Board area for treatment at a National Treatment Centre (NTC) will be compensated for their travel expenses by their Board of Residence, in line with the process for other cross boundary patients.

Patients referred in the first instance will be expected to make their own way to the NTC. However, to ensure equity of access, where necessary - and by special arrangement between the NHS Board and the NTC - every effort should be made to support transport arrangements for patients who otherwise meet the referral criteria for treatment within an NTC facility. To support equity of access across patient groups, where NTC transport services are not available, alternative transport methods may be used (e.g. Hospital Ambulance Car Service, a volunteer service, ambulance or taxi). On all occasions the cost of transporting patients will be passed back to the purchaser (referring Board) for payment.

Patients should speak to their local health board about help with travel or accommodation costs to attend an appointment at an NTC and should follow the NHS Board travel expense policy requirements guidelines to make an expense claim.

In the specific case of NHS Grampian patients receiving treatment at NTC Highland:

Patient travel costs and the travel cost of a person accompanying them will be reimbursed. This is either at a cost per mile if they choose to drive or full reimbursement of public transport. If required by the patient, support can be provided by NHS Grampian’s Central Waiting Times Team to arrange transport on their behalf.

Accommodation is offered to the patient, and person accompanying the patient under reasonable circumstances, and would be arranged through NHS Grampian’s Central Waiting Times Team. Costs are either reimbursed to the patient or paid for directly by NHS Grampian (as is the case for Golden Jubilee Hospital).

Examples of reasonable circumstances

•if the appointment or admission time is early morning or late afternoon.

•if the patient requires an overnight or multiple nights’ stay at which point accommodation would be arranged for the person accompanying the patient.

•The patient or person accompanying them has medical conditions which would prevent travel to and back from location on same day.

If capacity at NTC Highland were to be allocated to other Boards outwith the local health board area, the responsibility for accommodation and transport would similarly fall upon the patient’s Board of Residence and be subject to that Boards’ procedures for cross-boundary patients.

The £25 million allocated to the Scottish National Investment Bank from the Just Transition Fund is part of the Fund’s existing £500 million commitment over ten years, and will be invested by the Bank on a commercial basis, in line with its Investment Strategy and in support of the just transition to net zero in the North East.

The Bank reports publicly on the performance of its investments including through their annual Impact Report.

The Scottish Government is committed to investing in Changing Places Toilets during this parliamentary term, in order to increase the number of these facilities across the country and to support mobile Changing Places Toilets to allow people easier access to events and outdoor venues.

Further information will be available over the course of this parliamentary term.

The Scottish Government is in regular contact with COSLA and representatives from local authorities regarding the expansion of free school meals.

The Scottish Government wants to ensure the quality, fairness and consistency of social care support provision regardless of where people live in Scotland. Framework guidance on National Eligibility Criteria and Waiting times for the Personal and Nursing Care of Older People was issued jointly by the Scottish Government and COSLA for use by local authorities on 28 September 2009.

Four eligibility categories - Critical, Substantial, Moderate and Low Risk are defined in the framework. In addition, the category of "No Risk" is used for people who are assessed as not coming under any of the four eligibility categories, and "Not available" is used when the eligibility category is not known. The eligibility criteria consider both the severity of the risks and the urgency for intervention to respond to the risks.

The national framework recognised that local authorities should set eligibility criteria that indicate what level of need they and their partners recognise as requiring services. In setting criteria, local authorities consider a range of factors including the overall level of resources available to meet need, the cost of service provision and ensuring equity in their service decisions. These criteria are not required by statute, but most local authorities have relied on them for the allocation of limited resources.

Eligibility criteria can be a barrier to accessing social care support. We want the focus to be on people getting the support they need when they need it, not on eligibility. The Scottish Government and COSLA are committed to "the overhaul of the current mechanism of eligibility criteria to ensure an approach to social care support that is based upon human rights and needs" (Joint Statement of Intent and Next Steps for Adult Social Care, December 2022), and are working together with partners and stakeholders on the development of alternative approaches.

The Scottish Government can investigate complex cases in relation to future broadband connections delivered through Scottish Government funded programmes such as the Reaching 100% (R100) programme. Through our online checker at www.scotlandsuperfast.com , members of the public are able to check if their property will receive a connection through the R100 contracts or if it is eligible for a voucher worth up to £5,000 through our R100 Scottish Broadband Voucher Scheme (SBVS). There is an online enquiry form to contact the R100 team directly for additional information.

In cases where members of the public have issues related to connections being delivered by commercial suppliers, it falls upon Ofcom as the UK’s telecoms regulator to investigate any such matters: https://www.ofcom.org.uk/about-ofcom/contact-us .

The Scottish Government is committed to delivering a Net Zero, Wellbeing economy and a highly skilled workforce is critical to this ambition. Our National Strategy for Economic Transformation is clear that we must adapt our education and skills system to become more responsive and agile so that it can deliver on our key priorities.

Published in 2020, the Climate Emergency Skills Action Plan (CESAP) provides a framework for green skills planning and investment across priority sectors directly affected in the transition to net zero: Energy, Construction, Transport, Manufacturing and Agriculture and land-use.

The Scottish Government’s Making Scotland’s Future programme brings together public sector partners, including Skills Development Scotland, to support the manufacturing sector. The workstream intersects with CESAP and has identified the skills implications of the transition to net zero for the manufacturing sector including the rise in demand for data and digital skills, increased need for design, analytical and technical skills on top of the requirement for resilience and adaptability in the face of technological change.

SDS is working alongside the National Manufacturing Institute Scotland (NMIS) to support industry including SMEs which make up 97% of the manufacturing business in Scotland. NMIS supports businesses to define their skills needs and support the transition to net zero, as well as providing training and professional development courses.

SDS have also commissioned Ekosgen to work up an evidence base for energy skills in the Inner Moray Firth to support the ScotWind project in the area. The piece commissioned by SDS was to explore the existing skills in the area and where gaps would be in supporting the project. This work was carried out alongside work which has been undertaken by the Scottish Offshore Wind Energy Council, who have produced a skills roadmap to understand the skills needs to support the likely increased demand for Scotland’s potential offshore wind energy.

This work will support the development of a Just Transition Plan for the Manufacturing Sector.

a) Information on care home residents is reported on through the Care Home Census, published by Public Health Scotland (PHS). Information is published on a rolling 10-year basis; therefore, the figures below have been sourced from multiple Care Home Census publications. This includes historic extracts of publications from NHS Information Services Division, prior to the creation of Public Health Scotland. The Care Home Census was not run in 2020 due to the Covid-19 pandemic.

Table 1: The estimated number of care home residents aged 65+ years, 2007 – 2022

The Scottish Government is working with local government partners on the Additional Support for Learning Project Board to deliver the recommendations of the 2020 additional support for learning review by March 2026. As outlined in our updated action plan , published in November 2022, we committed to revise GIRFEC policy and practice guidance, and to consider a single planning process for children and young people.

It is the responsibility of Local Health and Social Care Partnerships to put in place services to meet local needs, including the needs of adults with ADHD.

The 2020 Programme for Government included a commitment to consider a National Clinical Pathway for ADHD. In order to deliver on this, the Scottish Government commissioned the National Autism Implementation Team (NAIT) to carry out a feasibility study to investigate how such a pathway would work and benefit adults diagnosed with ADHD. The Feasibility Study was published in January 2021, with the report finding that a multi-disciplinary neurodevelopmental approach, inclusive of ADHD, was needed.

Following on from the study, the Scottish Government has provided funding of £650,000 for adult neurodevelopmental pathway trials. The final report , including the findings and recommendations of the trials were published in March. We have accepted the recommendations and we are working with NAIT on implementation.