Chamber and committees

The following table shows the number of bed days occupied by people delayed in their discharge in hospitals in NHS Highland for all delay reasons over the period April 2017 to March 2022 by financial year. The hospital of delay represents the location of delay as recorded at the monthly data submission date to which all bed days within the month are assigned. The figures for 2020-21 and
‎2021-22 will have been impacted by the measures put in place to respond to COVID-19.

Number of delayed bed days occupied in NHS Highland hospitals, 2017-18 to 2021-22

The Scottish Government is in regular contact with the UK Government’s Department for Business, Energy and Industrial Strategy about the continuing discussions to renegotiate the Energy Charter Treaty, with a view to identifying and mitigating any particular impacts on Scotland.

The Scottish Government is aware of the concerns raised by The Intergovernmental Panel on Climate Change and others that International Investment Agreements, such as the Energy Charter Treaty, may lead to ‘regulatory chill’. That is why, in our Vision for Trade, we are clear that no part of a trade or investment agreement should limit the ability of the Scottish Parliament to regulate in devolved areas, or constrain much-needed action to achieve our net zero goal.

The Climate Change (Scotland) Act 2009 (the Act) sets a default position that no carbon credits purchased by Scottish Ministers can be used to meet any of Scotland’s statutory greenhouse gas emissions reduction targets, and the Scottish Government currently has no plans to change this by regulation using powers under the Act.

The Scottish Government does not hold all of this information. However, a question added to the Scottish Housing Condition Survey in 2016 to allow for more accurate fuel bill estimation means that we are able to provide figures from 2016 in the following table.

Due to enforced changes in response to Covid-19 restrictions the 2020 SHCS was not completed and it was not possible to collect this data as part of the 2021 SHCS. This data is being collected as part of the 2022 SHCS which we expect to publish in late 2023 / early 2024.

Addressing the wellbeing needs of the Health and Social Care workforce is now even more crucial than it was prior to Covid-19 and is key to both retaining our GP workforce at the current record level of 5209 and as we press ahead with our commitment to increase the GP population in Scotland by at least 800 additional GPs by end 2027.

We are investing in a number of measures that are accessible to GPs to support the physical, mental and emotional needs of the workforce, including:

• the National Wellbeing Hub and National Wellbeing Helpline;
• investment of £2 million in targeted support to the primary care and social care workforces;
• the Workforce Specialist Service, which is a confidential multidisciplinary mental health service with expertise in treating regulated health and social services professionals;
• Specific GP Coaching for GPs thinking of leaving the profession;
• additional funding to NHS Education for Scotland (NES) for the provision of psychological interventions and therapies to the Health and Social Care workforce;
• guidance to promote effective wellbeing conversations;
• enhancing occupational health provision;
• improving access to quality assured peer support and reflective practice; and since autumn 2021 we have been developing a new National Wellbeing Programme, with workstreams covering specific areas of work including ICU, nursing, primary care and social care.

We are also working with the Scottish General Practitioners Committee of the BMA with the aim of making Practice Learning Time formally available from 2023/24. While practices can set aside learning time on their own initiative, we are considering how this can be supported at a national level.

A total of 254 Target Enhanced Recruitment Scheme (TERS) bursaries have been taken up by GP trainees in the South Scotland parliamentary region since 2018. A full breakdown is included in the following table.

The member is right to focus on how we are driving sustainable, inclusive economic growth in Scotland by requiring grant recipients to pay at least the real Living Wage and provide appropriate channels for effective voice. This will take further the conditionality that we have already applied to £4bn of public funding since 2019.

As long as they act lawfully it is up to each council to manages day to day business, allocate resources. Scottish Ministers have no general powers to direct a council how to use its funding. Councils are best placed to determine how Fair Work conditionality can be applied to local priorities, with delivery monitored within their normal funding and contract management arrangements.

Although local government funding is provided through grant in aid rather than direct grant, and will not be subject to Bute House conditionality, the Scottish Government asks local government to build on the shared commitment made in June 2021 by local authority Chief Officers to adopting Fair Work First. As such, we have asked COSLA and local government to consider how the new real Living Wage and effective voice conditionality can be applied to grants they award, and take action to initiate this.

Ministers have engaged regularly with COSLA, setting out the Scottish Government’s expectation that councils, alongside the wider public sector, lead the way on Fair Work. The Cabinet Secretary for Social Justice, Housing and Local Government and Cabinet Secretary for Finance wrote to COSLA in September 2021 making clear that pay and effective voice are cornerstones of Fair Work. My officials have had regular discussions with COSLA representatives on Fair Work, and in November 2022, I met with COSLA’s resources spokesperson to discuss Fair Work and highlight this new conditionality. I also wrote to COSLA and local authority leaders on 9 December to outline the new conditionality measures being introduced to Fair Work First from July 2023, and and to reiterate the important role for the public sector in making Scotland a leading Fair Work nation.

I am advised by my officials in Transport Scotland that the finalisation of the Single Option is being revised by Network Rail to ensure alignment with wider improvements proposed for the Aberdeen-Central Belt route, including future electrification. I expect an update from Transport Scotland on this matter imminently.

The Scottish Government is committed to decarbonising Scotland’s passenger railway by 2035. In line with the Decarbonisation Action Plan, the intention is to decarbonise the Aberdeen to Central Belt route by 2030.

The Scottish Government has published the National Carers Strategy today: https://www.gov.scot/isbn/9781805253037

The National Carers Strategy sets out actions on COVID-19 recovery, the cost crisis and improving carer support in a meaningful and sustainable way. The strategy focuses on carers and their needs, setting out how policies across the Scottish Government can work together with other public bodies to support carers as we recover from the pandemic and beyond.

The Scottish Government will deliver a statement to parliament in the new year, subject to the agreement of the Parliamentary Bureau.