Chamber and committees

There have been 263 Tenant Hardship Loan Fund awards, with a total value of £733,894. Currently none have been repaid in full, none have been written off and the balance remaining is £663,965 as of November 2022.

We have commissioned the Health and Social Care Alliance to take forward a programme of work on ‘lived experience’ to inform women’s health policy and ensure women are meaningfully involved in decision making and priority setting going forward.

The most recent surveillance data has been published by Public Health Scotland, and this includes treatment levels since 2007-08. The report can be found here: https://hps.scot.nhs.uk/web-resources-container/surveillance-of-hepatitis-c-testing-diagnosis-and-treatment-in-scotland-2019-update/ .

The National Transition Training Fund was operational from October 2020 until August 2022. Within this period 885 training places were made available across a number of projects focused on social care. This number excludes college data from the 2021-22 academic year as this data is included within official Further Education Statistics (FES) due to be published in February. A report on the second and final year of NTTF will be published following the publication of FES data, and the college data will be included in the final published report.

There are a number of ways that good practice, clinical updates and learning on women’s health are shared across primary care. Examples of this include:

• Regular women’s health update days for primary care held at both board and national level.
• Regular training and updates for a range of women’s services, including perinatal care, smear taking, long acting contraception insertion and removal, and the menopause.
• Working with pharmacy colleagues on ensuring up-to-date and relevant prescribing information is available.
• Primary care engagement through local interface groups in developing local pathways and protocols for women’s health.
• Dissemination of updated guidelines on women’s health from areas such as SIGN, NICE and Royal Colleges through local distribution networks, signposting to new, relevant publications such as the Women’s Health Plan.
• Supporting shared learning around good practice through initiatives such as funding for first 5 GPs to attend local, problem-based small learning groups.

Additionally, locally and nationally driven learning through innovative practice is shared via primary and secondary care networks. Examples of this include:

• Increasing cervical screening uptake through using enhanced engagement techniques targeting opportunistic and vulnerable groups.
• Learning from recent trials of group education and group consultations on menopause at general practice level.
• The National Menopause Specialist Network, where examples of innovative practice across primary and secondary care are regularly shared.

Sharing good practice will be an ongoing piece of work throughout the lifetime of the Women’s Health Plan.

The NHS in Scotland has a strong track record of delivering innovative sexual health and blood borne virus services.

For example, in 2017, Scotland was one of the first countries in the world to introduce an HIV Pre-Exposure Prophylaxis service - offering free preventative medication to those deemed at highest risk of acquiring HIV.

To ensure we build on this progress, in December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward.

The Scottish Government has also committed to improving testing for sexual health and blood borne viruses, to ensure more people can receive the treatment they need. We have funded a home-testing HIV pilot project run by HIV Scotland to help evaluate the viability of this approach and its scope to increase parity of access in remote and rural areas. We have also provided over £0.5m for the development of a “once for Scotland” approach to STI home testing. This was rolled out in NHS Lothian in December, and work is underway to explore further roll-out. This service allows people to request a test online and perform home self-sampling, while providing clinicians with comprehensive, real-time data.

We recognise that the development of new models of service and treatment is an ongoing, iterative process. The Scottish Government will continue to support this, including through development of the next Sexual Health and Blood Borne Viruses Framework.

Through Reset and Rebuild - sexual health and blood borne virus services: recovery plan, published in August 2021, the Scottish Government provided an additional £0.5m of funding to assist sexual health and blood borne virus services to begin recovery from the covid-19 pandemic.

Amongst the numerous projects funded through the Recovery Plan was the SHARE project launched by HIV Scotland, further details of which can be found here:

https://www.hiv.scot/stories/share-study-launch .

In addition, the Scottish Government has supported the Conundrum project, which was designed to understand factors shaping young people’s experiences of contraception, and provided insight into how young people’s access to condoms and contraception was disrupted during the early months of the COVID-19 pandemic. Details of the project can be found here: University of Glasgow - Schools - School of Health & Wellbeing - News - CONUNDRUM project .

Understanding the impact of the pandemic will require on-going support, and it is expected that the next iteration of the Sexual Health and Blood Borne Viruses Framework, which will be published this year, will continue this work.

It is for each Board to decide how to deliver healthcare services in line with the needs of their local populations. However, following the suspension of treatment targets in 2020, and after advice from the Scottish Health Protection Network Hepatitis C Elimination Group, national treatment targets were reinstated in 2021 at a level of at least 2000 new treatment initiations for 2021-22 rising to 3000 in 22-23.

This information is not held centrally by the Scottish Government. However, information regarding PrEP uptake is published by Public Health Scotland and can be found here: https://publichealthscotland.scot/publications/hiv-in-scotland/hiv-in-scotland-update-to-31-december-2021/ .

As I said in my answer to Donald Lumsden (S6O-01659), policing is and will continue to be a priority for the Scottish Government. Scotland has a higher number of officers than at any time during the last administration – and more per head of population than England and Wales (30 officers per 10,000 population in Scotland, compared to 24 officers per 10,000 population in England and Wales (at 31 March).

Officer numbers fluctuate due to the cycle of recruitment and retirement, and this was further impacted by last year’s police pension changes. However, I was pleased to see that Police Scotland welcomed around 900 new recruits in 2022.

Our officers are the best paid in the UK, which recognises the hard work and dedication of the police workforce across Scotland. Basic starting salary for a constable in Scotland is around £5,000 more than in England and Wales and the maximum salary is also higher.