Chamber and committees

Scottish Government is committed to implement payment reform from 1 November 2023. It was confirmed to the sector on 20 March 2023 that the timeline for the payment reform showcase was necessarily delayed by the process to replace the First Minister. The sector retains financial support until 31 October to support the delivery of services until the implementation of payment reform.

The current position is that the payment reform discussions with the British Dental Association (BDA) have begun on 10 May 2023. It is intended to that an announcement to the dental profession will be available in early summer.

Extending digital connectivity is vital to communities, businesses and public services. That is why the Scottish Government strategy, A changing nation: how Scotland will thrive in a digital world , sets out a series of measures to ensure that Scotland will fulfil its potential in a constantly evolving digital world.

https://www.gov.scot/publications/a-changing-nation-how-scotland-will-thrive-in-a-digital-world/pages/foreword/

As part of this there is work to improve and extend Scotland's broadband and mobile networks as enabling citizens, including care home residents, to access and use digital services is a national priority with established principles.

Health and Social Care Standards

The Health and Social Care Standards, which set out what people should expect when using health, social care or social work services in Scotland, includes a range of standards about ensuring that people remain connected. This includes standard 5.10:

“If I experience 24 hour care, I am connected, including access to a telephone, radio, TV and the internet.”

The Standards are taken into account by the Care Inspectorate in relation to inspections, and registration, of social care services.

https://www.gov.scot/publications/health-social-care-standards-support-life

To support good practice, the Care Inspectorate have published quality illustrations statements in this area for adult care homes:

“People have easy access to the internet and a telephone and are routinely and actively supported to make best use of these. This includes space to have private conversations.”

“People are unable to stay connected as providers have not taken steps to minimise the impact of poor access to technology or areas where there is limited Wi-Fi or phone signal.”

“While there may be access to telephone and the internet, people are not routinely or actively supported to use these or cannot do so in private.”

“People benefit from options to keep connected using technology such as radio, phone, TV and the internet.”

Care Home design guide

The Care Inspectorate have published “Care Homes for Adults – The Design Guide” which provides advice on the design, planning and construction considerations for new or converted care homes for adults. This sets out expectations around internet access in care homes:

“Internet access must be sufficient to enable residents to retain contact with friends and relatives, as well as for recreational use such as music and video streaming or watching live events. It is also a necessary area for contact with professionals such as GPs through Near Me consultations, and for staff to maintain digital records”.

https://www.careinspectorate.com/index.php/publications-statistics/30-professionals-registration/professionals-guidance/6583-care-homes-for-adults-the-design-guide

Technology good practice guide

From a technology enabled care perspective, the Care Inspectorate’s recent publication “Using technology and digital devices to make a positive impact on health and wellbeing for people experiencing care” highlights how access to digital connection is becoming essential for everyone’s health and wellbeing. This publication supports improvement through quality illustrations, case studies and a toolkit of resources. The guide can be accessed at:

https://www.careinspectorate.com/index.php/publications-statistics/76-professionals-registration/resources

During the pandemic

As part of the Digital Approaches in Care Homes programme launched during the pandemic, in November 2020, Scottish Government offered all care homes in Scotland digital devices for use by and with residents, as well as MiFi devices (internet connectivity dongles) with free data for up to two years for those homes with no, or partial, Wi-Fi coverage. 1034 (75%) of care homes accepted the offer of devices, and 45% the offer of MiFi devices (9% had no Wi-Fi, 36% partial only). All care homes were contacted by email and telephone to ensure the offer was received. Of the 25% of care homes that rejected the offer, the majority stated that they had both the devices and connectivity required at the time.

A recent survey by SCVO (March 2023) has established that 76 MiFi connections are still in use by 54 care homes, and remains their primary internet connection for residents. The Digital Social Care Portfolio Board has endorsed the extension of the initial offer of free data to December 2023 to allow the care homes the time to migrate to more sustainable internet connection solutions. The MiFi devices offer the fastest possible connection available via mobile telephony (3G/4G/5G) depending on the reception available in the area.

Reaching 100% (R100) programme

Through the Reaching 100% (R100) programme the Scottish Government is ensuring that all homes and businesses can access superfast broadband. This is delivered through three strands of activity – the £600 million R100 contracts, the R100 Scottish Broadband Voucher Scheme (SBVS) and continued commercial coverage. Property owners and residents can see what the R100 programme will mean for them by visiting www.scotlandsuperfast.com .

The R100 contracts are proceeding at pace and have connected over 22,400 premises with a further 5,700 connected as a consequence of contractual overspill and at no extra cost to the Scottish Government. Over 3,100 premises have also been connected through the R100 Scottish Broadband Voucher Scheme.

I refer the member to the answer to question S6W-17800 on 18 May 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 Modernising Patient Pathway Programme Coeliac Disease Pathway Test of Change Final Report, September 2020 estimates that the incidence of diagnosed Coeliac Disease is 1% of the population in Scotland with 7-8 people remaining undiagnosed for every person diagnosed.

The Scottish Government is committed to ensuring that all people living in Scotland with long term conditions such as coeliac disease are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and put the person at the centre of their care.

We expect all Health Boards to fully implement the Coeliac Disease Pathway in Scotland to improve under diagnosis and improve time to diagnosis for those with coeliac disease. Our £70 million Endoscopy and Urology Diagnostic Recovery and Renewal Plan is increasing capacity and supporting workforce training. This also includes a commitment to promote and implement guidelines for non-biopsy diagnosis for coeliac disease, which is expected to reduce waiting times for diagnosis for this condition.

Health Boards have developed plans to increase capacity, workforce and activity. Mobile Endoscopy Units are providing access to an additional six endoscopy rooms to help people get the diagnostic tests they need. Additional activity throughout the week, including weekends, will help reduce diagnostic waits.

I refer the member to the answer to question S6W-17798 on 17 May 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 Scottish Government believes all women in Scotland should be able to access timely abortion care without judgment, should they require it. We would encourage all women wanting advice on an abortion or considering options for their pregnancy to contact their NHS Board, who can help offer advice or signpost them to other appropriate services.

The Scottish Government respects the fact that many individuals and organisations do not support abortion and may wish to discuss alternatives with patients, where patients request this. However, we expect all organisations to provide clear information for clients about the nature of the services they provide.

Decisions on the registration of charities in Scotland are a matter for the Scottish Charities Regulator OSCR, which is independent of the Scottish Government. Concerns about the actions of a charity should be raised with the charity trustees in the first instance and then with OSCR. If there is any evidence to suggest that Stanton Healthcare East of Scotland has provided any misleading or unethical advice, the Scottish Government would be happy to discuss this and, if appropriate, share any relevant evidence with OSCR.

The Scottish Government welcomes the publication of the RCN Scotland report, The Nursing Workforce in Scotland, and notes the report's recommendations.

On 21 February 2023 we announced that a Nursing and Midwifery Taskforce had been established to build on efforts to make Scotland the best place for nurses and midwives to work by developing plans for recruitment and retention. The Nursing Workforce in Scotland Report, and its recommendations, will be considered by the taskforce as a part of its work.

The Private Rented Sector Landlord Loan Scheme was launched in April 2020 to support landlords with the cost of installation for energy efficiency improvements, renewable systems and energy storage systems.

The funding allocated for the scheme is set out in the following table:

Local Heat and Energy Efficiency Strategies (LHEES) are at the heart of a place based, locally-led and tailored approach to the heat transition in Scotland. These local strategies will underpin an area-based approach to heat and energy efficiency planning and delivery. LHEES will set out the long-term plan for decarbonising heat in buildings and improving their energy efficiency across an entire local authority area.

LHEES guidance is framed around what can be delivered now given the existing policy and funding landscape, and sets out requirements for the first iteration of LHEES published by the end of 2023. LHEES will evolve as the Scottish Government introduces future standards and regulation, as well as new delivery and funding programmes.

The Scottish Government is providing multi-year funding of £75,000 to each local authority to support the development and delivery of their LHEES. Local authorities are able to decide how they allocate this funding including for related functions beyond the development of the Strategy and Delivery Plan.

The Scottish Government does not hold the information requested.

Responsibility for the management of the (a) police estate is for Police Scotland, which is accountable to the Scottish Police Authority; and (b) the fire estate is for the Scottish Fire and Rescue Service.

Meeting health and safety requirements across their estates continues to be a high priority for both Police Scotland and the Scottish Fire and Rescue Service.