Chamber and committees

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.

The main focus of the Daily Mile programme has been to embed the Daily Mile in Primary school settings and data collection has focussed on these settings. A new Daily Mile Strategy is being developed which will outline priorities over the next 3 years for expanding the Daily Mile. It will take a targeted approach, focussing on Early Years settings and areas of deprivation. Data will be collected to measure progress in embedding the Daily Mile in these settings.

The Programme for Government 2021 committed to establishing a working group with representation from the Scottish Green Party, and engagement with COSLA, to oversee the development of effective deliberative engagement on sources of local government funding, including Council Tax, that culminate in a Citizens’ Assembly. The commitment states that this should be completed in this Parliament, with a response to its recommendations debated and agreed within 6 months of being provided. Scottish Ministers have convened a Joint Working Group, which met on 8 December 2022, and has representation from Scottish Greens and COSLA, to oversee the development of effective deliberative engagement.

I am pleased to confirm that we have today published a package of announcements to provide information and financial certainty farmers and crofters need to help them prepare for the change necessary to deliver the ambitious aims set out in the Scottish Government’s Vision for Agriculture. Links are available here:

• New payment for farmers to improve animal health and welfare launched under Preparing for Sustainable farming ;
• Route Map for agricultural reform ;
• Guidance on the list of the measures being considered and evaluated for inclusion for future agriculture support in Scotland ;
• Full 2023 Payment Strategy timetable ;
• Opening of a new round of the Knowledge Transfer and Innovation Fund (KTIF) .

Last year I announced plans to hold a National Rail Conversation with the people of Scotland to seek their views on passenger rail services provided by Scotrail and the Caledonian Sleeper. The National Rail Conversation will also engage the views of regional transport partnerships, rail unions, local authorities, equalities groups, businesses, emergency services and rail industry organisations – as well as non-rail users – for their input in to the vision for rail services in Scotland.

The Scottish Government is committed to supporting Scotland’s railway for the future. It needs to be affordable; accessible; sustainable; offer fair and secure employment, and provide a safe environment for all who travel and work across it, now and in the future. It is also an important component of our public transport system, offering an alternative to car use, and is key to cutting transport emissions, and achieving our Net Zero ambitions.

There will be two key areas of focus for the conversation:

1. A series of stakeholder meetings, hosted by the Scottish Government, to discuss all aspects of rail passenger services. These events will take place over the next few months and stakeholders will be contacted shortly.

2. An extensive public engagement campaign aimed at giving as many people as possible the chance to have their say on the future of rail. It’s important that we hear from as many people as possible, including those who currently do not travel by rail.

Further details of both of these strands will be provided when I formally launch the National Rail Conversation in April, marking the one year anniversary of ScotRail coming in to public ownership.

When ScotRail came into public ownership the Scottish Government was clear: this would be a new beginning for our railways with a new guiding vision. My resolve remains on creating real opportunities to deliver a railway run for the benefit of its customers, staff and stakeholders. Through the National Rail Conversation, we will listen to feedback from passengers and stakeholders and shape a vision for ScotRail which best meets the needs of the people of Scotland.

This information is not held centrally. Local authorities and integrated health and social care partnerships are responsible for commissioning services for people within their area.

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) .

Scottish Government and COSLA will shortly set out a Data Strategy for Health and Social Care, which will articulate the first set of principles and deliverables needed to improve the access and use of data.

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