Chamber and committees

The duty to ensure compliance with the new legislation on interlinked fire alarms in domestic properties rests with local authorities. The legislation provides flexibility for people to fit the necessary alarms in due course if they have been unable to do so by the February 2022 deadline.

The Scottish Government published a joint statement with COSLA on 21 January, which set out that local authorities will be taking a proportionate and measured approach to compliance taking individual circumstances into account as well as reflecting the evolving situation with the COVID-19 pandemic. No one will be criminalised if they need more time and there are no penalties for non-compliance.

Reducing health inequalities is a clear priority for the Scottish Government and one of the biggest challenges we face, exacerbated by the Covid-19 pandemic. Providing people with the right support locally and connecting them to the right services is crucial if we are to improve their wealth and their health.

The SG established a Short Life Working Group (SLWG) in October 2020 in acknowledgement of the key role of Primary Care in relation to tackling inequalities. The purpose of the group was not to conduct an academic or systematic review of the literature but to draw on the expertise of a wide range of stakeholders with extensive experience in this field. The group has also worked closely with an expert reference group of people who have lived experience of suffering the impact of health inequality first hand.

The SLWG’s remit was to identify service improvements and actions specifically for Primary Care to help reduce health inequalities and improve health equity. The report of the Primary Care Health Inequalities SLWG can be accessed here: https://www.gov.scot/isbn/9781804351642 . It makes a series of recommendations which cover a range of short-term and long-terms actions, which will tackle health inequalities and inequity head-on in primary care settings and wider communities. These include actions to improve equalities data in general practice, strengthening the focus of inequalities through the GP contract and a new Enhanced Service for the first time focussed on activating practices’ full potential to proactively support vulnerable people at risk of poor health outcomes.

I intend to give detailed consideration to the recommendations made and implementation options. I also wish to place on record my sincere thanks to the SLWG and the Chance to Change Group, both of whom gave considerable time and energy to this key priority during Covid-19.

Excessively long waiting lists are not acceptable and we offer our sympathies to all patients waiting for treatment. Pausing of non-urgent activity has taken place across the health system and has inevitably led to a build-up of patients waiting for treatment, and the emergence of Omicron is continuing to have an impact on existing significant pressure.

Remaining covid restrictions and infection prevention control measures mean that Audiologists are working on reduced capacity and a reduced numbers of patients have access to the services.

Additionally, all services have seen a surge in referrals since restrictions have started to ease and GPs have become more accessible. Waiting lists have grown as a result and services have to balance ensuring that patients receive good quality, efficient and effective treatment with reducing waiting times.

We published an NHS Recovery Plan in August 2021 which sets out our plans for health and social care, including audiology services, over the next 5 years.

Backed by over £1 billion of funding, the Plan will support an increase in inpatient, daycase, and outpatient activity to address the backlogs of care, which will be supported by the implementation of sustainable improvements and new models of care.

Table 1 presents the number of patients covered by the Treatment Time Guarantee (TTG) waiting for a hip or knee replacement procedure within an inpatient or day-case setting by NHS Board at 31 st December 2021.

Table 1: Number of patients waiting for a hip or knee replacement procedure 1,2 as an inpatient or day case at 31 st December 2021, by NHS Board.

I have frequent discussions with Ministerial colleagues on a range of matters. We are committed to reforming council tax to make it fairer, working with the Scottish Green Party and COSLA to oversee the development of effective deliberative engagement on sources of local government funding. including Council Tax, that will culminate in a Citizens' Assembly.

The independent review of the 2013 Town Centre Action Plan, A New future for Scotland’s Town Centres, was commissioned by Scottish Ministers and published in February 2021. We are working collaboratively with COSLA and partners to respond to the review with a revised action plan which will be published later in the spring, subject to approval from Ministers and COSLA.

Tables 1 and 2 present the number of patients covered by the Treatment Time Guarantee (TTG) waiting within an inpatient or day-case setting by NHS Board at 31 December 2021, and the number waiting over 1, 2 and 3 years for a hip or knee replacement procedure, respectively.

Table 1: Number of patients waiting for a hip replacement procedure 1,2 as an inpatient or day case at 31 st December 2021, broken down by NHS Board of treatment and length of wait.

A procurement process is underway for a web-based PROMS system to track the condition of long-waiting patients. Information and resources are being updated on NHS inform, and some joint work is ongoing with Versus Arthritis.

Earlier this year, the Scottish Government announced an extra £240,000 through the Chronic Pain Winter Support Fund to help 13 Scottish Government-funded projects across Health Boards, third-sector and other partners to enhance the support available for people with chronic pain. The money will go towards a range of services for people experiencing painful conditions, including those with knee pain, and also provide support to help people remain physically active.

Financing for retrofitting will be largely dependent on the ownership of the buildings.

There are a number of potential sources of financing including those referenced in our Infrastructure Investment Plan published in February 2021 and the latest Infrastructure Investment Plan Programme Pipeline Update from September 2021.

The Scottish Government is establishing a group to help identify potential place demonstrator projects, including in towns and town centres, as part of our 5 year £325 million Place-Based Investment Programme.