Chamber and committees

We do not want to see the closure of good quality care homes and we understand the concern this causes for residents and their families, as well as for the wider community. Of course, when a home closes this can have a knock-on impact to the local economy, this particularly is felt in rural and remote areas of the country.

The economic impact on families and communities can go beyond traditional economic measures and can be greatly influenced by individual’s own circumstances and their reactions to any such changes.

We know that Scotland’s Adult Social Care sector is a significant contributor towards the Economy, adding multiple billions in Gross Value Added and employing tens-of-thousands of people. Whilst challenging to estimate we do note recent reports, commissioned by the Skills for Care and Development Alliance, which provides some indication of the potential scale of the economic value of social care in Scotland (Economic and social value of the UK adult social care sector: Scotland).

Additionally, I would highlight that although we have overall responsibility for health and social care policy in Scotland, the statutory responsibility for delivering, commissioning, providing appropriate social care capacity at a local level lies with local authorities, NHS boards and integrated Health and Social Care Partnerships. This includes the responsibility for these local authorities to develop contingency plans for each service they commission or provide, to have robust plans in place should a service close, as well as risk assessments to determine potential impacts on the local social care sector, wider system and economy.

While I recognise the seriousness of the risks faced by the social care sector, the projections from partners such as Scottish Care are the worst-case scenario. Investment by the Scottish Government into the social care sector has increased quite substantially, during a period in which pressures on public finances have been most acute

We do understand the anxiety and growing concerns within the care home and wider social care sectors regarding the current pressures on the financial viability of the sectors. Pressures that have been significantly added to by decisions taken by the UK Government, such as the increase in employers National Insurance Contributions, changes to the social care visa system and salary threshold levels.

Scottish Government officials are undertaking a programme of work to understand and respond to the current financial viability pressures in the sector and the impact that this change will have. That work remains ongoing and will continue to work with partners across social care to help manage the current risks and move towards a more sustainable future for social care within the country.

Directly comparable data is available from Financial Year 2014-2015 onwards corresponding to the introduction of the EDGE clinical research management system across the territorial NHS Boards and this data has been provided in the table below.

Patient recruitment figures by Financial Year are provided for 11/14 territorial NHS Boards. NHS Orkney and NHS Shetland patients are routinely treated as part of the NHS Grampian service and patients from these boards are included in the NHS Grampian recruitment figures below. A similar arrangement exists between NHS Western Isles and NHS Highland and is reflected in the recruitment figures below.

Accessed has been interpreted as patients who have been consented and recruited into a trial.

Drug trials has been interpreted as a Clinical Trial of an Investigative Medicinal Product as defined in the Medicines for Human Use (Clinical Trial) regulations 2004.

We are providing this information as at 31 December 2024 using data from the most recent official publication of the Scottish Government's workforce statistics. As at that date, the total number of staff employed within SG Core was 9,349. Of these staff, 8 were Senior Civil Servants who were registered as taxpayers elsewhere in the UK which represents less than 0.1% of staff and includes staff who are based in Scotland House, London or in overseas postings.

There is an expectation that individuals will relocate to live in Scotland if they are employed by us, however this is not a legal requirement unless there is an occupational reason to reside within a certain travelling distance of the workplace. Employees are required to attend their contractual work location in Scotland as required for business need.

This information has been compiled with reference to address information held on our HR systems as at December 2024. It is therefore a snapshot as at that date and does not, for example, reflect where individuals may have since relocated to Scotland following their appointment to the Scottish Government or where a revised tax code is awaited from HMRC.

We are providing this information as at 31 December 2024 using data from the most recent official publication of the Scottish Government's workforce statistics. As at that date, the total number of staff employed within SG Core was 9,349.

As at that date, 115 Scottish Government staff were registered as taxpayers elsewhere in the UK and earning over £50,000 (inclusive of any pay allowances). This represents 1.2% of staff and includes staff who are based in Scotland House, London; are in overseas postings; or are in off-shore Marine seafaring roles (where it is a feature of that labour market for the workforce to be resident in a range of different countries).

This information has been compiled with reference to address information held on our HR systems as at December 2024. It is therefore a snapshot as at that date and does not, for example, reflect where individuals may have since relocated to Scotland following their appointment to the Scottish Government or where a revised tax code is awaited from HMRC.

We are continuing to work closely with partners to design and plan the expansion of suicide bereavement support across Scotland, taking account of the evaluation findings and existing local provision.

In addition to delivering suicide bereavement support services in Highland and Ayrshire & Arran Health Boards, Suicide Prevention Scotland has progressed discussions to establish suicide bereavement support which connects to existing local and national provision in several NHS Board areas. These are: Borders, Tayside, Fife, Shetland, Dumfries & Galloway and Greater Glasgow & Clyde.

We will continue our discussions with the remaining health boards over the coming months.

Suicide Prevention Scotland, the delivery vehicle for Creating Hope Together, has been engaging with Suicide Prevention Leads in local areas to facilitate the development of local suicide bereavement approaches that meet the needs of their communities.

Specifically, in the Borders region, there has been good engagement with the local suicide prevention lead within the Health and Social Care Partnership to progress work to develop a local Suicide Bereavement Service. It is anticipated this will connect to the existing After a Suicide Working Group and Wellbeing Hub resources.

This information is not held centrally by the Scottish Government. The information may be held under the National Dental Inspection Programme (NDIP) which is a key function of the Public Dental Service, for which responsibility lies with Health Boards.

The NDIP website holds reports dating back to 2003 and covers information on how many children received an inspection each year. The website also holds some earlier reports from the Scottish Health Boards Epidemiological Programme (SHBDEP), which preceded NDIP.

This information is not held by the Scottish Government. Details regarding the Campbeltown workforce including students on clinical outreach placement will be held by NHS Highland.

This information is not held centrally by the Scottish Government but may be retrievable from individual Health Boards. All state primary schools are involved in the basic inspection. The sample size for schools and the detailed inspection should be available from Public Health Scotland, which manages the National Dental Inspection Programme (NDIP).

Our consultation last year on a new Social Housing Net Zero Standard (SHNZS) asked for views on proposals to require social landlords to improve fabric efficiency and install clean heating where it is technically feasible and cost-effective to do so. Feedback from this consultation estimated the total upfront costs for the sector to 2045 of installing clean heating systems and improving energy efficiency would be around £6 billion, with an average cost per home of around £14,000.

We continue to discuss next steps for the proposed Standard and longer term financing options with key stakeholders from the social housing sector. I refer the member to the answer to questions S6W-36595 on 24 April 2025 and S6W-36596 on 1 May 2025 for further context.

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