Chamber and committees

The pandemic has been the biggest shock our NHS has ever faced. It has necessitated the imposition of Infection Prevention Control measures in order to contain its spread, particularly prior to the vaccination programme being fully rolled out.

These IPC measures, which have recently been deescalated, changed the way GPs see their patients. The Scottish Government wants to see greater availability of face-to-face appointments and is working with the BMA and RCGP to ensure this happens as quickly as possible. However, Covid has not gone away yet, therefore some precautions remain in place. We are clear that where clinically necessary face-to-face consultations will always be available to those who need them.

We must continue to move toward a position where choice is being offered routinely, and the Scottish Government welcomes the GMC’s proposed changes to the Good Medical Practice guidance placing a greater emphasis on shared decision-making between GPs and their patients.

Many GP practices did offer patients video or phone consultations as well as in-person face-to-face consultations before the pandemic changed the balance and we expect a number of patients will wish to continue afterwards with video or phone consultations rather than travel to their GP practice. Ultimately, what is most important is that appointments are agreed through shared decision making, balancing patient choice and clinical judgement.

We continue to explore new ways and approaches to support people to, for example, upload an image of their skin condition for review. This can support people to seek advice in a way that best supports their needs and requirements whilst also ensuring they still have access to a face-to-face appointment.

All GP practices are expected to follow the Infection Prevention and Control Manual for in-person visits as well as their local Health Board's guidance.

We are working hard to abolish excessively long waits that have undoubtedly been exacerbated by the impacts of the global pandemic and we offer our sincere sympathies to all patients waiting for treatment.

Pausing of non-urgent activity during the pandemic has inevitably led to a build-up of numbers waiting for treatment, and the emergence of Omicron and the BA.2 sub-variant in late 2021 has undoubtedly added to existing significant pressure. We are working closely with NHS Boards to get those waiting for treatment the care they need as quickly as possible.

In order to support a sustainable reduction in the backlog of planned care procedures in Scotland, the Scottish Government published an NHS Recovery Plan in August 2021. Backed by over £1 billion of funding, this sets out our plans for health and social are over the next 5 years.

The NHS Recovery plan can be accessed here: NHS recovery plan - gov.scot (www.gov.scot)

Information is provided in the following table.

The Final Determination explained that the Commission would expect that its charge caps would allow Scottish Water’s annual revenue in the final year of the current regulatory control period to be no less than £1,392m. This level of revenue was based on assuming an average charge cap of 1.5% a year above inflation over the regulatory control period 2021-27. Based on the level of charges to date, and using the same assumptions made in the Final Determination, charges would need to rise by 1.8% above the rate of consumer price index inflation in order to achieve this same level of revenue.

As required by the Water Industry (Scotland) Act 2002, Ministers made a Principles of Charging statement for the 2021-27 regulatory period. The statement included the increase to the maximum discount available under the water charges reduction scheme from 25% to 35%.

The average household bill in Scotland is calculated as revenue, net of applicable discounts and divided by the number of household properties in Scotland. The average household bill in England and Wales is published on the Discover Water information site at https://discoverwater.co.uk/annual-bill .

This information is provided in Scottish Water’s Annual Report and Accounts which is published on Scottish Water’s website and laid before Parliament each year. The accounting provision Scottish Water has made for household bad debt in each of previous 10 financial years is set out in the following table.

The Scottish Government Budget for 2022-23 sets out that during this financial year, the Scottish Government intends to lend £170m per annum in capital funding and to receive some £105m income per annum which is the interest on loans issued to Scottish Water. Across the 2021-27 period Ministers have committed to lend Scottish Water up to £1.03bn. Lending in future years will be agreed in future Budget Acts.

The quoted figure of -£97m is the resource budget for the Water Industry portfolio. This reflects some £105m income of interest payments by Scottish Water less amounts of spend on Hydro Nation and Private Water activities. The breakdown of spend is included within table 9.16 of the Budget.

Scottish Water is financed through revenue raised from customer charges and loans issued by the Scottish Government. The spending review has simply confirmed the intention to lend £170m per annum to Scottish Water and hence it has no impact on customers’ bills.

I refer the member to the answer to question S6W-09008 on 15 June 2022. 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

This information is provided in Scottish Water’s Annual Report and Accounts which is published on Scottish Water’s website and laid before Parliament each year. The information is copied in the following table.