Chamber and committees

The decision on how to make most effective use of each maternity setting within an area is the responsibility of the NHS Board.

A mechanism for evaluation of the package of recommendations that will be led by the Early Adopter Boards will be developed over the coming months by The Best Start Implementation Programme Board.

27 September and will begin planning for implementation. We expect that Early Adopter Boards will begin to implement the new model of care in late 2018. Learning from the Early Adopters will be shared to inform the roll out across Scotland.

As an Early Adopter Board, NHS Greater Glasgow and Clyde will be undertaking detailed planning for implementation of the recommendations in Clyde, and this will include consideration of services within the two Community Maternity Units in Inverclyde Royal Hospital and the Vale of Leven hospital.

The anticipated spend on Fair Start Scotland based on performance levels set within provider contracts is detailed in the following table. As this is dependent on provider performance this figure is indicative and likely to be subject to some variation. This figure does not include non-supplier costs relating to the delivery of Fair Start Scotland.

We expect that Fair Start Scotland will support 38,000 people over the three years of referrals for which contracts have been awarded.

Through Fair Start Scotland, the Scottish Government is committed to delivering an employability service which is focussed on delivering outcomes and progression to employment.

The 2015 consultation on devolved services pointed to the need for sufficient guaranteed funding to enable smaller organisations to engage and guarantee a level of support to all participants. Therefore, Fair Start Scotland will operate differently to previous Department of Work and Pensions programmes as a service fee of 30% of the contract value will be paid.

The key aim of the service and the Scottish Government’s significant investment in it is to help as many people as possible into sustained work. By rewarding providers for job outcomes with staged payments over a period of up to 12 months, the Scottish Government is ensuring service providers support participants into sustainable work and continue to help them afterwards to remain in their job or move quickly back into work should they become unemployed again. I believe this is the best way to deliver both a high quality service and value for money.

We received over 200 responses to the consultation on future devolved employment services in 2015 alongside more than 70 events and meetings held with user and stakeholder groups across Scotland. Additional work in 2016 with disabled people, their representatives and other stakeholders informed the specific service offer for this group.

This work was supported by a literature review of successful approaches to employment support and labour market analysis of protected characteristics and other vulnerable groups using sources including the Annual Population Survey. The Literature review can be found here: http://www.learningandwork.org.uk/wp-content/uploads/2017/01/Scotlands-future-employment-services-final-report.pdf

We have created a programme that will be flexible, tailored, and responsive to the needs of those who are further from the labour market and we are on track to deliver by April 2018.

The following tables show the estimated average incomes of self-employed adults in Scotland between 1999-2000 and 2015-16. The figures are estimates based on the Family Resources Survey (FRS). They relate to all adults identified as either part-time or full-time self-employed including those who reported a loss in the period. Figures are nominal values.

Two alternative measures of the average are provided. Table 1 provides median incomes whilst table 2 provides mean incomes and includes a breakdown by income source.

The median (table 1) may be seen as the preferred measure as it is less sensitive to small numbers of especially high incomes in the underlying (FRS) dataset. However it does not make sense to provide medians for different income sources and so only the median total income of self-employed people is provided. This is made up of income from self-employment as well as from other sources.

To provide a breakdown by income source it makes sense to use the mean. The mean is sensitive to small numbers of especially high incomes in the underlying (FRS) dataset and so the overall income figures are higher than those in table 1 and are more prone to fluctuate over time.

Table 1: Annual median total income of self-employed adults in Scotland between 1999-2000 and 2015-16 , £s (nominal)

Source: Family Resource Survey

Table 2: Annual average (mean) income of self-employed adults in Scotland between 1999-2000 and 2015-16 broken down by income source, £s (nominal)

Source: Family Resource Survey

Notes:

1. All figures are nominal meaning that they have not been adjusted for inflation.

2. The FRS is a sample survey. All survey estimates have a sampling error attached to them. Given the relatively small number of records associated with self-employed adults in Scotland in the sample, some of the variability between years may be due sampling error rather than any real change in income for self-employed people in Scotland.

3. The FRS asks a detailed and consistent set of questions on self-employment earnings. However, FRS earnings measures are likely to underestimate the true monetary and other benefits of self-employment e.g. income in kind, flexibility in working patterns etc.

4. Self-employed income is the total amount of income received from self-employment gross of tax and national insurance payments, based on profits where the individual considers themselves as running a business or on estimated earnings-drawings otherwise. Excludes any profit due to partners in the business. Any losses are deducted.

The Scottish Government have designed a robust performance management framework to ensure that both key performance indicators (KPIs) and key delivery indicators (KDIs) which were set out within the Statement of requirements are met, providing quality of support to all Participants. Key products and tools have been developed to assist in the performance management activity. The performance Management framework will consist of monthly random sampling of Participant case files, observation visits and more in depth reviews where appropriate to ensure that the KPIs/KDIs are being achieved and that the service is delivered consistently across the programme for all Participants. Any areas requiring to be addressed will be monitored through performance management reviews and improvement activities.

In addition to performance management and monitoring, the Scottish Government will fully evaluate the delivery and outcomes of Fair Start Scotland. This will include commissioned research with service users, providers, delivery partners and employers, as well as ongoing analysis of performance and monitoring information. The aim of the evaluation will be to provide a clear picture of impacts at an individual, group and system level.