Chamber and committees

The Scottish Government does not hold this information centrally.

The Scottish Government does not hold this information centrally.

We recognise that pulmonary rehabilitation is an important element in managing respiratory disease and it is already a key recommendation for all appropriate patients in NICE clinical guidelines, which we expect all NHS Boards to follow.

The Scottish Government has not provided any specific funding to NHS Boards for pulmonary rehabilitation. We provide NHS Boards with baseline funding, and it is for each individual NHS Board to determine how they utilise the resources provided by the Scottish Government to best meet the needs of their local populations.

There is no funding solely allocated to the Respiratory Care Action Plan (RCAP) in 2025-2026. However, a number of the commitments in the Plan are being addressed by work that is part of other Scottish Government strategies– such as the Cleaner Air for Scotland Strategy, Warmer Homes Strategy, and the refreshed Tobacco Action Plan - or by additional funding we have provided to NHS Boards on a broader basis to make improvements that apply regardless of condition. This means it is difficult to break down funding we provide to various areas and organisations that is spent on delivering commitments listed in the RCAP.

For example, we are investing a record £21.7bn in our NHS in Scotland in 2025-2026, this includes £200m to reduce waiting times, which will deliver additional MRI, CT, ultrasound and endoscopy procedures and supports the delivery of the RCAP commitment to improve and simplify access to appropriate diagnostic tests.

As this is an operational matter for Scottish Water, and the Scottish Government does not hold the information, I have asked them to respond. Their reply is as follows:

Scottish Water measures the performance of its partner organisations through a structured framework that ensures alignment with its standards for safety, health and wellbeing, cost management, efficiency, and service excellence. Executive Director led Strategic Boards, and Senior Manager led Operational Boards are in place to review performance, and set direction for future strategic improvements.

The Scottish Government’s Respiratory Care Action Plan (RCAP) sets out our priorities from 2021 to 2026 for driving improvement in the prevention, diagnosis, care, treatment and support of people living with respiratory conditions. A number of areas included in the RCAP are broad priorities requiring continuous work rather than finite commitments that can be completed.

We have undertaken action against every area of the Plan.

To give just some examples, significant steps have been taken on preventing respiratory disease with the launch of the Cleaner Air for Scotland Strategy, Warmer Homes Strategy and the refreshed Tobacco Action Plan that have their own specific recommendations and targets, and all of which embed respiratory prevention into wider Scottish Government policy.

In 2024, we published the Quality Prescribing Strategy for Respiratory: A Guide for Improvement 2024-2027 that sets out our ambitions for better access to respiratory care. This can be found here --https://www.gov.scot/publications/quality-prescribing-strategy-respiratory-guide-improvement-2024-2027

The Centre for Sustainable Delivery based at the Golden Jubilee National Hospital is developing national patient pathways for respiratory conditions including severe asthma, COPD and sleep apnoea. This work aligns closely with the commitments in the RCAP.

In 2023, the Scottish Government provided Public Health Scotland with funding to undertake a scoping exercise with a view to developing a respiratory audit programme. However, due to current fiscal challenges, it has not yet been possible to progress this work further.

We recognise the importance of having access to meaningful data in relation to respiratory services and we are carefully considering the best way that this can be achieved going forward.

As this is an operational matter for Scottish Water, and the Scottish Government does not hold the information, I have asked them to respond. Their reply is as follows:

Scottish Water’s in-house capital project delivery team was asked to deliver a project to provide capacity for growth at Oldmeldrum Wastewater Treatment Works. The project involved cleaning of an existing aeration ditch, replacement of its mechanical rotors and installation of an innovative secondary treatment unit. The renewal of the aeration ditch was delivered successfully, but the innovative element of the project was found not to be suitable in combination with the existing treatment process at the site. The forecast cost of the project was £3.3 million and the final cost was £3.9 million.

I refer the member to the answer to the question S6W-22819 on 23 November 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

I refer the member to the answer to the question S6W-22818 on 23 November 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