Chamber and committees

The British Medical Association (BMA) and I issued a joint statement to all practices on face-to-face appointments as a result of multiple discussions between both parties.

For many years now, in person face-to-face appointments form part of a hybrid model of options that are offered to patients including video consultations, telephone consultations and in person face-to-face appointments. The pandemic changed the balance between these appointment types. While we are clear that face to face appointments must increase we also recognise that for a number of patients they will wish to continue with telephone or video consultations. Changes to physical distancing guidance will assist practices to safely increase more face to face appointments.

Importantly the type of appointment offered should be agreed through shared decision making, balancing patient choice and autonomy, and practice circumstances/capacity and clinical judgement.

I last met with the BMA on 25 October 2021.

Any reported increase in Pay to Use ATM’s away from Free to Use ATM’s is a matter of great concern as it undoubtedly adds to the uncertainty faced by communities and businesses on their ability to access cash and other banking facilities.

The Scottish Government has delivered a number of reliefs for ATM sites. This includes ensuring that sites in rural areas are exempt from business rates where the building is only used for the ATM and, more widely, that there is up to 100% rates relief through the Small Business Bonus Scheme. Also, local councils have wide-ranging powers to create rates reliefs to reflect local needs under the Community Empowerment (Scotland) Act 2015.

The regulation of financial services is reserved to the UK Government and as such Scottish Ministers are unable to intervene directly in the commercial decisions made by financial services companies. The Scottish Government stands ready to work constructively with the UK Government, banks and other stakeholders to ensure that customers, communities and businesses have access to the banking facilities they need. The Scottish Government will continue to urge banks and ATM providers to listen to, and address, the very real concerns customers have on their ability to access cash and banking services when engaging with the Financial Services industry.

Potential victims of human trafficking can present or be recovered in a wide range of situations. First Responder organisations such as Police Scotland, Gangmasters and Labour Abuse Authority, Border Force, local authorities, the Trafficking Awareness Raising Alliance (TARA) and Migrant Help can identify and refer potential victims to the National Referral Mechanism (NRM). The NRM is the UK-wide system for identifying victims of trafficking and is operated by the Single Competent Authority (SCA) within the Home Office. Adults must provide informed consent to enter this process.

In June 2021, the Home Office launched a series of 12 month pilots to test devolving the responsibility to make NRM decisions for child victims of trafficking from the Home Office to local authorities. Glasgow City Council is one of ten pilot sites and the pilot has been underpinned by Scotland-specific guidance . The pilot will be subject to an evaluation by the Home Office which the Scottish Government will consider for any future policy development.

A range of training and awareness raising resources have been developed to increase the likelihood of victims being identified. In March this year, we launched a NRM toolkit for First Responders which aims to improve the formal identification of victims and we are establishing a working group to ensure the ongoing consideration of the quality and availability of training and awareness raising resources.

The Scottish Government’s National Guidance for Child Protection in Scotland 2021 provides practitioners with information on identifying and responding to concerns about children or young people who have experienced or are at risk of experiencing abuse or neglect, including child victims of human trafficking and exploitation.

Migrant Help and the Trafficking Awareness Raising Alliance (TARA) were awarded a combined £1,484,606 for the current financial year to support adult victims of human trafficking and exploitation across Scotland. Support can include accommodation, assistance with day to day living, medical advice and treatment, language translation and interpretation, counselling, legal advice, help accessing other services and, if the victim wishes, repatriation.

Both Migrant Help and TARA maintain crisis accommodation which is available to potential victims of trafficking and exploitation.

The Scottish Government works with communities and the local authority in Glasgow, and across Scotland, to support our just transition to net zero emissions in a number of ways. This includes, but is not limited to:

• Committing £1.3 million of grant funding to 8 Climate Challenge Fund projects in the Glasgow area. The Climate Challenge Fund supports communities across Scotland to take action on climate change and make the move to low carbon living. The Glasgow projects cover a range of themes including helping communities to reduce their reliance on car travel, cut waste, grow local food, improve household energy efficiency and tackle fuel poverty.
• Commissioning a study, as part of the Clyde Mission, into climate adaptation pathways along the tidal reach of the River Clyde. That study will conclude in early 2022.
• Supporting the installation of a river source heat pump at a community hub in Govan, through the Clyde Mission Fund. A further £25m will be allocated to riverside heat decarbonisation projects along the Clyde in the current Parliamentary term.
• Awarding a £128,000 grant, through the Social Housing Net Zero Heat Fund, to Southside Housing Association. The project is applying Passivhaus (Enerphit) principles to the retrofit of eight pre 1919 sandstone tenements in the south side of Glasgow.
• Providing £4.5 million of grant funding from the Low Carbon Infrastructure Transition Programme to the NG Homes Air Source Heat Pump Project in Springburn, which will reduce emissions and heating bills for nearly 600 homes.
• Investing over £60 million in active travel routes in Glasgow through the Scottish Government funded Places For Everyone Programme including projects such as Glasgow Avenues Plus and the South City Way. These will contribute towards tackling climate change by supporting a modal shift away from cars and towards walking, wheeling and cycling.
• The Early Learning and Childcare 1140 hours expansion is driving Glasgow City Council’s construction of four new nurseries, which will incorporate innovative green technologies, including receiving their hot water and heating from electricity, to help mitigate and adapt to the effects of climate change. The inclusion of sustainable solutions – is being delivered through match-funding from the Scottish Government’s ‘low carbon infrastructure transition programme’ (LCITP).

National Referral Mechanism (NRM) First Responder organisations play a key role in the identification and recovery of potential victims of human trafficking and exploitation. First Responders in Scotland include Police Scotland, UK Visas and Immigration, Border Force, Home Office Immigration Enforcement, National Crime Agency, local authorities, Gangmasters and Labour Abuse Authority (GLAA), Migrant Help and the Trafficking Awareness Raising Alliance.

In March this year, we launched a toolkit for NRM First Responders which aims to improve the formal identification of victims in Scotland. We are also establishing a working group to ensure the ongoing consideration of training and awareness raising resources.

Grant funding of £2million was awarded in the current financial year to organisations providing support for recovery to adult and child victims. It is not possible to accurately cost the wide range of activity undertaken by the Scottish Government and partners to improve identification and recovery, or to express this as a percentage of overall activity to deliver the Strategy.

Since 2019, data relating to the National Referral Mechanism has been released by the Home Office Single Competent Authority. Information is published quarterly and in an end of year summary.

Data relating to 2018 was released by the National Crime Agency and can be found at:

https://nationalcrimeagency.gov.uk/who-we-are/publications/282-national-referral-mechanism-statistics-end-of-year-summary-2018/file .

Data relating to 2019, 2020 and 2021 can be found at: https://www.gov.uk/government/collections/national-referral-mechanism-statistics 

The Scottish Government grant funds the Trafficking Awareness Raising Alliance (TARA) and Migrant Help to provide support and assistance to adult victims of human trafficking and exploitation; and NHS Greater Glasgow and Clyde Psychological Trauma Service to meet their psychological support needs.

Grant funding is also provided to the Scottish Guardianship Service for specialised support for unaccompanied asylum seeking children who are victims, or at risk, of human trafficking.

Grant agreements include a range of conditions requiring compliance in order to support victim care. These are reported against quarterly and regular monitoring meetings are held with officials.

Support providers conduct assessments with clients as they exit services and TARA has recently developed an externally facilitated survivor advisory group to provide open and transparent feedback as part of this process.

Section 36 of the Human Trafficking and Exploitation (Scotland) Act 2015 requires Scottish Ministers to review the Strategy within three years of its publication and following that review, publish a report on the review. The Scottish Government published a review of the Trafficking and Exploitation Strategy in May 2020 in line with this requirement.