There is already existing discretion within NHS arrangements for dentists to charge patients for late cancellations and missed appointments, in accordance with their business need.

As circumstances may vary considerably between practices with respect to demography, registered patient numbers and other key determinants for the viability or necessity of additional charging, it would not be appropriate to implement a national policy on such matters.

Capitation payments are paid monthly per patient to NHS dentists to help ensure that patients remain registered. Where a patient does not attend for examination or treatment for a period of greater than 3 years the monthly payment for that patient falls to 20% of the full rate.

This arrangement incentives dentists to re-engage with patients who have not attended for some time to better manage their oral health. There is no intention to review this arrangement.

There is ongoing engagement with the Nordic countries on a wide variety of policy issues which deliver against the commitments in Scotland’s International Strategy and the Scottish Government’s Priorities for Scotland. For example: officials are working to develop opportunities for policy learning and exchange with Sweden on forestry and peatland restoration, while collaboration with Denmark is proving pivotal to informing the Scottish Government’s approach to digitisation and health reform. Scottish Government officials benefit from working closely with colleagues from Scottish Development International, who are based in the Nordic Office. Integrated working between the two teams has led to the first Space Scotland Summit which can be linked to £2 million of exports.

To accompany the launch of changes to the dental payment system from November 2023, Scottish Government ran a marketing campaign via commercial radio, social media and surgery posters to highlight the changes to patients and direct them to NHS Inform for more information on a range of oral health matters.

NHS Inform is Scotland’s national health information service and supports people in making informed decisions on all aspects of their health. Information on oral health and dental care includes typical scenarios which patients can expect in attending the dentist, including the importance of regular attendance. In addition to this national resource, each individual dental practice is required to display its policy for late cancellations and non-attendance at scheduled appointments.

In order to ensure the efficient and timeous processing of dental payments to contractors all claims require to be submitted for payment within 3 months of the completion date of the claim.

This reflects the period from the closure of the claim for the care and treatment undertaken. As this requirement is widely understood within the sector there are no plans to review this.

National Planning Framework 4 (NPF4) was published following extensive consultation and engagement, including with rural communities, and was adopted by the Scottish Ministers in February 2023. While Scottish Ministers can decide to amend the NPF or review it in full at any time, having an established and consistent policy framework enables confidence in the planning system and so we expect to exercise this power sparingly. We have no current plans to amend NPF4.

The Scottish planning system is plan-led, with a focus on involving all interests as early and effectively as possible. There are a range of opportunities for individuals and communities to get involved during both the plan-making and planning application stages of the planning and development process.

Potential impacts on communities, nature, and cultural heritage, including the cumulative effects of developments, are important considerations in the decision-making process. When an application is received, a full public consultation is carried out, and Scottish Ministers invite representations from members of the public and consult the appropriate community councils, alongside other public bodies. The decision whether to grant consent is taken only after careful consideration of environmental information, consultee responses and public representations.

In reaching their decision, Scottish Ministers will determine applications in accordance with legislative requirements and relevant policy. Our National Planning Framework 4 ensures the potential impacts of energy infrastructure projects on communities, nature, and cultural heritage, including the cumulative effects of developments, are important considerations in the decision-making process.

There is no lack of emergency access to any specialty over winter.

Our planning for this winter builds on the effective measures which have supported our health and social care services through previous years. However, we stand ready to take additional measures, if necessary, with all specialties, including urology.

We have developed our winter plan with input from the whole Health and Social Care system which brings together best practice and improvement work which we know works from lessons learned in previous winters, to ensure that the most appropriate care is received in the right place and at the right time.

Waits often occur due to a wait for an inpatient bed – in these circumstances patients will have been assessed by emergency department staff and their condition will be monitored while they remain in the department.

The relationships, sexual health and parenthood consultation report is now being prepared for publication. I am grateful for the extensive contributions to the consultation and the report will be published shortly.