Chamber and committees

Tackling health inequalities and improving life expectancy remain clear aims of the Scottish Government. To achieve this, we are taking forward wide-ranging action targeted to support communities most in need and address the root causes of inequality; which have been exacerbated by the COVID-19 Pandemic and other recent economic shocks.

This includes allocating around £3 billion a year since 2022-23 to tackle poverty and protect people during the ongoing cost-of-living crisis - as well as initiatives to promote healthy lifestyles through tobacco control, preventing alcohol related harm, promoting healthy eating and physical activity. Reinforced by targeted action through our Women’s Health Plan, which clearly sets out actions which aim to address women’s health inequalities by raising awareness across women’s health, improving access to healthcare for women across their lives and tackling inequalities in health outcomes for women and girls.

We are also working with our partners to develop a Population Health Framework, to take a cross-government and cross-sector approach to improve the key building blocks of health including: good early years and education; good work and income; healthy places; and equitable health care. With an overarching ambition to accelerate the recovery and improvement of population health in Scotland with a focus on a whole system approach to preventative action.

The Scottish Government is aware of the report.

The Scottish Government already has in place service level agreements with the Animal and Plant Health Agency and local authorities to ensure farm animal welfare legislation is complied with. In addition, Scottish Government Inspectors from our Rural Payment and Inspections Directorate conduct a number of on farm inspections annually which include the consideration of any livestock present.

The Scottish Government also recognises the challenges faced by local authorities in the current fiscal climate and in line with the Verity House Agreement, we continue to engage with COSLA on resourcing matters.

In November 2021, the former Minister for Drugs Policy announced a commitment to increase the number of people publicly funded to go through residential rehab per year by 300% to 1,000 by 2026.

The Scottish Government does not hold this information.

NHS Boards are responsible for managing their contracts with GP practices, whether General Medical Services contracts (referred to in the question as “17J contracts”) or Primary Medical Services agreements.

Such data as exists on practice closures, mergers or other changes of contractual status does not record whether or not practices “chose” to change.

The Scottish Government payment system confirms that no funding has been provided to Stream Bioenergy in the last 5 years.

The Scottish Government is working closely with NHS Education for Scotland (NES), to identify and deliver training opportunities for health and social care workers in rural and island areas. Through the National Centre for Remote and Rural Health and Care, housed within NES, 30 practitioners have undertaken the MSc in Rural Advanced Practice in 2023 and 2024, supporting career development, increasing equity in education and supporting the sustainability of primary healthcare services. The Centre will continue to develop new rural specific recognised qualifications to address skills gaps and drive innovation.

We are currently funding a dedicated resource in NES to scope the current skills landscape and identify where earn as you learn programmes could be expanded and where further development work is required with the aim of widening the pathways into health and care careers.

The Open University already provides distance learning Nursing degree education, which is accessed by Healthcare Support Workers already employed by NHS Boards, enabling them to train in their local area and continue to work.

Further, work is being explored via the Allied Health Professional and Healthcare Science education reviews’ recommendations and the Nursing and Midwifery Taskforce on how best to diversify the delivery and flexibility of education programmes.

Whilst the Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters including staffing requirements are in the first instance the responsibility of the relevant Health Board. As such, recruitment is a matter for Health Boards. The National Health Service Reform (Scotland) Act 2004 has created a duty on Health Boards to co-operate with each other to secure and advance the health of the people of Scotland, enabling the arrangement of travelling consultants

Glasgow City Alcohol and Drug Partnership (ADP) has hosted 12 local community drop in engagement sessions within the Calton and surrounding area focused on allowing local residents the opportunity to raise concerns, ask questions and engage with the project leads. Local residents who use drugs and family members were also included. The drop in sessions were advertised locally via posters, via leaflet drop and via social media. Questions from the sessions informed a Frequently Asked Questions document (available here - SDCF - Frequently asked questions) and Glasgow ADP also created a ‘You Said We did’ document to demonstrate the actions taken following feedback which is shared at all in-person sessions.

These sessions were in addition to several attendances by the ADP at Community Council meetings, local Area Partnership meetings, and Local Engagement Forum meetings.

To allow ongoing community engagement, the ADP have also established the Thistle Community Forum, including local residents, local business, Police Scotland, the Recovery Community and other key stakeholders which will support people to raise concerns and facilitate a coordinated response.

In addition, Glasgow City Council organised 2 additional deep cleans of the surrounding area in response to local residents complaints about the poor state of the streets. The independent evaluation researchers were invited to attend in response to questions about how the impact of the service on the local community would be measured.

Glasgow City ADP will continue to engage with local residents, businesses and their staff in the run up to the opening of the facility and once it is established.

The duty to carry out Island Communities Impact Assessments came into force on 23 December 2020. All ICIAs and decisions not to carry out an ICIA are published by the Scottish Government and are readily available to access online.

While the Scottish Government provides the overarching guidance/framework for patient travel expenses reimbursement, NHS Boards are responsible for developing local policy to best meet the needs to their populations, and for assessing eligibly for financial support and level of that support. The cost of reimbursement is met from Boards’ budgets and all Boards must balance value for money with patient need, ensuring that patients are supported in identifying and accessing available support and that patient care is at the centre of all decisions.

The Scottish Government has committed to a review of the overarching patient travel expenses reimbursement guidance. However, a start date for the review is not confirmed at this time; it is important that the review is considered within the context of wider reform on access to health care.

It is recognised that transport to health is a key enabler to ensure equitable access to healthcare, and work to bring travel/transport and health planning closer together is in progress. This work will include bringing local bodies together at a regional level to consider the options for transport to health. This work will also inform how and when a review of the overarching patient travel expenses reimbursement guidance is taken forward.