Chamber and committees

Community cohesion stretches across a number of policy themes and outcomes. For example, our Vision for Justice three year delivery plan remains to deliver a just, safe resilient Scotland. This will see us living in safer, more tolerant and inclusive communities, free from inequality and hate. We are progressing with delivering on our three year plan, and key milestones. We also continue to promote the use of the Place Standard Tool as an effective tool for community engagement, including within community planning and spatial planning. It includes themes and prompts relating to exploring community cohesion, and its use can in itself promote trust and increased participation in decision making, as well as drive improvements in neighbourhood quality. We don’t have formal measurable objectives regarding use of the tool.

The report Social Capital and Community Wellbeing in Scotland (published on 1 October 2024) provides a measure of social capital that includes ‘community cohesion’ as one of the four domains, and it provides a range of measures to track community cohesion over time and broken down by geography and population subgroups.

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.

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.

The most recent workforce publication shows that in June 2014 the workforce comprised of 5,101 FTE directly employed staff, and 1,249 contingent workers.

For June 2024 showed the core Scottish Government workforce comprised of 8,911 FTE directly employed staff and 1,214 contingent workers.

This represents an increase of 75% in the directly employed workforce and a reduction of -3% in the contingent workforce.

The growth in the directly employed workforce in the last ten years has supported the devolution of new powers to the Scottish Government, for example Social Security and Exchequer functions. The growth in the core Scottish Government has also supported the response to exiting the European Union and the Covid-19 pandemic.

Since March 2022 the Scottish Government has increased its permanent workforce while prioritising the reduction of the more expensive contingent workforce such as contractors and consultants. The number of contingent workers is now 40% lower than in March 2022.

The number of core Scottish Government staff is available at Scottish Government workforce information - gov.scot (www.gov.scot).

The Graduate Apprenticeship Enhancement Group was established in spring 2024 to make recommendations on the development of future policy and a delivery model for GAs in line with Scotland’s economic growth opportunities, skills need, and the wider reform of the post-16 education landscape. The Group's membership includes the Scottish Funding Council, Skills Development Scotland, Colleges Scotland, Universities Scotland, and representation from businesses.

The Group’s work is evidence and data informed and is taken forward through workstreams. It will include engagement with employers and their industry representatives, public sector partners and apprentices. The Group anticipates completing its work over the winter.

The UK National Screening Committee (UK NSC) recommendation that the four UK Nations should move towards implementing a programme of targeted lung screening for those between 55-74 with a history of smoking, was based on evidence from the lung health check pilots which continue to inform the Scottish Expert Advisory Group (SEAG) work.

The UK NSC established an expert Lung Task Group to oversee modelling work and explore the issues around implementation, which is attended by all four UK nations. In addition, representatives from the SEAG attend both the NHS England Lung Screening Implementation Group and the Welsh equivalent. Representatives from these groups have in turn attended the SEAG, to share learning and develop evidence-based feasibility advice.

Officials continue to invest in the University of Edinburgh who have been conducting a research study, LungScot, into targeted lung health checks across four health boards. This important work will help to inform the considerations of the SEAG as work progresses towards a business case which will highlight the challenges and opportunities for a Scottish Programme.

Lung cancer remains a national priority, with Scotland's first optimal cancer diagnostic pathway for lung published 12 December 2022. This pathway sets optimal timeframes for each step to enable diagnosis by day twenty one and treatment for most by day forty two. Work continues to develop and share best practice to ensure patients receive faster access to treatment.

In 2022, the Scottish Health Survey reported that the proportion of all children aged 5-15 undertaking at least 60 minutes of activity on average per day in the previous week was 69% (including school-based activities). These levels have been relatively stable since 2019 and are broadly comparable with levels in England.

In partnership with COSLA, the Scottish Government published a new Physical Activity for Health Framework on October 2nd 2024. This document provides a framework for action to improve levels of physical activity at both national and local level which is firmly founded on evidence-based international guidance from the World Health Organization and other global partners as to the approach which is needed to deliver sustainable change.

There are a range of ways we are ensuring children and young people continue to be physically active, including the following:

• We are committed to ensuring that all children in primary schools receive at least two hours of physical education each school week, and all young people in secondaries 1 to 4 receive at least two 50-minute periods of physical education each school week.
• Our Active Schools programme takes place in all local authorities and is free for all children and young people. It provides a focus on inclusion, for example to support children living in poverty, those with additional support needs, and care-experienced young people to participate. The Active Schools programme is a long-term investment in health and wellbeing, supported by a network of over 400 Active Schools managers and coordinators working with schools to deliver quality sporting opportunities for children and young people. In 2023/24, there were 4.9 million visits by pupils over 262,000 sessions – a 6% increase from the previous year.
• sportscotland invests in and supports approximately 47 Scottish Governing Bodies of sport (SGBs) to develop their sport-specific pathways, including undertaking work to increase participation levels for children and young people in their sports.
• Our Active Play Development Project, which targets areas of disadvantage, provides children with the opportunity to develop physical skills in their early years and to encourage a long-term, positive relationship with physical activity.

The Digitisation of records is an operational responsibility of individual Health Boards and GP practices. At a national level and building on the existing use of electronic patient record systems, we are focussed on allowing medical records, including cancer, to be stored, linked, and shared securely. This will support our ambition set out in the 2021 Digital Health & Care Strategy 2021 Strategy - Digital Healthcare Scotland % (digihealthcare.scot) to make the right information available to all appropriate staff, when and where it is needed.

We recognise the importance of having access to meaningful data in relation to respiratory services and we continue to aim to develop a national respiratory audit programme with Public Health Scotland to achieve this. We have not been able to progress this this financial year due to the challenging fiscal position we face, but we aim to do so in the financial year 2025 to 2026.

Spirometry is already a key recommendation in national clinical guidelines, and we expect clinicians to deliver care in line with all relevant clinical guidelines when assessing patients who present themselves at healthcare settings with respiratory symptoms.

We recognise the importance of having access to meaningful data in relation to improving respiratory services and understanding respiratory care in Scotland. Due to the extremely challenging fiscal position the Scottish Government is facing, we have not been able to progress the development of the national respiratory audit programme this financial year. We aim to do so in the financial year 2025 to 2026.

Our evidence paper, Offshore Wind Focus - gov.scot (www.gov.scot), sets out our strategic approach to investing up to £500m over five years to anchor our offshore wind supply chain in Scotland, supporting the delivery of our Green Industrial Strategy.

Vessels have been identified in that paper as a priority for strategic investment, alongside ports and harbours infrastructure and the wider offshore wind supply chain, including blades and turbine manufacturing, foundations, offshore services, and cables.

We are committed to working collaboratively with the UK Government to ensure alignment on investment priorities to support the offshore wind supply chain in Scotland, including vessels.