Data published by Healthcare Improvement Scotland (HIS) showed that in September 2024, Older Adult’s Hospital at Home services provided the equivalent of 510 beds, similar to the size of Royal Alexandra Hospital and larger than University Hospital Wishaw.

Between July and September this year, Hospital at Home services for Older People grew by almost 14% compared to the same period in the previous year with over 4,000 patients managed by the service.

Hospital at Home capacity is in place across a range of other pathways such as Outpatient Parenteral Antimicrobial Therapy, Respiratory and Heart Failure. Published data is not currently available.

We are working with local systems as part of the annual planning process for 2025-26 to ensure any additional funding to expand Hospital at Home is targeted towards the areas that offer the greatest improvement to performance and patient care.

The Local Government Pension Scheme in Scotland is in a very strong position and the Scottish Government continues to engage with the 11 Scottish Local Government funds, which each have responsibility for their own investments.

We are monitoring developments in England and Wales to inform decisions around our approach to Scotland.

Progress against all actions of the Collaborative and Compassionate Cancer Care The Cancer Strategy for Children and Young People in Scotland 2021–2026 continue to be taken forward by the Managed Service Network for Children and Young People with Cancer (MSN CYPC).

The 2023-2024 MSN CYPC Annual Report, which includes detail on progress across all actions, will be published shortly on the MSN CYPC website – www.msncypc.nhs.scot

The Scottish Government does not hold this information.

The Scottish Government’s strategic priorities are to shift the balance of care closer to people's homes and drive a proactive approach of early intervention and prevention, which will help reduce demand for acute care.

We are increasing capacity and access to Primary Care by the end of 2026, through our reform programme, shifting the balance of care to preventative and community-based support. This will be done by improving the use of multi-disciplinary working to support better, patient-centred care pathways and improve service capacity in GP and frontline community services, including additional funding to support the Primary Care Phased Investment Programme.

We are committed to ensuring that people living in Scotland with long-term conditions, including inflammatory bowel disease (IBD), are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and person-centred. Action which the Scottish Government is taking includes:

• an Endoscopy and Urology Diagnostic Recovery and Renewal Plan backed by £70 million. The plan focuses on key areas such as: Balancing Demand and Capacity; Workforce Training and Development; Infrastructure; and Innovation and Redesign.
• Funding the Modernising Patient Pathways Programme (MPPP) with a specific workstream continuing to promote improvements in IBD care which is being taken forward through the MPPP’s National Gastroenterology Speciality Delivery Group (SDG). They have developed a national IBD pathway for NHS Scotland which is due to be published imminently.
• Developing a lower gastrointestinal pathway which will provide primary care guidance about testing and diagnosis for people with IBD and Coeliac Disease in Scotland.

We have confirmed that the replacement of the Belford Hospital is a strategic priority, and the 2025-26 Draft Budget has provided the necessary funding to allow the development of the business case to restart. NHS Highland is responsible for the delivery of the project and should therefore be able to provide information on the timeframe for the project in due course.

The Energy Company Obligation (ECO) is a UK Government scheme that is paid for by energy suppliers and administered by Ofgem. It is a requirement of the ECO scheme that installers meet national retrofit standards and provide a guarantee. The UK Government has published advice for homeowners about their consumer rights, if insulation has been wrongly installed or the quality of workmanship and materials is unacceptable. 2.0_Green_home_energy_consumer_guide_FINAL_links.pdf

The design of the ECO scheme is set out in regulations approved by the Westminster Parliament and as directed by UK Ministers. Consumer protection, as well as regulation of the financial services sector and business regulation more generally are reserved matters for the UK Government. Consumer compensation schemes will therefore be a matter primarily for the UK Government to consider.

Scottish Ministers have repeatedly raised our concerns and proposed changes to the ECO scheme to the previous UK Government.

From 2024-25, Scottish Government are dedicating over £2.5 million annually to support health and social care staff wellbeing. This funding provides our workforce with access to psychological interventions and therapies, self-service resources through the National Wellbeing Hub and the National Wellbeing Helpline delivered by NHS 24. Registered staff also have access to confidential mental health services through the Workforce Specialist Service (WSS).

These resources play a vital role in helping the workforce manage mental health challenges and maintain their wellbeing, thus enhancing the quality of care they can provide. We will continue collaborating with leaders across the NHS to identify and address areas of stress and to explore additional actions to support staff including physiotherapists.

The supply of sharps boxes and management of their return is linked to prescribing practice and contract arrangements between the health board and its contractors. Therefore, specific arrangements in any health board area would require to be requested from the local health board or, for patients, their prescribing physician would advise as to arrangements.