Chamber and committees

We need to fundamentally transform the way social care is delivered in Scotland, and we have listened to thousands of people, including the social care workforce, who have told us this.

People who receive support through social care, their families and communities, and the workforce must be involved in planning and delivery at local level. But the system needs to work and people have told us, clearly, that it does not provide the high standard of care that people should rightfully expect. We are committed to establishing a National Care Service that delivers clear, consistent national care standards by the end of this Parliamentary term.

The Scottish Government will continue to engage with GMB and other Trade Unions as we co-design the National Care Service.

Scottish Water’s Improving Urban Waters Route Map sets out a programme of continued action to reduce wastewater pollution and sewage litter over the coming decade backed by investment of half a billion pounds. As part of the programme, Scottish Water is progressing improvements to 109high priority unsatisfactory CSOs, identified in conjunction with SEPA, that have water quality or sewer related debris impacts

Many of these unsatisfactory discharges are due to sewer related debris – materials such as wet wipes that have been inappropriately flushed away by consumers into the sewer system. Scottish Water’s Nature Calls campaign aims to highlight how consumers can help to protect our environment by disposing of their wet wipes, plastics etc in the waste bin.

Through the 2024-25 budget, NHS Boards and the Scottish Government continue to support spend in excess of £1.3 billion on mental health.

The recent reduction in the Scottish Government’s direct programme funding has been identified through programmes being adapted, or which have come to an end. In some cases work has been re-profiled where this has been possible.

Whilst any reduction is regrettable, it is only right that we make a contribution to the overall savings required to enable a balanced budget for Scottish Government in 2024-25; ensuring a stable base for future years.

We remain committed to taking forward our work across mental health, working closely with key partners. Our collective focus has to be on making as much difference as possible with our funding.

The Dementia Strategy for Scotland (published by Scottish Government and COSLA in 2023) sets out an ambitious 10-year vision for dementia policy in Scotland, developed in collaboration with people with lived experience and wider partners. This includes third sector, local authority and healthcare organisations. The first 2-year delivery plan was subsequently published in February of this year, setting out the key deliverables being prioritised in this initial period. This was agreed with the National Dementia Lived Experience Panel, and local/national delivery partners including HSCP representatives and dementia charities. It includes:

• Launching the new Rethink Dementia anti-stigma campaign on Wednesday 4th September. The campaign is intended to increase awareness that maintaining relationships with someone with a diagnosis is an important part of helping them keep well for longer.
• A £600,000 fund to support and sustain community-led work across Scotland, allocated via a Resilient Communities Programme board made up of local, national and community representatives.
• Continuing our additional investment of £3.5m a year, to enhance access to dementia post-diagnostic support, in addition to the routine spending on dementia support services by local partnerships.
• Working with partners in Public Health Scotland to develop a clearer understanding of the number of people with dementia in Scotland, with a strengthened focus on inclusion and equalities.

This work sits alongside ongoing activity, locally and nationally, to improve the dementia experience. This includes embedding a Getting It Right for Everyone approach to care and support wrapped around the person, continued investment of over £88m in local carers support, and collaborations with Alzheimer Scotland and others to empower people living with dementia to participate in the design, and development, of the National Care Service.

We look forward to continuing to engage with partners within the Member’s region and beyond, to improve the dementia experience.

As I made clear in the Chamber on 18 September during Portfolio Questions in reply to Katy Clark MSP, Police Scotland does not recognise those figures. Indeed Assistant Chief Constable Emma Bond said:

"It is misleading and inaccurate to suggest that non-emergency 101 calls are being left unanswered, missed, or are disconnected by our call handlers.”

This position was reinforced by DCC Bex Smith at the Scottish Police Authority Policing Performance Committee meeting of 18 September.

Many discontinued 101 calls will be cases where callers have been instructed to hang up and dial 999, they have decided to redial and select another option from a pre-recorded menu, or they have realised they should be calling another agency.

I am very grateful for the hard work of Police Scotland’s call handlers to ensure all calls to the service are answered as quickly and as safely as possible.

Creating Hope Together, our 10 year joint suicide prevention strategy with COSLA, adopts a whole of government and society approach to reducing suicide in Scotland. This allows us to focus on tackling the social determinants of suicide such as poverty, which also presents increased risk for alcohol addiction; and we are taking forward work to join up mental health and addiction support. For example, Healthcare Improvement Scotland has recently produced an exemplar joint working protocol for mental health and substance use services, which draws on best practice from across the country and internationally. We are also prioritising suicide prevention training for the workforce supporting people with addictions.

In developing the Creating Hope Together strategy, and the associated 3 year action plan, we reviewed all available evidence on suicide, including risk factors such as alcohol addiction. This was complemented by extensive engagement with communities and partners across Scotland. The delivery of our strategy continues to be evidence informed and guided by our suicide prevention Academic Advisory Group whose most recent research on the risk and protective factors associated with suicide includes analysis of alcohol related factors. Insights from such research, along with those from our suicide prevention lived experience panels, are informing the design and delivery of interventions which meet the needs of different groups and communities, including those with addiction issues.

The full suite of Academic Advisory Group reports on suicide prevention research can be accessed through the Suicide Behaviour Research Lab site.

Within the Women’s Health Plan we committed to develop a menopause and menstrual health workplace policy for NHSScotland, and to promote best practice across the public, private and third sector.

The NHSScotland Menopause and Menstrual Health Policy was launched on 31 October 2023 and supports employees to experience good menstrual health and menopause at work.

Supporting resources, including line managers, workplace adjustment guides, and signposting to more information on symptoms and conditions including endometriosis, are intended for use more widely across a variety of employment sectors and are available on the National Wellbeing Hub, which is accessible to the public.

The Scottish Government does not hold the information requested on passenger compensation by route.

Scotland’s River Basin Management Plans 2021-2027 (RBMP) set out a range of actions aiming to improve the overall condition of Scotland’s water environment by 2027.

The Scottish Government invested almost £5m last year in the Water Environment Fund, a key element of the RBMP. Work continues this year providing access to rivers for migratory fish and restoring urban rivers providing benefits for biodiversity, climate change adaptation and flood management.

The most up to date RBMP classification information is available at the water classification hub.

Two incineration facilities, both of which already held planning permission at the time of the incineration review, have become operational since June 2022.

These facilities have permitted capacities of 270,000 and 150,000 tonnes per annum but their operational capacity is likely to be less. For example, data available through SEPA’s ‘waste sites and capacity tool’ shows facilities typically operate at less than their permitted capacity.