Chamber and committees

Acknowledging the importance of Demand Responsive Transport (DRT) as a transport solution, the Strategic Transport Planning Review (STPR2) recommends investment in DRT and Mobility as a Service (MaaS) as a means to provide improved public transport connectivity, which in turn forms part of the suite of policy interventions the Scottish Government is delivering in order to achieve its target of a 20% reduction in car kilometres travelled by 2030.

Digital technologies can improve access to real time journey information, including journey planning, scheduling, retailing and fulfilment methods across multiple modes of transport, including Digital Demand Responsive Transport (DDRT) in rural areas. By providing more reliable, personalised and dynamic information about public and shared transport services, MaaS and DDRT can reduce car dependency and use in the areas surrounding Scotland’s towns and cities.

We want to ensure all non-surgical cosmetic procedures in Scotland are delivered from hygienic premises by appropriately trained practitioners, applying recognised standards and using regulated products.

The regulation of medicines and medicinal products is reserved to the UK Government and is the responsibility of the UK wide Medicines and Healthcare products Regulatory Agency (MHRA). Any changes to regulations including the sale and use of unregulated products would require a UK wide approach and would not be devolved to the Scottish Government.

In an extremely challenging financial climate, and following a worst case scenario UK Autumn Statement in which UK Ministers prioritised tax cuts over public spending, we have had to take difficult decisions in setting this budget. The amount Scotland has available to spend is still largely driven by the block grant, which is derived from the UK Government's spending decisions and continuing constraint on public expenditure. The block grant has fallen by 1.2% in real terms since 2022-23 and, because of the UK Government's failure to inflation-proof capital budgets, our capital spending power is due to contract by almost 10% in real terms over 5 years.

Despite this, I am pleased that this Government has committed £4.7 billion in capital and resource in 2024-25 for activities that will have a positive impact on delivery of our climate change goals, and funding of almost £3.9 billion for transport across Scotland. The total budget for my portfolio increases by £47.7 million in 2024-25, which is a £27.9 million (0.6%) reduction in real terms using GDP deflators published in November 2023.

A significant proportion of the expenditure in my portfolio is legally and contractually committed, and I have ensured that those commitments are met in full in this budget as well as allocating funding to support critical maintenance and renewal expenditure to ensure that the people of Scotland have access to a safe and reliable transport system.

I have considered equalities and fairer Scotland duties and progress towards our statutory targets for climate change and child poverty in prioritising the budget available to me. I refer to the Equalities and Fairer Scotland Budget Statement and Carbon Assessment published alongside this budget.

This is a matter for NHS Health Boards. The information requested regarding the number of times intrauterine devices have been prescribed to female prisoners in each of the last five years, broken down by type of device, is not held centrally.

This is a matter for NHS Health Boards. The information requested regarding how many trans men and women have either requested or undergone gender reassignment surgery while in prison is not held centrally.

The Scottish Government is aware of emerging access issues within NHS Dumfries and Galloway, noting that this is an area which has suffered disproportionately with dental workforce issues in the past – an issue which has only been heightened by the significant loss of EU workforce as a result of Brexit.

Whilst a formal evaluation on the provision of NHS dental services in Dumfries and Galloway over the last year has not been undertaken, as it is a matter for the NHS Board, Scottish Government is working closely with the Board through an Annual Delivery Plan to mitigate against the drivers of access issues. This includes regular meetings to strategically plan on the design and implementation of more sustainable dental services across the Board area. While this work continues, unregistered patients will continue to be able to access emergency and urgent care via Public Dental Service clinics.

The current fee structure for NHS dental payments, as of 1 November 2023, is detailed in Determination I of the Statement of Dental Remuneration (SDR), which can be accessed online at: Statement of Dental Remuneration | Scottish Dental .

The fee structure for NHS dental payments prior to 1 November 2023 is detailed in previous versions of the SDR, which are also available at the above link.

The Scottish Dental Access Initiative (SDAI) was introduced in 1997. Over the course of this period, areas of NHS Borders included within the scheme have varied depending on the access to NHS dental services at a particular time.

The whole area of NHS Borders was added for inclusion to the scheme from 26 April 2023.

The last meeting of the Nursing and Midwifery Taskforce was held on the 6 December 2023 and was chaired by myself. The next meeting is scheduled for the 13 March 2024.

The NCS TOM reference group last met on the 19 May 2022. The meeting was a workshop focused on review of the current system and potential options for future systems. Consideration was given at this meeting to the potential approaches for the structure of the NCS.