A breakdown of lead Directorates is available in the most recent Climate Change Committee progress report on adaptation (CCC, November 2023).The Committee’s recommendations for the highest priority climate risks to be addressed in the next Scottish National Adaptation Plan are broken down by Directorate on pages 18 and 19. Furthermore, each chapter ends with lead Directorates identified against specific policy recommendations relevant to the chapter.

Scottish Government values the NHS workforce and is committed to investing in Scotland’s NHS workforce. Official NHS Scotland workforce statistics show record high staffing levels across all professional groups as at September 2023, including Medical and Dental and Nursing and Midwifery staff.

On 23 November 2023 we announced an additional 153 training posts for junior doctors to be created across a wide range of medical specialties: the largest annual expansion on record. This brings the total number of extra training places created since 2014 to 880. These additional posts are supported by £42m of Scottish Government funding over the next four years and will be recruited to from 2024, with successful applicants taking up post in August 2024. We have also increased nursing student numbers every year for the last decade. In addition to this we are working closely with the RCN and the RCM as part of the Nursing and Midwifery Taskforce to develop alternative career pathways and working to widen access to nursing programmes.

Since autumn 2021 Scottish Government have invested £18m since autumn of 2021 to recruit 1,250 new registered nurses, midwives and allied health professionals from overseas by the end of this financial year. Over 1,000 staff have been successfully recruited to such posts so far. Scottish Government continues to encourage and support employers to prioritise wellbeing for their workforce and has launched a number of wellbeing resources. This includes the National Wellbeing Hub, the National Wellbeing Helpline and confidential mental health treatment through Workforce Specialist Service. We will continue to work with leaders across health, social care and social work as well as hearing directly from staff, to understand where the current pressures are, and what further actions can be taken to mitigate their impact on staff.

Scottish Government remains committed to reducing long waits, which have been exacerbated by the pandemic, to ensure all people receive the treatment they need as soon as possible. We’ve opened two National Treatment Centres this year, with two further centres opening in the near future. These Centres provide additional capacity for patients across Scotland and are an integral part of the wider waiting times improvement programme.

The Scottish Government microplastics monitoring programme began in the winter of 2013, and has undertaken annual surveys since that time. 479 locations have been sampled between 2013 and 2022. These sample sites are distributed throughout the 11 Scottish Marine Regions and the Offshore Marine Regions. Not all Regions were sampled in every year and the number of sampling sites visited also varied between years.

The microplastics in surface water assessment in Scotland’s Marine Assessment 2020 gives the number of sample sites visited in each year from 2013-14 to 2019-20. This can be viewed at https://marine.gov.scot/sma/assessment/microplastics-surface-water In addition, the sites sampled each year up to and including 2021-22 can be viewed in the dataset published at https://data.marine.gov.scot/dataset/dataset-sources-sinks-and-hazards-micro-plastics-scotland%E2%80%99s-seas-2013-present/resource#{query:{from:400},view-grid:{columnsWidth:[{column:!season,width:157},{column:!date_deploy,width:149}]}} Data for 2022-23, and the current sampling year of 2023-24 have not yet been published.

It is primarily for the respective NHS Boards, including NHS Western Isles and NHS Highland who have a rolling arrangement based on associated financial projections, to negotiate and agree Service Level Agreements in the best interests of local people. Health Boards also regularly discuss and manage any associated issues in relation to service provision in visiting specialties, such as workforce and transport challenges.

Table 1 provides the number of attended outpatient appointments in consultant-led clinics at the Princess Alexandra Eye Pavilion by financial year from 2004/05. It is not possible to provide figures for 1999-2003, as prior to 2004 activity at the Princess Alexandra Eye Pavilion was recorded under the Royal Infirmary of Edinburgh along with activity from other facilities on the Lauriston Place site.

Table 1: Outpatient attendances at the Princess Alexandra Eye Pavilion, 2004-05 to 2022-23

The Scottish Government works closely with NatureScot on its development of corporate and annual operating plans and Ministers meet regularly to discuss progress. This assessment process is therefore continual and NatureScot is ultimately accountable to the Scottish Parliament.

We continue to work with all of our public bodies to drive out efficiencies, finding new and better ways of working, creating best value for the Scottish taxpayer.

NatureScot, along with other environment bodies, has taken a leading role in recent years in leading Scotland’s response to the nature and climate emergencies. As a result, the organisation has managed significant additional project funding for peatlands, nature restoration, visitor management and more.

The budget settlement for 2024-25 announced on 19 December recognises the increasing level and quality of work being delivered by NatureScot which is why despite such challenging financial circumstances, NatureScot will benefit from an 8% uplift to its core funding, bringing its core budget to £63.2m in 2024-25.

More information on the budget announcement can be found here: Scottish Budget: 2024 to 2025 - gov.scot (www.gov.scot)

The Scottish Government are grateful for the efforts made by Health and Social Care Partnerships to develop plans to implement Mental Health and Wellbeing in Primary Care services. This planning activity was supported by £1.5 million of funding in December 2021.

I refer the member to the answer to questions S6W-23303 on 11 December 2023 and S6W-16651 on 21 April 2023 outlining the reasons for the decision to pause the recruitment to Mental Health and Wellbeing in Primary Care services. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

The majority of spending on mental health is delivered through NHS board budgets, and this is not directly affected by the in-year budget changes impacting on the direct mental health programme budget. Between the Scottish Government and NHS boards we expect spending on Mental Health to be well in excess of £1.3 billion in financial year 2023-24.

We are working with partners towards delivery of the commitment to increase spending on child and adolescent mental health services to 1% of the total frontline NHS budget by the end of this Parliamentary session in 2026. We will continue to work with NHS Boards to monitor delivery through the Scottish Health Service Costs Book and the process of setting and monitoring priorities in Annual Delivery Plans.

The majority of spending on mental health is delivered through NHS board budgets, and this is not directly affected by the in-year budget changes impacting on the direct mental health programme budget. Between the Scottish Government and NHS boards we expect spending on Mental Health to be well in excess of £1.3 billion in financial year 2023-24.

We are working with partners towards delivery of the commitment to increase spending on mental health services to 10% of the total frontline NHS budget by the end of this Parliamentary session in 2026. We will continue to work with NHS Boards to monitor delivery through the Scottish Health Service Costs Book and the process of setting and monitoring priorities in Annual Delivery Plans.

NatureScot has received eleven applications to-date for a Hunting with Dogs licence for either (a) preventing serious damage to livestock, woodlands, or crops, or (b) environmental benefit. Of these eleven applications, six have not yet been processed as they are either ongoing or NatureScot has requested additional information from the applicant.

The following table relates to five applications which have been deemed to be processed in that they have been received, determined, and the decision letter issued. The time taken to determine the decision may include time that NatureScot were waiting for further information from the applicant.

Applications Granted