Chamber and committees

Natural Flood Management (NFM) is one of a range of measures available to manage flood risk, however, it is a matter for individual local authorities to work with their communities to determine which solutions would best manage flood risk in their areas. As a result, the Scottish Government does not have any specific targets for the use of NFM.

We are committed to promoting and advancing our understanding of NFM projects and as part of this commitment we are funding the long term Eddleston Water research project and the Allan Water improvement project. These projects are helping to develop an evidence base to improve our understanding of NFM and will help stakeholders to understand its potential value as an alternative flood prevention measure. Evidence produced from these projects have indicated that NFM can help to delay flood peaks, deliver multiple environmental benefits and help mitigate the impacts of climate change.

As set out in the Programme for Government 2022-23 (A Stronger & More Resilient Scotland) the Scottish Government is committed to consulting on a new flooding strategy for Scotland, including how we can build community flood resilience and engage a broader range of delivery partners to deliver more diverse flood management actions, such as NFM, faster.

NHS Boards are responsible for ensuring they have local policies in place to recruit effectively and retain their staff. They are supported in this through the Scottish Government’s National Workforce Strategy, which sets out the actions it will take in partnership with Boards to plan, attract, train, employ and nurture the health and social care workforce. At national level these actions include increasing workforce supply through international recruitment and providing additional medical and nursing student places.

Since 2014, Scottish Ministers have created 725 expansion posts across a wide range of medical specialties including 20 posts in geriatric medicine. This 32% increase in geriatric medicine training brings the total number of established places to 82 across all years of the Geriatric Medicine training programme.

Scotland's ambitious emissions reduction targets, including targets for reducing emissions every year until reaching net zero by 2045, are set under the Climate Change (Scotland) Act 2009. The level of these targets are kept under regular review to ensure they are in line with the latest climate science and advice from the Climate Change Committee (CCC), our independent statutory advisers. We have recently laid draft regulations to modify annual targets for 2021-2029 for technical reasons, to reflect updates to international standards for carbon accounting and in line with the latest advice received from the CCC.

The Scottish Government is committed to a fair, inclusive and fiscally sustainable form of local taxation. We convened a Joint Working Group co-chaired by Scottish Ministers and COSLA which is actively considering targeted changes to reflect the current circumstances created by the cost crisis, including delivering a joint consultation on measures which would allow local authorities to increase the rate of Council Tax on second and empty homes. The group will also consider approaches to longer term reform, utilising effective deliberative engagement. I will ensure that Parliament is kept appraised of this work at suitable junctures.

Residents in Dumfries and Galloway should continue to contact their Health Board for up-to-date information on dental practices that are registering new NHS patients. NHS Dumfries and Galloway can be contacted by email at: [email protected].

I appreciate, given distances, this might not be appropriate but, residents in Dumfries and Galloway may wish to register with a dental practice in a different Health Board area and if this might be appropriate should contact the relevant Health Board to obtain information on those practices accepting new patients.

Any patient who requires treatment for an urgent dental situation before they are able to register with a dental practice, can find advice on how to access dental services on the NHS Inform website at: https://www.nhsinform.scot/care-support-and-rights/nhs-services/dental/dental-emergencies .

On 18 April 2023 the First Minister announced that the ScotRail Peak Fares pilot will commence at the start of October 2023 and last for 6 months. Transport Scotland , Scottish Rail Holdings and ScotRail are currently finalising the design, monitoring and evaluation of the pilot. This is an unprecedented intervention in the UK rail sector and the purpose of the 6 month trial is to collect evidence on the impact both on rail and other modes, including bus, that will inform the Fair Fares Review and form the basis of future proposals.

The topics that the member raises are being considered during the pilot development process and further details will be announced in due course and will be assessed as part of the evaluation.

Investment underpinning Scottish Water’s Improving Urban Waters Routemap does not specifically target the issue of pharmaceutical pollution. However, in partnership with the Scottish Environment Protection Agency (SEPA), Scottish Water is carrying out the Chemical Investigation Programme (CIP) Scotland which involves sampling for priority substances of emerging concern; pharmaceuticals are considered to be substances of emerging concern. The current phase of the programme involves a process optimisation trial at Wastewater Treatment Works that aims to help improve understanding of whether better treatment can be achieved at Scottish Water’s assets.

Scottish Water is also a member of the One Health Breakthrough Partnership (OHBP – www.ohbp.org ) which is funded by the Scottish Government and brings together key stakeholders across the water, environment, and healthcare sectors who are committed to addressing pharmaceutical pollution in the environment through source control. The partnership is looking to develop sustainable “up-stream” solutions to minimise pharmaceuticals entering wastewater and surface water, and reduce the environmental impact of our healthcare practices.

Legislation on accessibility and public transport remains reserved to the UK Parliament and is set out in the Public Service Vehicle Accessibility Regulations 2000 (PSVAR) and enforced by the Driver and Vehicle Standards Agency (DVSA).

The Scottish Government has no remit to intervene, but does support an integrated transport system where possible. Our support for the purchase of new buses will be, where appropriate, conditional on space being made available for bike transport in addition to wheelchair and buggy space.

The Scottish Government is committed to continuing its work on raising awareness of Lyme disease and ticks.

The Scottish Government-led Lyme Disease Awareness Raising Group will run the Lyme Disease Awareness Raising Campaign in May 2023 to coincide with National Lyme Disease Awareness Month, during which patients, activists, educators and Government share information on how to prevent Lyme and other tick-borne diseases.

The Scottish Government continues to work closely with stakeholders and clinicians through the Health Professionals Education Sub Groups. This is chaired by the Scottish Government and comprises representatives from primary and secondary care, including experts in infectious disease in general and Lyme Disease. The group are examining the current resources being used by GPs and considering options for additional learning and development.

Clinical decisions on the care and treatment of individual patients are always matters of professional judgement for the responsible practitioner. NHS Boards and clinicians are required to use methods of treatment that are clinically appropriate and have a strong evidence base for their efficacy.

The Scottish Government will continue to use its own platforms to highlight the need to be tick aware and to set out the signs and symptoms of possible infection.

The Scottish Fiscal Commission are responsible for producing independent forecasts of Scottish Income Tax for the Scottish Budget. Their most recent forecasts published in December 2022 does not include a breakdown of this forecast in terms of revenue raised by taxpayers at their highest marginal rate.

The Scottish Government estimates that the Income Tax policy changes announced, for 2023-24 alone, will add £519 million to the Scottish Budget.