Chamber and committees

The Secretary of State and I had a constructive meeting in November last year during which we spoke about areas of collaboration with Spain, in particular depopulation, culture and the challenges of the cost of living crisis.

The subject of Scottish independence was not an agenda item in discussions. However, Scottish ministers will always be polite enough during international meetings to answer any questions put to them about the Scottish Government's stated policies, including a legal, constitutionally sound referendum, as set out in our Programme for Government.

Commissioner Hicken and I had a constructive meeting in December last year during which we discussed Scotland’s green hydrogen priorities in Germany.

The subject of Scottish independence was not an agenda item in discussions. However, Scottish ministers will always be polite enough during international meetings to answer any questions put to them about the Scottish Government's stated policies, including a legal, constitutionally sound referendum, as set out in our Programme for Government.

The most recent data available for 2021-22 shows a total of £251.391 million gross expenditure on Care Homes run directly by the council for Adult Social Care. We don’t have information on whether the council’s owned these Care Homes which they ran directly.

Source: Scottish local government finance statistics (SLGFS) 2021-22: workbooks - gov.scot (www.gov.scot)

A breakdown of expenditure for Council-run Care Homes is not available for previous years.

Information relating to the number of patients residing in NHS Highland, NHS Orkney, NHS Shetland, and NHS Western Isles that are currently waiting over six months (26 weeks) and 12 months (52 weeks) for a new outpatient appointment or treatment as an inpatient or day case in other NHS Boards can be found at Bib number 64130.

Please note that PHS are unable to provide data at procedure level, and so data are provided at specialty level only.

The information requested could only be obtained at disproportionate cost, due to the significant number of meetings which take place between Energy Saving Trust and the Scottish Government. Energy officials alone meet with EST a number of times a week, both ad hoc and scheduled, to discuss the programme of work they deliver on the government's behalf. A significant number of meetings have also taken place within the specified timeframe between transport and water policy officials and EST.

The Office for National Statistics (ONS) has been running the monthly COVID-19 Infection Survey (CIS) for almost three years. Since 2021 this survey has included long COVID questions and has provided high-level estimates for Scotland of the number of people with long COVID by duration.

The UK Health Security Agency (UKHSA) is now reviewing its approach to COVID-19 surveillance, and survey data collection has been paused since mid-March. The then Cabinet Secretary for Health and Social Care, Humza Yousaf MSP, wrote to the UK Secretary of State for Health and Social Care on 8 March to express his concern about the delay in deciding the future of the survey, which will result in a gap in the provision of data on long COVID in the first quarter of the 2023-24 financial year. We are in touch with UKHSA to clarify the details of the updated scope, design and implementation plans for CIS, which will inform our planning for local surveillance.

Our Chief Scientist Office has funded the Early Pandemic Evaluation and Enhanced Surveillance of COVID-19 (EAVE II) long COVID study. EAVE II forms part of our Scottish Respiratory Surveillance Programme. This is a collaboration between the University of Edinburgh and Public Health Scotland to identify adults at greatest risk of developing long COVID. The study was able to identify cases of long COVID in Scotland using routinely collected clinical data from almost the entire adult Scottish population. The clinical data derived from electronic health records, comprising GP records (coded, free text and sick note data), hospital data, GP Out-of-Hours data, outpatient data, NHS 24 data, medication data and mortality data. The University has drawn on this work to publish an initial report on the estimated prevalence of long COVID among adults in Scotland, titled ‘ Identifying Long Covid Using Electronic Health Records: A National Observational Cohort Study in Scotland ’ . Please note that these findings are preliminary and have not yet been peer-reviewed.

The study team acknowledge that their estimated prevalence findings are lower than estimates derived from surveys such as the COVID-19 Infection Survey and Scottish Health Survey, in which participants self-report having long COVID, rather than long COVID being diagnosed by a medical professional. They also acknowledge that their findings are likely to underestimate total cases because not everyone with long COVID will attend their GP, and not all cases or symptoms will be recorded. However, the report still makes a valuable contribution to our understanding of long COVID prevalence and distribution in Scotland.

We are working closely with Public Health Scotland to develop an approach and methodology for the longer-term surveillance of long COVID, which will in turn inform the planning of health service provision for people with long COVID.

The Scottish Government Super Sponsor Scheme has been overwhelmingly popular, with local authorities, the third sector and local communities responding in partnership.

As of 11 April, there have been a total of 24,216 arrivals in the UK with a Scottish Sponsor, of which 19,565 are sponsored by the Scottish Government. Total arrivals in the UK with a Scottish Sponsor (which includes those sponsored by the Scottish Government (Super Sponsor Scheme) and by Individual Sponsors) represent 20.1% of all arrivals in the UK, and it is the most per head of any UK nation.

Our priority over the coming months is on supporting displaced people from Ukraine already in the UK with a Scottish sponsor and who choose to remain here longer-term. With a shortage of affordable housing across Scotland, a cost of living crisis and significant pressures on both local and national Government finances, the scale of the challenge is significant.

Following the pause of the scheme in July 2022, this was reviewed by the Ukraine Programme Board in late October and again in February. Parliament was informed of our decision for the scheme to remain closed to new applications as the criteria required to re-open the scheme could not be met at that time. We will review the reopening of the Scheme again in June 2023.

Good engagement is essential to good service planning. And there is no doubt that greater participation brings better outcomes for communities all round.

Scotland's national and local governments are committed to involving people and communities in the decision-making that affects them. Nowhere is that more vital than in the development of the health and social care services, which we all rely on.

Listening to the views of people who use services, and involving them throughout the process of planning care delivery, is a key improvement recommendation of the Independent Review of Adult Social Care in Scotland.

As part of our commitment to these aims, a revised version of Planning with People has been published. Planning with People has been updated to take account of recommendations and feedback from people working in and using health and social care services, community and equality groups, and the third sector. We would like to thank everyone who took part in the review for their time and input.

Planning with People promotes real collaboration between NHS Boards, Integration Joint Boards and Local Authorities. It sets out the responsibilities each organisation has to community engagement when services are being planned, or changes to services are being considered, and supports them to involve people meaningfully.

We encourage everyone in Scotland to get involved in shaping the care services they receive. Ultimately, it is their experience that will be the real measure of what impact it is making.

The Director General and I had a constructive meeting in November last year during which Mr Garcia Montero shared the Cervantes Institute’s plans to open their first International University Chair at the University of Edinburgh in the coming months.

The subject of Scottish independence was not an agenda item in discussions. However, Scottish ministers will always be polite enough during international meetings to answer any questions put to them about the Scottish Government's stated policies, including a legal, constitutionally sound referendum, as set out in our Programme for Government.

The Cabinet Undersecretary and I had a constructive meeting in November last year during which we spoke about the shared challenges that the COVID19 pandemic had brought to the culture sector and our Culture Strategy for Scotland, setting out our vision on how to protect and empower culture.

The subject of Scottish independence was not an agenda item in discussions. However, Scottish ministers will always be polite enough during international meetings to answer any questions put to them about the Scottish Government's stated policies, including a legal, constitutionally sound referendum, as set out in our Programme for Government.