Chamber and committees

The Scottish Government works closely with the Scottish Prison Service and last year attended the Veterans in Custody Support Officer (VICSO) gathering at HMP Castle Huntly to discuss how we can better support their work, including future attendance at a Breakfast Club event. Officials will again attend a VICSO gathering in February. Furthermore, the Scottish Crime and Justice Survey now includes a question on former Service in the Armed Forces. We are considering analysis proposals from this survey and findings will be available at varying points during mid-to late-2023. Having a veterans question in this national survey will improve our understanding of the profile, circumstances and needs of veterans in Scotland which in turn will help inform policy and services.

We also support Police Scotland’s pledges under the Armed Forces Covenant to support the Armed Forces and veterans community, including pledges to review and refresh the Veterans Champion role across local policing divisions and to introduce Veterans Champions within its custody and criminal justice environment.

The ‘Welcome to Scotland’ guide was first introduced in 2018 to provide practical information to Service personnel and their families who are moving to or already living in Scotland, on topics such as housing, education, healthcare and employment. It is not specifically targeted at veterans or their families but it is promoted to the veterans community through the Veterans Scotland newsletter.

The guide is refreshed annually and we work with the military in Scotland, the Ministry of Defence and the Armed Forces Families Federations to develop and promote its use.

We have published a housing guide which provides information about housing in Scotland and contacts of organisations who may be able to help Armed Forces and ex-service personnel obtain housing suitable for their needs. The guide also directs veterans to the Veterans Gateway which provides information on support to veterans and their families including housing and independent living.

Transition is reserved to the UK Government, and there is no funding provided to the Scottish Government to undertake transition related activities. However the Scottish Government has designed the application guidance for devolved benefits to provide comprehensive information on entitlement. Similarly, signposting is included to refer clients to the relevant agencies for reserved benefits where appropriate. Adult Disability Payment launched in August last year. The application form asks clients about their possible entitlement to Armed Forces Independence Payment, War Pensioners’ Mobility Supplement and War Pension Constant Attendance Allowance. Where appropriate, clients are then directed to Veterans UK for further advice. We have also worked with Veterans UK to develop an information sharing process between the organisation and Social Security Scotland. This is intended to ensure that veterans can efficiently access the support to which they are entitled.

Furthermore, as part of our Social Security Scotland stakeholder communications plan, we ensure that third party organisations, including those that support veterans, understand the overlaps and are in a position to adequately advise and assist veterans during their interactions with Social Security Scotland or the UK Government agencies administering reserved benefits. We hold regular discussions with Veterans UK and the Ministry of Defence to ensure there is consistency in the messaging provided to veterans and people leaving the Armed Forces.

The Scottish Government is committed to ensuring that all armed forces personnel serving and veterans living in Scotland are able to access the best possible care and support, including safe, effective and person-centred healthcare. Our policy states that all veterans should not face disadvantage for treatment for health problems as a result of service to their country. We regularly communicate this policy to all NHS Boards via Champions for Armed Forces and Veterans who are responsible for ensuring the implementation of this policy in every NHS Board.

It is the Scottish Government’s continuing aim to ensure that the long-term clinical needs of serving personnel and veterans are better understood and supported within the NHS. We work with key partners including the Ministry of Defence and other UK Governments to assist us with this.

The Armed Forces Personnel & Veterans Health Joint Group (“the Joint Group”), brings together NHS Champions, representatives of the serving community, veterans' organizations, Scottish Government officials and other stakeholders harnessing a range of expertise. The Joint Group works together on priority areas to drive progress in meeting the health needs of Armed Forces personnel and veterans.

Scottish Government works with the Scottish Veterans Commissioner. This work helps us to deliver what is important to individuals and their families, and to foster continuous improvement. Annual progress against the Commissioner recommendations can be found here SVC Annual Progress Report: Findings | (scottishveteranscommissioner.org)

The Scottish Government’s continued support for the Armed Forces and Veterans Community in Scotland is set out in The Strategy for Our Veterans - taking the strategy forward in Scotland: refreshed action plan - gov.scot (www.gov.scot) .

The exact information requested is not held centrally or by Public Health Scotland. Detailed below are published information that are available and relevant:

1. Estimates of the number of homeless deaths registered in Scotland during 2021 are published by the National Records of Scotland. These data include breakdowns by sex and age-group, council area and cause of death, but have no information on whether they were receiving NHS treatment. These figures are also based on a wider definition of homelessness than people with no fixed abode. The publication can be found here: https://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/deaths/homeless-deaths/2021

2. Published figures on numbers of patients with “no fixed abode” that have been admitted to hospital can be found within the within the Annual Acute Activity publication. Published data is available for a ten year period, from financial year 2012/13 to financial year 2021/22. Data on patient activity is presented in Table 2 – inpatient and day case activity, and the measure of interest can be found by selecting the NHS board of residence in the indicator drop down and either stays, episodes or patients within the measure drop down. Figures where ‘no fixed abode’ will then be listed in the table. The publication can be found here: https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-annual/acute-hospital-activity-and-nhs-beds-information-annual-annual-year-ending-31-march-2022/

I refer the member to the Scottish Government’s publications webpage. You can find the clinical leadership guidance here: Cancer workforce: clinical leadership guidance - gov.scot (www.gov.scot) . This has been cascaded across all regional cancer networks and amongst the Cancer Managers. In addition, presentations on clinical leadership have occurred across the regional cancer network steering groups.

The NHS National Ethnic Minority Forum (EMF) was established in April 2021 and aims amplify the voices of ethnic minority staff across the health service and tackle issues of systemic racism. EMF members also use their expertise to shape policy and practice in areas such as the Leading to Change Programme. We continue to work closely with the EMF on their priorities for 2023-24:

• the development of a ‘How to Talk about Race’ in the workplace guide
• considering support for staff reporting incidents of racial abuse/harassment
• supporting the development of anti-racism training resources for staff (an action that Scottish Government are taking forward).

Finally, I had the pleasure of attending an in-person meeting of the EMF on the 5 th October 2022. I made it clear that I will continue to actively support the chair and members in delivering their aims objectives.

Extensive work has taken place to develop projections for the health and social care workforce, including engagement with stakeholders to understand different user needs, and actively including these in the specification for the workforce projections.

This piece of work has and will take into account where appropriate the (a) three year workforce plans and (b) the Medium term financial framework as the work develops.

We aim to set out high level conclusions from projections in the coming months. Clearly, these projections are iterative and will respond to and change depending on emerging evidence and data including the impacts of AI on demand and capacity in the workforce.

The Connecting Scotland programme aims to ensure that people in Scotland have access to digital services by providing them with opportunities to access and utilise devices, connectivity, skills, and support effectively. To date, the Scottish Government has committed over £48m to Connecting Scotland, through the Programme for Government and Winter Package for Social Support.