Chamber and committees

We recognise the need for a whole-government approach if we are to drive forward progress in reducing health inequalities.

The government is already involved in proactive, cross-portfolio discussions on what a ‘whole of government’ preventative approach might look like. Our Care and Wellbeing Portfolio is the principle strategic reform vehicle in Health and Social Care, which is being designed to promote a ‘health in all policies’ approach. The portfolio will shape and strengthen cross-government collaboration on key and critical issues that contribute to the goal of reducing health inequalities. As part of this, we have begun working with other programmes across the government including those relating to Child Poverty, the Promise, Economic Transformation, Climate Change and Net Zero.

The Scottish Government remains committed to the removal of fees associated with instrumental music tuition so income is not a barrier to children and young people taking up an instrument. Access to instrumental music tuition is for local authorities to determine depending on local circumstances and priorities.

Councils are autonomous and it is their responsibility to agree their annual budgets taking into account their statutory duties and national and local priorities.

The information in the format requested is not held centrally. The Scottish Diabetes Survey records the number of people who have attended structured diabetes education at any time and can be found at: https://www.diabetesinscotland.org.uk/publications/#survey-docs.

As part of the Scottish Diabetes Group, a Short Life Working Group (SLWG) has been established to develop recommendations for a ‘Once for Scotland’ approach to Type 1 diabetes education. For people newly diagnosed with Type 1 diabetes, there is an urgent need for their diabetes specialist team to introduce self-management techniques in order to ensure early optimisation of glycaemic control. The SLWG has input from health professionals from every NHS Board in Scotland, and they are working in partnership with people living with Type 1 diabetes to design the pathways.

The information requested is not held centrally.

The Scottish Budget provided baseline funding of over £492 million to NHS Education for Scotland in 2022-2023, it is for NHS Board to determine how they use this funding. In addition to this, further funding has been made available to NHS Education for Scotland to support specific programmes of work including:
‎ £22.3 million is provided towards the improvement of Mental Health Training and £3.7 million for the NHS Scotland Academy which offers accelerated training programmes to those working, and soon to be working, across many roles within Health and Social Care. Much of the training and education activity delivered by NHS Education for Scotland is supported and enhanced through digital solutions.

We continually monitor the sufficiency of education and training support across NHS Scotland as we work to deliver a sustainable Health and Social Care workforce and implement improvements in patient care. As part of this, The Scottish Government has regular strategic engagement with NHS Education for Scotland regarding its priorities. The Scottish Government also has a number of other mechanisms to oversee and review each Board’s performance. The Annual Reviews held by Ministers remain an important part of the accountability process as do Board Annual Operating plans, building on the local governance arrangements which form part of Board structures.

We continue to support active farming and food production with direct payments to provide certainty to the industry. We delivered 2021 Common Agriculture Policy (CAP) payments to schedule with over £564 million issued. In 2022, we brought forward the payment date to as early in the year as was practicably possible in order to provide support to businesses with immediate cash flow challenges. Over 17,356 businesses have already benefitted from this change with around £417.4 million paid out to date.

The Scottish Government is working with the industry and partners with an interest in delivering a thriving, sustainable, rural economy, to co-develop and co-design future agricultural support structures and delivery, to offer clarity, and through a just transition, avoid cliff edges for Scotland’s farmers and crofters.

The Agriculture Reform Implementation Oversight Board (ARIOB), co-chaired by Cabinet Secretary RAI and NFU Scotland President Martin Kennedy, provides advice to the Scottish Government on actions that will assist the sector in addressing the climate and biodiversity crises at pace, and enable it to make targeted investment for longer-term benefits and outcomes.

As part of the Scottish Diabetes Group, there are several sub-groups working on delivering commitments specific to Type 1 Diabetes. These include commitments to improving education and self-management and also inpatient care. Closed Loop Systems are also being considered for potential inclusion in the new Accelerated National Innovation Adoption (ANIA) pathway co-odinated by the Centre for Sustainable Delivery. Projects centred on access to technologies will have a particular focus on increasing access for those living in the most deprived areas of Scotland, using SIMD data.

Following the successful completion of a two-year Scotland-wide pilot in 2022, the new fast-track Prescribed Blue Badge model for people with motor neurone disease (MND) was launched on 9 May 2022 via the provision of updated guidance for local authorities.

MND specialist nurses in Scotland now have the power to prescribe a Blue Badge for people with an MND diagnosis should their MND specialist nurse deem them as meeting the eligibility criteria. This means that such applicants can bypass the Local Authority assessment process and experience significantly shorter waiting times.

The Women’s Health Plan focusses on a specific set of priorities including enhancing care and support for those with endometriosis. Whilst chronic urinary tract infections (UTIs) are not specifically mentioned in the priorities for this iteration of the Plan, we recognise that many women are significantly affected by the condition.

In addition, we have commissioned the Health and Social Care Alliance to take forward a programme of work on lived experience in order to put the voices of women at the heart of the Plan.

We recognise that research is essential if we are to increase our understanding of endometriosis and develop new and effective approaches to the prevention, diagnosis, treatment and management of this debilitating condition. That is why we are jointly funding a £250,000 research project with Wellbeing of Women, which aims to develop improvements into treatment and management options for the condition.

We will raise awareness and support the implementation of the new Endometriosis Referral Pathway for NHS Scotland developed by the Modernising Patient Pathways Programme. The Pathway aims to ensure those with endometriosis receive individualised treatment in relation to their symptoms by improving earlier intervention and support within primary care, streamline referrals to secondary and tertiary care where required.

Our Endoscopy and Urology Diagnostic Recovery and Renewal Plan, backed by £70m investment, was published on 30 November 2021 and focusses on key areas such as Balancing Demand and Capacity; Workforce Training and Development; and Infrastructure Innovation and Redesign. This will be achieved through the implementation of key actions that are focused on reducing the waiting times back to the 6-week target during the life time of this Parliament.

In addition, in July last year, we introduced ambitious targets for NHS Scotland to address the backlog of planned care, undoubtedly exacerbated by the pandemic. We are working intensively with NHS Boards to maximise capacity and to clear remaining waits as soon as possible, with a specific focus on specialities and areas where there are larger amounts of people waiting, including Urology.