Chamber and committees

The Scottish Government has been working with the other members of our Bus Decarbonisation Taskforce over the past year to co-design a pathway to zero emission buses. The Pathway will be published tomorrow, 10 August, alongside case studies of good practice in decarbonising bus fleets. The pathway sets out a shared approach between Transport Scotland and the key sectors represented on the taskforce (bus operating, manufacturing, energy, finance and public sector), that, by working together, we will achieve a future where all buses in Scotland are zero-emission buses; people enjoy travelling on buses knowing that doing so is one of the most sustainable travel and climate friendly choices they can make; there is an even stronger and diverse domestic manufacturing sector and supply-chain comprised of high-quality skilled jobs; and that after an important period of support, the Government has ceased subsidising zero-emission buses.

Since December 2020, over the lifetime of the Taskforce, Scottish Government has invested £113 million capital (and committed £21 million resource subsidy over a 5 year period), and leveraged in a similar sum from the private sector, to acquire 548 new battery electric buses and associated charging infrastructure for operation in Scotland. Those companies that have taken the lead can rightly be proud of their ambition and achievements. Our clear signal of high aspiration, given in the 2021 Programme for Government, has been successful in driving progress, as the proportion of zero emission buses in Scotland is approximately 3 times higher than those in England. As with every other part of the economy and society, delivery of further progress has been slowed by the pandemic, and Brexit is also causing supply chain issues and delays in investment decisions. The Taskforce also identified the need to adapt the approach to ensure that smaller operators can benefit and participate in the decarbonisation programme.

To enable delivery of the Pathway, the Scottish Government is also announcing today a second phase of the Scottish Zero Emission Bus Challenge Fund in 2023. Ahead of that, to support SME and rural bus operators be in the best possible position to benefit from that funding, a new £500,000 Zero Emission Bus Market Transition Scheme will open on 10 August.

The Zero Emission Bus Market Transition Scheme will fund:

a) Small bus operators, to assess which zero-emission technology is best for them and how it can be implemented;

b) development of collaborations across the operating, manufacturing, energy and finance sectors to bring scaled up, innovative bids to ScotZEB Phase 2 that will alter the market and bring in more private financing;

c) demonstration of the potential role that repowering of older diesel buses can play in the transition, recognising that repowering may be a more cost-effective option for SME operators, and may create additional green jobs in Scotland.

In a further positive development, eligibility for the Transition Scheme and ScotZEB Phase 2 will be expanded to support providers of home-to-school, community-to-healthcare, community bus services, and SME coach operators, in addition to public service bus operators. This will help ensure that those least able to pay for the transition to net-zero are supported, and benefit from the transition and that we progress faster and further to decarbonising bus and coach travel in Scotland and ensure that buses play a key role in providing sustainable, net zero travel in the future.

There are 91 locations providing A&E services across Scotland. Of these, 30 are classed as Emergency Departments - larger A&E services that typically provide a 24 hour consultant led service.

The requested data on the number of mental health workers in A&E departments is not centrally collected. Data such as the number of staff in post or vacancies is collected for specific mental health professional groups in the NHS, but cannot be broken down by settings such as A&E.

Under Action 15 of the Mental Health Strategy 2017-27, an additional 179.2 whole time equivalent mental health posts have been created in A&E departments.

There are 15 prisons located throughout Scotland, 2 of which are managed privately.

Responsibility for providing prison healthcare was transferred from Scottish Prison Service (SPS) to NHS in 2011, and as such the Scottish Government does not hold data on the mental health workforce.

Data such as the number of staff in post or vacancies is collected on specific job roles but not within specific settings such as prisons.

While the Scottish Government provides funding for recruitment under Action 15, workforce and service planning is conducted by Integration Authorities according to the needs of their populations.

Under Action 15 of the Mental Health Strategy 2017-27, 54.4 whole time equivalent (WTE) mental health posts have been recruited to in our prisons.

There are additional treatment options for selected groups of people with COVID-19 who are thought to be at high risk with a prioritised clinical condition, as well as those taking part in registered clinical trials related to COVID-19. The high risk group does include those with rare neurological conditions such as:

• multiple sclerosis
• motor neurone disease
• myasthenia gravis
• Huntington’s disease

The decision on whether to prescribe a medicine for a patient is entirely for their clinician. Information on the arrangements for direct access to COVID-19 treatments in Scotland can be found at: Coronavirus (COVID-19): Treatments | NHS inform .

High risk individuals who have been diagnosed with chronic neurological disease are now included in the clinical risk group of the autumn/winter booster programme as advised by the Joint Committee on Vaccination and Immunisation (JCVI).

The following groups will be offered an additional booster dose from Sept 2022:

• residents in a care home for older adults and staff working in care homes for older adults
• frontline health and social care workers
• all adults aged 50 years and over
• those aged 5 to 49 years in a clinical risk group, including pregnant women
• those aged 5 to 49 years who are household contacts of people with immunosuppression
• carers aged 16-49 years

Letters will be sent out to the first eligible groups next month with appointments beginning in Sept. Discussions on the details of the delivery timetable are underway with health board partners. More information will be made available in due course.

Potential extension of the Waverley line, to Carlisle via Langholm, and other route variations, was appraised as part of the second Strategic Transport Projects Review (STPR2). Whilst the outcome was that the extension of the line was not included within the 45 draft recommendations, there does remain a path for regional or local rail projects to come forward, and Transport Scotland will consider these subject to a strong business case being developed in accordance with Scottish Transport Appraisal Guidance (STAG) and suitable funding being available. The Scottish Government have committed up to £5 million through the Borderlands Inclusive Growth Deal to enable regional partners to assess the benefits and challenges of extending the Borders Railway, and continue to work with partners to implement that commitment.

Through the Borderlands Inclusive Deal the Scottish Government have allocated up to £5 million to assess the benefits and challenges of extending the Borders Railway. That funding will be released on the achievement of agreed milestones, in line with the usual business case and governance processes that apply to all growth deal projects. As this is a joint funding commitment, the Scottish Government are currently awaiting the outcome of internal UK Government discussions on governance procedures to be able to align advice to partners and move things forward.

I refer the member to the answer to question S6W-08833 on 14 June 2022. 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 Scottish Government has recently announced a new set of ambitious targets to eliminate long waits, with an initial focus on long waits over two years for new outpatients by August 2022 and for inpatients and day case procedures by September 2022.

We have recently stepped down the Clinical Prioritisation Framework that was in place since November 2020 to help Boards prioritise waiting lists throughout the Covid-19 pandemic.

This move is a return to pre-pandemic approach of treating patients on an urgent and routine basis, giving Health Boards and clinicians full flexibility to manage waiting lists with a focus on eliminating long waits, as well as continuing to treat the most clinically urgent patients.

People will have their Disability Living Allowance award selected for transfer to Adult Disability Payment if they would otherwise be required to claim Personal Independence Payment. These will be individuals that were under 65 on 08 April 2013 and, after 29 August 2022, report a relevant change of circumstances, are due to have their award renewed, or that ask to have their award transferred.

We estimate that approximately 3,000 people in Scotland could see their Disability Living Allowance awards transferred to Adult Disability Payment between 29 August 2022 and 29 August 2023.

On 24 June it was confirmed that all Temporary Covid Policies (including Special Leave) will be removed ( https://www.sehd.scot.nhs.uk/dl/DL(2022)21.pdf) and that from 1 September 2022, NHS Scotland colleagues who are absent due to COVID-19 will revert to contractual sick leave entitlement (Section 14 – Sickness Absence https://www.msg.scot.nhs.uk/wp-content/uploads/AfC-Handbook-Master-Scottish-Copy-2021-Revamp.pdf ).

All NHS colleagues benefit from the Once for Scotland Attendance Policy ( https://workforce.nhs.scot/policies/attendance-policy-overview/attendance-policy/ ) which aims to encourage attendance and support employees, where health issues impact on their ability to be at work.

At present, support for people with Long COVID in Scotland is underpinned by the full range of NHS services, including local primary care teams, community based rehabilitation services and referrals for secondary care investigation where needed.

To ensure care continues to be resourced and delivered across Scotland in the most appropriate way, we are investing an initial £3 million from our Long COVID Support Fund over this financial year to support NHS Boards and key partners to take forward a range of projects to improve care and support for people with Long COVID.

This will provide resource to enable Boards to design models of care tailored to the specific needs of their local populations, which may involve strengthening the co-ordination of existing services, or establishing dedicated services where appropriate.