Chamber and committees

NHS Lothian is currently refreshing the Outline Business Case for the Edinburgh Eye Pavilion replacement project and will subsequently submit a Full Business Case to the Scottish Government. The FBC will undergo the usual scrutiny and approval processes for infrastructure and investment projects within NHSScotland and a response will be provided once this process has concluded.

As committed to within our Heat in Buildings Strategy, work is currently underway to develop a new Heat in Buildings Public Engagement Strategy, to be published in early 2023.

This will build on the broader approach to public engagement on climate change that we published last year, and will aim to:

• Increase understanding of the changes we need to see in how we heat our homes and buildings, and why;
• Raise the profile of energy efficiency and net zero carbon heating options so that people are aware of the benefits and begin to see them as a positive choice; and
• Raise awareness of advice and support services to maximise uptake of the help available.

The strategy will to set out a range of activities for public engagement that will be implemented over the transition to zero emissions heating, including: national marketing campaigns; education initiatives; a social research programme; and public participation in policy and delivery programme design, to ensure the needs of different (domestic and non-domestic) groups are considered. This reflects our commitment to supporting a just and fair transition.

To inform development of the strategy, this autumn we will undertake a Call for Evidence. Alongside publication of the strategy, next year we will launch a national conversation and campaign on heat decarbonisation, working with a range of practitioners, consumer organisations and others across Scotland to increase awareness of the heat transition with different audiences over the coming months. Early focus will be on building readiness for change amongst a wide cross-section of society ahead of the introduction of proposed regulations. We will also launch a national marketing campaign this autumn to promote awareness of our free and impartial advice and support services – Home Energy Scotland and Warmer Homes Scotland.

We have committed to update Parliament regarding publication of the Project Neptune report and planned next steps and will do so after the summer recess.

The Scottish Government recognises the impact long delays in call answering times at NHS 24 could have on A&E attendances. NHS 24 is focussed on ensuring that patients receive the correct advice immediately without a requirement to be placed in a queue, in line with what extensive patient engagement has told the Service. Although this means patients may sometimes have to wait longer for their call to be answered, over 95% of calls are closed first time with patients getting appropriate support and advice without any requirement to be placed in a queue for a call back. This not only helps callers with a reduced journey time through NHS 24 but also hastens any onward referral to local services within NHS Boards reducing pressure across the system.

There are significant pressures residing across all areas of the system, including the NHS 24 111 service and, as a result, we have increased funding for the service by over £20m. This is supporting additional recruitment of call handlers and clinicians, including the addition of two new call centres in Dundee and Glasgow to help facilitate the increase in demand generated by the redesign of urgent care programme.

Furthermore, our new Urgent and Unscheduled Care Collaborative programme, supported by £50 million, will support the implementation of a range of measures to reduce A&E waiting times and improve patient experience, including alternatives to hospital-based treatment.

Near patient International Normalised Ratio (INR) testing is currently not routinely available on the NHS. However, INR testing is available through primary care settings for those who require it. Individual NHS Boards are responsible for providing services that work best with the needs of their populations.

SCVO estimate that the public sector as a whole invests around £1.8 billion each year to support the work of charities and social enterprises. Of that, around £500m comes from the Scottish Government via a broad range of programmes including those supporting community empowerment, mental wellbeing, children and families and health and social care.

The Scottish Government fund Third Sector organisations for specific projects or for core funding and these organisations often also attract income from other sources. That is a matter for those individual organisations and the Scottish Government do not keep a record of which organisations source additional funding from other sources and which do not.

In ‘A Fairer, Greener Scotland: Programme for Government 2021-22’, the Scottish Government committed to begin work on establishing a register of interests for the judiciary to increase public confidence and improve transparency.

To date, preparatory work on developing proposals for a judicial register of interests has been undertaken and my officials are currently developing options and next steps with the intention of engaging with stakeholders towards the end of 2022.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

The Scottish Court Custody and Prisoner Escort Service Contract (SCCPES) provides the requirements of the service provider to ensure safe and secure transfer of prisoners between court appearances and mainland prisons.

1. The escort provider has clear processes and Standard Operating Procedures that have been agreed with SPS including:-

• the management of all transfers, regardless of location, including the use of public transport where the use of their vehicle fleet is not possible and other transport is required, such as Ferries, Boats and use of Aircraft.
• agreement of the protocols with Scottish airports for the facilitation of the movement of prisoners through the terminal buildings to facilitate the flight to and from all Scottish Islands where a flight is necessary, timeous and has been deemed to be required.

1. The current service provider has established a robust working relationship with all Scottish airports to facilitate the movement of individuals through the airport and terminal buildings.

In the scenario where an airport is unable to facilitate the transfer, the service provider will arrange, where possible, a flight to another Scottish airport and manage the ongoing movement via road transport if necessary, taking into consideration the impact of the person being escorted and the time spent in transit.

The Scottish Government has not been requested to research a headcount reduction in the Scottish civil service.

The Scottish Government regularly reviews its workforce numbers to ensure affordability, and that the organisation is delivering for the people of Scotland as efficiently and effectively as possible.

The UK Government has not provided details on how their plans to reduce the number of civil servants by 91,000 will affect their staff working in Scotland. There are around 24,800 [1] Civil Servants who are part of the reserved Public Sector in Scotland.

The UK Government plans do not have a direct impact on civil servants who serve the Scottish Government, as the responsibility lies with Scottish Ministers and the Permanent Secretary when it comes to determining our workforce size.

[1] Source: Public Sector Employment In Scotland Statistics For 1st Quarter 2022 .

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

Where possible, the use of the Virtual Court process should be facilitated in the first instance, either from Police Custody Units (PCU’s) or mainland prisons, unless the individual is directed to appear in person by the Sheriff.

Where an escort is required to facilitate a court appearance in person, and the flight to that island is not available, or the airport is not available, the service provider is required to ensure that they have planned and organised the transportation of the individual(s) with sufficient time to ensure the person and escorting staff arrive in time for the scheduled court appearance.

This may mean organising ferry transport to the Scottish islands, and potentially liaising with SPS to temporarily locate the individual at an establishment closest to the ferry terminal if they have travelled from a significant distance.

Where required, the service provider may also need to liaise with Police Scotland to locate the individual in local legalised police cells overnight prior to, or after, the court appearance if off island transport is not available.