Chamber and committees

Since October 2022, Scottish Government has funded the third sector organisation RNID to deliver its ‘Near You’ scheme in partnership with the NHS. The service provides hearing aid maintenance and support, access to information and advice as well as early detection and prevention. The scheme is currently operational across 5 hub areas – Greater Glasgow and Clyde, Scottish Borders, Shetland, Lothians and Fife and is facilitated by locally recruited staff and trained volunteers.

Partnerships provide domiciliary care in care homes as well as forging links with other third sector organisations to maximise attendance and support provided. Regular monitoring of this service is undertaken to assess demand and savings including in clinical hours and patient travel.

Funding for Community Eyecare (formerly General Ophthalmic Services) is published annually in the Scottish Budget and supports the expansion of community optometry services. Figures for the last five years, including annual movements are summarised in the following table.

Requests for staff training are approved by senior management based on business need and value for money. Whilst total expenditure on staff training is recorded, we do not have a breakdown of spend only related to staff involved with social media management.

The Scottish Government has a crucial role in communicating with the public and uses a mix of channels to reach different audiences. This includes digital channels such as social media as well as traditional broadcast, print media and others. Channels are chosen to best meet our communications objectives in the most effective and cost efficient way, and this is regularly reviewed using insight and evaluation.

The Scottish Government’s Communications Division currently has a presence on YouTube, Facebook, Instagram, X and LinkedIn.

There are fourteen Allied Health Professions (AHP) across Scotland and Paramedicine is the only AHP that has a controlled intake target. There are currently no plans to extend this to any other professions within the AHP family, including Speech and Language Therapy.

The Scotch Whisky Regulations 2009, coupled with inclusion in the GI scheme already provides this guarantee and the GI mark is available to be used by producers meeting the specification should they wish.

As this is an operational matter, I have asked Scottish Water and the Scottish Environmental Protection Agency (SEPA) to reply. Their responses are as follows:

a)

Not all spills from Combined Sewer Overflows (CSOs) are sewage spillages – CSOs are an integral part of the sewer network, designed to spill during heavy rainfall to prevent sewage backing up and flooding homes and businesses. Normally, what is spilled is wastewater which has been highly diluted by rain water - the toilet sewage element is less than 1% of the total volume.

Considering locations where Scottish Water is required to report annually to SEPA and where it has a long-term record of overflow events, there has been no recent increase in event frequency or in total event duration. In 2024, Scottish Water was able to publish some further overflow event information for other locations where it has reliable data. However, Scottish Water does not have long-term trend information at these locations.

The publication of information for additional locations has the effect of increasing the number of overflow events / duration for locations in the Firth of Clyde. As Scottish Water has deployed more Event Duration Monitors (EDMs) over the whole country, it expects that the total number of overflow events and durations included in the published dataset will increase.

b)

The SEPA responds to public and Scottish Water notifications of pollution from sewage and carries out a programme of inspections of sewer networks and sewage treatment sites. SEPA is not aware of an escalation in incidences of polluting sewage spillages into the Firth of Clyde. However, where sewer overflows are causing a water quality impact, SEPA works with Scottish Water through River Basin Management Planning to prioritise investment.

Up until six years ago the River Clyde was in the worst category for water quality and was classified as Bad by SEPA. Between 2010 and 2021, £610 million was invested by Scottish Water in wastewater assets bringing significant water quality improvements. The Clyde is now moving up classification and is into Good in a number of aspects. Aquatic species are returning to the waters, which supports a much more diverse aquatic life such as fish and birds with Atlantic Salmon returning.

We are continuing work to improve the data we have on women’s health so that we can better understand the health of women and girls in Scotland – including endometriosis.

Information on women’s health data in Scotland can be found in the recently published Women’s Health Plan Data Landscape Review. It sets out the range of publicly available data on the health of women in Scotland and highlights where there appear to be gaps. Further work will be undertaken to explore data sources and gaps in more detail.

The endometriosis care pathway for NHS Scotland aims to support healthcare professionals to provide holistic and timely care for those with endometriosis and endometriosis-like symptoms. All NHS Boards should be taking steps to implement the pathway.

As set out in the Pathway, clinicians should consider women’s individual needs in order to determine treatment for example symptoms, aspects of daily living and whether fertility is a priority for that individual.

The Scottish Government expects all NHS Boards to provide maternity services that are delivered as close to home as practicable and to offer a full range of birth place options within their region. Service planning and delivery is the responsibility of NHS Boards and it is important that these services are safe, sustainable and meet the needs of local populations.

At a national level, we continue to take forward work to address the challenges faced by maternity services in rural and island NHS Board areas. We are improving the delivery of maternity services in rural areas through initiatives such as implementation of The Best Start and the introduction of continuity of carer; the development of community hubs, and the increased use of Near Me, that allows for remote consultations and appointments where appropriate. We particularly recognise the importance of patient transport and this remains a priority for the Scottish Perinatal Network (SPN), with work commencing to develop guidance on Remote & Rural Intrapartum Transfers. In addition, we continue to support work in Grampian to return obstetric maternity services to Dr Gray's Hospital.

The Scottish Government continue to support all community pharmacy contractors, including rural pharmacies in Scotland by delivering the largest ever increase to funding for two years in a row. This settlement will deliver a total of £422 million in guaranteed funding for community pharmacies across Scotland in this financial year.

In addition, there is a Guaranteed Minimum Target Income for essential small pharmacies, most of which are rural, and a pharmaceutical needs weighting payment which acknowledges both demographics and deprivation associated with a patient’s postcode. This helps support rural pharmacies by ensuring they are not disadvantaged because of their location. In our strategy for pharmaceutical care in Scotland ‘Achieving Excellence in Pharmaceutical Care’ (2017) we committed to enhancing access to pharmaceutical care in rural communities, which included use of Attend Anywhere for pharmacist clinics, and use of Near Me to support access to and the delivery of pharmaceutical care in rural communities.