Chamber and committees

All Health Boards in Scotland receiving baselined funding from the Scottish Government toward their neurology services. As part of Planned Care funding, the Scottish Government has also invested £217,000 in total towards improving waiting times in NHS Tayside and NHS Greater Glasgow and Clyde.

Through the Neurological Framework, the Scottish Government has given direct investment to numerous territorial Health Boards to undertake projects focusing on neurological care, in line with the Framework’s commitments. Health Boards that have received direct investment are:

• NHS Ayrshire and Arran
• NHS Forth Valley
• NHS Grampian
• NHS Greater Glasgow and Clyde
• NHS Lanarkshire
• NHS Lothian
• NHS Orkney
• NHS Tayside

Third sector organisations have also been awarded funding to work in partnership with a number of statutory organisations to better integrate services, including NHS Greater Glasgow and Clyde and NHS Fife. The Migraine Trust has worked in partnership with seven NHS boards to improve treatment for migraine in community pharmacy.

A full list of projects funded through the Neurological Framework can be found here.

A final report on the Neurological Care and Support in Scotland: A Framework for Action 2020-2025 will be published by the Scottish Government when the Framework reaches the end of its agreed lifespan. An assessment of future priorities for neurological conditions will be included.

The aims contained in the document Neurological Care and Support in Scotland: A Framework for Action 2020 – 2025 are applicable to healthcare delivery across Scotland. Through this we have supported a number of national initiatives to improve care and reduce variation, including:

• Self-evaluation by all NHS boards against the General Standards for Neurological Care and Support 2019. Development of national care pathways for headache and Functional Neurological Disorder, with care pathways for further conditions in development
• Agreement of a Business Case and funding to adopt the Scottish Epilepsy Register across Scotland, improving the safety and quality of care for people with epilepsy
• Development of a neurology nurse specialist competency framework
• Formation of collaborative improvement networks which include NHS boards, Health and Social Care Partnerships, third sector organisations and people with lived experience to encourage consistent adoption of the successful approaches funded through the Framework
• Development, by third sector partners, of a toolkit for the consistent commissioning of social support for people with epilepsy
• Improved provision of public information on individual neurological conditions through the development and/or revision of 23 NHS inform webpages
• Through national charities, development of nationally-accessible sources of self-management support for people with MS, spina bifida hydrocephalus, progressive supranuclear palsy, cerebral palsy and non-epileptic seizures
• Re-development of the internationally recognised neurosymptoms.org web resource to support people with Functional Neurological Disorder
• Dissemination of nationally-accessible clinician education resource for ME/CFS

Transport Scotland conducts machine-based surveys using specialist vehicles each year to gather information on the surface integrity of the road; the friction characteristics of the surface; and the structural capacity (strength) of the underlying road construction. The data obtained provides an annual snapshot of the road condition across the network and is used to determine a Road Condition Index for each section of road. The Index values can then be used to identify where detailed engineering investigations should be focused in order to determine maintenance requirements.

The proportion of the A90 that has been assessed as requiring further preliminary investigation to determine whether structural maintenance is required is currently 18%. This compares with 17% across the whole of the trunk road network.

Following the fire at the WEEE Solutions site in Linwood in June 2024, I asked my officials to consider the safety of these sites and battery energy storage (BESS) sites. In particular, this was to examine whether existing safety provisions and regulations are sufficiently robust, whilst also considering compliance and enforcement aspects. This concluded that the current legislative and regulatory framework is sufficiently robust, recognising however that it is complex and requires interagency cooperation to be effective.

The investigation into the cause of the recent fire at Friarton is still underway and I will decide once the findings are known whether to take any reviews forward. The Scottish Fire and Rescue Service, the Health and Safety Executive and SEPA will continue to engage with the site and my officials liaise with them on any issues of safety at BESS sites.

It would not be appropriate to commit to a review of fire safety procedures at waste management facilities until HSE, SEPA and SFRS have had time to look at the particular case and can give informed information to governments if required.

The Scottish Government invited Health Boards to submit requests for hot food appliances required to support resident doctors in late 2022. In February 2023, invitations were closed and Scottish Government provided funding to responding Health Boards to enable purchase of approximately 55 appliances, including kettles, microwaves, fridges and toasters. This was a one-time provision to support staff facilities. Scottish Government cannot confirm how quickly these were purchased by the participating Health Boards.

It remains the responsibility of individual Health Boards to manage their facilities to ensure they meet staff needs. NHS employers should take steps to provide staff with access to nutritious hot food and out-of-hours catering wherever possible.

The Scottish Government continues to work with stakeholders to consider further initiatives across health, social care and social work to enhance staff wellbeing.

The allocation of funding for healthy food provision, out-of-hours catering or rest spaces for doctors remains the responsibility of individual Health Boards, who will manage their facilities effectively within their individual budgets.

NHS employers are encouraged to ensure, wherever feasible, that staff have access to nutritious food, out-of-hours catering and appropriate rest spaces.

Evaluation of the EnergyPods was provided through surveys conducted by Victoria Hospital in Fife, along with usage data from the supplier provided to Scottish Government as requested up to May 2023, demonstrating the ongoing value to staff. The EnergyPods continue to be used regularly within NHS Fife offering a valuable addition to their facilities.

The Scottish Government continues to work with stakeholders to consider further initiatives across health, social care and social work to enhance staff wellbeing.

The Scottish Government welcomes IBD UK’s latest report, Crohn’s and Colitis Care in Scotland: A Vision for Change, and notes the recommendation for government to undertake a high-profile public health awareness campaign on the seriousness of IBD and its symptoms. In consideration of the recommendation, our assessment is that information and guidance on Inflammatory Bowel Disease including crohn’s disease and ulcerative colitis is already widely available to the public via the NHS Inform website: Scottish health information you can trust | NHS inform and we have no plans to commit to a campaign at this time.

The Kingston Bridge Complex in Glasgow receives a rigorous programme of regular inspections. The output from these inspections is used to inform current and future maintenance programmes. Any defects identified from these inspections are prioritised and taken forward for future repair, if necessary.

The concrete spalling reported on 14 January 2025, immediately above Paisley Road, was related to an historic concrete repair, which broke loose after the recent period of cold weather. There are other historic repairs within the complex and, to address this issue and to ensure public safety, Transport Scotland’s Operating Company, Amey, has instigated further close visual special inspections to identify and remove any loose concrete at these historic repairs. These inspections are underway and will continue over the next few weeks.

We do not hold this information.