Chamber and committees

NHS Boards have exceeded the commitment to deliver 64,000 appointments and procedures in 2024-25, funded through our additional investment of £30 million to drive action to address the longest waits.

To the end of January 2025, Boards are reporting delivery of 75,500 appointments and procedures, as follows:

• Over 9,800 of 12,000 new outpatient appointments;
• almost 9,200 of 12,000 surgeries delivered;
• and almost 56,500 diagnostic procedures delivered, exceeding the original plan to deliver 40,000 by 41%.

Funding was targeted in specialties including Ophthalmology, Orthopaedics, Urology, Diagnostics and Cancer. Since April 2024, Scottish Government has been closely monitoring progress and impact and will continue to do so until the end of March 2025.

Across Scotland, the latest published data in the PHS Stage of Treatment Statistics show that, between April 2024 and September 2024, compared to the same period in 2023, there has been an 8.3% increase in activity for inpatient/daycase procedures and 2.5% increase for new outpatients appointments. While the activity through the additional investment cannot be directly attributed to the increased activity, we are confident that has supported increased throughput.

The targeted funding has also helped reduce the total national diagnostics waiting list size. Between April 2024 and September 2024 imaging list size reduced by 7.5% and scopes by 7.3%.

At Board level, we have seen significant percentage reductions in waiting times across a number of specialities where funding has been targeted, as set out in the following table:

The Scottish Government attend the National Specialist Services Committee (NSSC) who meet quarterly. Apologies were provided for the most recent meeting on 25 November 2024.

Discussions at the 25 November meeting included:

• Finance Update
• Requests for New Designations
• Approved Designations
• De-designations
• Designated Services – Assurance Reporting
• Hyperbaric Medicine
• New Commissions/ Business Cases for Prioritisation - Overview of Business Cases & Scoring Process
• National Planning and Networks Update
• Reviews update
• NSD Highlight Report
• Any Other Business:
• Planning Process
• Implications to new NSSC Governance
• New Governance process for SLAs

Given the significant challenges facing public finances at that time, utilising reserves that had been built up over time from underspend of previous allocations to reinvest in support of multidisciplinary team implementation was a prudent use of public funds. At the same time, the Scottish Government increased the recurring funding available for these teams through the Primary Care Improvement Fund (PCIF) to £170 million in 2022-23 to support Integration Authorities to continue to work with local partners to increase and enhance capacity in primary care services. We are now investing over £190 million annually in the implementation of primary care multidisciplinary teams through the PCIF as well as additional funding for annual pay uplifts.

This report adds to understanding about what can happen early in the process of natural colonisation, when trees established in this way grow relatively slowly. The efficacy of tree planting for carbon capture must also consider their contribution to removing CO₂ from the atmosphere and then storing carbon in the longer term.

The UK Forestry Standard applies requirements to minimise soil carbon losses when creating new woodlands. No planting is supported in Scotland on soils with peat exceeding 50 cm depth. In addition recently revised guidance for soil cultivation effectively limits ploughing of organic soils of less than 10 cm depth.

The Scottish Government has no powers to influence grid management in Scotland as legislation and regulations relating to gas and electricity networks are reserved to the UK Government. The independent system operator, National Energy System Operator (NESO), is responsible for strategic planning and day-to-day operation of the electricity network, working with network companies across Great Britain. Regulation of the electricity and gas networks is carried out by the independent energy regulator Ofgem.

The following table summarises the value of hospitality costs on the Scottish Government’s financial reporting system for each of the last 5 full financial years.

As had been made clear, there remains challenge and uncertainty in the capital funding position.

All due consideration will be given as to which projects are affordable and deliverable and can be included within our revised infrastructure investment plan pipeline, following the outcome of the UK Government’s spending review and clarity on our longer-term capital funding position.

To this end, we are working with all health boards to develop a whole-system NHS infrastructure plan which will reflect needs across Scotland and support continued safe operation of existing facilities, as well as determination of longer term investment priorities.

The following table sets out the total number of premises currently contracted to receive connections through the R100 North contract by 2028, the number of premises connected as of 13 January 2025 and the number of premises yet to be connected as of the same date.

Openreach are also delivering a number of additional connections to premises that were not in the contracts, but have been connected as a result of nearby R100 contract build. This is known as overspill. The number of such connections delivered are also provided in the following table.

It should also be noted that our demand-led R100 Scottish Broadband Voucher Scheme (SBVS) remains available for those not expected to benefit from superfast broadband through R100 contract or commercial build plans.

The information held by our Building Maintenance, Mechanical and Engineering contractor, shows the following spend on TVs via the FM Works Requests budget.

2015-2016 - £1317.60

2016-2017 - £1784.60

2017-2018 - £296

2018-2019 - £6393.88

2019-2020 - £5075.71

2020-2021 - £11,160.00

2021-2022 - £12,133.18

2022-2023 - £6520.20

2023-2024 - £699.56