Chamber and committees

I have agreed a joint statement with the BMA on face to face appointments that will be published later today.

As they have for many years, face-to-face appointments form part of a hybrid model also including video and telephone consultations. While we all aspire to return to greater availability of face-to-face, many patients will also wish to continue with telephone or video consultations. In joint communication with the BMA I have set out my expectation that recent changes to guidance should result in an increase in GP face-to-face appointments.

Rather than setting an arbitrary return date, what is most important is that appointments are agreed through shared decision making, balancing patient choice and clinical judgement.

We commissioned and published in 2018 a first national independent expert report on specialist NHS dementia beds provision Transforming Specialist Dementia Hospital Care with recommendations for sector modernisation as part of wider whole-system reform in localities.

The report noted the most recent official figures at that time on numbers of NHS Old Age Psychiatry beds and Geriatric Medicine beds. These figures include people with an organic illness (dementia) and those with a functional illness (mental ill health conditions such as depression, bi-polar and schizophrenia) and the report noted that it was difficult to provide a precise number of patients with dementia in these settings, given the frequency of co-morbid conditions and under-diagnosis of dementia.

We continue to work with the author of the report as part of wider work since 2018 to support implementation of the report and to support local service modernisation, workforce planning and resourcing.

The circumstances which led to the case before the European Court of Human Rights preceded the Human Trafficking and Exploitation (Scotland) Act 2015. The 2015 Act introduced new protections for victims of human trafficking and exploitation offences in Scotland.

The 2015 Act requires the Lord Advocate to issue instructions regarding the prosecution of persons who are, or appear to be, the victims of trafficking, slavery, servitude or forced or compulsory labour and who have allegedly committed a criminal offence. These instructions were published in May 2016 and were updated in August 2021, following a review by the Crown Office and Procurator Fiscal Service in light of the European Court of Human Rights’ decision in VCL and AN v UK. The instructions sets a strong presumption against prosecution of adult victims who have been compelled to commit an offence and the compulsion is directly attributable to trafficking or exploitation and a strong presumption against prosecution of child victims who have committed an offence in the course of, or as a consequence of, being trafficked or exploited.

Decisions in relation to prosecution are for the Crown Office and Procurator Fiscal Service which makes its decisions independently.

Both Police Scotland and the Crown Office and Procurator Fiscal Service continue to discharge their positive obligations to potential victims of human trafficking and exploitation.

Information on the application of the Lord Advocate’s instructions can be accessed through the Trafficking and Exploitation Strategy progress reports https://www.gov.scot/policies/human-trafficking/ .

The Care Inspectorate for Scotland are responsible for setting and reviewing the ratios for all childcare setting in Scotland. Usually, childminders can care for a maximum of eight children at any one time under the age of 16 years, of whom a maximum of six children will be under 12 years, no more than three children will be under primary school age, and only one child will be under one year old.

The number of children cared for at any one time includes the childminder’s own children or family members, whether or not they are present in the service. Evidence indicates that these ratios provide good outcomes for children.

In discussion with a setting, The Care Inspectorate may vary the adult to child ratios to take account of special circumstances that support the best outcomes for children, such as the presence of siblings under the age of one, the presence of children with additional support needs or the layout of the premises being used. Ratios will also be varied where more than one childminder works from the premises, or the childminder employs an assistant.

Guidance was last published on these ratios in 2018. It was last reviewed in 2019.

Our Commitment to Childminding , published in January 2021, sets out how the Scottish Government will continue to work with partners to promote childminding as a positive career choice and as a choice for parents and carers when they decide the most appropriate childcare option for their family.

This includes promoting childminding careers by working with employability bodies, including the Department of Work and Pensions and Skills Development Scotland, and exploring the opportunities to ensure that Early Learning and Childcare students are exposed to the career options of childminding within student placements during the course of their study.

The Scottish Government will continue to monitor trends in the number of childminding services and to ensure that our approach reflects the evidence obtained from the recently published Financial Sustainability Health Check . We also want to ensure that childminders continue to play a vital role in ongoing delivery of the 1140 programme and in how we implement our new Programme for Government Commitments for one and two year olds over the course of this Parliament.

The Scottish Government has established the Bus Decarbonisation Taskforce, comprised of leaders from the bus operating, bus manufacturing, energy and finance sectors, including representation from rural bus operators. At its first meeting the group set out its vision for a future where “Bus operators are exclusively running zero-emission battery-electric and hydrogen fuel-cell buses, and the bus sector provides an excellent service meeting passengers’ day-to-day needs”. The guiding vision informs all aspects of the Taskforce’s work. The Scottish Government is making £120 million available over the coming years to support operators in both urban and rural areas transition to zero-emission technology. The first phase of our Scottish Zero Emission Bus Challenge Fund, worth £50 million, is currently open for bids. A second phase will be subject to review of the first.

Warmer Homes Scotland is a demand led scheme, and as such does not set regional intervention targets for future delivery. The following table shows the completed applications under Warmer Homes Scotland by KPI region for 2020-21:

In 2019 the Scottish Parliament set ambitious climate change emission reduction targets to net zero emissions by 2045 and a 75% reduction by 2030. This means that by 2030, emissions from homes and buildings will have to fall by 68% against current levels. Transforming the way we heat our homes and buildings, in order to meet these legally binding targets, will touch the lives of almost everyone in Scotland.

The Scottish Government recently consulted on the draft Heat in Buildings Strategy which states that by 2030 around 50% of homes will need to convert to a zero or low emissions heating system, including the vast majority of 167,000 off-gas homes that currently use high emissions oil, LPG, and solid fuels.

A number of respondents offered their support for the consultation paper’s suggestion that the immediate focus should be on low and no regrets interventions and that one of these should be the deployment of individual building heat pumps in buildings off the gas network which currently use high carbon heating fuels. However, there was also concern that the combination of being off-gas grid and living in a hard-to-treat property presents risks around increased fuel poverty.

The Scottish Government has a strong offer of fuel poverty support suitable for those in rural and island areas. Both Warmer Homes Scotland and our Area Based Schemes, which target fuel poor households, take a “zero emissions first” approach to the provision of new heating systems. Ending the provision of new oil/LPG systems through these schemes, in favour of offering low carbon alternatives, is a further step on this path to phasing out these polluting technologies. This year we have increased funding to a record £50 million for Warmer Homes Scotland (an increase from £32 million in 2020-21) and £64 million for our local authority led Area Based Schemes (an increase of £9m compared with 20-21).

The shared policy programme also commits to provide additional support for rural and islands homes which require bespoke and targeted advice.

In 2019 the Scottish Parliament set ambitious climate change emission reduction targets to net zero emissions by 2045 and a 75% reduction by 2030. This means that by 2030, emissions from homes and buildings will have to fall by 68% against current levels. Transforming the way we heat our homes and buildings, in order to meet these legally binding targets, will touch the lives of almost everyone in Scotland.

The Scottish Government recently consulted on the draft Heat in Buildings Strategy which states that by 2030 around 50% of homes will need to convert to a zero or low emissions heating system, including the vast majority of 167,000 off-gas homes that currently use high emissions oil, LPG, and solid fuels.

A number of respondents offered their support for the consultation paper’s suggestion that the immediate focus should be on low and no regrets interventions and that one of these should be the deployment of individual building heat pumps in buildings off the gas network which currently use high carbon heating fuels. However, there was also concern that the combination of being off-gas grid and living in a hard-to-treat property presents risks around increased fuel poverty.

The Scottish Government has a strong offer of fuel poverty support suitable for those in rural and island areas. Both Warmer Homes Scotland and our Area Based Schemes, which target fuel poor households, take a “zero emissions first” approach to the provision of new heating systems. Ending the provision of new oil/LPG systems through these schemes, in favour of offering low carbon alternatives, is a further step on this path to phasing out these polluting technologies. This year we have increased funding to a record £50 million for Warmer Homes Scotland (an increase from £32 million in 2020-21) and £64 million for our local authority led Area Based Schemes (an increase of £9m compared with 20-21).

The shared policy programme also commits to provide additional support for rural and islands homes which require bespoke and targeted advice.

Special Advisers in the Scottish Government are bound by the Special Adviser Code of Conduct and the standards of integrity and honesty required of all civil servants as set out in the Civil Service Code. The Scottish Government has accepted the Hamilton Report proposal to give further consideration to matters relating to Special Advisers. We will cooperate with the Independent Advisers on taking this forward as part of any wider revisions to both the Ministerial Code and the Code of Conduct for Special Advisers that might be required.