Chamber and committees

Board’s baseline revenue allocations are set out annually in the Scottish Budget, as published on the Scottish Government’s website. In addition, resource and capital spending limits are reported in Board’s annual accounts, which are published on their websites.

Over the period from 2013-14 to 2022-23, NHS Fife’s baseline resource budget has increased by almost 39% (£209.9 million) .

In addition to baseline capital funding, significant additional investment has been provided to NHS Fife to fund infrastructure projects, including £20.5 million for the National Treatment Centre Orthopaedics Unit.

The Mother and Baby Unit (MBU) Inpatient Provision Consultation closed on 31 May 2022. While more detailed work on the outcomes of this consultation is underway, we are expecting NHS Grampian and NHS Forth Valley to enter into contractual agreements with a Mother and Baby Unit in line with the other territorial Health Boards.

The Perinatal and Infant Mental Health Programme Board and Perinatal Mental Health Managed Clinical Network Scotland will provide support to Boards in setting up these arrangements. We are in the process of meeting with MBU host Boards and NHS Forth Valley and NHS Grampian to discuss how to best ensure access for women and their infants.

Until these arrangements are in place, women residing within any Health Board area in Scotland are still able to access the specialist regional provision in a Mother and Baby Unit if clinically appropriate. Admission is based on clinical need rather than geography.

We are committed to supporting patients to deal with the emotional and physical effects of cancer. We are currently working in partnership with Macmillan to improve the service we offer cancer patients through the Transforming Cancer Care Programme (TCC). This joint partnership with Macmillan is worth £18 million, and is the first of its kind in the UK. The programme looks to ensure that every cancer patient in Scotland has access to specialist key support worker, who can provide emotional, financial and practical support to those who need it most. This partnership is the first of its kind in the UK.

To ensure vital services of support for patients continued throughout the pandemic we established the third sector resilience fund and the wellbeing fund as part of a £350 million support fund announced on 18 March 2020. The £15 million Adult Communities Mental Health and Wellbeing Fund was announced on 15 October 2021. This is the first year of a two year Fund to support mental health and wellbeing in communities across Scotland.

As part of our Cancer Recovery Plan, a new National Framework has been developed to support people affected by cancer. Launching in Spring 2022, the Framework not only sets out general principles for high quality holistic care, but also incorporates a number of tools that will aid implementation across Scotland. The Framework highlights the four levels of psychological care and support which are supported through expert evidence, and presents two models for implementation that are applicable across sectors, including health, care and the third-sector.

Cancer prehabilitation can support patients with the mental and physical challenges of living with cancer. A Cancer Prehabilitation Implementation Steering Group was convened in April 2021 to support and oversee the implementation and evaluation of comprehensive prehabilitation and evaluation whilst three subgroups look to: develop a digital resource that will improve access to education and training, improve access to psychological care and support and develop and implement a nutrition framework for prehabilitation.

Ensuring sufficient community pharmacy provision is the responsibility of NHS Health Boards in their local areas. Arrangements are set out in the NHS (Pharmaceutical Services) (Scotland) Regulations 2009 and decisions regarding pharmacy provision are made through a Board’s Pharmacy Practices Committee (PPC). The process is independent of Scottish Ministers and Government.

The Scottish Government’s policy towards local authorities’ spending is to allow local authorities the financial freedom to operate independently. As such, the vast majority of funding is provided by means of a block grant as part of the annual local government finance settlement. It is then the responsibility of individual local authorities to manage their own budgets and to allocate the total financial resources available to them, including any funding for local authority-funded care home places, on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

We are working hard to abolish excessively long waits that have undoubtedly been exacerbated by the impacts of the global pandemic and we offer our sincere sympathies to all patients waiting for treatment.

Pausing of non-urgent activity during the pandemic has inevitably led to a build-up of numbers waiting for treatment, and the emergence of Omicron and the BA.2 sub-variant in late 2021 has undoubtedly added to existing significant pressure. We are working closely with NHS Boards to get those waiting for treatment the care they need as quickly as possible.

In order to support a sustainable reduction in the backlog of planned care procedures in Scotland, the Scottish Government published an NHS Recovery Plan in August 2021. Backed by over £1 billion of funding, this sets out our plans for health and social are over the next 5 years.

The NHS Recovery plan can be accessed here: NHS recovery plan - gov.scot (www.gov.scot)

We are working hard to abolish excessively long waits that have undoubtedly been exacerbated by the impacts of the global pandemic and we offer our sincere sympathies to all patients waiting for treatment.

Pausing of non-urgent activity during the pandemic has inevitably led to a build-up of numbers waiting for treatment, and the emergence of Omicron and the BA.2 sub-variant in late 2021 has undoubtedly added to existing significant pressure. We are working closely with NHS Boards to get those waiting for treatment the care they need as quickly as possible.

In order to support a sustainable reduction in the backlog of planned care procedures in Scotland, the Scottish Government published an NHS Recovery Plan in August 2021. Backed by over £1 billion of funding, this sets out our plans for health and social are over the next 5 years.

The NHS Recovery plan can be accessed here: NHS recovery plan - gov.scot (www.gov.scot)

In August 2021 we published the NHS Recovery Plan, which set out actions and commitments that will support inpatient, daycase, and outpatient activity to address backlogs. This will be delivered through the implementation of sustainable improvements and new models of care. This includes the National Treatment Centre Programme, which will deliver capacity for ring-fenced elective activity. Four centres will open in the next year in NHS Fife, NHS Highland, NHS Forth Valley and NHS Golden Jubilee specialising in orthopaedics.

We recognise the impact long waiting times can have on a patient, from both a clinical and mental health perspective. At this stage in recovery from the pandemic, long waiting patients must now also be considered a priority. That is why earlier this month we updated the Clinical Prioritisation Framework to allow Health Boards the flexibility to treat the longest waiting patients in parallel with the most urgent. The expectation is that NHS Boards will follow the principles of this Framework to prioritise patients based on their particular clinical needs and those who have waited longest. This will allow NHS Board to ensure that the patients with the greatest needs are treated quickest.

Responsibility for the delivery of social care, including the setting and collecting of charges related to social care and support, lies at a local level.

The Scottish Government collects and publishes national data through the Local Financial Returns (LFRs). These are a series of detailed returns that collect final, audited financial data for local authorities in Scotland. The data is published as part of the annual Scottish Local Government Finance Statistics (SLGFS) publication.

The figures provided in the following table relate to all income received relating to customer and client receipts in relation to Social Work services, including Children & Families and Adult Social Care, for the last five years for which data is available.

We published the Report of Dr Church’s independent review of the role of incineration in Scotland’s waste hierarchy on 10 May 2022. Dr Church sets out 14 recommendations in his report. Two of these recommendations, on decarbonising incineration infrastructure, are provisional pending completion of further work on options to decarbonise residual waste infrastructure.

We will set out our initial response to the 12 full recommendations on 16 June 2022.