Chamber and committees

The Women’s Health Plan is a three year strategy, published in August 2021, which underpins actions to improve women’s health inequalities. The Plan includes the long term ambition to adopt a life course approach across all services to improve women’s health holistically.

Through the Respiratory Care Action Plan for Scotland we aim to improve outcomes for people living with respiratory conditions in Scotland. The Plan sets out our priorities and commitments for driving improvement in the prevention, diagnosis, care, treatment and support of people living with respiratory conditions including asthma.

Energy Performance Certificates (EPCs) provide an assessment of the modelled energy performance of buildings. The Scottish Government recognises that the information presented on EPCs needs to be reformed in line with the recommendations of the Climate Change Committee. We consulted last year on reforming EPCs to introduce a new metric for energy efficiency. This is intended to ensure that the EPC metrics align with our net zero target.

Following our consultation, we are commissioning research to understand the implications of several options for the new energy efficiency metric. These options include an energy demand metric which would be based on the dwelling’s space heating and cooling demand. As set out in our consultation, we intend that EPCs will present the new energy efficiency metric alongside the current running cost and carbon emissions metrics.

The Heat in Buildings Strategy (7 October 2021), committed to introducing primary legislation in the current session of the Scottish Parliament that would set a regulatory framework for heat and energy efficiency, as a key action to meeting Scotland’s statutory climate change targets.

This strategy proposes to introduce minimum energy efficiency standards for private rented, owner-occupied and social housing. Regulations are proposed to be introduced that will require all properties to meet a minimum standard equivalent to EPC C by 2033.

Subject to consultation, the Scottish Government is proposing that compliance with the standard may be required at a variety of trigger points, including following the completion of a sale and after the change of a tenancy (for private rented sector properties), where installation of energy efficiency measures is technically-feasible and cost-effective.

The Scottish Government will consult publicly on these proposals within the coming year.

Buildings which are the subject of a conversion, as defined under building regulations, are already required to meet current building standards, to the extent this is reasonably practicable.

The Scottish Government is committed to ensuring that everyone living with respiratory conditions, including asthma, receives the best possible care and treatment to enable them to live longer, healthier, and independent lives.

In March last year we published the first Respiratory Care Action Plan for Scotland, that sets out our priorities and commitments for driving improvement in prevention, diagnosis, care, treatment and support for people living with respiratory conditions such as asthma. One of the priorities for year one of the Plan is improving access to meaningful respiratory data. This will enable us to understand where people’s needs are not being met and inform service improvements, allowing us to better explore any areas of concern.

Asthma + Lung UK were involved in the development of the Plan and are members of our national advisory committee, the Scottish Respiratory Advisory Committee, that has been established to oversee the Plan implementation. We are working closely with them and other key stakeholders, including clinicians and our newly formed Lived Experience Network, to develop an implementation programme.

Women’s health is a key priority for this government. Our Women’s Health Plan, published in August 2021, underpins actions to address health inequalities by raising awareness around women’s health, to improve access to health care for women across their life course and to reduce inequalities in health outcomes for girls and women.

Decisions to discharge patients are not made by Ministers, they are made by health and social care professionals, alongside the patient and their family, or their legal representative where applicable.

As was the case before the pandemic, where someone is most appropriately cared for after discharge is based on a multi-disciplinary assessment of the individual’s needs and wishes. There are a range of factors that clinicians will consider as part of this assessment, including clinical readiness for discharge and the best setting for meeting the individual’s needs.

If an attorney is unhappy with the decision to discharge a patient they can raise a complaint against the person or organisation who has taken the decision, or apply for directions from the sheriff under section 3(3) of the Adults with Incapacity (Scotland) Act 2000.

Public Health Scotland undertook an analysis of discharges to care homes and found that care home size is very strongly related to outbreaks. That is, the risk of a care home outbreak increased progressively as the size of care home increased. Furthermore, there was no clear statistical evidence that hospital discharges were associated with care home outbreaks. The analysis was published on 21 April 2021 and can be found here: Discharges from NHSScotland hospitals to care homes - Between 1 March and 31 May 2020 (revised) - Discharges from NHSScotland hospitals to care homes - Publications - Public Health Scotland

Further to the response provided to S5W-34970, since February 2021 Zero Waste Scotland has awarded tailored consultancy support to two SMEs through the Circular Economy Business Support Service in order to help develop circular textiles propositions. Each support service provided to these organisations had a value of approximately £10,000.

As set out in the 2021-22 Programme for Government, we plan to introduce a new £2 million Textile Innovation Fund in the first half of 2022 to support businesses working in this sector to address issues associated with textile waste and throwaway culture.

Through the Scottish Land Fund, the Scottish Government provides ongoing support for communities to become more resilient and sustainable through the ownership and management of land and land assets. The Fund offers grants between £5,000 and £1 million to help communities take ownership of land and buildings and provides practical support to develop their aspirations.

In addition, the £50 million low carbon Vacant & Derelict Land Investment Programme (VDLIP) launched in 2021 will support innovative local approaches to tackling persistent vacant and derelict land and delivering new green infrastructure in support of our ambitions for a just transition to net zero.

With 20 successful projects announced from the first and second rounds of the £50 million low carbon VDLIP, applications are now open for the third round of funding.

It is available on a competitive basis to all Scottish local authorities and Clyde Gateway Urban Regeneration Company who are working with communities and other partners to bring forward suitable project proposals. The VDLIP complements the delivery of Place Based Investment Programme, helping to accelerate our ambitions around place, town centre action, 20 minute neighbourhoods, community regeneration, and community wealth building.

The draft National Planning F ramework 4 consultation closed at the end of March and responses are currently being analysed. It will have the status of development plan for planning decisions once adopted. The draft sets out six spatial principles to build a climate-conscious and nature-positive future. One of those principles is ‘compact growth’, this limits urban expansion where brownfield, vacant and derelict land and buildings can be used more efficiently. This prioritises the re-use of vacant and derelict land and redundant buildings. The draft also sets out that development proposals on greenfield sites should not be supported unless the site has been allocated for development or the proposal is explicitly supported by policies in the development plan, and there are no suitable brownfield alternatives.

The Scottish Government is committed to tackling gender inequality and embedding a human rights approach to tackling child poverty.

Our second Tackling Child Poverty Delivery Plan, ‘Best Start, Bright Futures’ , is underpinned by extensive impact assessments – informed by consultation with stakeholders and individuals with direct experience of poverty. This includes an Equality Impact Assessment presenting summary consideration across policies and proposals included with the Plan focusing on how policies may impact, either positively or negatively, on different sections of the population in different ways, through the lens of Protected Characteristics, which includes sex. The above along with our Evidence Review on What Works , Cumulative Impact Assessment , Children’s Rights and Wellbeing Impact Assessment , Fairer Scotland Duty Impact Assessment and Islands Impact Assessment , helped inform development of the Plan and will continue to guide its implementation and delivery.

As set out in ‘ Best Start, Bright Futures ’, we are committed to focusing on the impact of all interventions through the lens of our six priority families and will seek to ensure that systems work for these families in particular. This includes a substantive focus on lone parent households, the majority of whom are headed by women, and mothers under the age 25 both of which are at greatest risk of poverty and encapsulate many of the inequalities affecting women more broadly. This includes barriers relating to entering and sustaining employment, childcare, housing and transport.

Through this focused approach, we will be able to drive down levels of child poverty whilst delivering significant progress on our wider equality and human rights ambitions – particularly in relation to advancing equality and human rights for women, disabled people and minority ethnic people.

We are committed to continue to engage with our partners, including gender representative stakeholders and women with experience of poverty, to ensure an intersectional and gendered approach is embedded in the development, implementation and monitoring of the actions set out in the plan. This includes, for example, establishing a Lived Experience Panel in Summer 2022, with members from each of the six priority family groups, including young mothers and lone parents, to help inform our employability policy.

The Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Act 2022 (the 2022 Act) came fully into force on 3 May 2022. The 2022 Act gives powers to Scottish Ministers to make a scheme to reimburse women for the costs incurred in connection with qualifying mesh removal surgery.

The Transvaginal Mesh Removal Reimbursement Scheme 2022 has now been laid before Parliament – laying number SG/2022/87. The scheme will open for applications on 6 June 2022 and will remain open for a period of 18 months.

Reimbursement will mean that those women who previously felt they had no other option but to have mesh removal surgery out with NHS Scotland will no longer be at a financial disadvantage because of that choice. Women will be able to apply for reimbursement of the costs of surgery, and associated expenses, for themselves and one person who travelled with them. It should be noted that anyone who is eligible to apply and has previously made a successful application to the Mesh Fund will not be excluded from applying for reimbursement and any previous payment from the Mesh Fund will not be deducted. The Mesh Fund will close to new applications on 31 May 2022.

NHS National Services Scotland (NSS) are the administrators of the Scheme and application forms and further information on how to apply will be available on the mesh pages of their website Mesh Scheme | National Services Scotland (nhs.scot) .

The cut-off date, by which surgery has to have been arranged in order to be eligible for reimbursement, is specified in the Scheme and has been set at 3 June 2022. This will ensure that any woman who has made their own arrangements for surgery on or before this date will not be penalised for doing so and gives those in the process of making arrangements time to finalise them before the scheme opens. Section 1(3)(c) of the 2022 Act provides that the cut-off date could not be before the date of Royal Assent, which was 3 March 2022.

To be clear, anyone who wishes to have mesh removal surgery outside of NHS Scotland after 3 June 2022 should seek to do so through the official referral process as they will not be reimbursed if they make their own arrangements after that date.

It is expected that anyone seeking mesh removal after this date discuss their case with local clinicians within their own Health Board. If considered appropriate at that stage, they would then be referred to the Complex Pelvic Mesh Removal Service in NHS Greater Glasgow and Clyde for consideration by a full multi-disciplinary team (MDT). If, after careful consideration by both the MDT and the patient, it is agreed that surgery is appropriate, the patient can choose to be treated by the service already available in NHS Scotland or to be referred to a specialist NHS centre in England or to an independent provider. Each of these options will be available free of charge. I would encourage anyone who wishes referral to one of these services to make their wishes known to their clinical team, if they have not already done so.

(a) Psychiatry

Table 1 sets out the number of established training places in each of the various psychiatric specialties. This data reflects trainee establishment levels from August 2016 – August 2022.