Chamber and committees

The Stroke Improvement Programme report 2022 containing the performance of Health Boards against the Stroke Improvement Plan priorities, including access to stroke therapy, is available at: https://www.strokeaudit.scot.nhs.uk/index.html .

The benchmark criteria for access to stroke therapy are not solely a measure of the initiation of therapy assessment within three days, but also consider the degree of multidisciplinary team (MDT) involvement and the documenting of discussions. A rating below ‘complete and embedded in practice’ does not mean that a board is not performing stroke therapy assessment within three days.

Our Stroke Improvement Plan recognises that rehabilitation is key to improving people’s health and wellbeing. A refreshed Stroke Improvement Plan is in development and will reflect the key elements of a holistic model of stroke rehabilitation including assessment, interventions, evaluation and the rehabilitation infrastructure that supports the provision of coordinated care.

The Housing for Varying Needs design guide offers good practice in the design of homes in order to help them achieve a degree of flexibility, suit people of varying needs, be convenient to use, and be fit for purpose. Where possible, all new affordable homes delivered through the Affordable Housing Supply Programme are built to Housing for Varying Needs standards.

As set out within the Housing to 2040 route map, we are reviewing the Housing for Varying Needs design guide. We want the guide to help better meet the needs of an ageing population, help people to live in their home for longer, consider a wider range of needs, and learn lessons from the pandemic by recognising the importance of outdoor space, and space for home working or study.

We plan to consult on proposed changes to the guide over the coming months and will wish to engage with disability groups and those with experience of living in homes delivered to Housing for Varying Needs standards, as well as those involved in the delivery of new homes.

Once complete, the review of Housing for Varying Needs will inform the introduction of building standards in 2025-26 to underpin a new Scottish Accessible Homes Standard, which all new homes will need to achieve, regardless of tenure.

The Scottish Stroke Improvement Programme measures do not formally evidence the aims of Article 26 of the UN Convention on the Rights of Persons with Disabilities. Through the Scottish Stroke Improvement Programme we reflect the aims of Article 26 of the Convention, particularly that rehabilitation begin at the earliest possible stage, and is based on the multidisciplinary assessment of individual needs and strengths.

Our Stroke Improvement Plan recognises that rehabilitation is key to improving people’s health and wellbeing. A refreshed Stroke Improvement Plan is in development and will reflect the key elements of a holistic model of stroke rehabilitation including assessment, interventions, evaluation and the rehabilitation infrastructure that supports the provision of coordinated care.

The Scottish Stroke Improvement Programme (SSIP) report published on 28 June contains information on Stroke Improvement Plan (2014) priorities and actions; and can be found here: Scottish stroke improvement programme 2022 national report - Scottish stroke improvement programme - Publications - Public Health Scotland .

The Scottish Government are committed to continuing to improve the promotion, quality, and implementation of Self-directed Support.

Due to changes in SG accounting systems and SG Retention Policies it has not been possible to obtain details of all funding awarded since 1997. Since the Self-Directed Support Scotland Act 2013 came into force in 2014, Scottish Government has provided a total of £46.6m to strategic delivery partners which include Social Work Scotland, Inspiring Scotland, In Control, Self-Directed Support Scotland, The Alliance and Transformation a Funding to all Local Authorities. These Strategic Delivery Partners support the delivery of SDS and direct payments through, in excess of 1000, membership organisations.

It has not been possible to estimate funding spent solely on promotion of direct payments and Self-Directed Support since 1997. This is due to funding recipients not recording actual spend for direct promotional activities, however all funding recipients promote the use of direct payments and self-directed support in all activities funded. Therefore, as all the Self-directed Support Strategic Delivery partners support all people that require social care, the full amount of funding supports disabled people's organisations either directly or indirectly through our strategic delivery partners membership organisations throughout Scotland.

Promotion of direct payments and Self-directed Support has been different for each organisation and has taken many forms such as expenditure on communication, engagement with social work users and working with Local Authorities to raise awareness of available processes therefore making it difficult to define and determine exactly how much budget has been used towards it

Scottish Government has invested £2,959,658.23 in the Support in the Right Direction (SiRD) programme in financial year 2022-23. The SIRD programme is managed by Inspiring Scotland and has a presence in all 32 local authority areas, with each SiRD organisation providing services targeted to the needs of disabled people.

As all Self-directed Support Strategic Delivery partners support all people that require social care, Inspiring Scotland are committed to ensuring that all funding made available to SiRDS organisations either directly or indirectly support the needs of disabled people through accessing services provided by SiRD organisations

The Scottish Government are committed to continuing to improve the promotion, quality, and implementation of Self-directed Support.

Due to changes in SG accounting systems and SG Retention Policies it has not been possible to obtain details of all funding awarded since 1997. Since the Self-Directed Support Scotland Act 2013 came into force in 2014, Scottish Government has provided a total of £46.6m to Strategic Delivery Partners which include Social Work Scotland, Inspiring Scotland, In Control, Self-Directed Support Scotland, The Alliance and Transformational Funding to all Local Authorities.

It has not been possible to estimate funding spent solely on promotion of direct payments and Self-Directed Support since 1997. This is due to funding recipients not recording actual spend for direct promotional activities, however all funding recipients promote the use of direct payments and self-directed support in all activities funded

Responses to the public consultation and Parliamentary scrutiny on Draft National Planning Framework (NPF4) are being carefully considered and we intend to lay a final NPF4 in the Parliament in the Autumn.

The Draft proposed support for the delivery of high quality homes, particularly those that improve affordability and choice, including accessible, adaptable and wheelchair accessible homes.

Local authorities are already required to set targets for the delivery of wheelchair accessible housing across all tenures as part of their local housing strategy. The target should be informed by evidence of what is required locally.

The vast majority of funding from the Scottish Government is provided by means of a block grant to local authorities. It is then the responsibility of individual local authorities to manage their own budgets and to allocate the total financial resources available to them.

The 2022-23 Local Government Finance Settlement of almost £12.7 billion provides local government with a cash increase of over £1 billion or 9.2 per cent which is the equivalent of a real terms increase of 6.3 per cent.

It is for each individual local authority to decide how best to allocate this money, on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities, including towards home adaptations for disabled people.

It has been heart-warming to see the groundswell of support from our communities, pubic services, third sector and partners for people fleeing Russia’s illegal invasion of Ukraine. We have worked closely and collaboratively with partners to stand up our Warm Scots Welcome response, ensuring that all those arriving from Ukraine are accommodated and supported as soon as they arrive in Scotland.

In collaboration with the Scottish Refugee Council, we have delivered three public webinar sessions for hosts. Scottish Government officials regularly engage with community groups working to support people fleeing the war in Ukraine, and those who have volunteered to host displaced people in their homes.

Since the integration of health and social care, Integration Joint Boards (IJBs) are responsible for the planning and delivery of adaptations using budget created by delegation. They are also responsible for reviewing and developing services to improve outcomes for people who require adaptations.

We also provide an additional £11m (2022-23) to registered social landlords to provide adaptations for their tenants.

However, we know that there are issues with the way in which adaptations are being accessed and delivered locally. As set out in our Housing to 2040 strategy, we are taking forward a review of the current housing adaptations system to consider how the process can be streamlined and made easier for people who need adaptations. As part of this we intend to engage with COSLA to ensure we continue to spread good practice on waiting times, across the local authorities.