Chamber and committees

Our intention to reform health and social care is now well established, outlined in our Programme for Government, the Policy Prospectus and in my statement in Parliament in June on my vision for health and social care.

Primary care and community health is a core part of this work on reform, as a key building block of a reformed sustainable system supporting early intervention and prevention; and care closer to home. Our strategic priorities for primary care reform focus on shifting the balance of care closer to people’s homes and driving a proactive approach of early intervention and prevention, promoting value for money across the health system. The Scottish Government is developing a reform Route Map to further enhance sustainability of Primary Care, aligned to wider reform of Health and Social Care.

To answer your specific questions. Since the introduction of reforms NHS dental services have performed well nationally, with official statistics published on 27 August 2024 showing that over 2.7 million courses of treatment have been delivered to patients since 1 November 2023. In addition, we are currently considering the longer-term actions required to improve the dental workforce and ensure sustainable access to NHS dental services.

To support mental healthcare, we published our Mental Health and Wellbeing Strategy, jointly with COSLA, in June 2023, and the accompanying Delivery Plan and Workforce Action Planin November 2023. The Strategy sets out a vision of a Scotland, free from stigma and inequality, where everyone fulfils their right to achieve the best mental health and wellbeing possible. It describes the support that anyone should be entitled to receive when they ask for help for any aspect of their mental health and wellbeing.

Regarding the reintegration of face – to – face GP appointments we want to emphasise that General Practice continues to see patients. The General Practice Access Principles report sets out a clear framework for the core principles of how GP services should be delivered – equitably, sensitively, reasonably and appropriately, making the most effective use of resources and systems currently available.

The Scottish Government has had no engagement with local authorities, higher education institutions, and private providers in order to establish local housing market intelligence hubs. It is the statutory responsibility of local authorities through their Local Housing Strategy and Development Plan to determine the appropriate housing required in their area, informed by a Housing Need and Demand Assessment (HNDA). HNDA Guidance encourages local authorities to establish a Housing Market Partnership (HMP) to oversee the development, production and sign-off of a HNDA. The structure and membership of a HMP is determined locally to reflect the circumstances and requirements of individual partnerships.

Under the Visitor Levy (Scotland) Act VisitScotland have a duty to prepare and publish guidance for local authorities on the introduction and administration of a visitor levy. Whilst that guidance is for local authorities, it will be of interest to businesses and other organisations. Scottish Ministers are currently considering that guidance, as required under section 23 of the Act. Local authorities are best placed to provide guidance to businesses in their area on the specific visitor levy schemes they decide to put in place.

The Scottish Government has not had any direct engagement with Natural Power regarding the Climate Neutral Milngavie project.

We did fund a feasibility study via our CARES (Community and Renewable Energy Scheme) programme, delivered by Local Energy Scotland. The feasibility study looked to determine what can be deployed to generate heat and power and related climate solutions for Milngavie. Natural Power was contracted by Local Energy Scotland in 2022 to undertake the study. The final report was delivered by Natural Power and presented to the MCC group at The Fraser Centre, Milngavie in April 2024.

Community Councils are not subject to statutory climate change duties.

Public bodies have had statutory climate change duties since 2011. Section 44 of the Climate Change (Scotland) Act 2009 requires a public body, in exercising its functions, to: contribute to delivery of Scotland’s national net zero target; help deliver Scotland’s climate change adaptation programme; and act sustainably. Community councils are not subject to these duties, although local authorities are and they have statutory oversight of community councils.

Scottish Government continues to work closely with all local authorities to help deliver our ambitious climate targets. We have worked with COSLA to develop a Climate Delivery Framework that will enable better alignment of our respective targets and collective decision making, supporting delivery. A Scottish Climate Intelligence Service has been established to help build the capacity of local authorities to reduce area wide emissions.

The Scottish Government continues to work closely with all local authorities to help deliver our ambitious climate targets. The establishment of the joint Climate Delivery Framework will enable better alignment of our respective targets and collective decision making, supporting delivery.

The Scottish Government is supporting a number of initiatives in East Dunbartonshire, including long term funding to support the development and delivery of Local Heat and Energy Efficiency Strategies and installation of public EV charging infrastructure and fleet decarbonisation, as well as £745,840 in 2024/25 for the Active Travel Infrastructure Tier 1 Fund.

New statutory guidance to support public bodies, including local authorities, in complying with statutory duties under the Climate Change Act is being developed that is due for publication in 2025.

A Scottish Climate Intelligence Service has been established to help build the capacity of local authorities to reduce area wide emissions.

The Afghan medical students are eligible for support under paragraph 12B of the Student Support (Scotland) Regulations 2022, as amended by the Education (Fees and Student Support) (Miscellaneous Amendments) (Scotland) Regulations 2024. This provision enables the students to be considered as Scottish domiciled for the purposes of funding and entitles them to apply for tuition fees and living cost support in the same manner as other Scottish domiciled students.

A Final Report will be published in the Autumn setting out the progress that has been made since publication of the Women’s Health Plan in 2021.

The Women’s Health Plan has brought about positive change, driving changes to policy, guidance and training in many of the ways envisaged for a Scottish Institute for Women’s Health. There is now a Women’s Health Leads Network; a specialist menopause service in every mainland health board and a ‘buddy’ support system in place for the Island health boards; there is a women’s health platform on NHS Inform; there is a menopause and menstrual health workplace policy for NHS Scotland and a Women’s Health Champion, Professor Anna Glasier OBE, has been appointed. In addition, the Scottish Government, primarily through the Chief Scientist Office, has invested in a range of women’s health related research, providing funding for grants and fellowships.

In light of the financial circumstances facing the Scottish Government, it is not possible at present to develop proposals for a Scottish Institute for Women’s Health.

Scotland’s Action Plan for Rare Diseases (2022) and Progress Report (August 2024) note awareness raising among healthcare professionals as the most important of our priorities, so that professionals are empowered to recognise rarer symptoms and have access to information resources on how to refer patients for appropriate care. Our long term aim is to embed training for rare conditions into the education pathway for healthcare professionals.