Chamber and committees

I last met with representatives of Coalfields Regeneration Trust (CRT) on 14 September 2023 to discuss its funding level for 2023-24. Regeneration officials met with CRT on 27 November to build on discussions from that meeting and are in ongoing discussion with CRT.

As set out in answer S6W-25192 on 20 February 2024, the 2024-25 Scottish Budget will provide an uplift of over half a billion, bringing the budget for NHS Boards to over £14.2 billion, of which NES will receive £550.2 million. Health boards are responsible for ensuring best use of available resources to support delivery of services and strategic objectives.

NES plays a critical role in supporting the education, training and wider development of the NHS Scotland workforce, and in particular the medical workforce where target training numbers have already been confirmed for 2024-25. As part of this, the Board is actively contributing to a number of wider policy developments as set out in Programme for Government, the NHS Recovery Plan and the National workforce Strategy. The Scottish Government remains committed to delivering the National Workforce Strategy and achieving the overall vision for “A sustainable, skilled workforce with attractive career choices and fair work where all are respected and valued for the work they do”.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

I am not currently scheduled to meet with representatives from Coalfields Regeneration Trust (CRT). However, officials are in ongoing dialogue with CRT on all aspects of its programme and keep me fully updated. I will be happy to meet with CRT officials in the future, should this be helpful.

The Scottish Government has been working with AssistFM and the Improvement Service to map breakfast provision across Scotland, the findings will be used internally to inform the policy development on national breakfast provision. The first phase of the mapping work is now complete. The second phase of the work will take place across April-May 2024 and will survey all primary and special schools in their approach to the provision of breakfast.

Although it is the statutory duty of local authorities to manage their school estate, the Scottish Government will convene a working group - including representatives from COSLA, community organisations and sports organisations - to explore how community access to facilities, such as the school estate, can be enhanced. The first meeting of this group will take place in March.

Schools in Scotland have the flexibility to decide on the content of their physical education lessons. The Scottish Government does not specifically evaluate the extent to which swimming lessons form a part of those decisions.

We know that some local authorities offer swimming lessons as part of their physical education classes. In other cases, schools may take into account a range of factors, including the time that is required to travel to a swimming pool, in deciding against offering swimming lessons as part of PE.

However, the Scottish Government has been working with Scottish Swimming, Education Scotland and other stakeholders to develop interventions and approaches to provide opportunities for children to become confident, competent and safer swimmers.

Within the wider policies set out by the Scottish Government, NHS Scotland is expected to deliver services that provide high-quality care that is safe, effective, accessible and person centred. It is NHS Boards and healthcare professionals locally who have responsibility for service delivery, including antenatal classes, to meet the needs of their local population and service users.

Our expectation is that NHS antenatal classes will include information for parents on bonding with their baby, which supports the mental health of both parents and babies. The precise content of antenatal classes is likely to vary between NHS Boards and antenatal class groups, to better respond to the particular needs of local service users.

Midwives discuss mental health and general wellbeing with all women during antenatal and postnatal care appointments, ensuring that all women have access to advice and support throughout their pregnancy journey. These discussions may include the management of pre-existing mental health issues; the identification and management of emergent mental health issues during the antenatal and/ or immediate postnatal period, and possible postnatal changes which women may experience, such as “baby blues”. Following birth, these conversations continue with families during each contact with Health Visitors and Family Nurses.

All pregnant women are also provided with a copy of Ready, Steady, Baby! , a guide to pregnancy, birth and early parenthood up to one year, as part of their routine antenatal care. This includes information on mental health and wellbeing to help provide information for families, as well as signposting to further sources of support. The information in Ready, Steady, Baby! is available in translation and alternative formats, including an Easy Read resource, to ensure the information is accessible for women and families across Scotland.

The Scottish Government is committed to continuous improvement in maternity safety across Scotland, in partnership with NHS Boards and clinicians and service users, to deliver the best and safest person-centred care for mothers and babies. We are aware of the evidence around implementing care which aims to reduce risk of developing stress incontinence. We regularly facilitate meetings and events bringing together senior leaders in maternity services to discuss evidence aimed at improving services and provide learning opportunities.

All pregnant women are also provided with a copy of Ready, Steady, Baby! , a guide to pregnancy, birth and early parenthood up to one year, by their midwife as part of their routine antenatal care. Ready, Steady, Baby! includes information on and signposting to additional materials regarding stress incontinence and pelvic floor muscle exercise for women, both during pregnancy and following birth, which can help to reduce the risk of stress incontinence following childbirth.

Information on pelvic health is also available on the Women’s Health Platform on NHS Inform. This includes information on urinary incontinence in women and is publicly available to both service users and healthcare professionals.

A report recently published by Public Health Scotland provides details of the most recent statistics for the bowel screening programme, which includes the uptake differences between areas of different socioeconomic status. The overall uptake continues to exceed the HIS standard of 60% of the eligible population, but there continue to be inequalities in the return rates for bowel screening kits, including between the least and most deprived communities in Scotland.

Since 2017, the Scottish Government has provided £1 million funding annually to address screening inequalities, part of which has been distributed to NHS Boards to fund initiatives catering to their specific populations.

The funding is also used for national initiatives, such as the development of the Screening Intelligence Platform (ScIP), which aims to simplify the process of gathering and analysing all screening data. This will allow greater insight into screening inequalities across a range of characteristics, including socioeconomic status, and supporting efforts to increase screening uptake across all groups.

In addition, the Equity in Screening Strategy was published last year. This set out a vision for equitable access across the full screening pathway, including in the bowel screening programme. It is accompanied by the implementation of an Equity in Screening Network that allows those who work across screening to share evidence, best practice and learning around screening inequalities. This will enable NHS Boards to consider proven interventions to address inequalities in uptake, and therefore increase participation in the bowel screening programme.

Patient care and service delivery are the statutory responsibility of local healthcare providers. NHS Boards are responsible for working with their partners to plan and provide health services which meet the needs of their populations. Use of the independent sector has been an option open to all Health Boards to help address short-term capacity issues.