Chamber and committees

The Scottish Government recognises that Transport plays an important role in supporting patients’ health journeys and the Scottish Government has recently prepared a draft Transport to Health delivery plan which has commitments against transport and healthcare across the work of Health Boards, Regional Transport Partnerships, Health and Social Care and Transport Scotland.

All Health Boards should consider patient transport needs when they plan and deliver services and must ensure Patients have access to all information on any relevant patient transport (including community transport) and travel reimbursement entitlement.

The Scottish Government greatly values the Community Transport sector’s work helping older and disabled people to access GP or hospital appointments and live happier, healthier and more independent lives for longer in their own homes and communities.

The UK Government did not inflation-proof its capital budget which has resulted in nearly a 10% real-terms cut in the Scottish Government’s capital funding over the medium-term between 2023-24 and 2027-28. The result of this cut is that new health capital projects have currently been paused.

Work is underway to update the pipeline of projects and programmes relating to the 2021 Infrastructure Investment Plan to ensure it is affordable and deliverable and provides best value for money. Our emphasis for the immediate future will be on addressing backlog maintenance and essential equipment replacement.

The Scottish Government is absolutely committed to keeping our NHS true to its founding principles – publicly-owned, publicly-operated, and free at the point of need. Health Boards might arrange treatment for some patients outwith NHS Scotland, including the private sector in exceptional circumstances. It is for local NHS Health Boards to determine how they use the private sector and to agree any contractual arrangements.

We remain committed to eradicating long waits to ensure all people receive the treatment they need as soon as possible.

We opened two new National Treatment Centres in Fife and Highland in Spring 2023, and NTC-Forth Valley and the second phase expansion of NTC-Golden Jubilee will open in 2024. These centres will deliver eight orthopaedic theatres and will provide additional and protected capacity for hip and knee replacements.

This year NTC Highland is providing 1,500 orthopaedic procedures and NTC-Fife plans to deliver more than 700 orthopaedic procedures by 2025/2026.

Significant progress is also being made in the delivery of same-day discharge arthroplasty, allowing patients to be safely discharged home on the same day as their procedure, increasing capacity within Orthopaedics.

TrakCare is used as the main patient management system by 13 Health Boards:

• NHS Ayrshire and Arran;
• NHS Borders;
• NHS Fife;
• NHS Forth Valley;
• NHS Great Glasgow and Clyde;
• NHS Grampian;
• Golden Jubilee National Hospital;
• NHS Highland;
• NHS Lanarkshire;
• NHS Lothian;
• NHS Orkney;
• NHS Shetland; and
• NHS Tayside.

All 13 Health Boards use TrakCare for waiting lists, Outpatients and inpatients, clinical coding, national Scottish Morbidity Records and new ways returns. Various Boards also use TrakCare for Emergency Departments, maternity services, mental health, community services, radiology, and theatres.

In addition, the system supports order request functionality for the service departments to manage the provision of laboratory, X-ray and diagnostic services; and Allied Health Professionals, observations, and clinical data recoding in clinical forms to varying degrees.

The Scottish Government does not collate or hold information on how many staff the Health Boards employ to maintain TrakCare.

The Scottish Government continues to protect investment in digital within health services, as shown in the published budget. Planning remains underway to fully assess the impact on planned activity for 2024-25 that takes into account the considerable financial challenges facing the Scottish Government in the forthcoming financial year, and we will publish our Delivery Plan for Digital Health & Care in April 2024. This will confirm delivery priorities for the year ahead using the investment available.

We remain committed to driving down waiting times. We have increased investment in frontline NHS boards by more than half a billion pounds in the draft Budget. We will continue to target resources to reduce waiting times, particularly for those waiting longest for treatment, through maximising productivity and additional resources.

We are working with Health Boards on detailed annual plans to demonstrate how waiting lists will be managed to see reductions, improved productivity and clear evidence on how this will help free additional capacity.

Following the completion of the Allied Health Professions (AHP) Education and Workforce Policy Review, an advisory group has been established to oversee the effective implementation of the recommendations. The group held its second meeting on 4 March 2024 where the group considered the delivery plan.

The delivery plan takes an outcome based approach and the group recognises the complexity and interdependency of how the suite of recommendations contributes to achieving the overarching positive change required.

The group will consider the timescales required to meet the overarching aims at its future meetings, scheduled in June and October 2024.

The Scottish Government has engaged in extensive cross-departmental and multi-agency work to consider the environmental impact of single-use vapes including working closely to with other nations across the UK.

On 29 Jan 2024 I wrote to the Convener of the Net Zero, Energy and Transport Committee to confirm the Scottish Government’s intention to progress legislation to prohibit the sale and supply of single-use vapes, with a view of a ban coming into force at the earliest opportunity. This builds upon the research commissioned by the Scottish Government into the environmental impact of single-use vapes that was published in June 2023.