Chamber and committees

In 2017, the Scottish Government published ‘The Best Start : A Five-Year Forward Plan for Maternity and Neonatal Care in Scotland’, and the report and recommendations were accepted by Ministers. The Best Start outlined a new model of neonatal service provision that suggests that care for the smallest and sickest babies should be consolidated to deliver the best possible outcomes.

An important part of planning for the implementation stage of the model of care is the modelling of demand and capacity requirements.

The Scottish Government contracted healthcare planning support, RSM UK Consulting LLP, to undertake detailed modelling and capacity planning work, to inform local implementation plans.

The approach to this work has included data collection and modelling alongside engagement with both operational and strategic stakeholders, to validate data, generate and test planning assumptions.

Activity and capacity data was collected from each of the eight units included within the model scope, as well as Public Health Scotland (PHS) and, Scottish Specialist Transport and Retrieval (ScotSTAR) / Scottish Ambulance Service (SAS).

The report outlines this modelling approach, inputs, and interpretation of the outputs to support the future of NICU services. This aligns with the Best Start recommendations and focuses on the three regional NICU sites chosen for adoption in Scotland. To further support local implementation plans, this report also outlines a series of considerations for implementation that can be taken forward beyond the commission.

The report will be published on 29 May 2024 and can be accessed at New Model of Neonatal Care – RSM UK Consulting - Report

The Scottish Government responded to the recommendations of the 2018 EHRC report on Housing and Disabled People at that time. In that response, we set out the actions being taken forward to increase access for disabled people to accessible and adapted housing.

In 2019 we issued statutory guidance to local authorities requiring tenure neutral wheelchair-accessible housing targets must be included within Local Housing Strategies. There has been good progress on this and from information collated from 2024-2029 Strategic Housing Investment Plans, 30 of the 32 local authorities have in place wheelchair housing targets for the delivery of affordable homes.

Then in 2020, the Relevant Adjustments to Common Parts (Disabled Persons) (Scotland) Regulations came in to force. These regulations make it easier for disabled people to make adaptations to the common areas of their property.

The Scottish Government is also increasing the supply and choice of accessible homes. Since 2007, we have supported delivery of 128,285 affordable homes, over 90,500 of which were for social rent.

We publish annual out-turn reports which set out the form, locations and types of social and other affordable housing we have delivered including specific annexes that cover accessible housing.

Wherever possible, all affordable homes are built to Housing for Varying Needs accessibility standards. In 2022-23, 98% of new build homes delivered by housing associations and councils, where information was returned on Housing for Varying Needs, met that standard.

During the second half of 2023, we consulted on proposals to enhance the accessibility, adaptability and usability of Scotland’s homes. The consultation closed on 21 December and the responses to the consultation are being analysed and a report will be published in due course.

We are also progressing a review of the current housing adaptations system which will make recommendations on how best to improve and streamline the system.

The Scottish Government expects all NHS Boards to ensure the SHTG recommendations on PLGF-based testing published on 23 March 2023 are implemented effectively and consistently. However, NHS Boards have reported that there are some capacity and infrastructure challenges to effectively implement their plans.

The Cabinet Secretary for Health and Social Care wrote to NHS Boards on 22 May, World Pre-Eclampsia day, to re-emphasize the importance of PLGF-based testing and to request an update on implementation plans within boards.

The Smarter Choices, Smarter Places (SCSP) programme was a long-established cornerstone of the way the Scottish Government approached promoting the popular shift to more active and sustainable ways of making our everyday journeys.

With its origins in the 2006 National Transport Strategy commitment to test and explore “sustainable travel demonstration towns and villages, to reduce car use and promote cycling, walking, home zones, tele-working and pedestrianisation”, the SCSP programme was announced jointly by the Scottish Government and COSLA in early 2008. The term ‘smarter choices’ was itself coined in the title of an extensive “Smarter Choices – Changing the Way We Travel” report conducted by a group of academic experts and published by the UK Department for Transport in 2004.

Seven pilot projects ran for three years from 2009 to 2012, and following their success, the programme was continued and then expanded nationally, being delivered on Transport Scotland’s behalf by ‘Scotland’s national walking charity’ Paths for All, from 2015. SCSP continued to adapt as time went on, and as of 2023, it consisted of three funding and support packages: The core 'Local Authority Fund' allocated on a per capita basis to councils, an 'Open Fund' launched in 2018 to support public and third sector community-level projects, and an 'Active Nation Fund' launched in 2023 to support larger more strategic multi-regional projects.

Paths for All managed the funding bid, allocation, and monitoring and evaluation process across the entire programme, providing a wealth of expert help and advice to the beneficiaries of all three funds, and facilitating knowledge and best practice sharing nationally through an SCSP Network. I would like to take this opportunity to pay tribute to Paths for All and all of the staff who have worked on the SCSP programme since it's inception and to this day, for their passion, dedication, and hard work in the service of a more sustainable Scotland.

Some twenty years on from the publication of the original 'Smarter Choices' report, and after nearly ten years of Path for All's stewardship of SCSP as a national programme, we continue to adapt with the times. This year marks the start of a new chapter in the way we seek to achieve these outcomes. The stark reality is that despite the stalwart efforts and proven individual successes of SCSP projects, and the many other active and sustainable travel initiatives that we have supported, the national level figures across walking, wheeling, and cycling for the last decade and beyond have remained stubbornly consistent.

Meanwhile, this government's ambition for active travel has never been greater, nor our acknowledgement of the vital role it has to play in keeping us physically fit and mentally happy, with cleaner air and safer streets for everyone. Not to mention, of course, helping tackle the climate emergency for the sake of our children. And knowing the social and economic dividends that these outcomes deliver, we have concentrated our efforts: Investment in active travel infrastructure and promotion stands at record levels, over five times the amount this year than it was in 2012.

In this context, we require a new model of programme delivery that can take this level of ambition and transform it into the change that people want and expect to see. That's why we took the decision, as difficult as it may have been for such a well-established programme, to discontinue SCSP, as part of a much larger transformation of active travel delivery across both infrastructure and behaviour change.

Our new ‘Active Travel People and Place’ programme is a fresh approach whereby budget which was previously grant funded from the centre of government directly to national third sector delivery partners, has instead been entrusted to Scotland's seven Regional Transport Partnerships (RTPs). RTPs have in turn worked with their respective local authorities to design their own tailored programmes of behaviour change initiatives under a national policy framework. Coupled with our new delivery model for active travel infrastructure, our vision is for more control and autonomy at regional and local levels, with an emphasis on the important link between behaviour change and infrastructure in achieving modal shift.

In discontinuing the SCSP Local Authority Fund we have retained core funding to councils through a separate ‘Local Authority Direct Award’, which in the spirit of the Verity House Agreement, lessens administrative burdens around application and reporting. In discontinuing the SCSP Open Fund we have retained interim support for community projects through a ‘Community Projects Transition Fund’, with Paths for All working with RTPs on capacity and capability building and future delivery model design. In the creation of the Active Travel People and Place Programme overall, to a significant extent the RTPs have chosen to retain the services of our established third sector delivery partners.

Our position on the impact of these reforms is that they will help us rise to the challenge of meeting our ambitions, delivering active travel services that are better aligned with regional transport strategies and infrastructure, that better meet the needs of local communities, and that significantly increase the national-level numbers of active and sustainable everyday journeys.

Scottish Government recognises that Citizens’ Assemblies are an important and effective method to involve the public in policy and decision making.

Our longer term commitment to using Citizen’s Assemblies remains unchanged, and any Citizens’ Assembly will be targeted to help tackle some of Scotland’s most difficult issues.

As outlined in our response to the Institutionalising Participative and Deliberative Democracy working group, to ensure any future Citizens’ Assemblies build upon the learnings of previous Citizens’ Assemblies delivered in Scotland, a key first step in our approach will be to undertake an impact assessment of the Citizens' Assembly of Scotland and Scotland’s Climate Assembly.

Budget to deliver participatory work is dispersed across policy areas, which currently allocate funds and undertake activities as required. The financial situation facing the Scottish Government continues to be the most challenging since devolution, and we set out the limitations that budget constraints have posed to the delivery of Citizens’ Assemblies to the Citizen Participation and Public Petitions committee in October 2023 (see page 4, paragraph 6).

We will update Parliament in due course when we arrange for the next Citizens’ Assembly to be convened.