Chamber and committees

The Scottish Government remains committed to provide £250 million towards peatland restoration by 2030.

Significant additional activity is already underway following the allocation of £30 million funding to target reductions to the national backlogs that built up throughout the pandemic. This includes over 40,000 extra diagnostic procedures.

The Scottish Government has also helped develop the Endoscopy and Urology Diagnostic Recovery and Renewal Plan. This plan focuses on key areas such as: Balancing Demand and Capacity; Workforce Training and Development; Infrastructure; and Innovation and Redesign.

This plan has so far delivered four mobile endoscopy units across Scotland, providing 5-6 additional endoscopy rooms, and a Dyce facility to provide additional endoscopy procedures for NHS Grampian. Additionally, the national endoscopy surveillance framework, introduced in February 2022, has been implemented in all Health Boards.

Table 1 provides information on the number of emergency readmissions within 7 days of a prior hospital discharge. The data are broken down by financial year (2016-17 to 2023-24) and NHS board of residence, in Scotland.

Table 1: Emergency Readmissions within 7 days of a prior hospital discharge by NHS Board, Scotland 2016-17 to 2023-24

The Scottish Government is committed to support Health and Social Care Partnerships and their local services deliver on our National Mission to save and improve lives affected by problem drug use. This includes the implementation of harm reduction initiatives including needle and syringe programmes and improved access to opioid substitution therapy (OST).

Our broad principle is that if providing safe equipment to a person is likely to reduce the risk of harm to themselves or others, there should be no question of that provision. We continue to provide direction and funding to local areas to implement the Medication-Assisted Treatment (MAT) standards, and Standard 4 in particular states that everyone at risk, including those who inject drugs, should be able to access a wide range of harm reduction services – for example, needles and syringes, injecting risk assessments, wound care and naloxone.

Services across Scotland have developed flexible and targeted approaches to supplying Injecting Equipment Provision (IEP) by introducing more mobile and more flexible approaches (such as IEP vans) that actively go out to areas where they know people will use them.

The Medication Assisted Treatment (MAT) Standards, published on 31 May 2021 aim to improve access, choice and support to OST and to a range of linked support such as primary care, mental health treatment and advocacy for other services. Public Health Scotland reports annually on how local areas are achieving this. Its Benchmarking Reports are published each June and these include details of how access to OST and access to drug harm reduction measures are improving in local areas.

Following an assessment by a healthcare worker, the NHS will provide the necessary equipment to support the clinical needs of a patient free of charge. This includes the provision of a wheelchair. Seating is also provided to individuals free of charge following an assessment. For those living in a care home (residential and nursing), it is the responsibility of the care home to purchase and provide seating to their residents.

However, should an individual choose to purchase other forms of equipment which is not available on the NHS or not assessed by the healthcare worker as required for their needs, they may be able to do so by using their Self-Directed Support (SDS) budget, if the equipment clearly meets an identified personal outcome in their support plan.

Another option is support via Adult Disability Payment. The key intent of Adult Disability Payment is to provide individuals with payments to help mitigate the costs they incur because of a disability or long-term condition. This means individuals can use it to pay for things such as care, access to community resources, transport, social activities, and any other goods or services of their choosing, including aids or equipment.

Following a clinical assessment, the NHS will always provide the necessary equipment to support the healthcare needs of a patient. This includes the provision of a wheelchair.

However, should an individual choose to purchase a wheelchair which is not available on the NHS, they may be able do so using their Directed Support (SDS) budget, if the wheelchair clearly meets an identified personal outcome in their support plan.

Another option is support via Adult Disability Payment. The key intent of Adult Disability Payment is to provide individuals with payments to help mitigate the costs they incur as a result of a disability or long-term condition. This means individuals can use it to pay for things such as care, access to community resources, transport, social activities, and any other goods or services of their choosing, including aids or equipment.

Scotland was the first UK nation to introduce a ban on landfilling biodegradable municipal waste, which comes into force on 31 December 2025.

The increase in waste incinerated reflects preparations for the upcoming ban which have already supported a decrease in the total amount of waste going to landfill in Scotland by half over the past decade.

As we continue to increase our reuse and recycling rates, we will produce even less waste, however we will still need an appropriate way to manage our unavoidable and unrecyclable waste – and continue to reduce the amount going to landfill. The development of the Waste Route Map with partners now the Circular Economy Act is in place will be critical in accelerating action in this area.

The duration of access to psychological support for children and young people with cancer is led by clinical need.

In December 2022 Scottish Government committed to making recurring funding available to the existing specialist psychological support services for young people with cancer across Scotland. This commitment was successfully met in 2023-24 and continues to provide more certainty to these specialist roles.

The psychological support considerations regarding specialist workforce for children and young people with cancer is currently being reviewed by the Managed Service Network for Children and Young People with Cancer (MSN CYPC) as part of a wider workforce review. The Scottish Government is in regular contact with the MSN as their review continues.

The Scottish Government provides the overall guidance to NHS Boards for patient travel expenses reimbursement. Health Boards are responsible for developing and applying their own policies, including reimbursement rates, ensuring patient care and safety. Health Boards therefore have the discretion to provide financial support for any travel to treatment centres where deemed to be an extension of treatment and clinically necessary.

Scottish Government expects Health Boards to support patients to identify and access support available, taking account of individual circumstances and ensuring that patient care is at the centre of all decisions.

The Scottish Government welcomed the 2023 Scottish Animal Welfare Commission (SAWC) report on handheld remote-controlled training devices that use static pulse as the stimulus. We are currently awaiting a further report from SAWC on a wider range of aversive dog training tools, including other types of electronic training collars. We will consider all their findings carefully as part of our ongoing commitment to improve and enhance animal welfare.