Chamber and committees

Excessively long waiting lists are not acceptable and we offer our sympathies to all patients waiting for treatment. Pausing of non-urgent activity has taken place across the health system and has inevitably led to a build-up of patients waiting for treatment, and the emergence of Omicron is continuing to have an impact on existing significant pressure.

Remaining covid restrictions and infection prevention control measures mean that Audiologists are working on reduced capacity and a reduced numbers of patients have access to the services.

Additionally, all services have seen a surge in referrals since restrictions have started to ease and GPs have become more accessible. Waiting lists have grown as a result and services have to balance ensuring that patients receive good quality, efficient and effective treatment with reducing waiting times.

We published an NHS Recovery Plan in August 2021 which sets out our plans for health and social care, including audiology services, over the next 5 years.

Backed by over £1 billion of funding, the Plan will support an increase in inpatient, daycase, and outpatient activity to address the backlogs of care, which will be supported by the implementation of sustainable improvements and new models of care.

Yes, Scotland is a welcoming nation and tose who decide to come to Scotland from Hong Kong and elsewhere will be welcomed for the positive contribution they will bring to our communities, economy and society. The Scottish Government have published a dedicated British National (Overseas) welcome pack, in both English and Cantonese, on our website and linked to the Moving to Scotland website.

The British National (Overseas) visa scheme was launched on 31 January 2021 and as of the end of December a total of 103,900 applications have been received. The Home Office have said it does not publish location data, have it in the immediate underlying data or collect intended locations for Hong Kong applicants. They have completed a small scale survey of British National (Overseas) visa holders which indicates 2% intend to settle in Scotland but due to the small sample size were unable to provide any further data. The Scottish Government will continue to press the UK Government for further information on numbers.

The valuation bands for council tax are part of the wider council tax system set out in the Local Government Finance Act 1992 and associated secondary legislation. We are committed to reforming council tax to make it fairer, working with the Scottish Green Party and COSLA to oversee the development of effective deliberative engagement on sources of local government funding, including Council Tax, that will culminate in a Citizens’ Assembly. This will be established and completed in this Parliament, with a response to its recommendations debated and agreed within 6 months of them being provided.

The Scottish Government is not aware of other Health and Social Care Partnerships using the same criteria being used by East Lothian Health and Social Care Partnership, although other local partnerships take similar issues around staffing and safety in to account.

The Scottish Government does not hold information on how many older people who are in relative or absolute poverty have raised concerns about not being able to afford both heating and food this winter. The sources of information below provides indicators of levels of poverty; and engagement with stakeholder organisations.

Poverty and food insecurity

One indicator of levels of poverty and food insecurity is the latest Family Resources Survey (FRS). The most recent information available for 2019/20 showed that food insecurity rates for Scotland reflected those of the UK as a whole, and that the rate of food insecurity was lower for people over 65. Both the FRS and the 2020 Scottish Health Survey (SHeS) indicated rates of between 1% and 3% for over 65s, compared to 8% overall.

According to the FRS, around a quarter of people in both relative and absolute poverty were experiencing low, or very low food security. The relative poverty rate after housing costs for pensioners was 14% in 2017-20, or 150,000 pensioners each year - consistently below that for working-age adults (19%).

Fuel poverty

Data from the Scottish Government’s national Warmer Homes Scotland (WHS) scheme provides an indicator for those at risk of fuel poverty. The scheme is designed to help those living in or at risk of fuel poverty through installing insulation and heating measures into individual properties. Eligibility for the scheme is based on “proxies”, including certain benefits such as Employment Support Allowance (ESA) and Personal Independence Payment (PIP), which are an indication of the likelihood of the household living in or being at risk of fuel poverty.

Referrals to WHS during the period 1 November 2021 and 28 February 2022 are as follows.

The Scottish Government does not hold separate data on the percentage rise in the cost of living for older people who are in relative or absolute poverty. The information below provides an indication.

Inflation, as measured by the Consumer Prices Index rose by 5.5% in the 12 months to January 2022. This has been the highest yearly increase since the 1990s.

Figures from the ONS suggest that retired and non-retired households have experienced similar levels of inflation rates since April 2021, and so have high- and low-income households. However, rises in costs are being driven by different things - including different exposure to transport costs (affecting non-retired people more heavily) and housing and household services (affecting retired people more). Separate figure are not available for Scotland

With regard to water charges, the water and sewerage charges for households will rise by 4.2% on 1 April 2022 – this means the average household charge in Scotland will be £391 in 2022-23. Water charges are linked to council tax bands and discounts which apply to council tax also apply to water charges (such as student exemption or the single occupant discount). From 1 April 2021 the water charges reduction scheme discount – available to customers in receipt of full Council Tax Reduction – has increased to 35%, up from 25%. Over the next year (2022-23), households in receipt of the full council tax reduction discount will actually pay less than they did in 2020-21.

A key driver of price increases is energy prices, which have increased significantly over the year and continue to increase due to the crisis in Ukraine. Low-income households are particularly exposed to increases in the price of energy as they spend a larger proportion of the household income on fuel and housing costs. The Institute for Fiscal Studies suggest that by April lowest-income households will be facing inflation rates of almost 7%, higher than the average rate of 6%. The Resolution Foundation estimate that later this year the poorest third of households will be spending at least 10% of their household income on energy bills alone, compared to around 7% now.

The Scottish Government is acutely aware of the importance that our social work workforce has on Scotland’s community, particularly in the lives of our most vulnerable individuals. In order to fully support our community, the capacity and skill level of our social workers is of vital importance.

Although no specific campaigns have been run to raise awareness of the potential to study in the social work field, social work degree courses are often found to be oversubscribed year on year. There are currently nine universities in Scotland who deliver social work programmes. The number of individuals applying for these courses continues to exceed the number of places available, with an overall increase of almost 100 individuals in the last three years. This is shown by 629 applications in 2018-19 versus 720 applications in 2021-22.

As part of their response to the Covid-19 pandemic, the Scottish Social Services Council (SSSC) on behalf of Scottish Ministers developed the Temporary Social Work Register. This was a public campaign which called for anyone who had left the social work profession in the last five years, as well as final year social work students, to re-join the field on a temporary basis to help alleviate some of the pressures which the pandemic caused. This initially encouraged an influx of almost 300 applications to re-join the sector, with many finding employment.

Whilst no public campaigns were run for employment specifically in the social work field, the Scottish Government has undertaken three phases of the ‘CaretoCare’ campaign, which encourages individuals into a career in Adult Social Care, therefore raising awareness for the social services sector as a whole.

The Scottish Government is committed to supporting the social work workforce. We greatly value their contribution to supporting the most vulnerable in society, particularly throughout the pandemic.

Over the last five years, £25 million funding has been invested to support the training of social workers, including via postgraduate bursaries and support for practice-based learning. The postgraduate social work bursary scheme provides a contribution to the fees level set by universities.

There are other sources of funding that can be applied for. Full details of these can be found at www.saas.gov.uk and www.scotland.gov.uk/Topics/Education/Funding-Support-Grants

There are a range of social work degrees available from full-time undergraduate to in-work postgraduate courses. Social work courses are offered at nine universities across Scotland. More information can be found here: Studying social work at university - Scottish Social Services Council (sssc.uk.com)

As part of our ambition to increase access to the social work profession the Scottish Government is working with Skills Development Scotland and the Scottish Social Services Council to explore the creation of a Graduate Apprenticeship in Social Work.

Feedback from local authorities last term confirmed that there were around 27,000 CO2 monitors deployed across Scottish schools.

We and our local authority partners recognise the importance of continuing monitoring in schools and ELC settings. Guidance has been updated to advise that every learning, teaching and play space should be monitored at least one full day every week.

We expect to be able to provide the Education, Children and Young People Committee with updated figures for the number of CO2 monitors purchased and deployed by local authorities in due course.

The precise details about CO2 monitors being used are not held by the Scottish Government, as it is the statutory responsibility of local authorities to manage their school estate.

Tables 1 and 2 present the number of patients covered by the Treatment Time Guarantee (TTG) waiting within an inpatient or day-case setting by NHS Board at 31 December 2021, and the number waiting over 1, 2 and 3 years for a hip or knee replacement procedure, respectively.

Table 1: Number of patients waiting for a hip replacement procedure 1,2 as an inpatient or day case at 31 st December 2021, broken down by NHS Board of treatment and length of wait.