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Text messages have been used routinely and positively for many years in NHS Scotland. Scottish Government’s Information and Risk Assurance Team has been working extensively with Health Boards and other NHS delivery partners in assessing the proportionality of using text messages for different purposes, including appointment reminders, medication adherence, health education, and remote monitoring.

The benefits often identified across different NHS organisations include reduction in non-attendance, improved patient engagement, increased adherence to treatment plans, and cost-effectiveness. The Information Commissioner’s Office (ICO) have previously stressed the importance of wording text messages appropriately and advice was given during the COVID-19 pandemic on messages not adding unnecessary confusion and being easy to read. We also recognise that the use of text messages is limited by critical privacy and security requirements and potential for misinterpretation.

The national Connect Me programme has been well received in allowing patients to report information like blood pressure readings via text message to receive feedback based on their condition. Alongside web and mobile app access, this importantly supports public choice in how they engage with NHS services whilst reducing the need for unnecessary appointments.

The Scottish Government is currently working with our partners at COSLA and the Scottish Refugee Council to refresh the New Scots strategy and we are undertaking a series of engagement events to enable both refugees and people seeking asylum to inform the strategy refresh. The first phase of the engagement work began in November and involved refugee leaders and organisations with expertise in supporting people seeking asylum and refugees. A representative from LGBT Health and Wellbeing attended one of these events.

The second phase, focused on those with lived experience, is currently underway and is being coordinated by Scottish Refugee Council on behalf of New Scots partners. It will run until the end of February 2024. This phase includes providing funding to enable local groups to run events which can be tailored to the needs of their specific groups and communities, for example to enable groups to run an event in their community language or to ensure that vulnerable groups have a ‘safe space’ to speak openly. LGBT Health and Wellbeing are liaising with the Scottish Refugee Council to contribute to this lived experience work.

The Scottish Government maintains an ongoing dialogue with all health boards to discuss performance and issues such as workforce arising across the system. The last series of quarterly Biannual Performance reviews with each of the territorial health boards, including NHS Ayrshire and Arran concluded in September 2023.

In addition, the Centre for Workforce Supply (CWS), at NHS Education for Scotland (NES), throughout October and November 2023, attended by Scottish Government officials, held medical insight meetings with each individual health board - including NHS Ayrshire and Arran. Commissioned by the Scottish Government, the aim of these were to better understand medical workforce gaps; scope out whether international recruitment could help with filling vacancies; identify any innovative supply initiatives currently underway; and understand what centralised support from the Scottish Government or the CWS could help Health Boards.

A number of alternative methods of control are available to aid bracken management depending on the intended outcome of a control strategy and the challenges that could be encountered.

The Scottish Government will continue to support stakeholders by working with NatureScot to progress priorities that were identified at the stakeholder roundtable in August. These include delivery of best practice guidance, to be in place for June 2024, and development of a bracken framework which will help land managers consider where bracken control is needed, how it could be undertaken and the intensity of any control.

The Scottish Government takes the use of chemicals very seriously. Pesticide products are only authorised where data demonstrates that the proposed use will not have unacceptable effects on human health or the environment.

The Brush Up campaign has been developed to raise awareness of changes to NHS dentistry from 1 November, and to assure patients that they will still be able to access a full range of treatment on the NHS.

In particular the campaign directs patients to updated NHS Inform webpages which set out key information in relation to NHS dental treatment in Scotland. This includes a plain English explanation of the changes to examination frequency, noting these are now determined with respect to individual risk factors; entitlements to exemptions; and information on accessing a dentist.

Currently, as of 4 December 2023, the Scottish Governments proportion of live contracts, delivered on a multi-year basis, is 65%. Multi-year has been classed as a contract over 12 months. Data on wider public sectors can either be found here: Home - Public Contracts Scotland or by contacting them directly.

Each grant fund is managed locally by a specific policy area within the Scottish Government, currently the Scottish Government does not hold central information at the detailed level of individual scheme operation.

In line with our commitment to develop a fairer funding approach for the third sector, we will increase the number of multi-year grants in the forthcoming budget and ensure timely notification of funding.

In the current fiscal climate and within the constraints of the significant financial challenges facing us in this budget, we will consider each proposal for funding carefully and do what we can to support third sector organisations.

The NHS Scotland National Access Policy states that Health Boards should review reasons why patients may DNA or cancel appointments in order to take necessary steps to address issues and barriers as necessary including what support can be provided by Health Boards to reduce non-attendance. The policy can be found at The NHSScotland National Access Policy - gov.scot (www.gov.scot) .

Public Health Scotland data up to 30 September 2023 showed the Did Not Attend (DNA) rates for New Outpatients has reduced by 1% over the last year - from 7.7% on 30 September 2023 to 6.7% in the most recent quarter. While DNA rates for inpatient and day-cases has been consistently at 0.7% in each quarter over the same period.

We recognise the importance of transparent and regular communication with patients, which is why we have included a standard package of communications that all Health Boards should be providing in the revised Waiting Times Guidance . This includes what patients should expect and their responsibilities while they are waiting for their appointment, test or treatment.

The impact assessments to inform proposals to introduce a charge on single-use disposable beverage cups are currently being developed, in partnership with Zero Waste Scotland, and will be published alongside the public consultation in due course.

There have been zero fatalities as a result of road accidents on the A90 between Stonehaven, where Slug Road crosses the A90, and by Aberdeen, where Skene road (A944) intersects with the A90 since 1 April 2021.