Seòmar agus comataidhean

The funding and commissioning of specialist and general palliative and end of life care services, including workforce planning and allocating resources for staffing, is a matter for Integration Joint Boards (IJBs). It is the responsibility of IJBs to plan and commission adult palliative and end of life care services for their areas using the integrated budgets under their control.

Scottish Government officials will continue to engage with Health and Social Care Partnerships (HSCPs) and Scottish hospices in relation to supporting local planning, commissioning and resourcing of independent hospice care.

Financial planning for the significant challenges our public finances continue to face took place in advance of the Deputy First Minister and Cabinet Secretary for Finance's update on the 2023-24 in-year budget changes on 21 November.

The difficult decisions which have had to be made have allowed us to help balance the Scottish Government's budget while still progressing implementation of our mental health and wellbeing strategy from a revised direct budget of £260.3 million.

The in-year budget changes impacted on a number of planned new programmes which could not proceed as anticipated. Planned increased funding to existing programmes were also not able to be progressed.

Despite the savings made, we have continued to focus on delivery of our mental health and wellbeing strategy and recently published delivery plan, which includes commitments around mental health services and specific programmes of work around learning disability and autism, and cross-cutting trauma work.

In line with statutory duties, annual reports on climate adaptation are laid in Parliament every May setting out progress made towards implementing climate adaptation objectives, proposals and policies. Twice every 5 years, Ministers also commission the UK Climate Change Committee to provide an independent assessment of progress on adaptation in Scotland.

To strengthen the existing monitoring and evaluation framework for climate adaptation, the Scottish Government has committed to identifying indicators that can assist with more effective monitoring of progress to the outcomes of the next Scottish National Adaptation Plan (SNAP3).

The next Scottish National Adaptation Plan (SNAP3) responds to the risks identified by the 2022 UK Climate Change Risk Assessment . This Assessment identified 61 risk and opportunities. The Scottish Government has assigned Director-level owners for all identified climate risks. The overall development of SNAP3 is overseen within Scottish Government by the Director-level Global Climate Emergency Programme Board.

The vast majority of spending on mental health is delivered through NHS board budgets – and this is not directly affected by the Path to Balance reprioritisation. Between the Scottish Government and NHS boards we expect spending on Mental Health to be well in excess of £1.3 billion in financial year 2023-24.

The 2023-24 direct mental health budget of £260.3 million is still more than double the 2020-21 mental health budget of £117.1 million and will support delivery of the new ten-year Mental Health and Wellbeing Strategy and recently published delivery plan. The Delivery Plan has been produced with affordability and deliverability within that financial envelope as a primary consideration.

The Scottish Government is aware of recent announcements from the banking industry to further close bank branches and withdraw mobile branch services. This is an unfortunate continuation of a trend witnessed across the sector to reduce in-person services in Scotland.

The regulation of financial services is ultimately a reserved matter for the UK Government. Recently they have legislated in this space, through the Financial Services and Markets Act, to grant the Financial Conduct Authority (FCA) greater powers to protect access to cash in the UK. The FCA launched a public consultation on these new powers on 7th December and my officials are working to arrange a meeting with their Chief Executive, Nikhil Rathi, in early 2024. I look forward to discussing this increased regulatory remit with Mr Rathi and exploring what more can be done to ensure the unique cash and banking requirements of Scotland’s rural and island communities are being addressed.

The Scottish Government absolutely recognises the important role in-person services still play to our communities – particularly in rural and island regions. Therefore, myself, ministerial colleagues and officials have met with senior representatives from the banking sector in recent months. In these meetings we have expressed concerns about how branch closures not only impact the most vulnerable customers but also the dynamics of town centres, particularly when the last bank in town closes. I have also reminded banks of the social responsibility they have to the communities they are choosing to leave. The Scottish Government are committed to working constructively with banks, not only to ensure that individuals and businesses can access the services they require, but also to encourage banks to engage with the communities they serve and understand the concerns of customers who live there.

Edinburgh City Council has indicated their strong interest in Safer Drug Consumption Facilities and have commissioned a feasibility study. The findings of which are being finalised and should be released early 2024.

At present there has not been, and currently are no plans for a feasibility study in Dundee. However, a feasibility study focusing on heroin assisted treatment was completed and was presented and discussed by Dundee Alcohol and Drug Partnership. This study will also be made public sometime in the New Year.

The Scottish Government is aware that the National Supply Disruption Service (NSDR) has been managing a shortage of 10-year copper coils since June, which affected multiple suppliers and was due to a manufacturer running short of copper. Alternative devices are available, including an alternative 10-year and 5- year copper coil. The NSDR advise that production of the 10 year coil has now resumed.

Advice to clinicians was published by the Faculty of Sexual and Reproductive Healthcare (FSRH) and can be found here: FSRH Statement: Update on national copper IUD shortages - Faculty of Sexual and Reproductive Healthcare

The campaign is not targeting children and young people through radio and outdoor advertising. These channels, along with online news sites, digital and social media are being used to reach and engage the parental audience across Scotland.

To reach children and young people, we have engaged with schools, parents and third sector organisations who work directly with children and young people, equipping them with resources, information and tips (via NHS Inform and Parent Club) to prompt awareness of, and have informed discussions with their children and young people, on the dangers and consequences of vaping.

To reach the parental audience in Scotland, we worked with a procured Scottish Government roster media agency to identify the most effective media channels. In this instance, within the parameters of the identified budget, outdoor advertising, radio, online news sites and social media were recommended. These channels have allowed for creation of engaging content that encourages parents to click through to NHS Inform and Parent Club for information, advice and tips on having open, honest, informed conversations with their children and young people.

Following the inclusion of squash in the Los Angeles 2028 Summer Olympics, squash will now be eligible for the UK Sport investment process. UK Sport strategically invests in the summer and winter Olympic and Paralympic Games and other major championship events to maximise the performance of UK athletes.

The Scottish Government is a strong supporter of Scottish Squash and recognises its contribution to raising Scotland’s profile on the international sporting stage, as well as promoting the wider benefits of sport and physical activity.

sport scotland, our national agency for sport, is investing up to £494,700 into Scottish Squash in 2023-24, an increase of 14.9% in investment from the previous year. sport scotland’s investment supports a wide range of activity that encourages and supports people to participate in squash at all levels, including school, club and coach development, and its performance programme. The additional investment in 2023-24 is specifically aligned to the continued development of a broader and more inclusive player pathway.