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The Scottish Government regularly makes evidence-based representations to the UK Government on reserved tax issues. Alcohol sales are already subject to VAT, whilst any profits made by retailers selling alcohol will be already be subject to Corporation Tax. The Scottish Government, as set out in December’s budget announcement, is exploring the reintroduction of a Public Healthy levy using devolved powers.

While we work with Boards through planning to make best use of existing NHS resources and capacity, we will continue to use the private sector in a structured and prioritised manner. As we deliver new, better and more sustainable ways of delivering services to improve access for patients, we expect the need for private sector capacity to lessen. It is for local NHS Health Boards to determine how they use the private sector and to agree any contractual arrangements.

In 2022/23, total spend on use of the private sector in NHS Scotland represented just 0.7% (£116m) of the total frontline health budget, while in England, it was 6.5% (£11.5bn) of the Department of Health Budget.

Public Health Scotland’s Annual Acute hospital activity and NHS beds information provides information on non-NHS providers; NHS patients treated in non-NHS locations such as private hospitals, hospices, nursing homes, care homes etc. PHS's latest publication, covering 2022-23 shows that there were 2,958 consultant-led outpatient appointments performed by non-NHS providers in 2022-23, or 0.08% of the total that year (3,928,597) Table 1 – Outpatient Activity. During this period figures for new outpatient appointments are 1,988 by non-NHS providers out of 1,273,588 in total (0.16%), involving 1,943 new patients out of a total of 964,316 new patients. There were also 4,962 Continuous Inpatient Stays in non-NHS hospitals out of a total of 1,092,413 (0.45%). This involved 4,779 patients out of a total of 631,731 patients (0.76%) Table 2 – Inpatient and day case activity .

The Scottish Government is committed to ensuring that all children in primary school receive at least two hours of physical education (PE) each school week.

To monitor progress on this commitment, local authorities have provided us with data about provision of PE in their schools since 2012. This data is reported through the annual Schools Healthy Living Survey Statistics Report, which is available through the following web link: Data and Methodology - School Healthy Living Survey: school meal uptake and PE provision statistics 2023 - gov.scot (www.gov.scot) .

Information about schools meeting PE targets is contained on Table 18 of the supplementary statistics spreadsheet in the Schools Healthy Living Survey.

In addition to regular physical education classes there are other physical activity initiatives available for primary school age children, such as The Daily Mile. The Daily Mile is a simple and effective concept which allows all pupils to either run, jog or walk for one mile each day at any time which best suits the needs of the class. Scotland became the world’s first Daily Mile Nation in October 2022.

Undertaking a health capital investment project is an iterative process and estimating the cost and completion date is a complex exercise and we did not identify individual budgets and completion dates when the programme of investment was originally announced.

Since then, additional projects have been added to the programme and we have experienced unprecedented levels of inflation in the construction sector which makes comparison of costs and completion dates difficult.

The latest position for all projects is noted in the following table:

The Scottish Government remains committed to ensuring funding is distributed equitably across the country as set out in the 2021-22 Programme for Government. The existing National Resource Allocation Formula (NRAC) is updated on an ongoing basis for a range of factors including population demographics, relative health needs and remote and rural factors. We will continue to assess the need for a more detailed review of the formula, in line with developments in National Care Service funding and Integration reform.

The formula is inherently complex and the review will take time. However, work to determine how the review should be taken forward is underway, with initial meetings of the Technical Advisory Group on Resource Allocation (TAGRA) having taken place, considering the next steps to determine scope and timing of the review.

Further work is required prior to confirmation of a timeline for the publication of the updated formula.

All 32 local authorities in Scotland currently participate in the Daily Mile Initiative.

As set out in our draft budget the capital funding position is extremely challenging, with a UK Government cut of some 10% in our capital budget over the next five years. That has inevitably led to some difficult decisions on what capital projects will be progressed.

The Scottish Government are in active discussions with NHS Lanarkshire on the impact of this budget settlement on the proposal to replace University Hospital Monklands and an updated position is expected in February.

The Scottish Government will bring forward a revised pipeline of infrastructure investment in the spring, alongside the medium-term financial strategy, at which point we would hope that the fiscal outlook will be clearer.

As required under section 2C of the Climate Change (Scotland) Act 2009, the Scottish Government plans to request advice from the Climate Change Committee (CCC) on the appropriate value of the international aviation multiplier, and other advice about emissions targets, within 5 years of the last request for this advice on 19 April 2022. In response to the most recent request, the CCC’s first five-yearly review of Scottish emissions targets, published in December 2022, does not recommend the use of a multiplier to reflect the non-CO2 climate change impacts of emissions at altitude from international aviation.

The Scottish Government is aware that there have been supply issues with Pancreatin, also known as Creon, with one or more strengths over a number of years. Other brands of prescription pancreatic enzymes are also available including Nutrizym® and Pancrex®. Patients should discuss alternative options with their GP or specialist.

Officials from the four UK Administrations work together to mitigate and manage responses to medicine shortages. The Chief Pharmaceutical Officer for Scotland is a member of the UK-wide Medicines Shortage Response Group (MSRG), set up to identify and co-ordinate responses to medicines shortages across the UK and provide advice to clinicians on alternative therapeutic options.

The NHS in Scotland has robust processes in place to manage supply issues when they do arise.

The Scottish Government does not hold this information. Houses of Multiple Occupation, which includes purpose built student accommodation, are subject to the provisions in The Fire (Scotland) Act 2005 which requires that duty holders carry out a fire safety risk assessment of relevant premises to identify any risks to the safety of persons caused by fire, including the risk posed by combustible cladding.

The Scottish Government has produced guidance for those who have responsibility under the Fire (Scotland) Act 2005 for ensuring fire safety in such buildings in Scotland: Fire safety - existing premises with sleeping accommodation: practical guidance - gov.scot (www.gov.scot)