Seòmar agus comataidhean

We are providing £170m to support the delivery of extended multidisciplinary teams (MDTs) making it easier for patients to see the right person, at the right time, in GP practices and the community.

Whilst the fund does not have direct provision to support living with myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS), the reforms are focused on strengthening the whole general practice team for the benefit of all patients.

We have recruited 3,220 whole time equivalent (WTE) healthcare professionals, such as pharmacists, mental health workers and physiotherapists, into these MDTS. This is helping to refocus the role of the GP on patients with more complex conditions, in turn improving patient outcomes, community health and practice sustainability.

Previous requests under the Freedom of Information (Scotland) Act 2002 and Environmental Information (Scotland) Regulations 2004 have provided information on the costs associated with the creation of the Deposit Return Scheme in Scotland and are published on the Scottish Government website. As of 18 May 2022 it cost the Scottish Government £182,722 to set up DRS including costs associated with preparing legislation, consulting, evaluation, and independent reviews and assurance. The Scottish Government is open to further requests for information under both FOISA (2002) and EIR (2004).

Previous requests under the Freedom of Information (Scotland) Act 2002 and Environmental Information (Scotland) Regulations 2004 have provided information on the costs associated with the creation of the Deposit Return Scheme in Scotland and are published on the Scottish Government website. As of 18 May 2022 it cost the Scottish Government £182,722 to set up DRS including costs associated with preparing legislation, consulting, evaluation, and independent reviews and assurance. The Scottish Government is open to further requests for information under both FOISA (2002) and EIR (2004).

Scottish Government is aware of recent difficulties experienced by some homecare providers. NHS National Procurement in partnership with Health Boards have worked closely with the homecare providers to improve service performance. All homecare providers are now demonstrating improved service levels.

Medicines homecare providers must demonstrate that they can meet the standards for registered pharmacies set by the General Pharmaceutical Council (GPhC). The standards are designed to create and maintain the right environment for the safe and effective practice of pharmacy and to improve the quality and safety of services provided to patients and the public. The GPhC inspect registered pharmacies to seek assurances that the standards are being met. Depending on the range of services provided, medicines homecare providers may also be registered with additional regulators such as the Care Inspectorate and the Medicines and Healthcare products Regulatory Agency.

The Scottish Government have not undertaken any assessment on the effects of inflation specifically within the medicines homecare service. Like a number of sectors, homecare providers have experienced challenges in recruitment and retention of staff, which has been one of the drivers of the service problems.

Delivery of a permanent and resilient solution to the landslip risks at the A83 Rest and Be Thankful is a priority and we continue to seek ways to achieve that as quickly as possible, noting that all of the options require complex civil engineering.

Transport Scotland continues to take forward the necessary design and assessment work at pace with a view to announcing a preferred route option this Spring. Following this further detailed design and assessment work on the preferred option, including an Environmental Impact Assessment, is required before we can complete the necessary statutory planning process to allow any land to be acquired and the project constructed.

Delivery of the long-term solution can only commence if it is approved under the relevant statutory planning process and thereafter a timetable for its progress can be set. We will continue to progress the necessary design work as a priority with a view to commencing work on the ground during the current parliamentary term subject to timely completion of the statutory process.

We are dutybound to properly follow the correct statutory planning process which rightly includes consultation with communities, landowners and others with a direct interest in the scheme. However, Transport Scotland continues to explore methods to reduce the timescales of each stage of the project, where possible, and progress work at pace on this essential project.

NHS National Procurement in partnership with the Health Boards are responsible for the provision of medicine homecare services and have met with affected providers on a weekly basis over a 12 month period to address services provision and monitor return to good service levels.

When service problems arise, through performance management arrangements linked to service level agreement and contracts, there is work with providers to agree an action plan and then closely monitoring delivery of performance improvements against that plan until service levels return to agreed standards.

The average time to onboard a patient to a homecare service varies by homecare provider. Within the Service Level Agreements with the homecare providers, a minimum of 5 business days is required between the provider receiving the registration documents and prescription for the patient and first delivery. Delivery may take slightly longer to areas of the Highlands and Islands due to the remoteness of the locations, although this varies by homecare provider. If treatment is required to be started more urgently than the homecare provider can deliver, then initial supplies can be made locally to patients through hospital pharmacies before the homecare service is set up.

In response to the report, the Scottish Government established a Health and Social Care in Prisons Programme to address structural barriers to better health and social care in prisons across a number of areas. The Programme was unavoidably disrupted due to the Covid-19 pandemic but nevertheless managed to make a range of improvements including refreshing the National Prison Care Network. This Network has established strong links with healthcare staff in prisons and is delivering improvements around a number of priority areas such as mental health, substance use, and workforce. Other key achievements from the Programme include:

• publishing a suite of externally commissioned prison population health and social care needs assessments;
• developing a prisons health information dashboard through Public Health Scotland;
• completing a review of clinical IT in prisons; and
• carrying out six tests of change which modelled ways of delivering integrated health and social care in prisons.

Much of this work continues to inform ongoing improvements to health and social care in prisons.

I refer the member to the answer to question S6W-14332 on 7 February 2023. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at Questions and answers | Scottish Parliament Website .

An additional £2.5 million has been re-allocated to the Scottish Welfare Fund from the proposed £5 million addition to the Discretionary Housing Payment budget during 2022-23. This additional funding is an exceptional measure in response to the cost of living crisis, and will enable local authorities to provide more flexible local support through Crisis Grants and Community Care Grants. This can include payments to individuals and households who are experiencing financial challenges, including the effects of the cost of living crisis and food or fuel insecurity.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

On 10 March 2023, there were 7 transgender women located within the female estate in the care of the SPS. Out of those 7; 4 individuals were sentenced, and 3 were held on remand.

The 4 sentenced individuals all had an index offence in the Non-sexual crimes of violence group. The remanded individuals are alleged to have committed index offences in the Non-sexual crimes of violence group and the Crimes against society group.