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The five commitments made in the 2019-20 Programme for Government were; 1) appoint a Chief Medical Officer Speciality Advisor for stroke care, 2) review and improve the current stroke care bundle to improve outcomes for patients, 3) collaborate across government on stroke prevention and raising awareness of the signs of stroke, 4) begin work to scope out and define what a progressive stroke unit looks like, and 5) ensure that a national planning framework is in place for a high quality and clinically safe thrombectomy service.

Updates are as follows;

Professor Martin Dennis (Chief Medical Officer Specialty Advisor for Stroke) and Dr Fiona Wright (Deputy Chief Medical Officer Speciality Advisor for Stroke) were appointed in 2020.

The Scottish Stroke Care Audit standards have, for several years, included the proportion of patients with a final diagnosis of stroke who were managed in accordance with all four standards comprising the care bundle. The standards within the bundle include the prompt delivery of: a) admission to a stroke unit; b) brain scanning; c) screening for swallow problems; and d) administering aspirin (unless contraindicated). The standards are regularly reviewed in line with current evidence and updated guidelines.

We have progressed with work to scope out and define a progressive stroke pathway. The resulting document is expected in early 2022. It will set out our vision for what stroke services across Scotland should deliver across the whole patient pathway, including prevention, recognition of stroke, timely access to acute and hyperacute care and the provision of stroke rehabilitation.

We remain committed to introducing a high quality and clinically safe thrombectomy service in Scotland. A pilot thrombectomy programme began in the North of Scotland at NHS Tayside on 9 November 2020 and the East of Scotland began their pilot service on the 6th September 2021. A Scotland wide service is expected to be operational by 2023.

The Islands Connectivity Plan, to replace the current Ferries Plan, will be produced during 2022 and engagement and consultation on this will enable substantial public and community input.

The report by Element Energy noted that a combination of increased up-take of Sustainable Aviation Fuel and behavioural change is the lowest risk pathway to achieving the 33% reduction in aviation emissions needed to meet Scotland’s emissions targets. Our consultation to inform the development the aviation strategy, which closes on the 21 January, includes questions on how the Scottish Government can help to reduce the environmental impact of aviation and meet our climate change targets. The responses to the consultation, alongside other relevant evidence and wider Scottish Government policy, will inform decisions on the final content of the strategy.

The commitment to reduce car kms by 20% by 2030 (against a 2019 baseline) as set out in the Scottish Government’s Climate Change Plan update (CCPu) published in December 2020 remains unchanged, either in terms of measurement or time scale.

https://www.gov.scot/publications/securing-green-recovery-path-net-zero-update-climate-change-plan-20182032/documents/

The 20% Reduction in Car Km Route Map published on 13 January 2022 outlines the approach to meeting this commitment.

https://www.transport.gov.scot/publication/a-route-map-to-achieve-a-20-per-cent-reduction-in-car-kilometres-by-2030/ .

Our approach to managing the Covid-19 pandemic has been underpinned by our Framework for Decision Making since its publication in April 2020. The Framework set out the key principles that guide our decision-making in responding to and managing the four key harms of Covid-19. These four harms are distinct but inter-related and comprise the direct health impacts of Covid-19; non-Covid-19 health harms; societal impacts; and economic impacts.

Covid-19 is first and foremost a public health crisis, and the use of legislative powers has been necessary to in order to limit transmission of the virus and save lives. We know that Covid-19 is not about to suddenly disappear, which is why we are currently undertaking work to consider the necessary adaptations to handle any future phases of the pandemic as proportionately and sustainably as possible.

We are working on a revised Strategic Framework, which will set out how we can adapt to managing the virus in the medium to long-term as it becomes endemic. This includes an update to our strategic intent by moving towards developing the necessary flexibility and resilience in our health and social care systems, wider public services, economy and society to deal with potential new variants of Covid-19 or other public health threats.

The updated Framework will set out how we can live as freely as possible while controlling the harms that the virus can cause, using lessons learned during the epidemic to benefit Scotland going forward. We are consulting with businesses, organisations and others across society as part of this process, and we will bring the update to Parliament in the coming weeks.

The First Minister announced on 17 December that funding will be made available to businesses in the food and drink chain supply chain, including food and drink wholesalers, who were affected by hospitality cancellations as a result of the additional public health measures introduced in December.

We are in the process of developing funding criteria and guidance in collaboration with the Scottish Wholesale Association, and we will ensure this information is publicised widely as soon as we can so that businesses can consider whether they may be eligible to apply.

As Alasdair Allan is aware, since becoming Transport Minister, I have been determined to ensure the views, knowledge and experience of island residents informs the delivery of ferry and other relevant transport services. I am clear that I would very much favour an island-based presence on the boards of Caledonian Maritime Assets Ltd and David MacBrayne Ltd. I understand the disappointment that the most recent round of appointments did not address such concerns therefore I have tasked the new Chair of the David MacBrayne board with exploring how we might achieve this, as one of his first priorities.

The Scottish Government has not provided direct or specific funding for businesses damaged by Storm Arwen.

I appreciate that the aftermath of Storm Arwen will have created difficult operating conditions for affected businesses. Information on available business support offered by public sector organisations can be found at the Find Business Support website - https://findbusinesssupport.gov.scot/

Following Storm Arwen, the Scottish Government activated the Bellwin Scheme to provide additional revenue support to local authorities to assist with immediate and unforeseen costs that meet the scheme’s qualifying criteria.

For the 2021-22 tax year, the Scottish Fiscal Commission forecast that there will be 417,800 Scottish taxpayers in the Higher Rate band, and 18,000 in the Top Rate band.

The existing Uig-Tarbert ferry timetable will be maintained in 2022, with formalised deployment of the mezzanine decks to ensure the timetable can be delivered within the operational challenges. We have asked CalMac to continue to closely monitor the route and maximise the use of space on the vessel.

CalMac has revised the initial proposals and these represent the best available options to maximise capacity on the Skye Triangle routes for Summer 2022.

The planned upgrade of Uig Harbour by The Highland Council is required to ensure continuity of ferry services to Harris. The closure is essential to allow major investment in replacing life expired infrastructure and improving the resilience of Uig harbour for the benefit of the Skye Triangle routes. This follows the significant recent investment in the upgrade of Tarbert harbour on Harris. The works have been scheduled out with seasonal peaks, however we regret any associated disruption.

CalMac recently undertook community consultation, including at Tarbert (Harris) Community Centre, on plans to introduce an alternative ferry service while work at Uig is underway. The consultation closed on 7 January and community feedback will be presented to Transport Scotland and Scottish Ministers for careful consideration prior to any final decision on this matter.