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The Scottish Government believes that independence would deliver the best deal for Scotland – providing control over all public spending decisions, as well as the suite of fiscal powers necessary to unlock Scotland’s full economic potential.

However, until such a time as the people of Scotland can choose a different constitutional arrangement, moving to full fiscal autonomy for the Scottish Government would create a fairer system that would protect public services and allow investment in our economy.

The Scottish Government outlined its views on full fiscal autonomy in its evidence to the 2014 Smith Commission, when Scotland’s devolved fiscal arrangements were last subject to substantial review.

Full fiscal autonomy would mean that all onshore and offshore taxes would be designed and set in Scotland, including tax rates, allowances, thresholds and the tax bases. For any reserved taxes, revenues would be assigned to the Scottish budget.

At the same time, the Scottish Parliament would also take responsibility for key elements of domestic expenditure, including currently reserved areas of welfare. The Scottish Government’s position reflects significant issues with current devolved fiscal arrangements, and particularly with the approach taken by the previous UK Government.

Even where the new UK Government is not willing to pursue full fiscal autonomy for Scotland, it has the opportunity to agree a set of substantial improvements to devolved fiscal arrangements - including through agreement to fiscal flexibilities that are commensurate to the level of risk the Scottish Government currently manages within its responsibilities. Such powers are essential to manage and smooth the funding volatility and uncertainty which affects our current finance arrangements.

I refer the member to the answer to the question S6W-36472 on 1 May 2025. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

In regards to part A of the question, the best source for care home closure data sits with the Care Inspectorate (CI) via their ‘service cancellations and registrations publication’. The most recent version was published on 22 January 2025, which you can access via the link below

https://www.careinspectorate.com/images/documents/7934/CI_Stats_Report_RegCanxQtr3_24_25.csv

37 care home services have cancelled their registration with CI since the start of 2024, according to this most recent report. This includes care home services for older people, children & young people, mental health, alcohol & drugs misuse, learning disabilities and respite services.

In order to see those services that have been cancelled you can look at the cancelled services column the publication table.

It is important to note that often the services listed will most likely have been reopened under a different business name and care service number since this data was released. Over the same period, there have been 30 registered care homes services, you can view this in the registered services columns in the same table.

In regards to Part B, to understand the care home services that are at risk of closure you can look at the RAD score – current Scrutiny Assessment Tool (SAT) score, High-Medium-Low – for each service which is available on the Care Inspectorate data store publication. The most recent one was published on 28 February

https://careinspectorate.com/images/documents/8039/MDSF_data_28%20February%202025.xlsx

The SAT is a trigger tool to identify indicators of potential concerns in services. The SAT was developed using feedback from staff, information from our enforcement review, intelligence and learning from the pandemic and the Hull early indicators of concern (which has been widely adopted by the health and social care sector). It only provides a picture of the services that have been inspected, rather than all care homes in the country.

The projections and warnings from Scottish Care are alarming, and we certainly understand that the current challenges facing the social care sector including the care home sector are significant. Additional pressures have been brought to the sector by the decisions of the UK Government, such as the increase in employers National Insurance Contributions, changes to the social care visa system and salary threshold levels.

The Scottish Government has increased investment into our Health & Social Care Sector, the 2025-26 Budget provides funding of £21.7 billion for Health and Social Care - an uplift exceeding consequentials and taking funding to record levels. Despite substantial funding increases, it’s clear that significant challenges remain.

While I recognise the seriousness of the risks faced by the social care sector, the projections from partners such as Scottish Care are the worst-case scenario. As stated, investment in the sector has increased, quite substantially, during a period in which pressures on public finances have been most acute.

Safeguards are in place to support the sector with regulators, COSLA and the Scottish Government available to provide additional support where necessary. We will continue to provide targeted support to local areas through the Collaborative Support and Assurance Group, co-chaired by myself and the COSLA spokesperson on Health and Social Care, Councillor Kelly. COSLA also chairs the National Contingency Planning Group, which can be stood up in the event of a large-scale threat to the sector affecting more than one local authority.

But we do take these warnings seriously, and the Scottish Government are undertaking a programme of work to understand and respond to the current financial viability pressures facing the care home and wider social care sectors, and identify where extra support, contingencies and mitigations may be required. This work has included collaboration with COSLA, sector partners and representative bodies. Work remains ongoing but is proceeding at pace.

I would highlight that although we have overall responsibility for health and social care policy in Scotland, the statutory responsibility for delivering, commissioning, providing appropriate social care capacity at a local level lies with local authorities, NHS boards and Integrated Joint Boards. This includes the responsibility for these organisations to develop contingency plans for each service they commission or provide and to have robust plans in place should a service close. COSLA have provided guidance on how to manage a service closure and under procurement contracts, including the National Care Home Contract, providers are required to have appropriate business continuity plans in place.

However, we do understand that additional pressures have been brought to the sector by the decisions of the UK Government, such as the increase in employers National Insurance Contributions, changes to the social care visa system and salary threshold levels.

Safeguards are in place to support the sector with regulators, COSLA and the Scottish Government available to provide additional support where necessary. We will continue to provide targeted support to local areas through the Collaborative Support and Assurance Group, co-chaired by myself and the COSLA spokesperson on Health and Social Care, Councillor Kelly. COSLA also chairs the National Contingency Planning Group, which can be stood up in the event of a large-scale threat to the sector affecting more than one local authority.

The Scottish Government are undertaking a programme of work to understand and respond to the current financial viability pressures facing the care home and wider social care sectors, and identify where extra support, contingencies and mitigations may be required. This work has included collaboration with COSLA, sector partners and representative bodies. Work remains ongoing but is proceeding at pace.

The Scottish Government are undertaking a programme of work to understand and respond to the current financial viability pressures facing the care home and wider social care sectors.

This work has included collaboration with sector partners and representative bodies, which includes Scottish Care. This includes a new social care Financial Viability Response Group, which has been meeting weekly since February this year. Scottish Care, CCPS, regulators and local leaders are among the membership of this group.

As well as this, I, alongside the COSLA Health and Social Care Spokesperson, have hosted monthly roundtable sessions with sector partners (including Scottish Care) on the eNICs and financial viability pressures and its potential impacts on the social care sector.

Both the weekly group meetings & monthly roundtables have been candid and honest spaces, to fully discuss the current challenges facing the social care sector. But these have also been pro-active discussions, and partners, with support from Scottish Government officials, are in the process of developing actions and mitigations to help support the sector during this challenging period.

That work is ongoing, but the Scottish Government is committed to working closely with partners to continue to identify the pro-active steps that can be taken to mitigate these impacts, protect services and support the people in receipt of care.

Information on patient suicide in NHS mental health facilities is not held centrally.

Any suicide is a tragedy and should not happen when someone is in the care of the state. We are determined to do all we can to improve patient safety, and to reduce suicide deaths in NHS mental health facilities. Our ambitious suicide prevention strategy and action plan which we are delivering with COSLA, has a clear focus on preventing suicides in higher risk settings, including clinical services. We are working with NHS Boards to implement improvements.

The quality and safety of mental health estates is an important issue for the Scottish Government. Health Boards are expected to place significant emphasis on the safety of environments mental health services are delivered from.

The Scottish Government and NHS Assure have developed and piloted a tool to gather information on the built environment, including reviewing completion of ligature assessments. Wider roll out will begin in spring 2025.

Scottish Government is committed to the trustworthy, ethical and inclusive use of artificial intelligence (AI) in health and social care, where it can help to transform lives, increase healthy life expectancy and reduce health inequalities across Scotland.

There are promising examples of AI being developed to improve the accuracy and speed of diagnosis and in enhancing decision support tools.

The Accelerated National Innovation Adoption (ANIA) pathway is a programme funded by the Chief Scientist Office within Scottish Government. It has been established to provide a national approach to the identification and adoption of research and proven scientific and technological innovations. Governed by the Innovation Design Authority (IDA), it aims to support improved partnership working, system leadership and joint decisions on the progression of AI innovations across any health condition, including cancer.

We recognise that wild salmon populations are now at crisis point in Scotland. Although the pattern of decline is repeated across the salmon’s North Atlantic range, caused at least in part by the effect of climate change on survival during its marine phase, there remains much that we can do in our rivers and coastal waters to build resilience and transform the fortunes of this iconic fish for the better.

Cancer remains a national priority, within the Scottish Government and across NHS Scotland. That is why we recently published our 10 year Cancer Strategy for Scotland 2023-2033 along with an initial three year Cancer Action Plan for Scotland 2023 – 2026 in June 2023.

The strategic aim and vision is to improve cancer survival and provide excellent, equitably accessible care across Scotland.

Scottish Government continues to positively engage with the UK Government, including on the development of the new UK Government National Cancer Control Plan 2025.