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The Scottish Government has received the report for a Single Building Assessment (SBA) based on the specification published on 21 June 2024 for one of the pilot entries. An invitation to tender has been issued to undertake SBAs based on the specification published on 21 June 2024 for a further twelve of the pilot entries.

Pilot works to mitigate or remediate risks have started for five of the pilot entries. Works in this context refers to any action taken to address known cladding-related risks, including Urgent Interim Measures. These numbers relate to known works on a pilot entry only, as developers or other organisations could have carried out works without informing the Scottish Government, and therefore the true numbers may be higher and could increase as further information becomes available.

Works to remediate risks have not been completed for any of the pilot entries. Although work on the external wall cladding system has been carried out on one building, a Single Building Assessment carried out to the standard to be specified by Scottish Ministers under section 32 of the Housing (Cladding Remediation)(Scotland) Act 2024 is required to ensure that all works required have been identified and completed ahead of being designated as complete.

We are aware that there are potentially a larger number of buildings in Scotland affected by cladding beyond those in the pilot phase. Full remediation of a building is a complex process encompassing, assessment, design, remediation, and assurance, with physical completion of work dependent on the entirety of any remediation design and the commercial capacity to undertake such work.

We are continuing to take steps to improve our understanding of the number and nature of these buildings (for example, whether they fall within the scope of the Cladding Remediation Act) and will collaborate with relevant authorities in considering the action required.

For many such buildings, taking forward assessment and any remediation required will be a matter for the relevant developer or other responsible body.

The Independent Review of Adult Social Care recommendations, consultation and co-design with thousands of people who receive or provide social care have told us change is needed in how social care and support in delivered. We are working with people to design a system that best fits the needs of the communities it serves.

The National Care Service will improve participation and empower people who use and deliver care services, to have a say in how social care is developed and delivered. The NCS will also promote transparency of both performance and investment in social care. The NCS Board will improve the scrutiny of local services, allow intervention at earlier stages to identify good practice, and target efforts on areas where there are emerging issues.

Projected spending on the National Care Service up to 2032 is focused on strategic improvement of the sector, including improving standards for our workforce. The NCS Board will improve oversight, accountability and transparency on the delivery of integrated health and social care across Scotland. Allowing for greater consistency across local areas and helping frontline workers deliver their services to the best of their ability. We have already implemented Fair Work measures, including paying our commissioned social care workforce at least the real living wage of £12 an hour from April 2024 and improving standards through the NCS will make the sector a more attractive career.

We know that some people are waiting too long for treatment, and we remain determined to provide the necessary support to drive improvements in waiting times. Across NHS Scotland, patients who require urgent care continue to be prioritised across services.

NHS Greater Glasgow & Clyde have confirmed the average waiting time for an urgent neurology new outpatient appointment at the Queen Elizabeth University Hospital (QEUH) is currently 20 weeks, however there are a small number of patients whose waiting time will be markedly longer than average due to an upgrade of their status from routine to urgent.

The Board have recruited additional consultants to the service which will deliver additional capacity at the QEUH site for general Neurology waits. They have also implemented Patient Focused Booking (PFB) into Neurology services to ensure optimum use of outpatient capacity and additional headache slots are being supported by GPs with special interest (GPSI), helping to free-up the consultant team to focus on general neurology longest waits.

More widely, NHS Scotland’s Centre for Sustainable Delivery (CfSD) has developed a strong clinically-led Specialty Delivery Groups (SDG) for Neurology which promotes multidisciplinary team working, and supports local adoption of service improvement programmes. The Neurology SDG has strong links with the National Advisory Committee for Neurological Conditions and includes third sector representation. The group has made considerable progress implementing Active Clinical Referral Triage (ACRT) pathways and Discharge Patient Initiated Review (PIR), helping to free-up capacity across NHS Scotland and support sustainable solutions for the future.

Scottish Ministers are responsible for securing the provision of general medical, general dental and general ophthalmic services, and of pharmaceutical services.

Health Boards have a duty to provide those services in accordance with regulations.

Each set of regulations makes its own requirements of the contractors providing various primary care services. General Medical Services contractors, for example, must respond to undifferentiated presentations; patients who are ill or believe themselves to be ill and require diagnosis. This is necessarily a matter of judgement and the regulations do not set targets or particular goals for GP practices. By comparison, routine dental and ophthalmic examinations take place at intervals set by the Scottish Government in accordance with clinical best practice guidelines.

The National Headache Pathway sets out key principles of best practice headache management. NHS boards have flexibility to implement this in a way that is appropriate to their local circumstances. Representatives from all boards were consulted throughout the pathway’s development.

A pathway measurement framework is being used by the NHS Scotland Centre for Sustainable Delivery Neurology Speciality Delivery Group, and boards are asked to update quarterly on the implementation of published pathways and provide data, where available, against a number of agreed metrics.

NHS Education for Scotland Pharmacy also hosted a webinar in September 2024 to provide guidance to pharmacy staff on the assessment, support and management of people living with migraine in line with the Scottish National Headache Pathway.

There are no immediate plans to ask Public Health Scotland (PHS) to expand the content within their Accident and Emergency publications.

Due to data quality and completeness issues, PHS do not publish information on the full list of data items in the A&E dataset, including patient triage category as it would not provide an accurate national picture or meaningful comparisons between NHS Boards.

We continue to work with PHS to ensure that A&E reporting guidance can be applied as consistently as possible across NHS Scotland and publication of data is subject to the necessary data quality and completeness standards being met.

The Scottish Government is willing to consider any steps that might usefully and proportionately allow us to improve the data collected about primary care services and which could be used to improve those services. Any consideration of steps would be done in collaboration with the representative bodies of our contractor groups.

Public Health Scotland's (PHS) independent evaluation of Minimum Unit Pricing (MUP) of alcohol estimated that our world-leading policy reduced wholly alcohol-attributable deaths by 13.4% and was likely to have reduced hospital admissions wholly attributable to alcohol by 4.1%.

There was strong and consistent evidence of a reduction in alcohol consumption following MUP implementation, and that the reduction in consumption was driven by the heaviest purchasing households, leading to the conclusion that MUP was well targeted. As MUP was estimated to have resulted in a decrease in alcohol-attributable deaths and hospital admissions related to chronic conditions, the evaluation took this as further evidence to suggest that MUP has reduced consumption in those that drink at hazardous and harmful levels.

Overall, the evidence supports that MUP has had a positive impact on health outcomes, including alcohol-related health inequalities.