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The Scottish Government is acutely aware of the impact that the recent price rises in the cost of energy will have on people, especially those using medical equipment at home, such as CPAP machines for the treatment of sleep apnoea.

Decisions about the reimbursement of energy costs associated with CPAP machines and other medical machines in individuals’ homes are made by NHS Boards. The Scottish Government continues to work with NHS Boards to address financial pressures across the healthcare system, including the impacts of the increase in energy costs. In May 2022, we published our Resource Spending Review that set out investment of £73 billion in health and social care to 2026-27.

The Scottish Government will also use the Emergency Budget Review to increase the Fuel Insecurity Fund to £20 million in 2022-23. The Fuel Insecurity Fund is aimed at helping people who are at risk of self-rationing their energy use, or self-disconnecting entirely because they cannot afford their energy bills.

The Scottish Government has committed to introducing a Learning Disability, Autism and Neurodiversity Bill to ensure that the rights of autistic people, people with learning disabilities, and neurodivergent people are respected and protected.

Across our work, we involve organisations led by disabled people and charities representing the views of a wide range of people who come under the learning disabilities, autism and neurodiversity umbrella.

Our intention is that the Bill will be fully co-designed with people with lived experience, and we ran 30 events with 18 different organisations during the scoping work which took place between May and July 2022.

We are also establishing a lived experience advisory panel to support the development of the Bill. Details about the recruitment process for the panel will be available shortly.

I refer the member to question S6W-10779 on 20 September 2022. 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 line with the Grant Agreement between Scottish Rail Holdings Ltd and ScotRail Trains Ltd, the first Service Level Commitment (SLC) has to be prepared within the first quarter from 1 April 2022 i.e. end of June 2022.

Transport Scotland’s will publish the Service Level Commitment on the Transport Scotland website once this process has been agreed and finalised.

The Scottish Government published the Learning/Intellectual Disabilities and Autism: Towards Transformation Plan in March 2021. The plan looks at the actions needed to shape supports, services and attitudes to ensure that the human rights of autistic people and people with learning disabilities are respected and protected and that they are empowered to live their lives, the same as everyone else.

In the plan we have committed to work with Inspiring Scotland 'Support in the Right Direction' and other partners to ensure that more people with learning disabilities access their rights under the Social Work (Self Directed Support) (Scotland) Act 2013 to direct their own support. With the aim of providing as much freedom and choice in directing that support as they want in order to achieve their own outcomes.

We are also working with strategic partners such as Healthcare Improvement Scotland (HIS) who have been commissioned to gather and provide insights into different approaches to the redesign of learning disability day services and recognition of the challenges the COVID-19 pandemic has created for service users, their families and service providers, including where there are changes to delivery models away from building-based services.

Fair Start Scotland Service Providers offer specialist support for people with learning disabilities and those who are neuro-diverse, as well as the opportunity to access Individual Placement and Support (IPS) and Supported Employment where this would be of benefit to the individual.

IPS (Individual Placement and Support) and Supported Employment are integral parts of the Scottish employability support landscape. Independent reviews of each model within Fair Start Scotland were commissioned by the Scottish Government and are due to be published by autumn 2022. These reviews will allow us to build on success factors, whilst identifying areas for improvement to ensure the continuation of this vital element of support for individuals as they move towards and into work.

The Scottish Government is a key partner in the Save a Life for Scotland Partnership. The delivery of the Out of Hospital Cardiac Arrest Strategy 2021 – 2026 is facilitated and overseen by two groups; the Strategy Delivery Group and the Out of Hospital Cardiac Arrest Reference Group.

The Scottish Government attended the most recent meeting of the Strategy Delivery Group on 7 April 2022.

The most recent meeting of the Out of Hospital Cardiac Arrest Reference group, also attended by Scottish Government, took place on 27 April 2022.

Scottish Government also took part in a Save a Life for Scotland partner’s meeting on 18 May 2022.

The Scottish Government recognises the importance of day services to both those who use them and to their families and carers. We have been working closely with local areas to ensure that services are delivered safely. Revised guidance for buildings-based day services was published on 26 May 2022. The guidance says that such services should return to pre-pandemic capacity wherever possible, while operating safely in line with COVID-19 guidance.

The Scottish Government is working with a variety of key learning disability stakeholder groups and organisations who highlight concerns and issues. These are being addressed through relevant policy teams across the Scottish Government to ensure a joined-up approach. We are also working with strategic partners such as Healthcare Improvement Scotland (HIS). HIS have been commissioned to gather and provide insights into different approaches to the redesign of learning disability day services, recognising the challenges the COVID-19 pandemic has created for service users, their families and service providers.

The Scottish Government launched a public consultation on the draft physical intervention in schools guidance on 21 June. The draft human rights-based guidance makes clear that restraint and seclusion should only ever be used as a last resort and when in the best interests of the child or young person.

The draft guidance is a result of our 2019 agreement with the Children and Young People’s Commissioner Scotland and the Equality and Human Rights Commission in 2019 that non-statutory guidance be developed as a first step to improve practice in this area.

The draft guidance has been developed carefully, over time, with extensive input from over thirty working group members and partners, including the Children’s Commissioner, young people, parents, staff, local government and third sector organisations.

The consultation period has been extended to 25 October to allow all those with an interest in this sensitive area, including children and young people, to feedback their views. We will work closely with partners, following final publication, to ensure the guidance is followed.

Details of the membership and notes of the meetings of the physical intervention working group are available on the Scottish Government’s website: Physical Intervention Working Group - gov.scot (www.gov.scot) .

In healthcare settings, all incidents of restraint should be recorded and monitored at NHS Board level in line with their individual clinical governance procedures. The Mental Welfare Commission also have a role in publishing guidance in this area and in addressing individual cases following contact from patients, or as a result of their visits and themed reviews.

The Care Inspectorate gathers information on all incidents of restraint and reviews selected cases to ensure staff carrying out the restraint are fully trained and best practice is followed. They also inspect residential and secure care homes at least once each year, and restraint procedures are part of that inspection process.

In education settings, any use of physical intervention in schools, including restraint, must be recorded and monitored by local authorities. As part of their scrutiny and improvement roles in schools, Education Scotland inspectors consider the impact of practice in relation to the use of physical intervention, including restraint, for children and young people.

Information on the number of incidents of restraint and seclusion in these services are not collected at a national level by the Scottish Government.

The Scottish Government has set out our commitment to people with a learning disability and their families through the Keys to Life Learning Disability strategy and the Learning/Intellectual Disabilities and Autism: Towards Transformation Plan . Both strategies focus on outcomes intended to ensure people with a learning disability live healthier lives, enjoy choice and control over the services they use, and are supported to be independent and active citizens.

In healthcare settings, all incidents of restraint should be recorded and monitored at NHS Board level in line with their individual clinical governance procedures. The Mental Welfare Commission also have a role in publishing guidance in this area and in addressing individual cases following contact from patients, or as a result of their visits and themed reviews.

The Care Inspectorate gathers information on all incidents of restraint and reviews selected cases to ensure staff carrying out the restraint are fully trained and best practice is followed. They also inspect residential and secure care homes at least once each year, and restraint procedures are part of that inspection process.

In education settings, under existing 2017 guidance any use of physical intervention in schools, including restraint, must be recorded and monitored by local authorities. As part of their scrutiny and improvement roles in schools, Education Scotland inspectors consider the impact of practice in relation to the use of physical intervention, including restraint, for children and young people.

On 21 June, the Scottish Government launched a public consultation on new draft human rights-based guidance on the use of physical intervention in schools. The draft guidance makes clear the recording, reporting and monitoring expectations that apply to all schools. This includes recording of a child or young person’s additional support needs and any protected characteristics.

Furthermore, this year Restraint Reduction Scotland was launched. Restraint Reduction Scotland is led by a core group of stakeholders, including professionals and family carers, who have lived experience, expertise and a shared, cross-sector, commitment to working towards the reduction of restrictive practices.