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In setting up of the DBI pilot programme in 2017, the Scottish Government created a dedicated DBI Central team to support and monitor implementation of this innovative programme. The Central team works closely with Public Health Scotland to provide monitoring reports to Government (and wider partners), and this evidence has informed the expansion of the programme across Scotland over the last eight years.

In addition to routine monitoring, the Government has commissioned two independent evaluations of the DBI programme to review its impact. The first evaluation relates to the original pilot phase of DBI (for over 18s) Distress Brief Intervention Pilot Programme evaluation: findings report - gov.scot (www.gov.scot) and the second relates to the NHS24 expansion https://www.gov.scot/publications/evaluation-extended-distress-brief-intervention-programme-summary-findings/

Both evaluations confirmed that DBI is a highly effective model in supporting people in distress, with 90% reporting that their distress levels continued to decrease and that they felt it had given them the tools and skills to manage their distress. Additionally, evaluation suggests that, in around 10% of referrals, DBI support has helped prevent suicidal thoughts, or even suicide. Additionally, feedback from frontline services suggests that DBI helps ensure they can help people to access the support they need, easing pressure on frontline services.

A further independent evaluation, relating to how effective DBI is for under 18s, is underway, and is expected to report to the Scottish Government in June 2025.

To enable a smooth expansion of the DBI programme, we have used improvement science and an active learning approach.

The DBI programme has now supported over 78,000 people across Scotland (as of November 2024).

The draft Budget 2025-26 includes £5m of funding for Coastal Change to be included in the General Capital Grant provided to local authorities.

It is Scottish Government’s policy to allow local authorities the financial freedom to operate independently. The vast majority of funding is provided by means of a block grant. It is then the responsibility of individual local authorities to manage their own budgets on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

Scotland’s first Rapid Cancer Diagnostic Services (RCDSs) – established within existing NHS infrastructure – are operational in NHS Ayrshire and Arran, NHS Dumfries and Galloway NHS Fife, NHS Lanarkshire and NHS Borders.

Our Programme for Government has committed to establishing a further Rapid Cancer Diagnostic Service in NHS Forth Valley, bringing our national total to six. It is expected the RCDS in NHS Forth Valley will start accepting referrals by Spring 2025.

It is Scottish Government’s policy to allow local authorities the financial freedom to operate independently. The vast majority of funding is provided by means of a block grant. It is then the responsibility of individual local authorities to manage their own budgets on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

As part of the monitoring for the third Scottish national Adaptation Plan (SNAP3), the number of published Coastal Change Adaptation Plans will be monitored. The outputs of the Coastal Change Adaption Fund case studies are shared on the Dynamic Coast website and webinars on coastal change are held so the knowledge is shared across key stakeholders.

Colleagues in the Centre for Sustainable Delivery continue to engage with Health Boards across NHS Scotland and regional cancer networks, such as the North Cancer Alliance, to extend Rapid Cancer Diagnostic Services. We are committed to achieving population based coverage by 2026.

A clinical refresh of the Scottish Referral Guidelines for Suspected Cancer is currently underway to help ensure the right person is on the right pathway at the right time. The guidelines are due to be published in Spring 2025. A new guideline will now be included for those patients presenting with symptoms that do not follow the specific tumour referral pathways, ensuring that patients across NHS Scotland who present with non-specific symptoms of cancer will have a clear Urgent Suspicion of Cancer referral route. This non-specific symptom guideline is closely aligned to the referral route for those who are referred to a Rapid Cancer Diagnostic Service (RCDS).

The Scottish Government does not hold this information. We are working with PHS to collate RCDS data with a view to publishing in the future.

Since January 2021 the Scottish Chamber Orchestra has undertaken the following number of engagements in Scotland and in the Highlands and Islands:

The Scottish Government has committed a further £700k to the National Performing Companies this financial year and will provide an additional £1m as part of the £34m increase to culture sector funding next financial year. This will take them to the highest level of funding since 2010-11. This will enable the National Performing Companies to maintain and develop their productions across Scotland.

Since April 2021 the Royal Scottish National Orchestra has undertaken the following number of productions in Scotland and in the Highlands and Islands region:

Transport Scotland has received considerable feedback and input through the Community Needs Assessment report, user survey, and community engagement events. This information has now been reviewed and a decision on the future service design for the Gourock-Dunoon passenger ferry service will be made shortly.

Preferred vessel options for the Gourock to Dunoon ferry service are being considered as part of the outline business case and this work is ongoing. Any investment in new vessels and infrastructure must offer value for money and be affordable.