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We will develop a medium term financial framework by February 2018 to support national, regional and local financial planning for the next 5 years.

I refer the member to the answer to question S5W-12315 on 20 November 2017. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx.

An overall programme plan was agreed with the Delivery Plan National Programme Board in August 2017, mapping the work currently underway with detail on specific actions, targets, timescales and key milestones. This included a programme plan and regular monitoring and reporting on activity as result of the Delivery Plan. Work on a set of success criteria for the Delivery Plan as a whole and an underpinning set of performance indicators is being finalised for the end of this year. It will be supplemented by the work underway to model the performance and financial impacts of the Delivery Plan as a whole, which is being commissioned.

The Scottish Government has published a clinical care governance framework as part of the suite of statutory guidance for Integration Authorities. In 2018 we will be working with stakeholders who are delivering arrangements locally to learn from their experiences of implementing the framework to date and to provide updated guidance and support as necessary.

The new GP contract which has now been agreed between the Scottish Government and the Scottish General Practitioners' committee (SGPC) is a critical part of our plans to transform primary care services in Scotland. GPs will have the opportunity to vote on the new contract at a special SLMC Conference in December.

The proposals include reducing GP workload through the expansion of the primary care multidisciplinary team and allowing GPs to focus on their role as expert medical generalists. This will give GPs a more fulfilling role, with more time to see and treat the patients that need them most.

There will be new investment in expanded teams of health professionals in practices, which may include pharmacists, nurses, physiotherapists, paramedics, community mental health workers and non-clinical support workers for example community links workers.

More detail on the primary care workforce will be provided in the National Health and Social Care Workforce Plan: Part 3 Primary Care in 2018.

The new GP contract can be accessed here - http://www.gov.scot/Publications/2017/11/1343

Midlothian health and Social Care partnership have recently completed a significant piece of work to review and redraw the Practice boundaries to better reflect existing (and potential) list size capacity and planned house building within Midlothian. These changes were developed and agreed by all Practices.

The Chief Medical Officer’s vision is that by 2025, all healthcare professionals will demonstrate Realistic Medicine principles and values through their professionalism.

Delivery of the CMO’s vision will not happen overnight. The desired change in culture will require strong collaborative clinical leadership across the health and care system and there are a series of priority actions set out in the Health & Social Care Delivery Plan that aim to strengthen relationships between professionals and individuals, with the person at the centre of all decisions, reduce waste and tackle unwarranted variation. All of which will help embed Realistic Medicine across Scotland. We will report progress towards achieving these actions through regular updates to the Delivery Plan Programme Board.

There is already evidence of some change in practice from individual clinicians, departments and NHS Boards that aim to reduce waste, reduce unwarranted variation and create a more personalised approach to care, as described in the Chief Medical Officer’s annual report Realising Realistic Medicine, and we encourage NHS Boards to share and adopt good practice.

There are two tools which although not specifically developed for Realistic Medicine, they are good examples of the type of approach that will assist clinicians to know whether they're practicing Realistic Medicine through patient feedback. A new measurement tool known as CollaboRATE has been developed and is intended for use to assess the quality of shared decision making in clinical encounters. A patient-reported measure of integration in care delivery is also being developed, known as IntegRATE. As Realistic Medicine becomes part of the way that we deliver care in Scotland, tools such as these will become very important in providing measures that will allow us to assess our ability to truly involve people in the decisions relating to their care. They will also help ensure that this is delivered in a joined up, integrated fashion between professionals, communicating and acting with clarity of role and mutual respect.

I refer the member to the answer to question S5W-12337 on 20 November 2017. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx.

I refer the member to the answer to question S5W-12334 on 20 November 2017. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx.

The Chief Medical Officer’s vision is that by 2025, all healthcare professionals will demonstrate realistic medicine principles and values through their professionalism.

The posters that have been developed and displayed by NHS Borders support one of the key principles of Realistic Medicine, which is to strengthen the relationships between healthcare professionals by encouraging people to ask their healthcare professionals questions that will support shared decision-making and giving people informed choices about their treatment and care.

The NHS Borders poster initiative is highlighted in the Chief Medical Officer’s annual report, Realising Realistic Medicine and NHS Dumfries and Galloway, NHS Lanarkshire and NHS Forth Valley are now piloting similar posters. We would encourage all NHS Boards to consider adopting this person centred approach.

The Scottish Government supports improvement of foot care service delivery through nationally produced tools and resources including the Traffic Light tool and CPR for feet.

We understand that, NHS Valley are at present piloting a fast track referral/triage system to improve service delivery in a standardised manner and reduce variation in practice within their Board. The results will be discussed with our Scottish Diabetes Foot Action Group so that best practice can be shared nationally.