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Land and Assets is one of the three main areas of focus for the Anchors workstream of the Place and Wellbeing Programme. All NHS Boards submitted Anchor Strategic Plans in October 2023 setting out how they will maximise their footprint as owners of land and assets, for the benefit of their local population. NHS Boards have also submitted baseline metrics on their anchor activity, including the proportion of successful assets transfers to date relative to the number received.

We will use this feedback, working with NHS Scotland and the community sector, to understand what further support or guidance we can put in place at a national level to enable more community organisations to use, lease or take on NHS assets for the benefit of local communities.

If an application for a building warrant is made which proposes the use of an external wall cladding system assessed in accordance with BR 135 when tested to BS 8414 as a means of compliance, then this information would be stated within the application. Local authority verifiers would consider the application on that basis.

In accordance with the Section 34 letter (Building standards - notification of application for building warrant: section 2.0 fire: letter to local authority verifiers - 31 October 2023) , local authority verifiers have to notify the Scottish Government’s Building Standards Division if any application is made that is supported by a BS 8414 test and BR 135 assessment report. To date, we have received no such notifications for any school building.

At present, no assessment has been made of the effectiveness of NHS weight management services in preventing and reversing type 2 diabetes. However, it is encouraging that increases in referrals to weight management services has been reported in the latest statistics.

Prior to 2019, there was a lack of standardised information collected by NHS Boards to enable tracking of provision of weight management services. Approved by the Scottish Type 2 Diabetes Prevention Framework Oversight Group, a core dataset was developed in collaboration with Scottish Government, Public Health Scotland (PHS) and NHS Boards. The core dataset ensures consistency and comparability in the data being collected.

Data on referrals to weight management and type 2 diabetes prevention services was first published by PHS in May 2021 and the latest data was published March 2024 . The publication is currently classed as Official Statistics in development. The core dataset and reporting provides health boards with insight and direction as to future planning of type 2 diabetes prevention and weight management services.

We will continue to improve data collection and monitoring to assess the impact of NHS weight management services in Scotland.

I can confirm that NHS Boards have received financial and policy support to implement the Health and Care (Staffing) (Scotland) Act 2019. This support has been ongoing since the Bill was enacted. Each NHS Board has been provided with funding for Workforce Leads (proportionate to the size of the Board) to support preparations for the commencement of the Act. This funding has been extended for an additional year to cover the financial year 2024-2025.

In addition to this, the Scottish Government has produced statutory guidance, in collaboration with Health Boards and other key stakeholders, which has offered clarity and better understanding of each duty within the Act. The Scottish Government has engaged extensively with Health Boards over the past two years through in-person and online events and quarterly reporting.

Healthcare Improvement Scotland has been commissioned by the Scottish Government to support NHS Boards, and its Healthcare Staffing Programme has provided support, including an advisor who works closely with each Board and hosting a network of meetings where Board representatives can come together and share learning.

NHS Lanarkshire is responsible for the delivery of primary care services in Lanarkshire.

The headcount of GPs in Scotland is now sitting consistently at over 5,000, with an increase of 271 additional GPs since 2017 towards our 800 target. Training new GPs is key to our approach, and this takes time. We have expanded GP Specialty Training, adding 35 places this academic year and a further 35 places next year. As a result there are currently just over 1,200 trainee GPs in Scotland.

GP training programmes in Scotland have been filling at a very high level since 2019, with 99% posts filled in 2022 and 100% filled in 2023. 2023 is the first year in which GPST has filled at 100% in Scotland, with all 343 posts having filled.

We also invest over £1m per annum in a range of recruitment and retention initiatives so that becoming a GP remains an attractive career choice.

Work is well underway to bring forward a joint National Action Plan with COSLA, setting out the range of actions needed at both local and national level on relationships and behaviour in schools. We will publish the action plan in the coming weeks.

The Scottish Government response to the recommendations made by the Independent Review of Inspection, Scrutiny and Regulation of Social Care was published on 6 March 2024, accepting all 38 recommendations.

The response set out that significant work already underway will in part or fully address many of the recommendations. Priority work has already commenced on new workstreams that focus on implementing recommendations 15 and 33: a review of the care service types, and corresponding definitions as set out in Schedule 12 of the Public Services Reform (Scotland) Act 2010 and a review of the Health and Social Care Standards, to help ensure the Standards are based on human rights, ethical commissioning and are outcome focused.

The implementation of the recommendations will be phased to ensure they do not place undue pressure on regulators, providers and those working in services. The Scottish Government will provide periodical updates on progress on the Scottish Government website at https://www.gov.scot/groups/social-care-independent-review-of-inspection-scrutiny-and-regulation/

The Scottish Government will continue to work closely and collaboratively with regulators, providers, partners and with those who have lived and living experience of social care support and linked services in all aspects of this work.

The introduction of Air Departure Tax (ADT) was deferred due to state aid issues raised in relation to the Highlands and Islands exemption. In January 2023, the UK Government replaced EU state aid rules with its own subsidy control regime.

We continue to explore all options to implement ADT in a way that protects Highlands & Islands connectivity and complies with the UK Government’s subsidy control regime.

The Scottish Government recognises the critical role air connectivity plays in the lives of residents and communities in the Highlands and Islands, and in the promotion of sustainable economic growth across the region.

Once a solution to the Highland & Islands exemption has been identified, we will review the rates and bands of ADT prior to the implementation of the tax, to ensure they are aligned with our net zero ambitions.

The UK-wide Air Passenger Duty will continue to apply in Scotland until ADT is implemented.

The latest statistical release for Free Personal and Nursing Care is for the period 2022-23 and was published on 5 September 2023. Two published excel files accompany the publication, one of which provides data on people aged between 18-64, from the years 2018-19 to 2022-23. This can be found at: Supporting documents - Free Personal and Nursing Care, Scotland, 2022-23 - gov.scot (www.gov.scot) .

The relevant information can be found in Tables 3a and 6a.

The First Minister wrote to the UK Prime Minister and the Leader of the Opposition on 18 April to make the Scottish Government’s position clear, the UK Government must respond in a timely manner to the Parliamentary and Health Service Ombudsman’s recommendations, by committing to a fair compensation package for the women born in the 1950’s affected by the changes to state pension age.

State pensions remain reserved to the UK Government. Should the UK Government decide to accept the recommendations from the PHSO report and pay compensation we will work closely with the UK Government to understand if there are any implications for the payment of Scottish social security benefits.