Seòmar agus comataidhean

Scotland’s volunteers and third sector workers are critical to the health and wellbeing of our people, places and communities. We recognise the skills, kindness and commitment of workers and volunteers.

The Scottish Government are undertaking a co-design approach to inform NCS Future Workforce policies. We continue to engage with representatives of the workforce, including those in the third sector, to confirm their position and to ensure policies benefit the workforce.

Our Lived Experience Experts Panel (LEEP) is open to those with lived experience of accessing or delivering social care support, to allow them to be involved in co-design work - including volunteers and those working in the third sector. Registration is via the Scottish Government Website, gov.scot.

The Communities Mental Health and Wellbeing Fund for Adults has been a positive development in supporting the mental health and wellbeing of our local communities, with approximately 3300 grants made to local projects across Scotland in the first two years alone.

We are committed to providing this Fund going forward and are currently in the process of finalising mental health budgets for 2024-25. We will be able to confirm the amount of this funding once the budget allocations have been approved.

As a consumer led scheme, the choice of material for insulation measures funded through the Home Energy Scotland (HES) Grant and Loan Scheme is the sole choice of the applicant, and therefore some may choose to install spray foam.

During the advice and application process, applicants interested in spray foam are made aware of the RICS guidance on spray foam and encouraged to discuss any proposed works with their mortgage company and/or insurer before proceeding. If you are installing solid wall, underfloor, flat roof or room-in-roof insulation through the scheme then you have to use a TrustMark or Green Deal accredited installer.

Warmer Homes Scotland and the Area Based Schemes funded by the Scottish Government do not support spray foam insulation in lofts. In some circumstances spray foam insulation may be offered for underfloor insulation. Where local authorities are delivering these measures, they are asked to undertake additional monitoring and ensure that work is delivered in line with best practice guidelines as published by the UK Government The link can be found here: Retrofit Floor Insulation – Suspended Timber Floors: Guide to Best Practice (publishing.service.gov.uk) .

The model of shared accountability agreed for the National Care Service means that Scottish Ministers, Local Authorities and NHS Boards will each have their own responsibilities to fulfil within a new national framework.

We will continue working with COSLA and other key partners to consider how NCS benefits and system improvements can be offered to both adults and children consistently across Scotland.

The Scottish Government priority is to ensure the consistent availability and high-quality of joined-up support for those children and families who need it, wherever they live in Scotland.

We will continue working towards improving outcomes for children and families, and the workforces who care for them. There is consensus across The Scottish Government, Local Government and other partners, to collaboratively advance an agenda of improvement beyond any system reform.

Scottish Government are aware of the pressures faced by the social care providers at present and are taking a number of steps to support recruitment in the sector.

Scottish Government work with partners across the sector to support increased awareness of the careers available through our Adult Social Care marketing campaign which we have funded to run for the past four years. The campaign is supported by a stakeholder toolkit, which enables providers to use the materials to support their own local recruitment efforts. These assets have been refreshed for the 2023-24 campaign and can be found on our campaign website, www.caretocare.scot

Additionally, the Scottish Government have continued funding to enable all social care providers to advertise vacancies on the MyJobScotland recruitment website at no cost. Data figures show that between February 2021 and February 2024, 23,310 adult social care jobs have been posted on MyJobScotland under this contract, saving providers £2,068,480 (incl VAT).

Finally, recognising the value in workers who choose to live and work in Scotland from overseas and to support Scotland’s social care providers’ international recruitment efforts, we have collaborated with NHS Education Scotland (NES) and COSLA, and provided funding to create the NES Centre for Workforce Supply: Social Care. This pilot launched in summer 2023 for a 12 month period and seeks to test and develop an ethical and sustainable model of international recruitment for adult social care providers in Scotland.

A number of impact assessments including a Business and Regulatory Impact Assessment (BRIA) are being prepared and will be published prior to the regulations being finalised and placed before the Scottish Parliament.

Scottish Government officials have been engaging closely with Trading Standards colleagues on the draft legislation, with a focus on enforcement and tackling the illicit market. Through the Society of Chief Officers of Trading Standards in Scotland (SCOTSS), we continue to support strong national and local alliances to tackle the availability and sale of illicit tobacco and vapes.

UK-wide regulations are in place to ensure minimum standards for the safety and quality of e-cigarettes, including bans on certain ingredients. All e-cigarettes containing nicotine must be notified to the Medicines and Healthcare Products Regulatory Agency before they can be sold in the UK.

If the public have concerns about illicit products, they can check a product has been successfully notified to the MHRA on their publication home page, and notify their local Trading Standards officer.

I should firstly say that the Scottish Government do not have a specific policy on the provision of Minor Injury Units in communities. It is for local health boards and integrated joint boards to get the best combination of local and specialist services that meets the needs of their population in line with the National Clinical Strategy.

There is currently a Minor Injury Unit (MIU) in south Aberdeenshire at Jubilee Hospital in Huntly. The minor injury units at Aboyne Hospital and Kincardine Community Hospital in Stonehaven were paused in December 2020 due to the COVID-19 pandemic.

The Board report demand for the minor injury service from these two units was low and with the increase in the complexity and demands on community hospital in-patient wards, NHS Grampian are prioritising services that have the greatest demand to provide the best treatment and care for local communities.

NHS Grampian have confirmed that all services are subject to regular monitoring and that data is used to evidence that the care provided makes effective use of resources. For the future of minor injury service provision at Aboyne and Stonehaven, there are ongoing plans to progress this in combination with Community Treatment and Care Services (CTAC). This model would involve an appointment system rather than a drop-in service. It is worth noting that minor injury services are also available at the majority of the local GP practices.

Under the Health and Care (Staffing) (Scotland) Act 2019, service providers who engage workers or volunteers will have responsibility for ensuring any person providing a caring service receives appropriate training and support to perform their role, as they do now. This will continue under the National Care Service.

This information is publicly available from the National Records of Scotland, which publishes annual Accredited Official Statistics on drug-related deaths in Scotland (Table 1).

Table 1: Number of drug deaths where fentanyl was implicated in, or potentially contributed to, the cause of death in Scotland, 2018-2022

The Scottish Government is committed to supporting people at all stages of a potential or confirmed cancer diagnosis. We are investing in the Single Point of Contact programme so that people with a suspicion, or a diagnosis of cancer, are at the heart of all decisions and actions involving them. There are currently 12 pilot projects across Scotland testing ways of working that improve communication and provide early and ongoing support. A scalability assessment is underway which will outline how best we can scale up and expand the reach of the programme.

In addition to this, 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. These are providing primary care with access to a new referral pathway for patients with non-specific symptoms suspicious of cancer. Patient navigators are embedded in RCDSs, supporting patients and their families from the point of referral while they wait for tests and results.

We are also currently working in partnership with Macmillan Cancer Support to improve the service we offer people affected by cancer through the Transforming Cancer Care Programme (TCC). This joint partnership is the first of its kind in the UK and ensures that every person with cancer in Scotland has access to a key support worker, who can provide emotional, financial and practical support to those who need it throughout their experience of cancer care.