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The NHS Scotland Academy (NHSSA) provides training opportunities across five programme areas: National Workforce Programmes; National Endoscopy Training Programmes (NETP); National Perioperative Training Programmes; National Imaging Training Programmes; NHS Scotland Youth Academy and the NHSSA Skills & Simulation Centre. Within these programme areas, NHSSA facilitates over 30 training courses. More information, including a full list of courses, can be found on the NHSSA website - www.nhsscotlandacademy.co.uk/education-and-training

In the last 12 months, NHSSA has provided additional training opportunities for 5,918 new and existing staff.

The learning modules “Preparing for work in Health and Social Care in Scotland”, designed to support incoming staff, have been completed by 3,941 learners in the last 12 months.

In financial year 2022-23, NHSSA was provided with £3.5m in funding.

Our approach to planning and delivering health and care services needs to change to enable the step-change we need in our services. Our Policy Prospectus and Programme for Government is explicitly clear that reform is required and sets out initial actions we are taking.

Work is already underway to progress reforms to ensure long term sustainability, reduction of health inequalities, deliver services closer to home, further harness the benefits of digital technology, and the improvement of population health outcomes in Scotland. We engage frequently with health boards, the public, health and social care staff and other key stakeholders across a range of issues to develop our thinking.

The Deputy First Minister announced in her statement on the budget on 19th December that the Government will be taking forward a National Conversation on the future of the NHS. The Deputy First Minister set out the principles of public ownership of our NHS and ensuring services are available free at the point of need.

The Cabinet Secretary will set out in more detail in the new year how the Government will progress this work.

This will be a collaborative process across the health and social care system, alongside stakeholder and citizen engagement as a core principle. The Scottish Government will continue to build on engagement already in place with services, clinicians, professionals, service-users and citizens in 2024 to collectively build our long-term planning for health and social care in Scotland.

The recommendations for the new neonatal model of care are underpinned by strong evidence that population outcomes for the most premature and sickest babies are improved by delivery and care in units looking after a critical mass of these babies, with experienced staff, and with full support services.

The Best Start recommended that Scotland should move from the current model of eight Neonatal Intensive Care Units (NICU) to a model of three units supported by the continuation of current NICUs redesignated as Local Neonatal Units (LNU’s).

As part of the next phase of the work Scottish Government have commissioned Consulting firm RSM-UK to undertake detailed modelling work to fully map the capacity requirements across the system to inform capacity building and implementation of the new model.

The Scottish Ambulance Service will be included as part of the modelling work. We expect that mothers in threatened extreme early labour, or those whose babies will need surgery, will be identified pre-birth and will birth in the maternity unit alongside the NICU. The Perinatal Network has been leading some work, and recently published guidance on transfer in these cases.

The Scottish Government does not hold this information.

As has been established practice for many years, the staff and vehicle required to move critically ill patients is determined based on circumstances and clinical need. Our specialist neonatal transfer service (ScotSTAR) will transfer those babies by air or road in specialist ambulances equipped to care for neonates.

ScotSTAR will be introducing a Standard Operating Procedure (SOP) which will have variations between emergency and scheduled/planned transfers. NHS Grampian will be on the outer limits for drivers but expectation would be that the journey will be done without a break.

Table 1 presents the total expected gross income from properties liable for the Higher Property Rate (HPR) at 55.9p, after the application of the General Revaluation Transitional Relief (TR), in 2024-2025. This reflects the total gross bill for properties with a rateable value above £100,000. This is broken down by property class, as the Scottish Government does not hold property-level data on industry sectors. Property class is a classification used by Scottish Assessors to describe the type of property, and does not necessarily accurately reflect the use of a property.

This table is based on the non-domestic valuation roll as at 1 October 2023.

Figures in this table are rounded to the nearest £100,000.

Table 1: Estimated gross income (£) from HPR after revaluation transitional relief in 2024-2025 by property class

Table 1 - deaths from thrombosis-related conditions, 2000-2022.

Figures provided go back to 2000 and not 1999 as requested, as this is the period for which the National Records of Scotland have consistent data.

The Scottish Government is acutely aware that energy consumers, and especially consumers that receive treatment at home, are feeling the impact of price hikes in the cost of energy. Increased energy costs are just one of a range of cost pressures NHS Boards need to manage in order to deliver services that best meet the needs of their local populations.

The Scottish Government has pledged almost £3 billion in this financial year that will contribute towards helping families and households face the increased cost of living. This includes the provision of services and financial support not available elsewhere in the UK, that is helping to reduce everyday costs and increase incomes.

The energy costs in running home oxygen concentrators is reimbursed to patients by the holder of the national contract, Dolby Vivisol.

The answer to question S6W-23137 on 4 December 2023 details our work with Health Boards to achieve national consistency in the approach to reimbursement of electricity costs in relation to home dialysis.

Any reimbursement of energy costs relating to other vital medical equipment for patients at home remains the responsibility of the NHS Board.

The Scottish Government continues to work with Boards to address financial pressures across the system to support recovery and reform and delivery if financially, environmentally and socially sustainable health and care services. This is backed by investment of £73 billion in health and social care across the Resource Pending Review period, and a further £1.3 billion capital funding to 2025-26.

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 .

As part of our work to develop a sustainable healthcare workforce, we continue to look for opportunities to increase levels of student attraction to healthcare professions. Careers in NHS Scotland are promoted on the NHS Education Scotland NHS careers website, designed to promote opportunities to school leavers, those in education and those looking to change careers. This site can be accessed at NHSScotland Careers .

The current route to becoming a podiatrist registered with HCPC is to attain a degree in podiatry and, as such, higher education institutions (HEIs) are autonomous bodies responsible for the attraction and recruitment of their own students. Each institution has their own advertising and recruitment strategy which will include visiting schools, attending careers fairs and promoting the range of opportunities via their social media channels. HEIs also recruit to their approved programmes against their own entry requirements and will encourage and support prospective students in how to achieve the required standards.

Additionally, the Allied Health Professions (AHP) Education and Workforce Policy Review examined workforce and education issues and recommendations included promotion of allied health professional careers and aligning strategies to market a career as an allied health professional. An advisory group has been established to oversee the effective implementation of these recommendations.

The Intermediate Property Rate (IPR) was introduced from 1 April 2020. The IPR applied to properties with a rateable value above £51,000, up to £95,000 until 31 March 2023, and to properties with a rateable value above £51,000 and up to £100,000 from 1 April 2023. In 2020-2021 and 2022-2023, and 2023-2024 the IPR was charged at 51.1p, in 2021-2022 this was 50.3p, and in 2024-2025 it will increase in line with inflation to 54.5p.

Table 1 shows the total estimated gross income since 2020-2021. This is the total gross bill (net of General Revaluation Transitional Relief in 2023-2024 and 2024-2025) charged to properties with a rateable value between £51,001 and £95,000 up to 2022-2023, and between £51,001 and £100,000 from 2023-2024 onwards, as noted above. These figures are broken down by property class; property class is a classification used by Scottish Assessors to describe the type of property, and does not necessarily accurately reflect the use of a property. The Scottish Government does not hold property-level data on industry sectors.

Figures are based on the Scottish Assessors’ Valuation Roll as at 1 October in each financial year, for 2024-2025 this is based on the Valuation Roll of 1 October 2023. Figures are gross of all reliefs, except for the General Revaluation Transitional Relief in 2023-2024 and 2024-2025. Figures are rounded to the nearest £100,000.

Table 1: Estimated gross IPR income (£) since 2020-2021 (after General Revaluation Transitional Relief in 2023-2024 and 2024-2025)