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The following table provides the information requested.

The Scottish Government recognised in 2021 that partial implementation of the pharmacotherapy and community treatment and care services, on a national level, meant that general practice was facing a difficult winter without all of the support Scottish Government and the BMA had agreed it should have in 2018. £1,765,382 and £823,388 were allocated to GP Practices in Lanarkshire and Forth Valley GP Practices as sustainability payments in 2021-22.

This year, GP practices in Lanarkshire and Forth Valley will receive £1,172,236 and £549,074 in Sustainability Payments this year in addition to their regular funding (Global Sum and Income & Expenses Guarantees) of £81,651,926 and £38,245,691 respectively, to which an uplift will be applied backdated to April 2022.

We also now have more than 3,220 healthcare professionals recruited to support general practice and are committed to investing at least £170 million a year on growing primary care multi-disciplinary teams.

Addressing Rail accessibility remains a matter reserved to the UK Government, and the removal of the station ramps was driven by changes made by the industry safety regulator, the Office of Rail and Road (ORR).

To ensure compliance with the regulations, ScotRail is implementing a priority project to rollout the new ramps now required. This is due to the implementation of a new ORR specified standard and is being implemented widely across the UK.

ScotRail advise that when the train is longer than the platform, for safety reasons, the rear doors which are not accommodated on the platform do not open.

The Scottish Government specifies the provision of staff to assist passengers on all ScotRail trains. This includes providing guidance to passengers requiring assistance about the right location to join a train if they intend to get off at a station with short platform.

I will be addressing the Scottish Agritourism Conference on the 6 December, where I will be giving an update on the progress of the Strategy.

The Scottish Stroke Improvement Team supports Managed Clinical Networks to evaluate Board performance, identify areas of concern and work with them to implement local action plans with strong managerial support to improve the delivery of stroke care across Scotland.

This support includes visiting all NHS Boards at least once per year to review stroke care with NHS Board representatives to assess performance, highlight achievements and good practice and to formulate an improvement plan for areas of concern where necessary.

The Scottish Government has not set a minimum standard of performance but expects NHS Boards to deliver the best possible care for those who have experienced a stroke. We expect care provided to be safe, effective and person-centred and reflect the needs of local populations.

The Scottish Government supports our healthcare support workers (HCSWs) to train to become registered nurses while remaining in the workforce in their local NHS Board area. The Open University offer this pathway and Scottish Government provides £10,000 backfill funding to NHS Boards per student for each of the three years of study. For the 2022-23 academic year, the Scottish Government has increased the target number of Open University places by 12% to 123 places.

The Scottish Government also provides support to enable HCSWs to undertake a HNC Healthcare Practice programme by providing £8,000 in backfill funding to NHS Boards per student per year. Completion of the HNC programme can lead students to progress to nursing or allied health pre-registration degree programmes, on which there may also be the opportunity for advance entry to year 2.

On behalf of the Scottish Government, and as part of their review of career pathways, NHS Education for Scotland have produced a Development and Education Framework for Bands 2-4 nursing, midwifery and allied health professional HCSWs. The framework is available at the following link: https://www.nes.scot.nhs.uk/our-work/health-and-care-support-worker-development-programme/

This ongoing work has focused on a national framework as a ‘Once for Scotland’ approach which outlines the knowledge, skills and behaviours required to enable HCSWs to deliver safe, effective and person centred care. The framework also provides information on how to progress into a registered practitioner role, including as a nurse.

The Scottish Government funds health and care research through the Chief Scientist Office. We are not currently funding any inflammatory breast cancer clinical trials.

Researchers can apply directly to the Chief Scientist Office for funding. The CSO’s Translational Clinical Studies Committee and the Health Improvement, Protection and Services Research Committee each meet twice per year to consider funding applications. Details of the application process are published on the CSO website and the role of these committees is well-known across the health and care research community in Scotland

https://www.cso.scot.nhs.uk/grant-funding/response-mode-funding-schemes/

Applications to the CSO funding committees on the underlying causes, diagnosis, treatment and management of Inflammatory Breast Cancer are welcomed. In common with all other applications, these would go through the CSO’s standard independent peer review process to enable funding decisions to be made.

Over the extended-period we have seen significant improvements in child oral health in Scotland. The first year of the National Dental Inspection Programme in 2002/03 showed that 45% of primary 1 children had no obvious decay experience. Despite the unique challenges of the pandemic this figure has increased to 73% in 2021-22.

This is a demonstration of the success of prevention-based oral health programmes such as the Childsmile Programme - a flagship programme at the leading edge of prevention-based oral health care provision - where nursery and schoolchildren receive regular tooth brushing instruction and fluoride varnish application.

We recognise that oral health inequalities in children continue to present a considerable challenge, and have been exacerbated by the pandemic restrictions on NHS dentistry during the pandemic.

Which is why as part of the recovery of NHS dental services we have increased funding to child dental services by introducing for the first time an enhanced examination fee from 1 February 2022. The latest monthly activity statistics from Public Health Scotland show that 330,000 child examinations have been provided this year with almost 60,000 in the month of August alone.

The Scottish Government does not collect data on the uptake of free school meals broken down by year group.

The Schools Healthy Living Survey Supplementary Statistics provides a breakdown of school meal uptake by pupils in primary, secondary and special schools dating back to 2006. Previous School Healthy Living Survey Supplementary Statistics datasets, back to 2012, are available through the following web link: School Healthy Living Survey supplementary statistics - gov.scot (www.gov.scot) .

The uptake of free school meals as a percentage of the total number of pupils since 2006 is contained within the following table:

Free School Meals uptake by school sector 2006-2022