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The review undertaken by Professor Sir Lewis Ritchie was conducted in his capacity as an independent reviewer. The programme of engagement resulted in around 70 meetings with the Board and other key stakeholders. Due to the number of meetings, confidentiality and level of engagement no formal agendas or minutes were taken however progress was captured and fed back to NHS Highland and the relevant community groups. It would not be the place of the Scottish Government to publish these documents due to the nature of the review. However, Professor Ritchie and officials visited Portree again in May and November 2022. Minutes of these meetings are available via the Implementation Group and NHS Highland.

Guidance is provided by the Scottish Government to Health Boards which is publicly available on the following website SHOW - SGHSC - Scottish Government Health and Social Care Directorates including guidance on matters in relation to attraction and retention of medical and non-medical staff. The Centre for Workforce Supply, hosted by NHS Education for Scotland works with Health Boards to support the building of workforce capacity.

Details of funding for the Redesign of Urgent Care is provided in the following table.

During 2022-23 we invested £50 million in the Urgent and Unscheduled Care Collaborative Programme which aims to support NHS Boards to improve hospital processes and enhance out-of-hospital care. This approach gives Health Boards the flexibility to focus on their key priorities with Redesign of Urgent Care one of the fixed anchor points Boards need to sustain.

Breakdown of funding awarded for RUC since 2020-21:

There has been a significant, long term move towards procedures carried out as day-cases and reducing lengths of stay, to the benefit of patients meaning less time spent in hospital.

This includes significant progress in the delivery of same-day discharge arthroplasty, allowing patients to be safely discharged home on the same day as their procedure, increasing capacity within Orthopaedics.

The Centre for Sustainable Delivery will enable us to see 140,000 new outpatients each year, an increase of 55,500 procedures per year by the end of this plan - a 20% increase over pre-Covid levels – and Specialty Delivery Groups have been set up to drive opportunities across regions on same day surgery, for example in gynaecology pathways.

Since 2015, 663,670 households have accessed the Home Energy Scotland advice service in the following local authority areas:

Responsibility for service delivery, including recruitment and retention of medical and non-medical staff in primary care, sits locally with Health Boards and health and social care partnerships and their GP practices.

The Scottish Government recognises that in order to attract health and social care staff locally, it is important that locally accessible training opportunities are provided at an early stage. The NHS Scotland Youth Academy host regional huddle groups that are focused on raising awareness and attracting young people/parents into health and social care careers.

Pandemics and infectious disease threats feature in both Scottish and UK risk assessments which are used to inform our response to these risks.

The Scottish Government is aware that there is still some substantial work to do to fully implement the recommendations of the review and would continue to encourage NHS Highland and the local communities to work together to achieve this.

We plan to publish a new cancer strategy in Spring 2023.

The costs of the NHS Pension Scheme (Scotland) for employers are determined by the quadrennial scheme valuation. The latest valuation, the 2020 valuation, is currently in progress and will determine the new employer contribution rate effective from 1 April 2024. There are many variables which can impact the final result of the valuation, not least the SCAPE discount rate which is still to be confirmed by HM Treasury, therefore it is too early to predict the impact on employer costs at the present time.