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The 2021 Digital Health and Care strategy aims to make the right information available to all appropriate staff, when and where it is needed, building on the existing use of electronic patient record systems used by all Health Boards and GP practices. Whilst our strategy is for all health records to be held electronically, this will not result in a single, discrete electronic patient record that maintains all of the data from all of the health and care systems in Scotland in a single platform. Rather the focus is on allowing medical records to be stored, linked and shared securely according to the information needed. To achieve this most Health Boards have a Clinical Portal. This system works across organisational, regional and national boundaries to provide a timely transfer of information.

Clinical portals are in place across Scotland within acute services and provide access to multiple specialist clinical systems, supporting the better transfer of information between Health Boards and within services. Currently, Clinical Portals cover the West of Scotland Boards, the East of Scotland boards and the North of Scotland Boards are in the process of implementing their Clinical Portal. Further key national developments are also underway that we expect to further improve data sharing. The National Digital Platform has improved our digital health and care infrastructure, supported the development of key digital platforms for the covid-19 response and will now look to focus on linking different sources of data where that offers value. The significant investment in new GP IT system rollout is also underway to provide modern, secure GP IT systems which will support evolving models of care.

The key developments to improve the sharing of information within Health Boards is the GPIT Programme, the National Digital Platform, TRAK Care and Clinical Portal. The total funding provided for these key developments to improve data sharing this financial year is £3.743 million.

We are due to publish a Digital Health and Care Strategy Delivery Plan in the coming weeks that will be available to all Parliamentary Members. Additionally, we will also publish the first ever Data Strategy for Health and Care in early 2023, which will further set out our ambition for ensuring the right data is available to the right professionals at the right time.

The Remote and Rural General Practice Working Group was created in 2018 to support the implementation of the GP Contract in remote and rural areas. It met between 2018 and 2022. In 2020, the Group put forward recommendations to Ministers which are contained within its Shaping the Future Together Report. The Group last met on the 9 th June 2022 and agreed to bring the Group to an end.

The Scottish Government is committed to supporting and developing rural general practice and primary care. In terms of planned developments, The Scottish Government is working to develop a Remote and Rural workforce recruitment strategy by the end of 2024. This will support employers to ensure that the Health and Social Care needs of people who live in remote and rural communities are met. In addition, The Scottish Government’s Programme for Government 2021-22 included a commitment to create a centre of excellence for rural and remote medicine and social care, with scoping work starting in 2021-22. The Scottish Government has been working closely with NHS Education Scotland (NES) over recent months to carry out extensive scoping and consultation with stakeholders. NES has submitted a business case for the Centre. The Scottish Government is evaluating the business case and considering next steps.

We are already taking forward a range of initiatives to support recruitment and retention of workforce in rural General Practice. The Golden Hello scheme offers a one-off bursary of £10,000 to every GP taking up an eligible post in a remote and rural area. Furthermore, ScotGEM is a four-year graduate-entry medical degree which began in 2018, with a focus on rural medicine and healthcare improvement, supporting graduates to choose careers in general practice. The Scottish Government is also supporting an initiative by the four rural boards in the north of Scotland, NHS Shetland, NHS Orkney, NHS Highland and NHS Western Isles who have piloted an innovative recruitment campaign called Rediscover The Joy (RTJ). RTJ aims to recruit experienced GPs to provide support for remote and rural practices.

The number of resident places by funding category (i.e. self-funded/publicly funded) is not available. However, Public Health Scotland have published the estimated number of long stay residents in care homes for older people by funding category and by local authority since 2009.

a) i) This information is not held centrally and is not published by Public Health Scotland.

a) ii) These figures are available in two parts:

The latest Public Health Scotland Care Home Census for adults publication contains figures from 2012 - 2022. The figures can be found in the “Funding and Charges” section of the dashboard.

The Public Health Scotland Care Home Census for adults 2020 publication contains figures from 2009 – 2011. The figures can be found in Table 13C of the accompanying Care Home Census Data Tables.

b) i) This information is not held centrally and is not published by Public Health Scotland.

b) ii) These figures are available in two parts:

The latest Public Health Scotland Care Home Census for adults publication contains figures from 2012 - 2022. The figures can be found in the “Funding and Charges” section of the dashboard.

The Public Health Scotland Care Home Census for adults 2020 publication contains figures from 2009 – 2011. The figures can be found in Table 13C of the accompanying Care Home Census Data Tables.

Responsibility for the management of the police estate sits with the Scottish Police Authority and the Chief Constable.

However, Police Scotland has confirmed that 15 police stations have been closed since 2013 across Ayrshire, Renfrewshire and Inverclyde with the majority of them been moved to a new modern co-located accommodation within the same towns or officers were moved to new police stations nearby.

The Police Scotland Estate Strategy, approved by the SPA in May 2019, provides a framework for planning the future of the police estate to support the long term vision of policing which includes enhanced partnership working, and seeks to respond to the changing needs of communities while maintaining public visibility and confidence.

Making the Future contains two substantive references to the Land Reform Bill.

One (under “Strategic Priorities) welcomed the publication of the consultation on the Bill https://www.gov.scot/publications/land-reform-net-zero-nation-consultation-paper/ published 4 July 2022).

The second was a recommendation: that “An ambitious Land Reform Bill should tackle concentrations in ownership and enshrine transparency, equality and public good into the future of Scotland’s land use.”

The measures put forward in the consultation for inclusion in the Bill aim to achieve these objectives. They will do so within the context of Article A1P1 of the European Convention of Human Rights, and the devolved settlement.

The consultation closed on 30 October 2022. Responses to the consultation, and the views of the Just Transition Commission, will be carefully considered as the proposals set out are developed.

The Scottish Government does not currently hold information on cessation support services, available in each NHS board area. However, The Scottish Government are developing an expert group that will be reporting on smoking cessation services early next year. We are also committed to working with our NHS cessation coordinators and pharmacy colleagues across Scotland to refocus and remobilise these services to ensure we are reaching those in our communities who are in most need of support to quit.

In addition, we encourage anyone wishing to stop smoking to contact the free NHS stop smoking service: 'Quit Your Way Scotland' helpline on 0800 84 84 84 to speak to an advisor. Alternatively, local pharmacies can also offer a range of therapies and interventions to help quit tobacco products.

On 26 October 2022 16 case workers were employed, working to 15.4 full time equivalent (FTE).

From the 14 November 2022, 23 case workers are expected to be in post, with a FTE of 22.2.

Audit Scotland’s 2017 progress report made seven recommendations for the Scottish Government. Since then, two of the recommendations have been completed in full, four have been partially completed and one has not been completed.

The SDS Implementation Plan 2019-2021 built on the learning from the Audit Scotland report and incorporated the inputs of third sector organisations, COSLA and people with lived experience. The implementation of this plan was disrupted by the emergence of COVID19, and efforts to respond to this included publishing SDS pandemic guidance in July 2020.

The Scottish Government will issue a significant update of the SDS Statutory Guidance later this month, and is currently working with COSLA and a national group of stakeholders to develop an SDS improvement plan to drive improvements in SDS implementation covering the years leading up to the establishment of the National Care Service. This will take into account the recommendations of the Audit Scotland report of 2017 as well as from reports published since then, including the Feeley report of 2021.

The Scottish Government remains committed to supporting all survivors of childhood abuse. We are currently considering the evidence, findings and recommendations which have come out of the Independent Inquiry into Child Sexual Abuse in England and Wales, and will do the same for the Scottish Child Abuse Inquiry when it reports the outcome of its investigations in due course. The Scottish Child Abuse Inquiry continues to investigate the abuse of children in care in Scotland.

Through the Community Mental Health and Wellbeing Supports and Services Framework, we are providing local authorities with £15 million per annum to fund community-based mental health supports for children, young people, their families and their carers. North Ayrshire Council’s share of this year’s funding is £360,000 and Inverclyde Council’s is £192,000.

In North Ayrshire, the following supports and services for children and young people are delivered through the funding:

• Family-Centred Wellbeing Service: A multi-agency, strengths-focussed, community-based assessment and support service for families with children aged 5-12.
• Aberlour Sustain Service: Offers support to families with children aged 5-12 experiencing a range of challenges, including poverty, isolation, mental health and wellbeing issues, self-esteem, and anxiety.
• Crisis Counselling: Works with children and young people aged 5-24 who need very specific response methods to permit them to relate their emotional and mental health difficulties in age-specific ways and enable them to develop coping strategies and support them through challenging situations.
• Therapeutic Services For Care-Experienced Children And Young People: Play therapy, music therapy, dance therapy and art therapy for children and young people aged 5-26. These approaches have proved successful in addressing significant trauma and have enabled young people to develop coping strategies, self-regulate and develop sustainable skills.
• Mental Health And Wellbeing Project Delivery Officers: ‘Your Resilience’ sessions for multiple youth groups and positive mental wellbeing sessions alongside youth workers, via the mobile youth centre, ensuring young people who are geographically isolated have access to supports and services.
• Penumbra Self-Harm Project: Supports primary schools to continue to embed the ‘My Body My Way’ resource, runs parent support groups and workshops on how to deal with self-harm, and provides therapeutic support for children and young people displaying self-harming behaviours. For those aged 10-24.
• Bespoke Mental Health And Wellbeing: Delivering bespoke co-produced intervention with families who are currently under either voluntary or statutory measures with social work or the children and families team.

In Inverclyde, the following supports and services for children and young people are delivered through the funding:

• Inverclyde Emotional Wellbeing Triage Team: An inter-agency team of children and young people’s mental health services. Children, young people and families only tell their story once as the referral is handled by professionals on their behalf.
• Action For Children Wellbeing Service: This is a preventative mental health service aimed at P7 pupils at risk of non-attendance due to anxiety-based issues through transition to secondary education.
• Barnardo’s Wellbeing Support Worker Service: This service works with children and young people with additional support needs and their families to build parental capacity in response to the child’s developmental, social, and emotional needs.
• Cygnets Programme: This programme is aimed at parents and carers who are supporting children and young people experiencing difficulties due to autism spectrum condition.
• Children And Young People’s Participation Service: Workshops are being piloted in education establishments to gain the views of children and young people who have completed or are undergoing work with mental health and wellbeing services.

It is not possible for us to break down the amount spent on each of the above supports and services as local authorities are not required to provide us with this information under the terms of the grant.

In the first year of the Communities Mental Health and Wellbeing Fund for adults in 2021-2022, we funded 38 projects supporting adults living in North Ayrshire and 20 projects supporting adults living in Inverclyde.

In North Ayrshire these were: