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A detailed analysis of public transport accessibility for the residents of Dumfries and Galloway and Scottish Borders was undertaken as part of the South West Transport Study ( swsts-inital-appraisal-case-for-change-including-appendices.pdf (transport.gov.scot) and Borders Transport Corridors Study ( borders-transport-corridors-pre-appraisal-report.pdf ).

The assessment included consideration of public transport accessibility, both by bus and rail, to a range of key employment, health and education destinations within the region and also to major towns and cities in Scotland and the north of England. In both cases, the assessment used a number of metrics, including the outputs from a bespoke analysis tool using Geographic Information System software to assist with the task.

Further details of both these assessments can be found respectively in Sections 5.5 of the South West Scotland Transport Study report and Section 3.5.10 of the Borders Transport Corridors Study report.

The outcomes of this work were then taken forward in to the Second Strategic Transport Projects Review (STPR2), which was published on 8 December 2022. The above projects were designed as advanced studies for each of these STPR2 regions and were, in fact, two of only three regions in Scotland to benefit from this advanced work. The outcomes were subsequently refined and updated to comprise the STPR2 Case for Change reports for each region, potential interventions were then subjected to more detailed assessment during the STPR2 appraisal process.

Child and Adolescent Mental Health Services (CAMHS) total net expenditure and the percentage of total net NHS Board expenditure spent on CAMHS is published on Public Health Scotland’s website Scottish health service costs under data files mental health expenditure Excel workbook in table 1.

This information is available for financial years 2011-12 to 2021-22 for each NHS Board in Scotland. Please note, figures presented for years 2011-12 to 2018-19 may differ from those included in the original response to question S5W-26493 on 11 February 2021 due to NHS Boards updating their expenditure figures post-publication.

The other part of this request relates to the percentage of total net NHS Board mental health expenditure spent on CAMHS – this information is presented in the following table for financial years 2019-20 to 2021-22 for each NHS Board in Scotland.

Table: Percentage of total net NHS Board mental health expenditure spent on CAMHS in financial years 2019/-0 to 2021-22.

This information is not held by the Scottish Government. The allocation of resources is a matter for Police Scotland.

Details of the transaction remain commercially confidential. Scottish Ministers will discuss and agree with David MacBrayne Ltd how the receipt will be utilised.

The National Integrated Workforce Strategy published in 2019 committed to increase the Cardiac Physiologist workforce, thereby increasing capacity to carry out diagnostic testing, by supporting an additional 30 training places on the 4 year BSc course in Clinical Physiology.

Over the next 3-5 years we will also focus on increasing the workforce by promoting recruitment into Scientist Training Programmes and Practitioner BSC Programmes” We have supported 17 new practitioners through the 4 year BSc Course and 13 new Clinical Scientists.

More recently in 2022, the Clinical Physiology Executive Board has scoped and collected data on all physiology science services. The information that has been garnered from this exercise will feed into the wider strategic piece of work in relation to Healthcare Science education and training.

I replied to a similar question from the member on 3 November 2022 (S6W-11386) providing details from 1999-2000 to 2021-2022. I have included in the following table the information for 2022-2023 following the Spring Budget Revision.

We provide information and resources on the use of Anticipatory Care Plans to professionals, patients, and their families to ensure people get the right care in the right place at the right time. In 2021, Healthcare Improvement Scotland developed the Anticipatory Care Planning Toolkit consisting of a 4-step model, guidance, and resources for health professionals.

NHS Education for Scotland has educational resources for professionals delivering training about shared decision-making and anticipatory care planning (Realistic Conversations).

The Heart Failure Hub has endorsed, and is supporting the dissemination of, Patient and Health Care Professional Cardiac Supportive Palliative Care resources developed by the British Society for Heart Failure - Patient info and HCP resources — British Society For Heart Failure (bsh.org.uk)

The Scottish Government recommends the Eatwell Guide as the main UK consumer facing resource which shows the types and proportions of foods and drinks that are required for a healthy balanced diet and reflects a translation of the population level dietary goals for Scotland.

The Eatwell Guide illustrates that animal-based products, such as meat and dairy, can be included as part of a healthy balanced diet, but in much smaller proportions than that of plant based foods. The sustainability of the Eatwell Guide was assessed by the Carbon trust and they concluded that moving from our current diet towards the Eatwell Guide would be a more sustainable way of eating, with a 32% lower environmental footprint than our current diet.

Within the context of the Eatwell Guide , sector-specific guidance that considers nutrition and sustainable food provision is also in place for (a) schools, (b) hospitals and (c) nursing homes, as follows:

Schools

All food and drink served in schools must comply with the school food and drink Regulations. The associated Healthy Eating in Schools guidance supports provision of a balanced and nutritious diet which includes plant based foods such as fruit and vegetables alongside a wide range of other food and drinks rich in a variety of key nutrients.

Hospitals

Food provision in NHS Scotland must be compliant with the Healthcare Improvement Scotland Food Fluid and Nutritional care standards as well as the Food in Hospitals: National Catering and Nutrition Specification - both of which have a robust evidence base. Food in Hospitals recognises that meat free options can be valuable and can contribute to overall menu content however the menu structure outlined within Food in Hospitals must recognise the differing needs of those are nutritionally well and those who are nutritionally vulnerable and as such, menus for patients must be sufficiently varied to ensure that the needs of both those groups are met.

Care homes

While there is no specific guidance around plant-based foods for care homes, the Health and Social Care Standards , which all social care services must adhere to, include standards on food and nutrition, emphasising the importance of healthy meals and snacks.

To support care homes in meeting people’s food and fluid needs, the Care Inspectorate has produced a guide for older people and adult care homes - Eating and drinking well in care: good practice guidance for older people .

In addition, My Health, My Care, My Home - healthcare framework for adults living in care homes - provides a series of recommendations aiming to transform the healthcare for people living in care homes, and include a recommendation that “Religious and philosophical beliefs in relation to food and diet should be enquired about and catered for.”

In April 2021, Scottish Government commissioned Public Health Scotland to develop and deliver the Scottish Cardiac Audit Programme. This programme will support delivery against the actions in Priority 4 of the Heart Disease Action Plan.

We also commissioned the ALLIANCE to deliver the Heart Disease Lived Experience Network. The Scottish Cardiac Audit Programme has engaged closely with the network to ensure that people with lived experience of heart disease have influenced the development of indicators.

Work to develop agreed pathways is underway and required to complete before gap analysis can be undertaken.