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The Scottish Government is fully committed to ensuring that the NHS in Scotland delivers high quality, safe, effective and person-centred care to all patients, every time they access health services. The Scottish Patient Safety Programme (SPSP) continues to be implemented in every NHS Board, including NHS Forth Valley. It is designed to improve the safety of care. It is vital for patients to have confidence that when they access any part of the healthcare system, they will receive the best available treatment without fear of harm.

The Stage 4 escalation is not a reflection of the staff working tirelessly to provide care for the population of Forth Valley. The wellbeing and support for staff is paramount. This escalation decision has been made to allow the leadership team to take forward the transformational change required to improve the culture and leadership, but with the appropriate additional support through the Assurance Board, to ensure effective and efficient change which they have not been able to implement to date. NHS Forth Valley are responsible for delivering improvement against an agreed Plan, and support will be provided to assist NHS Forth Valley in delivery.

If staff do wish to raise concerns during this time then they should be supported to do so and they should be protected throughout the process and not suffer any harm as a result of speaking up. Boards are expected to investigate concerns fairly and appropriately.

The information requested on what percentage of the total number of doctors have permanently left NHS Scotland in each of the last five years is not centrally available. We do not hold data on the number of staff that have permanently left NHS Scotland.

Information on the number of leavers by financial year, broken down by job family and NHS Board, can be found on the TURAS NHS Education for Scotland workforce statistics site at: NHSScotland workforce | Turas Data Intelligence

The Scottish Government is aware of the importance of rural bus services and is committed, in conjunction with operators and local authorities, to looking at ways of improving services. I recently convened the first Bus Taskforce to bring key players in the sector together to make bus travel a more attractive choice for passengers through joint commitments to reform and improve bus services.

We are supporting bus use through the under 22s free bus travel scheme, which means that around half of Scotland’s population are now eligible for free bus travel. As of 21 November, 71.6% of eligible children and young people in Fife had an active National Entitlement Card allowing them to access the Young Persons' Free Bus Travel Scheme, and those cardholders have already made over 2.6 million journeys.

We continue to provide financial support for bus services to keep services more extensive and fares more affordable than would otherwise be the case. Payments are based on the distance buses are operated, which is a particular advantage in rural areas where the routes are generally longer. Funding is also provided to local authorities in their annual settlement to support services they consider socially necessary and for community transport services, which can play an important role in rural transport networks.

In addition, the Scottish Government is supporting a number of local projects within Fife. This includes: multi operator ticketing schemes such as the ABC scheme and OneTicket; investing in the the University of St Andrews “MaaSterplan” pilot which aims to increase the utilisation of the existing Go-Flexi Demand Responsive Transport (DRT) service; and the £1.6 million award from the Bus Partnership Fund to Fife Bus Partnership to appraise bus priority options along key corridors in Fife.

We are working closely with NatureScot and Scottish Forestry in exploring the best approach to developing a new National Register of Ancient Woodlands, which will be published when that work is complete. A new National Register of Ancient Woodlands is part of a suite of initiatives that will be underpinned by a new biodiversity strategy which we recently consulted on this summer.

I refer the member to the answer to question S6W-12413 on 9 December 2022. 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

The Scottish Government’s Chief Scientist Office invests through NHS Research Scotland in research infrastructure in Health Boards that allows them to host and participate in clinical research studies and trials. Health Boards make individual decisions about participating in the trials that are offered to them, subject to the trials that are already being supported within each Health Board, and the research expertise and capacity available to take on additional trials. Scottish Health Boards are continuing to participate in a number of trials of medicines for the prevention or treatment of COVID-19 disease, providing opportunities for their patient populations to enrol in these studies, although none currently include Evusheld. Should a trial sponsor organisation approach Scottish Health Boards about participating in a trial of Evusheld, participation would be considered by Health Boards with participation subject to the research expertise and capacity available.

Regulation of the medical profession is reserved to the UK Parliament and the Scottish Government does not hold this information.

The requested information is not centrally held. Data is published annually, by NHS Education for Scotland on the total medical agency spend by NHS Scotland Boards; and the total WTE hours and cost for Nursing and Midwifery bank and agency staff, but this data does not specify start dates. This information can be found on the following link: NHSScotland workforce | Turas Data Intelligence

As at 1 st October 2021, there were 922 GP Practices. This data was published on 14 th December 2021 – ( GP Workforce and practice list sizes 2011 - 2021 - Publications - Public Health Scotland ).

The Scottish Government does not hold figures for how many GP Practices have closed. However, the slight decrease in practice numbers shown in the report is largely driven by practice mergers and a trend towards larger practices with more GPs serving a larger number of patients.

CMAL have used a closed tendering process through the Public Contracts Scotland portal for the procurement of 2 further Islay Class RoPAx vessels. This procurement allows for local content to be considered as part of the evaluation process amongst many other commercial and technical aspects. No specific criteria has been set.

I refer the member to the answer to question S6W-12306 on 5 December 2022 2022. 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