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The Framework for Pain Management Service Delivery – Implementation Plan was published in July 2022 and sets out the actions the Scottish Government are taking to improve care and services for people with chronic pain.

The Implementation Plan acknowledges the importance of specialist pain management services and includes a number of specific actions to improve access and quality of care provided by these services. This includes convening an expert working group to review pathways into specialist care and identify opportunities to share and promote best practice as well as piloting new digital pathways to improve how people access specialist services.

As part of this work it is expected that challenges around staffing of specialist services will also be explored. This activity will also be informed by a new national pain service managers network which will help to identify and prioritise key issues affecting the resilience and quality of specialist pain services, including workforce. In addition, the Scottish Government will publish, for the first time, projections of required workforce growth across health and social care as part of the National Workforce Strategy. Once generated these will be reviewed annually.

Appropriate resources are in place to support the Gluten-free Food Service which has been delivered by community pharmacies since 2014. There are no plans to change this service which provides patients with a range of staple gluten-free food products without the need to request a prescription from their GP practice.

There is no specific financial support to assist with the purchase of gluten-free food products. However, people who have been clinically diagnosed with coeliac disease or dermatitis herpetiformis can receive a range of gluten-free food on prescription at no charge.

There is a monthly unit allowance and people may choose to use all or part of that allowance to access gluten-free items through their local community pharmacy if they wish. To help with costs, patients may choose to order their maximum number of units each month.

I understand how important infusions and injections are for those patients receiving them, and that work is needed to improve care for people with chronic pain and the sustainability of our pain management services.

It is our intention that people can access safe, effective, evidence-based care and support. Therefore, as set out in the Framework for Pain Management Service Delivery – Implementation Plan which we published in July, we are taking action to develop a more consistent, nationally agreed approach to the provision of specialist medical interventions, such as infusions and injections.

This will take into account existing clinical evidence, the variation in approach between Health Boards and seek to reflect the views and needs of both the patient and clinical community.

The Scottish Government has taken forward a range of measures to support the efficient delivery of Scotland’s Redress Scheme, which is survivor led with feedback encouraged and acted upon.

The scheme was established to provide acknowledgement and tangible recognition of the harm that has been caused to those who experienced abuse in care, with the commitment that it would be less adversarial and swifter than civil court action. The redress payment reflects part of that tangible recognition and is not considered compensation in the same way as a sum awarded by a court.

In direct response to feedback about timescales the number of case workers has increased from 12 in December 2021 to 23 in November 2022, and as a result we will see swifter allocation of completed applications to case workers from January.

The operating model was changed in April 2022 to ensure all applications received are initially triaged by the case work team and applicants are then advised what further information is required to progress their application. With applicants consent, case workers make referrals to the Redress Support Service to progress applications where additional information is required. This can include support from organisations specialised in record searches. To date, 834 referrals have been made to this service.

A group has been established which is considering ways in which we might be able to improve the process of applicants accessing care records as it is recognised that some applicants are having challenges in this area.

The Survivor Forum, which was established in March, has reported on its first survey and feedback on the scheme has been provided to both the Scottish Government and Redress Scotland, the independent decision making body. The forum will also increase its activity and engagement with applicants in early 2023, providing further opportunities to provide feedback on what is working well and what could be done better or differently.

The Scottish Government works closely with the SFC and Scottish Universities on an annual basis to review and deliver sustainable funding for universities and the whole tertiary sector when setting the budget allocation. This flexibility allows the numbers of funded places for eligible students to respond to university and student demands, so that in 2022-23 there are 121,917 full-time equivalent funded places, compared to 115,987 for 2019-20, the last academic year prior to the pandemic.

Scottish Universities are autonomous institutions and as such, with the exception of controlled subjects, the Scottish Government and Government Ministers do not direct individual universities on the number of funded places made available for specific subjects for eligible Scottish and EU domicile students. Universities are allocated a finite amount of money and it is then for the universities themselves to decide: how to distribute these places between faculties; the courses they offer; and how many of the total funded places will be available on each course. To give universities additional flexibility in student recruitment, the Scottish Funding Council allows universities to recruit up to 10% above the number of funded places awarded.

The Scottish Government firmly believes that access to university should be based on the ability to learn and not the ability to pay, however there is a need to exert a level of control over the higher education budget, which means that the number of students able to access a funded place is not unlimited. Our commitment to free tuition means that, unlike elsewhere in the UK, Scottish students studying in Scotland do not incur additional debt of up to £27,750, and average student loan debt for Scottish students is the lowest in the UK.

NHS Scotland provides expectant mothers with all clinically recommended scans during the course of their pregnancy.

Anyone choosing to have scans elsewhere, for any purpose, should choose a provider regulated by Healthcare Improvement Scotland and satisfy themselves that the sonographer is a suitably qualified and registered healthcare practitioner.

Our justice recovery fund of £53.2 million in 2022-23 supports continued recovery, renewal and transformation activity across the justice system. This includes funding increased court and staffing capacity for the Scottish Courts and Tribunals Service, which has contributed to a fall of 12,000 in the number of scheduled trials between January and the end of October 2022.

Justice agencies have been clear that recovery from the impacts of the pandemic will take several years, and initiatives are underway to address backlogs and streamline processes in different ways. For example, a pilot of a new approach to managing summary cases began in Dundee, Hamilton and Paisley Sheriff courts in September. It is designed to make long term improvements to how the system works for its users, facilitating early disclosure of evidence and early judicial case management, reducing the number of unnecessary summary hearings, and ultimately reducing the time it takes cases to reach conclusion.

The Scottish Government has taken forward a range of measures to support the efficient delivery of Scotland’s Redress Scheme. The delivery of the scheme, in partnership with the independent decision making body Redress Scotland, is survivor led with feedback encouraged and acted upon.

Total numbers of applications to the Scottish Government are in line with modelling done prior to scheme launch. The comparatively higher level of applications submitted in the first few months reflects the large number of survivors who worked tirelessly to see the scheme open.

The scheme is open for five years and recognises the need for applicants to carefully consider their options, at their own pace. The scheme aims to empower applicants by providing information and support in order that they can decide if the scheme is right for them.

As of 31st October 2022, 1756 applications for redress have been received and 277 applications have been passed to Redress Scotland for consideration.

Of the 202 payment offers made, 178 applicants have accepted and payments totalling £8,570,168 have been made to survivors or their next of kin.

There were 2,467 cases of exclusion (temporary or permanent) from publicly funded schools in Scotland during 2020-21 where the reason recorded was either physical assault using improvised weapon, physical assault using weapon or physical assault with no weapon (against either a pupil or staff member). This is down from 4,458 in 2018-19 and 5,374 in 2016-17.