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Board’s baseline revenue allocations are set out annually in the Scottish Budget, as published on the Scottish Government’s website. In addition, resource and capital spending limits are reported in Board’s annual accounts, which are published on their websites.

Over the period from 2013-14 to 2022-23, NHS Fife’s baseline resource budget has increased by almost 39% (£209.9 million) .

In addition to baseline capital funding, significant additional investment has been provided to NHS Fife to fund infrastructure projects, including £20.5 million for the National Treatment Centre Orthopaedics Unit.

Since it was established in April 2020, there have been 88 successful claims to the Mother and Baby Unit (MBU) Family Fund. NHS Greater Glasgow and Clyde and NHS Lothian do not hold comprehensive information about a claimant’s home Board. Since April 2020:

? 32 families made a claim to NHS Greater Glasgow and Clyde MBU, with an average amount claimed of £303.

? 56 families made a claim to the NHS Lothian MBU, with an average claim of £250.

Public Health Scotland (PHS) is unable to provide information on how many patients have died while on an NHS Scotland waiting list in each year as far back as 1999. However, the national waiting times datamart captures quality-assured data on the reasons for a patient being removed from a waiting list, including when a patient has died, from 1st April 2013 onwards.

Table 1 contains the following trend information for the period 1 st April 2013 to 31 March 2022, presented by financial year:

? The number of patients waiting to be seen at a new outpatient appointment or waiting to be admitted for treatment as an inpatient or day case, expressed as an average based on the number waiting at the end of quarters in each financial year.

? The number of removals from waiting lists for the reason ‘died’.

? A simple mortality rate is also included to account for variation in waiting list sizes. This is presented as the number of deaths per year per 1000 patients waiting at quarter-end, averaged over the quarters provided for each year.

Table 1: Average waiting list size and total number of patients removed from lists for the reason ‘died’ whilst waiting for a new outpatient appointment or treatment as an inpatient or day case, NHSScotland, April 2013 to March 2022

We are committed to supporting patients to deal with the emotional and physical effects of cancer. We are currently working in partnership with Macmillan to improve the service we offer cancer patients through the Transforming Cancer Care Programme (TCC). This joint partnership with Macmillan is worth £18 million, and is the first of its kind in the UK. The programme looks to ensure that every cancer patient in Scotland has access to specialist key support worker, who can provide emotional, financial and practical support to those who need it most. This partnership is the first of its kind in the UK.

To ensure vital services of support for patients continued throughout the pandemic we established the third sector resilience fund and the wellbeing fund as part of a £350 million support fund announced on 18 March 2020. The £15 million Adult Communities Mental Health and Wellbeing Fund was announced on 15 October 2021. This is the first year of a two year Fund to support mental health and wellbeing in communities across Scotland.

As part of our Cancer Recovery Plan, a new National Framework has been developed to support people affected by cancer. Launching in Spring 2022, the Framework not only sets out general principles for high quality holistic care, but also incorporates a number of tools that will aid implementation across Scotland. The Framework highlights the four levels of psychological care and support which are supported through expert evidence, and presents two models for implementation that are applicable across sectors, including health, care and the third-sector.

Cancer prehabilitation can support patients with the mental and physical challenges of living with cancer. A Cancer Prehabilitation Implementation Steering Group was convened in April 2021 to support and oversee the implementation and evaluation of comprehensive prehabilitation and evaluation whilst three subgroups look to: develop a digital resource that will improve access to education and training, improve access to psychological care and support and develop and implement a nutrition framework for prehabilitation.

From the outset, the Scottish Government’s decision-making on the COVID-19 vaccination programme has been guided by the expert advice provided by the Joint Committee on Vaccination and Immunisation (JCVI) and senior clinicians.

Spring 2022 Booster

On 21 February 2022, the JCVI advised that a spring booster dose be offered to the following groups:

adults aged 75 years and over

residents in care homes for older adults

individuals aged 12 years and over who are immunosuppressed

Those who qualify as immunosuppressed as defined in chapter 14a of the Green book COVID-19 Greenbook chapter 14a (publishing.service.gov.uk)

Autumn Booster

On 19 May 2022 the JCVI issued interim advice regarding the autumn 2022 COVID-19 boosters. The JCVI interim advice is to offer the autumn 2022 vaccination to the following groups:

Residents in a care home for older adults and staff working in care homes for older adults;

Frontline health and social care workers;

All those 65 years of age and over; and

Adults aged 16 to 65 years in a clinical risk group.

The JCVI will announce its final plans for the autumn programme, including further detail on the definitions of clinical risk groups, in due course and we stand ready to implement any further decisions on eligibility made by the JCVI.

There is a clinical referral route available for clinicians to refer anyone who they identify as requiring additional dose(s) of vaccine or a different dosing schedule for clinical reasons (in keeping with eligibility as recommended by JCVI), on a case by-case-basis.

Upon arrival of Ukrainian Displaced People at Welcome Hubs, communication needs are assessed to ensure that information is provided in a format that meets their needs. This may include easy to read documents in community languages and interpretation services for those who experience language barriers.

ESOL provision is offered by a range of providers including Community Learning and Development services through local authority partnerships, colleges, schools, voluntary organisations, universities and private language providers. Scottish Government ESOL funding is currently provided through colleges as part of the grant allocated to the Scottish Funding Council. Colleges are instructed to work with Community Planning Partnerships to determine the level of need for provision and agree with partners how this need can be met.

A national Perinatal Mental Health Dataset for specialist Community Perinatal Mental Health services (as well as Mother and Baby Units and Maternity/Neonatal Psychological Interventions services) has recently been launched by the Perinatal Mental Health Managed Clinical Network. It is currently being rolled out across Health Boards. The dataset builds upon a previous Clinical Audit System which reported on a limited number of clinical indicators for Mother and Baby Units. The Perinatal Mental Health Dataset will include a range of indicators of clinical activity, recorded by local specialist teams. It will be used to support local service development and quality improvement. The dataset will act as a tool to support Health Boards with local improvement in service planning and delivery, enabling them to understand and respond to local need.

The Transition & Recovery Plan, published in October 2020 and backed by an additional £120m of funding, is transforming services, with a renewed focus on prevention and early intervention. A key commitment in the Transition and Recovery plan is to support the collaborative development, implementation and assessment of quality standards for mental health services. To help ensure that services deliver and measure Psychological Therapies in a more standardised way across Scotland, a new national standard for Psychological Services and Therapies is currently under development with a publication date of Summer 2022.

As part of our investment in Mental Health and Wellbeing in Primary Care Services we will ensure that local planning groups, and in particular local primary care mental health services, are fully aware of the resources and services available for perinatal mental health and are supplied with clear guidance on how to support women and families in accessing these services. This will include support to access wider mental health support hubs, groups and helplines.

Since the start of the Perinatal and Infant Mental Health Programme Board we have invested over £18m in improvements to services and support for parents, infants and families across Scotland. This includes £5.5m for development of specialist Community Perinatal Mental Health services.

Funding levels for each Board have been primarily based on the gaps identified in Delivering Effective Services Report – Perinatal Mental Health Network Scotland and further shaped through discussions with each Board to ensure funding meets local need. As the we progress the programme of work, allocations are transitioning to an NRAC share which is the Scottish Resource Allocation formula used to distribute funding to NHS Boards.

Initial development funding was provided to two Health Boards in the North of Scotland in 2019-20. Funding was then rolled out to all mainland Boards in 2020/21 and all Boards received an allocation in 2021-22.

Following conclusion of the current Programme Board in March 2023, £8m per annum has been earmarked as recurring funding to Health Boards to support the sustainability of perinatal and infant mental health services across Scotland. This includes £5m specifically for specialist Community Perinatal Mental Health services.

Please see the following tables for a breakdown of funding allocated per Board for specialist Community Perinatal Mental Health services for the last 3 financial years.

One of the key pillars of the National Strategy for Economic Transformation is to strengthen Scotland’s position in new markets and industries to generate well-paid jobs and support a just transition to net zero. The Strategy sets out a range of actions to deliver on this vision. We are now developing sectoral and regional Just Transition Plans, which will identify relevant green industrial opportunities. Our first Just Transition Plan will be the Energy Strategy and Just Transition Plan, which is intended for publication in draft form in autumn 2022.

Work is also underway to strengthen our supply chains in the renewables energy sector. We're aware, for example, that Scotland’s developing hydrogen economy will require a strong domestic supply chain.

That's why the Scottish Government has announced a Hydrogen Supply Chain Event at the Edinburgh International Conference Centre on 22 September to help build on and explore the opportunities that exist within this emerging sector.

For Offshore Wind, applicants to the ScotWind leasing round were required to submit a Supply Chain Development Statement (SCDS) that sets out the level and location of supply chain impact throughout the lifetime of projects. These commitments amount to billions of pounds of investment to the Scottish supply chain. Initial projections show an average spend of £1.5bn in Scotland per project.

It has been agreed that some patients based in Tayside and receiving radiotherapy for breast cancer will have to travel for their treatment to their next nearest cancer centre, in Edinburgh, Glasgow or Aberdeen. Patients required to travel will be fully supported, with travel and accommodation costs covered by the Health Board.

NHS Tayside have been working closely with Oncology teams across all four Cancer Centres in Scotland to ensure that patients in need of treatment are prioritised appropriately. Discussions about mutual aid have taken place between Chief Executives and Medical Directors and the national oncology taskforce is looking at national approaches to the management of oncology.

The mutual aid provided has been agreed on the basis that there will be no adverse impact on patient care in NHS Grampian.