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The Scottish Government will invest £60 million to renew play parks in Scotland, so children have access to high-quality outdoor play in their own communities. This funding is for public, free-to-access parks and will be distributed to local authorities over the course of this parliamentary term.

The renewal of play parks builds on our commitment to improve outdoor play opportunities for all children and families and to realise our ambition to make Scotland the best place to grow up.

Local authorities have an existing responsibility to maintain play parks that serve their communities and this investment provides a boost in funding to accelerate local plans and improve play experiences for all children in Scotland. We have already committed £10 million since May 2021 with a further £50 million to come in this parliamentary term.

South Lanarkshire Council received £298,000 funding in 2021-22 and will receive £296,000 in 2022-23. We have worked constructively with COSLA on the first two years of funding and will continue that work to agree the allocation of the remainder of the funding.

Over the course of this parliament, we are working to increase overall residential rehabilitation capacity by 50%, which is an increase from 425 beds to 650 beds. We aim to increase the number of publicly funded residential rehabilitation placements by more than 300 per cent so that, by 2026, at least 1,000 people every year are publicly funded for their rehab placement.

In addition to a £13.5 million uplift to Alcohol and Drug Partnerships (ADP), we have provided £18 million so far over the next five years to support the development of several new residential rehab projects through the Residential Rehabilitation Rapid Capacity Programme. We recognise that there are structural differences around funding and availability of residential services in different parts of the country, but we are working to address this by exploring options around regional and national commissioning of residential rehabilitation placements.

While it is the role and responsibility of local ADPs to assess and allocate placements we are committed to increasing transparency and accountability for these services. This is why we have tasked Public Health Scotland with producing a quarterly report on funded placements. The next report will be published April 2022 and will cover the period of October to December 2021.

We recently published a suite of reports on the current pathways into, through and out of residential rehabilitation. We will be working closely with ADPs to aid the development of clear pathways into residential rehabilitation, which will facilitate an increase to publicly funded placements across the country.

Stock keeping arrangements related to Scotland’s Deposit Return Scheme (DRS) are a matter for industry to determine; our Regulations do not mandate a separate Scottish label or barcode for in-scope containers.

Guidelines are intended as an aid to clinical judgement, not to replace it. The ultimate decision about a particular clinical procedure or treatment will always depend on each individual patient’s condition, circumstances and wishes, and the clinical judgement of the healthcare team.

Scottish Intercollegiate Guidelines Network (SIGN) have taken the opportunity to take a four nations approach and collaborate with the Intercollegiate Stroke Working Party on the 6th edition of the Royal College of Physicians National Clinical Guideline for Stroke which is expected to be published in February 2023. This will be a collaborative national guideline which will be applicable for use in Scotland.

There are a wide range of definitions for Stroke Units and it is understandable that stroke units will look very different between, for instance, a large city hospital and island NHS Boards

The core criteria for defining a stroke unit are well described in the academic literature, including in Langhorne et al (2002). Professor Langhorne is a member of the Scottish Stroke Care Audit (SSCA) Team and has been influential in defining different models of stroke unit care.

NHS Boards are expected to describe their stroke unit models through the SSCA processes and the Scottish Stroke Improvement Programme Team review this information during Board Reviews (now occurring at least twice annually). This ensures that optimal and evidence based services are being delivered and demonstrates that stroke units are viewed as a core component of care.

We are supporting the National Advisory Committee on Stroke to develop a progressive stroke pathway document which will set out the vision for what stroke services across Scotland should deliver across the whole patient pathway, including access to stroke rehabilitation, and access to support for people who have experienced a stroke.

Scottish Government will work closely with the Stroke Improvement Programme Team and stakeholders throughout 2022 to develop an implementation plan to deliver the vision set out in this document.

We will continue to take steps to introduce a high quality and clinically safe thrombectomy service in Scotland. A Scotland wide service is expected to be operational by 2023.

The Scottish Government’s Scottish Zero Emission Bus Challenge Fund (ScotZEB) is awarding £62 million to support bus operators to acquire 276 new zero emission buses and associated infrastructure. Bus operators are free to choose which manufacturer they purchase from and we do not seek to influence this, in order to ensure a level playing field.

Level playing field provisions in trade agreements ensure that competition is open and fair, and that businesses from one trading partner to not gain an unfair advantage and undercut rivals from others. The success of the bus manufacturing industry in Scotland and the UK requires that the industry makes available high-quality products for bus operators at competitive prices and which can compete in the international market.

ADL will manufacture their buses in Falkirk, Wrightbus, Switch and Orion manufacture elsewhere in the UK (with Orion chassis being manufactured in Italy, Poland and Turkey), EVM manufacture in the Republic of Ireland (with the chassis manufactured in Germany) and Yutong manufacture in China. In total, 137 buses will be manufactured in Scotland, 23 in the rest of the UK, and 116 in China.

The following table shows how many buses from which manufacturer ScotZEB is supporting operators to acquire:

Planning of community rehabilitation delivery is the responsibility of individual NHS Boards and Health and Social Care Partnerships.

Our vision is for everyone with rehabilitation needs to be able to access the care and support they need to live well, on their own terms. Exploring ways to improve access to rehabilitation is a key aspect of the work underway to develop a progressive stroke pathway document.

With regard to measuring performance, the provision of appropriate rehabilitation, in both acute and community settings, currently forms part of the Scottish Stroke Improvement Programme (SSIP) criteria-based assessments.

These are currently being reviewed and expanded and will form part of the regular reviews which are undertaken by the Scottish Stroke Improvement Programme team with each Health and Social Care Partnership. We will also consider how these might be integrated into the Scottish Stroke Care Audit if effective.

The self-isolation exemption guidance for health and social care staff is based on the latest clinical and public health evidence and advice, and has been updated on a regular basis as we learn more about new variants, transmission and severity of illness from COVID-19. Clinical advisors within Scottish Government and Public Health Scotland (PHS) provided their expert advice to this guidance. For more information on this advice you can visit the latest PHS guidance for Health Protection Teams.

It is worth noting that as of 28 February this exemption does apply to the general population. Self-isolation guidance states that if you test positive, you should pause routine LFD testing for 28 days after self-isolating. Count the 28 days from the day your symptoms started, or the date of your positive test if had no symptoms. If you are identified as a close contact during this time, you do not need to test or self-isolate as long as you do not have any new symptoms, regardless of vaccination status. If you develop new symptoms, self-isolate and book a PCR test.

The number of confirmed strokes discharged during 2021 showing total length of stay and length of stay in a stroke unit is in the following table.

For some of the figures, the length of stay in the stroke unit are longer compared to stay in the audit. The patient may have completed the stroke part of their journey, but they did not have a discharge plan, so would be discharged from the audit. However, they are still in the stroke unit, for example if they have another condition that is more important than stroke.