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Table 1 presents the number of patients covered by the Treatment Time Guarantee (TTG) waiting for a hip or knee replacement procedure within an inpatient or day-case setting by NHS Board at 31 st December 2021.

Table 1: Number of patients waiting for a hip or knee replacement procedure 1,2 as an inpatient or day case at 31 st December 2021, by NHS Board.

The Scottish Government and COSLA published a National Workforce Strategy on 11 March 2022. This Strategy sets out a new framework to shape Scotland’s Health and Social Care workforce over the next decade; which places training, wellbeing, job satisfaction and the principles of Fair Work at its heart.

The Scottish Government has not engaged with this organisation specifically but a collaborative partnership approach has been taken to develop the Strategy. We have engaged with key partners across Health and Social Care, including NHS Boards, Local Authority representation, third and independent sector and staff-side representation through the National Workforce Planning Group and the Scottish Partnership Forum.

Moving forward with implementation of the strategy, we have committed to continuing to work jointly with partners across Health and Social Care.

The Strategy commits to publishing new workforce growth projections in the autumn, once we have had the opportunity to consider Health Board and Health and Social Care Partnerships' three year workforce plans. The staffing needs for services and professional specialties across NHS Scotland will be, in partnership with stakeholders, factored into the development of those projections.

A procurement process is underway for a web-based PROMS system to track the condition of long-waiting patients. Information and resources are being updated on NHS inform, and some joint work is ongoing with Versus Arthritis.

Earlier this year, the Scottish Government announced an extra £240,000 through the Chronic Pain Winter Support Fund to help 13 Scottish Government-funded projects across Health Boards, third-sector and other partners to enhance the support available for people with chronic pain. The money will go towards a range of services for people experiencing painful conditions, including those with knee pain, and also provide support to help people remain physically active.

There are currently no plans to add fluoride to the public water supply nationally. However, the Water (Fluoridation) Act 1985 continues to enable Health Boards, with the support of local communities, to ask Scottish Water to introduce water fluoridation. Where a Health Board with the support of its local communities wishes to ask Scottish Water to fluoridate the water supply, Scottish Government would be supportive of such a move.

Financing for retrofitting will be largely dependent on the ownership of the buildings.

There are a number of potential sources of financing including those referenced in our Infrastructure Investment Plan published in February 2021 and the latest Infrastructure Investment Plan Programme Pipeline Update from September 2021.

I have frequent discussions with Ministerial colleagues on a range of matters. We are committed to reforming council tax to make it fairer, working with the Scottish Green Party and COSLA to oversee the development of effective deliberative engagement on sources of local government funding. including Council Tax, that will culminate in a Citizens' Assembly.

The Scottish Government does not hold information on how many older people who are in relative or absolute poverty have raised concerns about not being able to afford both heating and food this winter. The sources of information below provides indicators of levels of poverty; and engagement with stakeholder organisations.

Poverty and food insecurity

One indicator of levels of poverty and food insecurity is the latest Family Resources Survey (FRS). The most recent information available for 2019/20 showed that food insecurity rates for Scotland reflected those of the UK as a whole, and that the rate of food insecurity was lower for people over 65. Both the FRS and the 2020 Scottish Health Survey (SHeS) indicated rates of between 1% and 3% for over 65s, compared to 8% overall.

According to the FRS, around a quarter of people in both relative and absolute poverty were experiencing low, or very low food security. The relative poverty rate after housing costs for pensioners was 14% in 2017-20, or 150,000 pensioners each year - consistently below that for working-age adults (19%).

Fuel poverty

Data from the Scottish Government’s national Warmer Homes Scotland (WHS) scheme provides an indicator for those at risk of fuel poverty. The scheme is designed to help those living in or at risk of fuel poverty through installing insulation and heating measures into individual properties. Eligibility for the scheme is based on “proxies”, including certain benefits such as Employment Support Allowance (ESA) and Personal Independence Payment (PIP), which are an indication of the likelihood of the household living in or being at risk of fuel poverty.

Referrals to WHS during the period 1 November 2021 and 28 February 2022 are as follows.

The Scottish Government does not hold separate data on the percentage rise in the cost of living for older people who are in relative or absolute poverty. The information below provides an indication.

Inflation, as measured by the Consumer Prices Index rose by 5.5% in the 12 months to January 2022. This has been the highest yearly increase since the 1990s.

Figures from the ONS suggest that retired and non-retired households have experienced similar levels of inflation rates since April 2021, and so have high- and low-income households. However, rises in costs are being driven by different things - including different exposure to transport costs (affecting non-retired people more heavily) and housing and household services (affecting retired people more). Separate figure are not available for Scotland

With regard to water charges, the water and sewerage charges for households will rise by 4.2% on 1 April 2022 – this means the average household charge in Scotland will be £391 in 2022-23. Water charges are linked to council tax bands and discounts which apply to council tax also apply to water charges (such as student exemption or the single occupant discount). From 1 April 2021 the water charges reduction scheme discount – available to customers in receipt of full Council Tax Reduction – has increased to 35%, up from 25%. Over the next year (2022-23), households in receipt of the full council tax reduction discount will actually pay less than they did in 2020-21.

A key driver of price increases is energy prices, which have increased significantly over the year and continue to increase due to the crisis in Ukraine. Low-income households are particularly exposed to increases in the price of energy as they spend a larger proportion of the household income on fuel and housing costs. The Institute for Fiscal Studies suggest that by April lowest-income households will be facing inflation rates of almost 7%, higher than the average rate of 6%. The Resolution Foundation estimate that later this year the poorest third of households will be spending at least 10% of their household income on energy bills alone, compared to around 7% now.

The information requested can be found in the publication Poverty and Income Inequality in Scotland 2017-20 . This is available online at Poverty and Income Inequality in Scotland 2017-20 (data.gov.scot).

The Scottish Government does not collect information on the number of foster carers registered with each local authority or voluntary provider.