Seòmar agus comataidhean

I refer the member to the answer to question S6W-05521 on 24 January 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

Transport Scotland has engaged with Transport for Edinburgh and Strathclyde Passenger Transport to try to understand the potential impacts of the introduction of the national free bus scheme on their operations. This work will help to develop a baseline evaluation of the new Scheme, which will be reviewed after its first full year of operation.

There are separate local concessionary schemes run by local authorities or Regional Transport Partnerships that cover other modes of transport. Any decision to extend concessions to these modes rests with them.

The Scottish Government is also working with CoSLA and the Association of Transport Co-ordinating Officers (ATCO) to quantify the overall effects of the introduction of the scheme on wider Local Authority budgets.

It is for Abellio up to 31 March and the new operator ScotRail Trains Ltd from 1 April 2022, to decide what rolling stock it runs and this needs to deliver the required timetable performance and provide capacity to meet changing demand levels. Transport Scotland continues to monitor the capacity provided through the current service operation contract.

Since November 2021, a mix of class 43 HSTs (4 + 5-cars) and class 170 (3-cars) trains has been running between Edinburgh and Aberdeen. From time to time it has been necessary to substitute other types of trains for the planned HSTs due to a variety of operational reasons, including absence due to Covid of the staff trained to operate HSTs.

The Scottish Government has announced £375m of business support to support businesses in the sectors most affected by the restrictions and guidance to control the spread of Omicron. This includes £6m for the most directly affected businesses in the tourism sector including inbound tour operators, day tour operators, coach operators, hostels, visitor attractions and marine/outdoor. Guidance on this funding and other funds is available on Financial support for businesses - News | VisitScotland.org and findbusinesssupport.gov.scot

We have had to make tough decisions to target funding to sectors immediately impacted by the updated public health guidance. Decisions on the allocation of the remaining funds will be confirmed following further consultation with affected sectors on how it can best be targeted.

This was one of the most fiscally challenging Scottish Budgets to date, with efficiencies having to be found across a number of portfolios. The budget allocation to Skills Development Scotland (SDS) should be seen in that context.

The SDS budget allocation includes Grant in-Aid for programme delivery and programme liabilities, which fluctuate depending on the numbers of people in training. The allocation also covers operational and staffing costs.

In 2021-22, the SDS budget allocation included around £8m for the continued delivery of programmes created as a response to COVID-19 which we do not expect will be continuing at the same levels in 2022/23.

We are working with SDS to finalise the details of their budget approach in 2022-23. This will ensure continued provision against Ministerial priorities and prioritise the delivery of training and learning opportunities.

We announced £375m of business support to tackle Omicron and provided details on how £276m of this will be allocated.

Decisions on the allocation of the remaining funds will be confirmed following further consultation with affected sectors on how it can best be targeted.

The Scottish Government used a range of sources of evidence when determining the latest isolation policy changes including data on various key aspects of the pandemic including vaccination rates; clinical advice from senior clinicians including the Chief Medical Officer, PHS public health clinicians, the National Incident Management Team and UKHSA analysis.

In addition, the Scottish Government considered the effects on key workforces and service, including health and social care, of retaining the same isolation policy.

Through our Programme for Government commitments we are already reflecting the aims of the European Stroke Organisation’s Stroke Action Plan for Europe.

In particular the ESO’s target that 90% of all patients with stroke in Europe should be treated in a stroke unit as the first level of care is already reflected within the Scottish Stroke Care Standards (Access to Stroke Unit - 90% within 1 day of admission).

The ESO also recommends ‘national plans for stroke encompassing the entire chain of care’. We already have a national plan on stroke - the Stroke Improvement Plan - which we are in the process of refreshing. To do so, we are developing a progressive stroke pathway document which will set out our vision for what stroke services across Scotland should deliver across the entire patient pathway. Following this, a refreshed improvement plan will support its delivery.

Further to the answer given to question S6W-04701 I can confirm that the team of reviewers in NHS Lothian were made up of clinical staff at consultant and senior nurse level who are all suitably qualified in their fields and span across various disciplines including Haematology, Microbiology, Infection Prevention and Control and Critical Care.

The Treatment Time Guarantee already outlines that after a diagnosis is determined and treatment agreed, each health board must ensure that patients receive inpatient and day case treatment within 12 weeks. This applies to all treatments and services apart from fertility treatment, obstetrics services, organ and tissue transplantation, direct referrals to Allied Health Professionals, dental treatment provided by undergraduate dental students, direct access referrals to diagnostic services, and mental health services.

The current unprecedented pressures on the NHS means that Health Boards are not currently able to reinstate services to such a degree as to be in a position to meet the existing waiting times standards and targets, which is why we published the NHS Recovery Plan. This includes a focus on providing alternative pathways of care that will allow people to be treated more quickly closer to home, delivering long term sustainability.

At this time, the Scottish Government has no plans to develop any further waiting time targets for cardiovascular disease.