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The spending plans for 2022-23 will be announced in the Scottish Government budget which will be published on 9 December and plans for future years will be considered as part of the Resource Spending Review .

The winter funding will be used by Health and Social Care Partnerships to fund a range of options to support the timely discharge of patients from hospital. This includes £62 million for enhancing care at home capacity, £20 million to develop multi-disciplinary teams, £40 million for the development of alternative, interim care options and up to £48 million to increase the hourly rate of pay for social care staff.

In addition to this funding, in March 2021 we issued a £20 million Community Living Change Fund to be used during 2021–2024. Funding will be used to redesign services for people with complex needs including intellectual disabilities and autism, and for people who have enduring mental health problems, avoiding the need for out of area placements and reducing delayed discharges from hospital.

Estimated spend on dementia by each Integration Joint Board in each year since 2016 is as follows:-

Since my answer to question S6W-03274, a further £24.5 million has been provided from the £120 million Recovery and Renewal Fund, bringing total allocations to date to over £74.5 million, including:

• £40 million for Child and Adolescent Mental Health Services (CAMHS) to address waiting times this year, increase access to and enhance services, including for those with complex needs;
• £15 million to grass roots community groups via a Communities Mental Health and Wellbeing Fund to help tackle the impact of social isolation, loneliness and mental health inequalities;
• £5 million to address Psychological Therapies waiting times this year;
• £5 million to implement the recommendations of the Eating Disorders Review;
• Almost £2 million to roll out digital innovations, including online access to Cognitive Behavioural Therapy.

The following table provides a breakdown of allocations by the key themes in the Mental Health Transition and Recovery Plan, as well as funding provided for key dementia, learning disability and autism priorities.

The National Services Division (NSD) in NHS National Services Scotland (NSS) have commissioning responsibility for the Scottish Genetic Laboratories. NSD are currently conducting a review of NHS Scotland’s genomics services which includes reviewing the Scottish genomic test directory and genomics infrastructure. The review is expected to be completed by the end of the 2021-2022 financial year.

The outcomes from the review will be considered by the Scottish Genomics Leadership Group, chaired jointly by Professor David Crossman, Chief Scientist for Health for the Scottish Government, and Susan Buchanan, NSD Director. This Group are supporting the Scottish Government in ensuring appropriate planning and robust decision-making processes are in place for genetic testing availability in Scotland.

Should the review highlight an inequity of access for Scottish patients for specific genetic tests, NSD will work with the Scottish Genomics Leadership Group to resolve the matter as soon as possible.

Flu and COVID-19 are completely different diseases caused by different viruses and is why there are different recommendations for those who are eligible for flu vaccination and those who should be offered both COVID-19 and flu vaccination.

The Joint Committee on Vaccination & Immunisation (JCVI) is a scientific committee and they give advice based on scientific evidence, with a number of in-depth considerations and recommendations made on COVID-19 published recently.

The evidence is clear that people with asthma are at a higher risk of flu related complications but this is not true for COVID-19 unless they are on repeated courses of oral steroid medication. This means that the vast majority of asthmatics are not at a higher risk of COVID-19 disease or its complications.

We are taking forward a number of recommendations made by the Short Life Working Group on Ventilation in order to improve airflow in settings where transmission of Covid-19 is most likely to occur. As the First Minister stated when she announced this £25 million package of funding, the support will focus on the hospitality and leisure sectors although the specific sectors and premises that will be eligible for financial support through this fund is still being determined and community halls are being actively considered as part of this process.

Our clear ambition is that no one should be inappropriately delayed in hospital once they are clinically ready for discharge. However, given the current challenges health and social care partnerships are experiencing in relation to recruitment of care staff, and the increased level of needs people are presenting with, we need to set a realistic trajectory for reduction. Our intention is therefore to see a return to the position seen between the Summer of 2020 and Spring of 2021, freeing up at least 500 beds for winter.

I have asked Teresa Medhurst, Interim Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

The SPS awarded the pre-construction services contract for the HMP Highland project to Balfour Beatty in September 2021.

The SPS are working with Balfour Beatty to further develop the design of HMP Highland, prior to the award of a stage two contract that will deliver the construction element of the project.

The £10m Tenant Grant Fund is part of a package of measures available to local authorities to prevent homelessness, alongside other support such as Discretionary Housing Payments and advice on maximising income. The grant will co-exist alongside the £10 million Tenant Hardship Loan Fund and be open to eligible private and social tenants.

As there is no one single solution, both the loan and grant can provide support to different people in different circumstances, to assist them during the pandemic recovery period.

The Grant is available for local authorities, who can consider all the circumstances and support available, to pay rent arrears for those most in need with the aim of preventing homelessness and creating sustainable tenancies.

In comparison, the Loan fund will continue to offer loans responsibly to applicants who can demonstrate that they can afford to make future loan repayments spread over a number of years. The loan is not suitable for all but, where it is, the interest free terms and long repayment period can help tenants who are struggling but not necessarily at risk of losing their tenancy, to get back on their feet.

We want people to access the most appropriate form of support for them and encourage tenants in difficulty to seek advice and assistance on their housing circumstances as soon as possible.