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At the heart of our NHS Scotland Renewal Plan, which is supported by £200 million to address backlogs and improve capacity, is that we have a person-centred, cohesive healthcare system that is built around the patient journey, ensuring appropriate care is provided at home and in community, primary and secondary care settings.

The budget will deliver direct access to specialist Frailty teams in every Emergency Department by summer 2025. This will enable people who experience frailty to be referred directly by GPs and the Scottish Ambulance Service to specialist frailty services as an alternative to admission or attending A&E.

Our Right Care Right Place marketing campaign messaging advises the public on how to access the services they need and help alleviate pressures being felt across the whole of the NHS. By assisting the public, we aim to ensure that A&E resources and the valuable skills of frontline staff are available for those that need emergency care and minimise delays for patients waiting to be seen and treated.

Assumed council tax revenues are a key element of the needs-based distribution formula that is discussed and agreed with COSLA on behalf of all 32 local authorities each year.

The inclusion of Assumed Council Tax in the overall distribution calculations reflects structural differences in the housing stock across the country and ensures that local authorities with a greater proportion of houses in band A to C are not disadvantaged, relative to those with a higher proportion of their houses in band E to H.

The absence of an Assumed Council Tax adjustment in the formula would disproportionately benefit more affluent local authorities. By way of illustration, for every £1 raised on a band D council tax bill, more affluent authorities receive 50% more income than the least affluent authorities. Including Assumed Council Tax in the settlement calculations is therefore a critical element of the needs-based distribution by ensuring that the impact of those structural differences are partially redistributed.

Excluding Assumed Council Tax from the 85% floor would remove this partial redistribution and would therefore be incompatible with the concept of a needs-based distribution methodology.

Distribution involves a complex and dynamic calculation with the impact on subsequent years being influenced by prior year calculations, primarily through the operation of the main funding floor.

If Assumed Council Tax were excluded from the calculation of the 85% floor, in the past five years, a hypothetical static analysis would indicate that Aberdeen City would have additionally been below 85 per cent in 2021-22 and 2022-23, and City of Edinburgh would have additionally been below 85 per cent in 2023-24, 2024-25 and 2025-26.

The health and wellbeing of women at work is a key element of Scottish Government’s approach to Fair Work, including supporting women experiencing menopause and those who feel forced from the workforce due to their symptoms.

In the absence of powers on employment legislation the Scottish Government seeks to drive Fair Work by attaching criteria to grants, contracts and other public funding through our Fair Work First principles. Our Fair Work First Guidance provides good practice examples for supporting women and allowing them to maintain their careers, including menopause support, by directing employers to resources produced by NHS Inform and Close the Gap. Access to flexible working is also of vital benefit to workers who may need to balance work with managing health conditions. Since 2020, the Scottish Government has provided more than £1.1 million to help employers improve access to flexible working. Asking employers to offer flexible working from day one of employment has been a principle of Fair Work First since October 2021. Fair Work First criteria has been applied to over £2.6 billion worth of public sector grants between July 2023 and March 2024.

Through the Women’s Health Plan, in October 2023 NHS Scotland launched their National Menopause and Menstrual Health Workplace Policy for their workforce of around 180,000 as an example of best practice. Supporting resources, including line managers and workplace adjustment guides, are intended for use more widely across a variety of employment sectors and are available on the National Wellbeing Hub which is accessible to the public. Since the publication of the Policy, promotional activities have taken place to share the Policy across sectors.

The recently concluded Workplace Equality Fund supported four menopause-related projects, from which lessons learned and resources created will be shared widely with employers across Scotland alongside wider guidance, advice and support on all aspects of Fair Work as part of a fair work resource hub currently being developed with input from employers.

Statistics covering the period up to 31 Mar 2026 are expected to be published by Public Health Scotland on 26 May 2026 as per the usual release schedule.

The 85% funding floor is a key element of the needs-based distribution formula that is discussed and agreed with COSLA on behalf of all 32 local authorities each year.

Funding for all local authorities in Scotland is included in the calculation of the 85% Floor although the contribution of the three island councils and Argyll and Bute to the average calculation, is capped at 115%.

The capping adjustment has no effect on funding actually provided to those four authorities and it only applies for the purpose of calculating the average, in part to mitigate the risk that the Special Islands Needs Allowance (SINA) has a distortive impact on the calculation.

The capping adjustment has been in place since the 85% Floor was introduced in the 2012-13 Settlement (see Annex I of Local Government Finance Circular 11/2011).

The 85% funding floor and assumed council tax revenues are key elements of the needs-based distribution formula that is discussed and agreed with COSLA on behalf of all 32 local authorities each year.

Funding for all local authorities in Scotland is included in the calculation of the 85% Floor although the contribution of the three island councils and Argyll and Bute to the average calculation, is capped at 115%.

The capping adjustment has no effect on funding actually provided to those four authorities and it only applies for the purpose of calculating the average, in part to mitigate the risk that the Special Islands Needs Allowance (SINA) has a distortive impact on the calculation.

The adjustment to a maximum of 115% effectively lowers the target Scotland average. This may sometimes reduce the number of LAs qualifying for support through the 85% floor but would also lower the level of that support guaranteed.

Distribution involves a complex and dynamic calculation with the impact on subsequent years being influenced by prior year calculations, primarily through the operation of the main funding floor.

The following table provides a hypothetical static analysis of the impact, on each of the last five settlements in isolation, if the 115% limit were not applied.

The Scottish Animal Welfare Commission is aiming to publish its report on the welfare of cleaner fish used in the Scottish salmon industry by the summer. It had been hoped that the report would be ready by the end of 2024, but research has taken longer than originally anticipated.

The Scottish Government remains committed to the current GP contract that was agreed with the Scottish GP Committee (SGPC) of the British Medical Association in 2018, and to ensuring the stability and sustainability of general practice. We continue to regularly discuss the contract with SGPC and other stakeholders.

As part of the commitment to be an open and transparent government, we promote the disclosure of names and salary details of senior public sector staff. Since October 2010, Scottish non-departmental public bodies have been asked to list the names and salary details of members of their senior leadership teams. You can find links to each body’s website at National public bodies: directory or on the Public Sector pay website at Pay transparency - Public sector pay.

This information is not held centrally.