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Further detail on the Scottish Government’s proposed £2.2 billion funding for primary care can be found in the 2025-26 Level 4 tables published along the Budget itself - Supporting documents - Scottish Budget 2025 to 2026 - gov.scot.

In addition to the direct funding increase of over £160 million (7.8%) for primary care, we plan to further invest in primary and community care services from the commitment to provide £100 million “Reform and Improvement measures funding” to alleviate waiting time and hospital occupancy pressures.

We are working with local systems as part of the annual planning process for 2025-26 to ensure any additional funding to expand Hospital at Home is targeted towards the areas that offer the greatest improvement to performance and patient care.

The Local Government Pension Scheme in Scotland is in a very strong position and the Scottish Government continues to engage with the 11 Scottish Local Government funds, which each have responsibility for their own investments.

We are monitoring developments in England and Wales to inform decisions around our approach to Scotland.

Advanced Nurse Practitioners (ANPs) working in General Practice are employed by either Health Boards or by GP practices.

Data on the whole-time equivalent (WTE) ANP workforce employed directly by Health Boards is published annually by the Scottish Government in the Primary care improvement plans: implementation progress summary. This data is set out in the following table.

The BSc Paramedic Science course launched in 2020 with the first cohort of paramedic students graduating in 2023, and the most recent cohort graduating in September 2024. Data for the last five academic years is therefore not available as only two cohorts have completed the three-year degree programme. Data for the 2020 intake who graduated in 2023 is the only publicly available data at this time and this is outlined in the following table:

The Scottish Government does not hold this information.

The Scottish Government’s strategic priorities are to shift the balance of care closer to people's homes and drive a proactive approach of early intervention and prevention, which will help reduce demand for acute care.

We are increasing capacity and access to Primary Care by the end of 2026, through our reform programme, shifting the balance of care to preventative and community-based support. This will be done by improving the use of multi-disciplinary working to support better, patient-centred care pathways and improve service capacity in GP and frontline community services, including additional funding to support the Primary Care Phased Investment Programme.

We are committed to ensuring that people living in Scotland with long-term conditions, including inflammatory bowel disease (IBD), are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and person-centred. Action which the Scottish Government is taking includes:

• an Endoscopy and Urology Diagnostic Recovery and Renewal Plan backed by £70 million. The plan focuses on key areas such as: Balancing Demand and Capacity; Workforce Training and Development; Infrastructure; and Innovation and Redesign.
• Funding the Modernising Patient Pathways Programme (MPPP) with a specific workstream continuing to promote improvements in IBD care which is being taken forward through the MPPP’s National Gastroenterology Speciality Delivery Group (SDG). They have developed a national IBD pathway for NHS Scotland which is due to be published imminently.
• Developing a lower gastrointestinal pathway which will provide primary care guidance about testing and diagnosis for people with IBD and Coeliac Disease in Scotland.

We have confirmed that the replacement of the Belford Hospital is a strategic priority, and the 2025-26 Draft Budget has provided the necessary funding to allow the development of the business case to restart. NHS Highland is responsible for the delivery of the project and should therefore be able to provide information on the timeframe for the project in due course.

The Scottish Government is launching a public consultation on Community Benefits from Net Zero Energy Developments on 19 December 2024, which will be open until 11 April 2025. This consultation is part of our review of the ‘Good Practice Principles’ for community benefits from onshore and offshore renewable energy developments. Through the consultation and stakeholder engagement, we want to gather a wide range of views from across communities, industry and public and third sector stakeholders to ensure that our guidance supports sustainable and meaningful outcomes.

The consultation on Regulation and Licensing of Non-surgical cosmetic procedures will be published tomorrow, 20 December 2024 at 10:00. I would encourage members of the public to respond to the consultation, to help us to prepare regulations for non-surgical cosmetic procedures that are proportionate, robust and future-proofed. The consultation will close on 14 February 2025.