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We published the NHS Recovery Plan in August 2021, which sets out our plans for health and social care over the next 5 years. Backed by over £1 billion of funding, the plan will support an increase in inpatient, day case, and outpatient activity to address the backlogs of care, which will be supported by the implementation of sustainable improvements and new models of care.

The first annual progress update was published on 4 October NHS Recovery Plan: annual progress update - gov.scot (www.gov.scot) . This update detailed the progress being made against the actions to address the backlog in care and meet ongoing healthcare needs for people across Scotland.

The plan will be reviewed regularly and reported on annually to ensure its actions and outcomes are delivered. We will also remain open to new ideas and initiatives that can help accelerate recovery and shape sustainable ways of working.

Local authorities have powers to award discretionary local relief under section 3A of the Local Government (Financial Provisions etc.) (Scotland) Act 1962, as inserted by the Community Empowerment (Scotland) Act 2015. Table 1 shows relief awarded under these powers by local authority.

Table 1: Local relief awards by council area, 2016-17 to 2022-23, £000

Contingent liabilities are considered and approved in line with the guidance contained within the Scottish Public Finance Manual and in the Written Agreement between the Scottish Government and the Finance and Public Administration Committee. The Budget treatment applied is consistent with HMT’s Consolidated Budgeting Guidance:

• Amounts for contingent liabilities are not included in the budget, nor recognised as actual liabilities on the Scottish Government’s balance sheet, but are instead disclosed in notes to their accounts.

The Scottish Government is committed to improving pharmaceutical care in Scotland and the development of digitally enabled infrastructure in primary care to underpin this. The ePharmacy Programme continues to oversee and develop technology used in community pharmacies to support the provision of NHS pharmaceutical care services.

The Digital Prescribing and Dispensing Pathways (DPDP) programme is on track to replace the current paper prescription in Scotland with a digital approach by the end of this parliamentary term. The early focus is in-hours fixed General Practice prescribing and Community Pharmacy dispensing across Scotland, with initial user engagement complete and planning underway for the design on an initial prototype approach.

The Acute Medication Service (AMS) Digital Programme is also underway which aims to significantly reduce the volume of barcoded paper prescriptions that need to be sent by community pharmacies into NSS for scanning.

The information requested is not held centrally by the Scottish Government.

The National Child and Adolescent Mental Health Services (CAMHS) Specification (published in February 2020) and the National Neurodevelopmental Specification for Children and Young People: Principles and Standards of Care (published in September 2021), set out the levels of service that children, young people and families can expect across Scotland.

This includes nationally agreed referral criteria, a first engagement appointment for all those that meet the criteria, and personalised and meaningful signposting for all those that do not require treatment .

The National Specification for the delivery of Psychological Therapies and Interventions is also due to be published this month and will set out what patients can expect following a referral, and detail the whole system approach including early intervention options that services should offer.

Scottish Government grant making is allocated across portfolios to various parts of the third sector to improve a wide range of outcomes. Some Scottish Government funding will also be issued through independent grant makers or intermediary organisations. Each grant funding programme will have its own specific application criteria related to desired policy outcomes.

Through our Fair Work First policy we are seeking to further promote and enable employers’ commitment to fair work by applying Fair Work principles to public sector grants, other funding and contracts where it’s relevant and proportionate to do so. We published updated Fair Work First guidance on 24th of March 2023 to support the adoption of this new conditionality. The Scottish Government model grant offer letter template has been amended to incorporate this new conditionality, as has relevant guidance, including grant policy guidance, and the Scottish Public Finance Manual.

The Scottish Government's contingent liabilities are considered and approved in line with the guidance contained within the Scottish Public Finance Manual and the Written Agreement between the Scottish Government and the Finance and Public Administration Committee.

There is no separate requirement for the prior permission of HM Treasury for novel or particularly large contingent liabilities for activities either within the Fiscal Framework or elsewhere.

The General Teaching Council for Scotland (GTCS) accredit all initial teacher education programmes. This involves ensuring all programmes meet the GTCS Standard for Provisional Registration (SfPR). The SfPR sets out that student teachers are required to demonstrate knowledge and understanding of theory and practical skills required in curricular areas such as literacy.

Local authorities have a statutory responsibility to ensure that their schools are safe for pupils, staff and their users. Those local authorities affected have now published a list of any schools where RAAC has been identified, and it would be for those individual local authorities to decide if they publish the projected cost to remedy any issues within their school estate.

In addition, the First Minister has been clear, while we do not have contingencies within Scottish Government to spend on RAAC.

The UK Government’s Chancellor of the Exchequer recently committed to spend what was necessary, and we would expect to see new funding made available. Continual UK Government cuts to capital budgets make responses across the public sector more difficult.

This is an issue we have been alive to for some time. On 16 th August, the Deputy First Minister wrote to the UK Government’s Treasury seeking clarity on new capital funding to deal with RAAC. Then, on 3 rd September, I wrote to the Secretary of State for Education seeking clarity on funding. Thus far, neither letter has received a response.

The Scottish Government continues to work with NHS National Education for Scotland (NES) and the Royal Pharmaceutical Society in developing a joint programme to encourage more students, and not just school leavers, to consider careers in pharmacy, including ensuring the output reaches deprived and remote and rural communities.

In addition, both Schools of Pharmacy work towards the widening access targets set by the Commission on Widening Access for universities to drive forward the delivery of equal access in Scotland.

There are also wider initiatives such as The Scottish Wider Access Programme (SWAP). The partnership develops access programmes for adults returning to education, and targets adults who reside in the most disadvantaged areas of Scotland and particularly those who have no, few or out of date qualifications. This can help support people with few suitable qualifications to progress to degree level Pharmacy studies.

To promote pharmacy technician recruitment, a number of senior pharmacy technicians attend school careers fairs etc to raise awareness of the role. All vacancies for the Pharmacy Technician Technical Apprenticeship are advertised on the Apprenticeships.scot website.