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The Scottish Government is required to deliver a balanced budget and outturn in each year. This has been consistently delivered through prudent and effective financial management, balancing fiscal constraints with priorities. In July 2021 Scottish Government launched the Young Patients Family Fund (YPFF), which subsumed the Neonatal Expenses Fund (NEF) to create a single unified fund. These funds are demand led and the Scottish Government has ensured full funding against demand in each year since 2018/19.

The first phase of Warmer Homes Scotland (WHS) has run since September 2015, and is coming to an end on 29 September 2023. The second phase of the scheme will launch on 02 October 2023, and will run initially for 5 years, with an option for it to run for 7 years. Warmer Homes Scotland is a demand-led scheme which aims to support people in or at risk of fuel poverty through the transition to zero emissions heat, improve their energy efficiency and reduce carbon emissions from heating. Reaching EPC band C is not a specific objective of either the original or new phase of the scheme, and therefore no target for this has been set.

The following table outlines the number of households who have received measures through Warmer Homes Scotland between September 2015 and 31 July 2023 in each constituency that have reached EPC band C and the average SAP point increase after receiving measures through Warmer Homes Scotland. The data is at constituency level as data at parliamentary region level is not collected.

The Scottish Government has not routinely published expenditure for The Young Patients Family Fund (YPFF) as Health Boards have, up to now, been developing mechanisms to ensure the recording of full and accurate YPFF data.

We are continuing to work with NHS Boards to ensure the comprehensive recording of data and we will aim to publish YPFF data routinely following the conclusion of that work.

The Scottish Government has no plans to review the Young Patients Family Fund (YPFF) in light of the plans to reduce the number of level 3 neonatal units in Scotland. The cost of visiting a child or young person in hospital should not be a barrier for families which is why parents/carers and siblings (under 18) can claim under YPFF, regardless which neonatal unit their baby is being cared for in. The fund helps to offset the cost of: travelling to and from hospital during a child or young person’s inpatient stay; the subsistence required to allow claimants to spend time at the hospital; and any accommodation required by eligible visitors. There are no restrictions on the number of claims an eligible visitor can make.

Evidence shows that the very smallest and sickest babies, including those born extremely premature (below 27 weeks), do best when they are cared for in larger specialist neonatal units which look after a lot of these babies, and have the right staff and services available on site to give them the very best care. The Best Start report recommended that we move to three of these units in Scotland, to meet the needs of our population, and neonatal experts then went through a rigorous process to decide on the three NICUs of the ERI in Edinburgh, the RHC in Glasgow, and the Aberdeen Maternity Hospital.

The Best Start emphasises parents as key partners in caring for their baby and aims to keep mothers and babies, and families together as much as possible in the crucial early weeks, with services designed around them. We have a number of measures already in place to support families with babies in neonatal care:

• Providing accommodation for parents to stay on or near neonatal units and facilities within the unit to encourage kangaroo skin to skin care and early support for breastfeeding;
• Roll out of the Young Patients Family Fund (formerly the Neonatal Expenses Fund) to support all families with the costs of travel, accommodation and food whilst their baby is in neonatal care; and
• Repatriating babies to their local neonatal units as soon as clinically possible

As part of the next phase, Scottish Government will be consulting with families in the affected areas on implementation of the proposals, so that we can take account of their concerns when the pathways and processes for the new model of care are designed.

This will affect a very small number of families however it is important that we hear the voices of those families to input into design of service delivery.

Improving menopause care is one of the priorities of the Government’s Women’s Health Plan. There is now a specialist menopause service in every NHS Board, with a buddy system in place for the Island Boards. Women can access accurate and comprehensive information on NHS Inform, where the signs and symptoms of menopause is consistently in the top 10 of most viewed pages, and education and training for general practice is being developed.

The Scottish Government is providing additional investment of over £1 billion for health and social care in 2023-24, taking funding to a record high of over £19 billion. This funding is already supporting menopause services, as well as delivery of specific actions relating to women’s health as we continue to drive forward the implementation of the Plan.

We are determined to ensure that women who need it are able to access care and support for menopause, in primary and specialist care.

Work continues through the menopause actions of the Women’s Health Plan to facilitate women’s access to holistic care. This includes commissioning NHS Education for Scotland (NES) to develop a bespoke training package on menopause and menstrual health for general practice and others working in Primary Care.

The Women's Health Plan: Progress Report published in January 2023 and the recently published Women's Health Plan: Interim Progress Update 2023 provide comprehensive updates on progress of all the actions in the Women’s Health Plan.

Following the testing period the Early Implementer Boards noted that no negative feedback was received from families about the process. However, due to only a small number of babies being transferred this made it difficult to achieve the depth of parent feedback hoped for.

In order to capture parent representation in the Options Appraisal and Best Start Programme Board decision making process, the Chief Executive of Bliss sits on our Best Start Programme Board and was a participant in the options appraisal process, representing the views of neonatal families.

As part of the next phase, Scottish Government will be consulting with families in the affected areas on implementation of the proposals, so that we can take account of their concerns when the pathways and processes for the new model of care are designed. This will affect a very small number of families however it is important that we hear the voices of those families to input into design of service delivery.

The Best Start emphasises parents as key partners in caring for their baby and aims to keep mothers and babies, and families together as much as possible in the crucial early weeks, with services designed around them. We have a number of measures already in place to support families with babies in neonatal care:

• Providing accommodation for parents to stay on or near neonatal units and facilities within the unit to encourage kangaroo skin to skin care and early support for breastfeeding;
• Roll out of the Young Patients Family Fund (formerly the Neonatal Expenses Fund) to support families with the costs of travel, accommodation and food whilst their baby is in neonatal care; and
• Repatriating babies to their local neonatal units as soon as clinically possible

Neonatal units have agreed to continue to seek parent feedback to ensure opportunities to improve the experiences of families are identified on an ongoing basis.

Since its creation in August 2020 and 31st March 2023 the Social Housing Net Zero Heat Fund has awarded £52,188,302 in grant funding. The breakdown across financial years can be found in the following table:

The Scottish Government asks NHS Boards to report on the number of travel claims, accommodation claims and meals reimbursed. The data held by the Scottish Government, as reported by NHS Boards, is set out in the following table.