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Text messages have been used routinely and positively for many years in NHS Scotland. Scottish Government’s Information and Risk Assurance Team has been working extensively with Health Boards and other NHS delivery partners in assessing the proportionality of using text messages for different purposes, including appointment reminders, medication adherence, health education, and remote monitoring.

The benefits often identified across different NHS organisations include reduction in non-attendance, improved patient engagement, increased adherence to treatment plans, and cost-effectiveness. The Information Commissioner’s Office (ICO) have previously stressed the importance of wording text messages appropriately and advice was given during the COVID-19 pandemic on messages not adding unnecessary confusion and being easy to read. We also recognise that the use of text messages is limited by critical privacy and security requirements and potential for misinterpretation.

The national Connect Me programme has been well received in allowing patients to report information like blood pressure readings via text message to receive feedback based on their condition. Alongside web and mobile app access, this importantly supports public choice in how they engage with NHS services whilst reducing the need for unnecessary appointments.

The Scottish Government is currently working with our partners at COSLA and the Scottish Refugee Council to refresh the New Scots strategy and we are undertaking a series of engagement events to enable both refugees and people seeking asylum to inform the strategy refresh. The first phase of the engagement work began in November and involved refugee leaders and organisations with expertise in supporting people seeking asylum and refugees. A representative from LGBT Health and Wellbeing attended one of these events.

The second phase, focused on those with lived experience, is currently underway and is being coordinated by Scottish Refugee Council on behalf of New Scots partners. It will run until the end of February 2024. This phase includes providing funding to enable local groups to run events which can be tailored to the needs of their specific groups and communities, for example to enable groups to run an event in their community language or to ensure that vulnerable groups have a ‘safe space’ to speak openly. LGBT Health and Wellbeing are liaising with the Scottish Refugee Council to contribute to this lived experience work.

The Scottish Government will publish a Review of the 2019 Food Waste Reduction Action Plan early in 2024 which will outline progress towards the 2025 target. We will also publish the second consultation for the Circular Economy and Waste Route Map, detailing the Scottish Government proposals to deliver our system-wide, comprehensive vision for Scotland’s circular economy to 2030.

We are fully committed to taking action to support the recommendations of the Alternative Pathways to Primary care and to our key aim of ensuring people can access the right care, in the right place, at the right time.

In particular, since 2018, we have significantly expanded the multi-disciplinary primary care workforce, with total staff of 4731 WTE working in multi-disciplinary services including physiotherapy, pharmacy and phlebotomy, at March 2023.

There was an increase of 518 WTE staff overall between March 2022 and March 2023, giving the average practice access to more than 5 multi-disciplinary team members.

However, recognising that implementation gaps remain, we are now also introducing an additional ‘phased investment programme’ working with a small number of areas to demonstrate what a model of full multi-disciplinary team implementation can look like in practice, over an initial 18 month period.

The findings from this work will inform a long-term Scottish Government investment for all areas.

The Scottish Government has now delivered all the bus powers within the Transport (Scotland) Act 2019 (the 2019 Act) and encourages all local transport authorities to consider the full range of tools available to them, to ensure that everyone has accessible public transport regardless of where they are in Scotland. As part of the development and delivery of the bus powers within the 2019 Act the Scottish Government has been engaging with a wide range of stakeholders, including local transport authorities. As part of this engagement we have received interest in each of the Act powers from local authorities across Scotland, however it will be for local transport authorities to decide what flexible tools within the 2019 Act, if any, they want to use to improve bus provision in their area.

The Scottish Government regularly holds cross-portfolio meetings to discuss matters related to public health. The overall governance for cross-portfolio engagement on population health and its drivers is the Care and Wellbeing Portfolio. The most recent cross portfolio meeting under this governance was the Place and Wellbeing Programme Board (which sits within the Care and Wellbeing Portfolio) which last met on 7 December. Matters discussed included progress on how health and social care bodies can operate as effective anchor institutions and contribute to improved public health, as part of the wider community wealth building agenda.

The Care and Wellbeing Portfolio Board, which provides oversight of a portfolio of work to improve population health; address inequalities and improve system sustainability, last met on 26 July 2023.

At that meeting the Board considered joint work across Economy/Health and Social Care Portfolios and Public Health Scotland on economic inactivity and the impact it has on Scotland’s economy and population health. The Board also discussed the Verity House Agreement and the shared priorities of tackling poverty, transforming our economy through a just transition to deliver net zero and, delivering sustainable, person-centred public services. 

The Board next meets on the 24 January 2024 and is scheduled to consider long term planning around population health.

Additionally, the Scottish Government has regular cross-portfolio meetings about wider determinants that contribute to improving public health - including the Tackling Child Poverty Programme Board, the Fair Work Oversight Group and the Ministerial Population Taskforce.

The Scottish Government is committed to ensuring that anyone living with pain is able to access the best possible care and support. Through our commitment to implementing our Pain Management Service Delivery Framework we are seeking to amplify the voices of people who may face inequality on the basis of their sex. We will work collaboratively with other partners to ensure there are appropriate pathways for women with pain and painful conditions.  

In line with our Fairer Funding commitment to embed a multi-year grant approach on all third sector grants by 2026, the First Minister has committed to increasing the number of two-year grants in the forthcoming budget, and longer where possible.

It must be recognised that whilst we would wish to go further we face significant economic uncertainty and it would be wrong to make commitments we cannot sustain.

Local Authorities are accountable to their local communities and have the financial freedom to operate independently, taking account of local needs.

As independent corporate bodies, it is the responsibility of individual local authorities to manage their own budgets and to allocate the total financial resources available to them on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

Ultimately, it is for locally elected representatives to make local decisions on how best to deliver services to their local communities.

This information is not held centrally.

In early 2024, the Scottish Government intends to publish its Review of the 2019 Food Waste Reduction Action Plan. Alongside this, Zero Waste Scotland will publish the 2021 nationwide statistics for food waste.