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The Scottish Government supports and encourages an environment where those working in our health service feel confident to raise any concerns they may have, in the knowledge that these will be treated seriously and, where appropriate, fully investigated. Boards are expected to investigate concerns fairly and appropriately in line with national policies.

The Scottish Government expect NHS Forth Valley to work closely with trade unions to address and resolve concerns.

An Assurance Board was established in December 2023 to monitor and scrutinise NHS Forth Valley against an agreed Improvement Plan. The Assurance Board has met 13 times and continues to meet monthly to review progress.

NHSScotland supports and encourages an environment where those working in our health service feel confident to raise any concerns they may have, in the knowledge that these will be treated seriously, and where appropriate, fully investigated. This includes concerns about staffing levels and any compromise to patient safety. Boards are expected to investigate concerns in line with the NHSScotland Whistleblowing Policy.

The Independent National Whistleblowing Officer (INWO) was set up to provide a mechanism for external review where there are concerns of how a Health Board, primary care or independent provider has handled a Whistleblowing case.

Additionally, the Scottish Government seek assurance of the whistleblowing support in place for staff, as well as the process in Boards through regular contact with Board Executives, the Board Whistleblowing Champions, and via the annual Staff Governance Monitoring exercise.

The aim of our long-term staffing strategy for education is to ensure there continues to be a high-quality education workforce that is empowered to deliver improved learning and societal outcomes for all children and young people, and has access to a wide range of effective professional learning.

We are supporting the recruitment of teachers by providing local authorities with £145.5m in this year's budget to protect increased teacher and support staff numbers. We also work with partners on the Teacher Workforce Planning Advisory Group (TWPAG) to determine the number of initial teacher education students required across Scotland.

To help support recruitment and retention of high-quality professionals, we have agreed the most generous pay deal for teachers since 2001, meaning that Scottish classroom teachers on the main-grade scale are the best paid in the UK. The impact of this is shown by the fact that Scotland has the most teachers-per-pupil in the UK.

We are also supporting existing teachers with their wellbeing and ensuring that they have access to high-quality professional learning.

To ensure effective and evidence-informed longer-term teacher workforce planning, the Scottish Government has commissioned an external analysis and research exercise that will bring together a range of factors including current teacher numbers, pupil teacher ratios and the projected decline in the number of school-aged children. This analysis will inform decisions on education workforce planning for future years.

The Programme for Government 2023-24 set out major new commitments on childcare, including how we will test, for the first time, what an all-age childcare system will look like for Scotland in six local authority areas. We are working closely with communities, our partners and providers to consider how the early learning and school age childcare workforce can support these systems, and what they will need to do so. This includes regulation, qualifications, professional development and recruitment planning. We are also supporting a sustainable childcare profession by providing funding to increase pay to £12 per hour to early learning and childcare professionals working in the private, voluntary and independent (PVI) sector who are delivering funded provision.

I recently met with representatives from Community Land Scotland to discuss the Land Reform Bill and I will consider its proposals in the ‘Beyond community benefit – a new deal for thriving communities’ paper.

We are committed to introducing a Land Reform Bill to further improve transparency of land ownership, help ensure large scale land holdings deliver in the public interest, and empower communities by providing more opportunities to own land and have more say in how land in their area is used.

This new Bill will build on our land reform measures to date and will complement existing community right to buy mechanisms. The Scottish Land Fund, which was increased to £11m this year, is available to community groups across Scotland, whether they are acquiring an asset through any of these rights, or entering into a negotiated sale with a willing seller. We have committed to increasing this to £20m by the end of 2026.

The Scottish Government remains committed to developing plans to deliver free breakfasts to all primary and special school children.

The First Minister announced in this year’s Programme for Government that the Scottish Government remains focused on tackling child poverty in Scotland. We know that food provision is an important part of the mission to tackle child poverty, and that is why there is a range of support already in place for families.

Information on students and qualifiers is collected by the Higher Education Statistics Agency (HESA).

The table below shows the number of students who qualified from Scottish HEIs between 2012-13 and 2021-22 academic years grouped by domicile.

Improving Scotland’s health data capabilities remains a key objective in improving outcomes for patients. We are continuing to progress work to implement changes to how we improve data collection on medicine use and outcomes. Changes to existing systems or any new systems take time to develop and implement and we continue to work with Scottish Government colleagues, industry, NHS Scotland and academia to evolve our approach to medicines data.

In relation to the first action, capturing medicines use for patients in all clinical settings, there are several relevant work programmes underway. Hospital Electronic Prescribing and Medicines Administration (HEPMA) has been rolled out in eleven Health Boards and work is underway to rollout HEPMA in the remaining Health Boards. The medicines data from all Health Boards who have HEPMA deployed have been used throughout the COVID-19 pandemic to inform clinical practice and drive improvements. The Digital Prescribing and Dispensing Pathways programme is on track to replace the current paper prescription in Scotland with an entirely digital approach to capturing prescribed and dispensed medicines by the end of this parliamentary term.? There is also progress with the development of a national Homecare (medicines prescribed via hospital specialists and delivered direct to patients at home) medicines dataset whereby third-party suppliers are providing regular data (monthly) to Public Health Scotland (PHS). These data have also been used to support COVID activities and work is progressing to enhance the quality and completeness of data flows.

Action two, including medicine indication in all prescribing systems , is more complex, requires in most of the cases retrospective addition of indication data and is reliant on IT system changes. We are seeking to progress this as part of our wider work programme.

Action three , to create a national laboratory data resource , this is also reliant on work being progressed further in response to the other actions from the report, and we will consider further in due course.

In relation to action four, to improve recording of patient outcomes of medicines , we have funded the Cancer Medicines Outcomes Programme (CMOP) which has developed a robust and reliable process to understand the effectiveness and safety of cancer medicines in routine care in Scotland. We are also funding PHS to establish a National Medicines in Pregnancy surveillance asset. This asset will support monitoring and reporting to progress improvements in the safe use of sodium valproate and other teratogenic medicines in Scotland by identifying and linking medicines exposure with outcomes data sets.

In response to action five, to create a Scottish Medicines Intelligence Unit , the Scottish Government funded CMOP programme has enabled capability building and intelligence in the use of our national SACT (cancer medicines) dataset and this is generating evidence to support the evaluation of the use of and clinical outcomes from all new medicines approved through the Scottish Medicines Consortium Health Technology Assessment process.

The Scottish Government is clear in its expectation of producers to drive mortality to the lowest possible levels. Our Vision for Sustainable Aquaculture articulates our expectation of improvements to fish health and welfare, and we will continue to work with regulators, producers, innovation centres and fish vets to better understand the reasons for mortality and to encourage adaptation to challenges. Increases in sea water production mortality should be considered in the context of the trend seen since 2002, which indicates stable average mortality levels with peaks and troughs in different years.

The Scottish Environment Protection Agency (SEPA) has a number of options in its enforcement toolkit, ranging from informal advice and guidance to the use of formal enforcement measures including final warning letters, statutory notices, monetary penalties, and reports to the Procurator Fiscal recommending prosecution.

SEPA’s licences set out actions operators are required to take and SEPA’s enforcement action is designed to secure compliance using the most appropriate and effective method. Scottish Water has received one fine in the last five years for a sewage spill.

The current lists of Ministerial responsibilities are provided on the Scottish Government website at Cabinet and Ministers - gov.scot (www.gov.scot) .

Where Ministers have recused themselves from an issue within their portfolio to avoid an actual or perceived conflict of interest, this is recorded on the Scottish Government website at List of ministers' interests - gov.scot (www.gov.scot) .

These lists are kept up to date and reflect changes made since 15 June 2023.