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In the following table I have outlined the amount of grant money awarded to each board since 2007. We are unable to confirm the amount to each dental provider as it would potentially breach commercial in confidence.

Funding for Community Mental Health and Wellbeing Supports and Services for children, young people and their families has been distributed to each local authority area as follows:

Childsmile funding is provided annually to Boards through i) the Outcomes Framework and ii) direct allocation from the General Dental Services (GDS) budget.

The Outcomes Framework is a single source of funding to NHS Boards which provides for local flexibility on resource allocation to deliver clearly defined outcomes. The Framework has a strong focus on delivering strategic priorities such as prevention and reducing health inequalities.

Following years of non-recurring funding, £72 million was provided to NHS Boards in 2023-24 on a recurring basis to deliver all Outcomes, including deliverables on Childsmile. Funding for individual components of the Outcomes Framework, including Childsmile, is not separately identifiable within the total allocation and therefore no meaningful disaggregation can be provided.

In addition to Outcomes Framework funding which is provided to every Board, some Boards also receive direct programme allocations from the GDS budget to support Childsmile activities on a national and/or regional basis. Allocations provided to these Boards are therefore not indicative of activity undertaken within the geographic location given the co-ordinating role they undertake, and have not been provided in breakdown although they are included in total programme allocation.

The total value of allocations associated with Childsmile in each of the last five financial years is set out in the following table:

All allocations in the Local Government Settlement are published on the Government Website at: 4 Tables and Interactive Dashboard - Scottish Local Government Finance - Green Book: 2024-2025 - gov.scot (www.gov.scot)

The allocations for school counselling services for 2024-25 is as follows:

The current phase of Clyde Metro is being led by Strathclyde Partnership for Transport, working alongside Glasgow City Council and with Transport Scotland providing support in a project assurance role.

I am advised that the multi-partner project team has been engaging with colleagues from the Trams to Newhaven project and across the private and public sector to learn from experiences elsewhere in the development of mass transit projects and ensure lessons learned and best practice are embedded within Clyde Metro’s future development.

The M8 Woodside Viaduct is a vital element of Scotland’s motorway network, carrying approximately 150,000 vehicles daily. Installation of the temporary propping system, required to enable permanent repairs, will continue through the 2024-25 financial year. It is anticipated that the project will be Transport Scotland’s largest capital-funded transport project in Glasgow during this period.

Other significant Government-led transport projects in Glasgow in 2024-25 include the East Kilbride rail enhancement project (£54.1m for 2024-25), active travel infrastructure projects and investing in Glasgow’s City Region Deal. This response does not consider projects by other authorities e.g. Glasgow City Council.

Scottish Government policy for design quality in healthcare (DL(2010)19) looks to ensure that these elements are considered by designers and NHS Boards. This is assessed by the NHSScotland Design Assessment Process (NDAP) provided by NHSScotland Assure in conjunction with Architecture and Design Scotland (A&DS) is the vehicle for assessing design quality in NHSScotland Capital funded healthcare facilities developments and is an integral part of the Business Case process. The NDAP, along with the Sustainable Design and Construction (SDaC) requirements, ensures that a well rounded and measured assessment is made of the requirements of the objectives of each project they review.

This Wolfson Economics Prize competition of 2021 provided numerous innovative submissions in response to the problem question. Each of the runners up and the winner of the prize provided interesting responses to specific strands of healthcare design. The main themes featured in the Wolfson Economic Prize finalists are embeded in the NDAP and SDaC process to ensure sustainable, Person Centred Care.

The potential use of biodegradable barrier tape is an operational policing matter for Police Scotland. The Police Scotland Environmental Strategy 2021 sets out the context, pathway and implementation plan for reduction of energy, resource and carbon across the organisation.

The Scottish Government has no plans to designate lisdexamfetamine (Elvanse ® ) as a specialist medicine or to explore options for commissioning the direct procurement of this medicine through National Services Scotland’s NHS National Procurement.

Manufacturing issues and increased global demand are the main reasons for attention deficit hyperactivity disorder (ADHD) medicine supply issues and as such it is unlikely that a central procurement of lisdexamfetamine (Elvanse ® ) or of any other ADHD medicine would offer an effective solution. This is anticipated to be a short term problem.

The regulatory powers on the supply of medicines, are reserved to the UK Government and the Department of Health and Social Care’s Medicines Supply Team are co-ordinating the shortage of ADHD medicines at a UK level. Advice has been issued to healthcare professionals including on the availability of unlicensed imports. In addition, the UK Government has added lisdexamfetamine (Elvanse ® ) to the restricted medicines lists – which means it cannot be exported out of the UK.

The Scottish Government recognises the impact of these global shortages on people living with ADHD and their families. Scottish Government officials continue to engage with the UK Government on this supply issue and other shortages. NHS Scotland has robust systems in place to manage medicine shortages when they arise. Anyone affected by this issue should speak to their clinical team.

Specific evaluations of the Childsmile programme are undertaken by the University of Glasgow. Publications can be viewed online at https://www.gla.ac.uk/ .

More broadly, the National Dental Inspection Programme (NDIP) monitors the general oral health of children in Scotland. The latest NDIP statistics published in October 2023 showed that 82% of P7 children have no obvious decay, compared with 53% in 2005. In addition, the difference in the percentage of children with no obvious decay in the most and least deprived areas decreased from 26.3 percentage points in 2009 to 16.1 percentage points in 2023.

This shows the success of our flagship Childsmile Programme. Fluoride varnish is a key element of Childsmile and there are no plans to remove this aspect of the programme.