Seòmar agus comataidhean

I refer the member to the answer to question S6W-14838 on 9 March 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

To support delivery of the National Infrastructure Mission we established the Infrastructure Commission for Scotland to provide long term strategic advice on national infrastructure priorities. Our infrastructure plans build on these recommendations and work is ongoing to develop our infrastructure improvement programme, through developing a new method of appraisal and prioritisation to ensure our infrastructure commitments match long-term goals and in preparing a cross-sector infrastructure needs assessment. This will ensure we are making the best capital investment decisions possible across the public sector to deliver on our ambitious programme for Scotland.

The Infrastructure Investment Plan 2021-25 sets out a hierarchy for infrastructure investment which aids decision making and planning on investment choices by encouraging maintenance and enhancement of existing assets over new assets, where appropriate. This Infrastructure Investment Plan sets maintenance and enhancement as a Scottish Government infrastructure priority and all public bodies, including Local Authorities can draw on this when making investment decisions. The Scottish Futures Trust and Scottish Government have jointly developed an Asset Strategy Guidance note to support the application of the infrastructure hierarchy (link Here ) and have developed a Net Zero Public Sector Buildings Standard to support the whole public sector in making good investment decisions. More information on the Net Zero Public Sector Buildings Standard can be found here: Net Zero Public Sector Buildings Standard and on the Infrastructure Investment Plan, here: Infrastructure Investment Plan for Scotland .

I refer the member to the answer to question S6W-14838 on 9 March 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

Despite the system wide pressures, health boards continue to deliver a primary care out of hours service for the provision of urgent care when GP Practices are closed. Although the 2022 OOH workforce survey showed a decrease of around 97 whole time equivalent GP’s working in the service, it should be noted that the data collection was incomplete with not all Health Boards providing full returns so this figure should be approached with caution as it is not directly comparable with data from previous surveys.

It is also important to note the increased number of other professions which reflects that this service is now provided using a multi-disciplinary model which includes nurses, advanced nurse practitioners and paramedics.

The Scottish Government has continuous contact with Health Boards and has recently engaged with NHS Greater Glasgow and Clyde on the provision of their Out of Hours services.

Despite the system wide pressures, NHS Greater Glasgow & Clyde continue to deliver a primary care out of hours service for the provision of urgent care when GP Practices are closed. Although the figures published on 14 February 2023 report a decline in the number of GPs working in the service it is important to note that this service is now provided using a multi-disciplinary model which includes nurses, advanced nurse practitioners and paramedics.

Additionally, NHS Greater Glasgow & Clyde has advised that in the past 6 months they have successfully recruited 15 salaried doctors to the Out Of Hours service. The Board has provided assurance that this will increase the level of stability going forward.

The Scottish Government has continuous engagement with Health Boards and has had recent contact with NHS Ayrshire & Arran on the provision of Out of Hours services.

The Board has advised that the medical workforce across Ayrshire Urgent Care Service (AUCS) has stabilised over recent years, establishing a core multi-disciplinary team using a mixed model of GP/Advanced Nurse Practitioners (ANPs) for Out of Hours patient care.

Despite the system wide pressures, NHS Ayrshire & Arran continue to deliver a primary care out of hours service for the provision of urgent care when GP Practices are closed. Although the figures published on 14 February 2023 report a decline in the number of GPs working in the service it is important to note that this service is now provided using a multi-disciplinary model which includes nurses, advanced nurse practitioners and paramedics.

It is also important to note the increased number of other professions which reflects that this service is now provided using a multi-disciplinary model which includes nurses, advanced nurse practitioners and paramedics.

The Statutory Guidance for the Scottish Welfare Fund sets out the responsibilities for Local Authorities in their administration of the Fund, including promotion and raising awareness across all potentially eligible individuals. This includes providing information on the Fund and making clear guidance available on how to apply for a grant. Local Authorities are also required to ensure that other services which have contact with people in crisis have up to date information about the Fund, including promotional posters and leaflets.

As recently indicated by the Cabinet Secretary for Social Justice, Housing and Local Government in correspondence to the Committee for Social Justice and Social Security, the Independent Review of the Scottish Welfare Fund is due to publish soon and will inform next steps across a range of areas, including accessibility and promotion.

The Learning Estate Investment Programme’s (LEIP) outcomes Governance Board, which is co-chaired by Scottish Government and COSLA, scrutinises all aspects of the LEIP on an ongoing basis.

The LEIP has undergone a Gateway Review Strategic Assessment, the recommendations of which have been implemented across the LEIP. A further Gateway Review will commence this month.

Scottish Futures Trust (SFT) provides expertise, for example, in programme and data management, schools design, as well as commercial and financial modelling, and the Scottish Government engages regularly with SFT on ongoing management of the LEIP. SFT also managed the previous Scotland’s Schools for the Future Programme which saw the construction of 117 new or refurbished schools and benefited over 60,000 pupils across the country.

The Learning Estate Investment Programme (LEIP) currently comprises of thirty-seven projects. One school project is complete and eight are currently in construction, with the remainder in development by the local authorities. Projects are delivered locally, with a central programme function consisting of design and technical expertise, as well as budget, programme and risk management to support the programme and continue to foster collaboration. Many of the projects are also working in collaboration with other aspects of the public sector with the inclusion of sports, community, NHS and Police Scotland facilities.

The LEIP is subject to the Gateway Review process. In relation to individual projects, post-project reviews and post-occupancy evaluations are required under the LEIP terms and conditions, learning from which will be collated and disseminated to understand if other elements of the programme can also be expanded across other sectors.

The funding model for LEIP has evolved from the concept of the Growth Accelerator model developed by Scottish Futures Trust and Scottish Government, and adapted for the Learning Estate. The aspects that have worked well from both the Growth Accelerator and Learning Estate models - particularly the premise that central funding is for the outcomes investment can achieve, rather than the investment itself - have then been used in the development of the Green Growth Accelerator model, which is currently in use.