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Local recruitment is the responsibility of the Health Board with the Scottish Government providing support for workforce planning. Since December 2023, Scottish Government officials have met nursing leadership in all territorial Boards and all universities offering the post graduate health visiting course. These discussions included exploring recruitment and retention challenges and successes. Innovative recruitment and retention practices, identified as part of those discussions, will be shared across all Health Board partners.

Attraction and retention of people into nursing and midwifery more generally is a key part of the remit of the Nursing and Midwifery Taskforce. The Taskforce, chaired by the Cabinet Secretary for Health and Social Care, will recommend a workplan of actions to support workforce sustainability, workplace culture, practice, flexibility, recruitment and retention, alongside the diversification of training pathways.

The Scottish Government, in partnership with NHS Scotland, spent the following on national donor gamete campaigns:

(a) Launched in June 2021 the first donor gamete campaign cost £100,000

(b) Launched in October 2022 the second donor gamete campaign cost £35,999.24

(c) Launched in October 2023 the third donor gamete campaign cost £50,519.60

The Scottish Government acknowledges the importance of transparent and comprehensive reporting on integration performance indicators as highlighted in the Accounts Commission’s report, Integration Joint Boards' Finance and performance 2024. The four national performance indicators that have not been finalised for reporting are:

• Indicator 10: Percentage of staff who say they would recommend their workplace as a good place to work.
• Indicator 21: Percentage of people admitted to hospital from home during the year, who are discharged to a care home.
• Indicator 22: Percentage of people who are discharged from hospital within 72 hours of being ready.
• Indicator 23: Expenditure on end of life care.

These indicators are not currently reported on because there is not yet a nationally agreed definition or the necessary national data is either unavailable or not sufficiently robust.

Robust data and digital infrastructure will be a key enabler of both our Data Strategy and the National Care Service. The Scottish Government continues to identify and invest in innovative digital and data solutions to support improvements in social care, and integrated care, such as the integrated social care and health record.

Work is ongoing to develop the integrated social care and health record, including extensive co-design as part of the wider NCS programme, with those who will use the record – such as individuals in receipt of care and frontline staff – at the centre of that design.

As at the end of July 2024, 98 applications to the reopened Independent Living Fund have been received. Of these, eight have completed all steps of the application process and are now in payment. The total annual value of these awards in payment is £162,446, and £7,443 has been paid out to new recipients so far.

While the Accounts Commission’s recommendations are aimed at Integration Joint Boards, the Scottish Government is committed to working with the health and social care sector to support improvement. We have invested a record £19.5 billion in health and social care in 2024-25, including over £2 billion for social care and integration.

The National Care Service (NCS) Bill is currently at Stage 2 and it is our intention for the NCS to be established before the end of this parliamentary term. In June we shared our package of government stage 2 amendments for the Bill with Parliament. Scottish Government officials have been in discussion with Integration Joint Board representatives, including through the tripartite NCS discussions and the ongoing NCS Key Stakeholder Reference Group.

The voices of people who are service users are key in these changes and, as we have been clear from the outset, we will be working closely with them as the plans develop.

Donor gametes (eggs and sperm) are required to treat NHS patients throughout Scotland who require them for their NHS IVF treatment. To ensure that donor gametes are available to patients for their treatment, the Scottish Government/NHS Scotland are currently reviewing data from previous campaigns and considering options in relation to running a future donor campaign.

As with the campaigns in 2021, 2022 and 2023, all prospective NHS gamete donors in Scotland are assessed by a qualified healthcare professional trained to screen out persons whose donations could present a health risk to themselves, to those receiving donated gametes and/or to any child born as a result of the donation. Donors are also advised of the medical process involved in donation and provided with free mandatory counselling to enable them to consider all the implications before going ahead, providing their consent, and donating.

Scottish Government welcomes the comments of the British Dental Association Scotland that the new system represents an improvement on the previous Statement of Dental Renumeration.

Official statistics published by Public Health Scotland on 28 May 2024 show that in the quarter ending 31 March 2024, over 1 million patient contacts were delivered by NHS dentists and there were three quarters of a million free at the point of use enhanced examinations.

This is indicative that Scottish Government intervention is supporting patient access to care.Ongoing assessment of the sector will provide information to support any future interventions, in particular around equality.

The answer to S6W-28648 stated that 3,308 certificates of exemption for XL Bully dogs have been issued to dog owners by the Scottish Government during the period 1 April 2024 to 31 July 2024. This reflected the number of exemptions issued when the PQ answer was developed and there can be a short time lag between an answer being drafted by the Scottish Government and the PQ being answered.

The figure that was provided by the Scottish Government to the Scottish Sun newspaper was that, as of Thursday 1 August, there have been 3,342 applications for exemption certificates for XL Bully dogs approved.

The difference in figure is explained by the time-lag noted above meaning that 34 additional manually produced exemption certificates issued by the Scottish Government after 31 July 2024 were included in the figure given to the Scottish Sun, but not in the PQ answer.

It may be helpful to be aware that the Scottish Government is continuing to work through a small number of cases where XL Bully dog owners have met the legal requirement to apply before 31 July 2024, but still require to provide additional information in order for their exemption application to be processed and granted.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

SPS currently share information regarding the number of individuals released under Emergency Early Release (ER) on the SPS website. Further work has commenced on an analysis of the entire ER tranche data, and the SPS hope to be able to publish a full data report, which will be available on the SPS website by the end of August.

SPS continue to be as open and transparent as possible, whilst continuing to meet our statutory obligation to ensure that those in our care have their personal information protected; as such we have taken the decision not to publish a breakdown of establishments of those released under the ER scheme as some of the data could relate to a small group of individuals, which may lead to their inadvertent identification. SPS will however, share information that does include individual local authorities and health boards as part of the released data set.

Following Stage 2, we will provide a revised Financial Memorandum for Stage 2 amendments that have been agreed to which will also note the value of costs incurred to date on the Bill.