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The Scottish Government is committed to delivering a more equitable and accessible approach to the provision of equipment and adaptations. Our revised guidance on the Provision of Equipment and Adaptations is statutory guidance issued under Section 53 of the Public Bodies (Joint Working) (Scotland) Act 2014. This means that responsibility for delivering it and assessing its impact rests with Integration Authorities.

This includes capturing data which evidences the value that effective and efficient community equipment and adaptation provision makes to the delivery of key service goals. However, to support national implementation of this guidance, the Scottish Government works closely with our national Equipment and Adaptations Network to support good practice and aid a more consistent approach to implementation.

The Scottish Government held discussions about its plans for walk-in services with the British Medical Association on 12 and 15 October and on 12 November. Walk-in services were discussed with the Royal College of General Practitioners on 15 October and on 12 November.

There have been no discussions with the Royal College of Nursing.

There are well-established processes, set by the Courts, to assess the amount to be paid to a successful party seeking to recover its legal costs. The Scottish Government is following these processes and has committed to publish its final costs associated with For Women Scotland Ltd v The Scottish Ministers once these costs have been agreed.

The cost incurred to date in relation to the planned National Treatment Centre in NHS Ayrshire and Arran, NHS Grampian, NHS Lanarkshire, NHS Lothian and NHS Tayside is as follows.

Postgraduate medical education and study leave are funded differently in England and Scotland. In England study leave is managed by each region whereas in Scotland it is managed centrally by NHS Education for Scotland and there are differences in the funding available and what it can be used for.

In monetary terms an allocation of £600 per person is made in Scotland and £812 per person in England. In England, some local offices have an approved list of study leave courses for each specialty which can restrict access to opportunities that are not on the generic list unless there are special circumstances. In Scotland, each application is reviewed for appropriateness against curriculum requirements and while lists for each programme are in development they are for guidance only rather than approval.

The notional study leave allocation for each resident doctors in training is £600 annually but this is not a limit and, as requirements vary from year to year, where necessary doctors are provided additional study leave funding depending on curricular demands and availability. Resident doctors in training receive 30 days per year in study leave time, not including any study leave which is utilised to provide courses for all doctors including Leadership and Management training and simulation training. Foundation doctors have less access to study leave but are able to apply for taster experiences where they can shadow a resident doctor in a specific specialty. More information is available at https://www.scotlanddeanery.nhs.scot/resident-doctor-information/study-leave/.

Study leave for resident doctors is managed centrally by NHS Education for Scotland. All resident doctors in training, irrespective of board location, have access to the study leave budget. This includes regional or nationally provided courses, and individual training programme budgets. For further information, I refer the member to the answer to question S6W-41661 on 13 November 2025. 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

GP Sustainability Loans are made by agreement between Health Boards and individual GP surgeries: the Scottish Government does not oversee an application process.

The following table shows how many loans have been agreed between Health Boards and individual GP surgeries in each year since 2018 and how much has been allocated to Health Boards by the Scottish Government for disbursement.

I welcome the Breast Screening Modernisation Board’s report, which was submitted to the Scottish Government earlier this year, and which we expect to publish by the end of November.

The report includes a number of important recommendations to strengthen the breast screening programme, the most important of which is to move to a single management model, so that breast screening retains local delivery, but with a single point of oversight and leadership. Screening Oversight and Assurance Scotland have been commissioned to take forward work on this recommendation as a priority.

The Scottish Fire and Rescue Service (SFRS) continues to employ permanent Community Safety Advocates across Scotland, who work alongside colleagues in local areas to undertake important community safety and prevention work.

SFRS continues to invest significantly in their prevention work, which is reflected in both the current Service Delivery Review and the recent publication of the SFRS Strategy 2025-2028 | Scottish Fire and Rescue Service.