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I have not personally carried out a first-hand Inspection of the A75.

Transport Scotland’s Operating Companies have a contractual obligation to inspect the trunk road network at 7-day intervals. These inspections are primarily to identify defects that require prompt attention (Category 1 defects) because they present, or could present, an immediate hazard to road users. For road surface Category 1 defects, the Operating Companies are required to carry out temporary repairs by 6am the following morning and permanent repairs within 28 days.

Lesser defects and general deterioration which do not necessitate such an immediate safety-led response are then considered with findings from annual condition assessments of the network to help determine future maintenance schemes. These include assessments of the strength of the road depth and also road surface conditions (including skid resistance). Resultant schemes may include localised patching repairs or larger maintenance schemes, which are then considered against competing priorities across the trunk road network and programmed accordingly.

All NHS Boards in Scotland provide Insulin Pump Therapy in line with National Clinical guidance.

Across Scotland provision of insulin pump therapy has increased more than fourfold since 2010.

Latest published data shows NHS Dumfries & Galloway performance for children under 18 years old at 35.1% - which demonstrates excellent progress against the target of 25% set in Chief Executive letter issued in 2012 (CEL04(2012)). NHS Dumfries & Galloway have confirmed that they continually look to expand the service. The Board continues to provide insulin pump therapy for all clinically appropriate children and young people.

All planning applications are subject to a neighbour notification process where the planning authority sends written notification to the owners, occupiers or lessees of neighbouring land within 20m of the site. If there is no property to which the written notice can be delivered on one or more adjacent sites, a notice must be published in a local newspaper.

For major applications, there is an additional requirement for pre-application consultation (PAC) in which, prior to making an application, the prospective applicant is required to publicise their proposals and consult with the local community. The prospective applicant must, as a minimum, consult community councils and hold at least one event for members of the public, which must be advertised locally.

The neighbour notification and PAC requirements are set out in the Town and Country Planning (Development Management Procedure) (Scotland) Regulations 2013 . As a further step in the on-going review of planning, following the completion of the Planning Bill process we will consider changes to those regulations, including our intention to require more than one event as part of the PAC to allow for feedback to be provided to the local community before an application can be made.

Local authorities undertake regular safety inspections of public roads in order to comply with their statutory duties in terms of maintenance and safety. The Scottish Local Government Benchmarking Framework gives details of the condition of the local authority road network.

The trunk road network covers approximately 3500 km and as Minister for Transport and the Islands I do not personally carry out a first hand inspection of the trunk road network.

Transport Scotland’s Operating Companies have a contractual obligation to inspect the trunk road network at 7-day intervals. These inspections are primarily to identify defects that require prompt attention (Category 1 defects) because they present, or could present, an immediate hazard to road users. For road surface Category 1 defects, the Operating Companies are required to carry out temporary repairs by 6am the following morning and permanent repairs within 28 days.

Lesser defects and general deterioration which do not necessitate such an immediate safety-led response are then considered with findings from annual condition assessments of the network to help determine future maintenance schemes. These include assessments of the strength of the road depth and also road surface conditions (including skid resistance). Resultant schemes may include localised patching repairs or larger maintenance schemes, which are then considered against competing priorities across the trunk road network and programmed accordingly.

50 additional widening access places. Additionally, the ScotGEM programme will provide 55 new places, with a particular focus on working in remote and rural areas across Scotland; over the next 10 years this will generate an additional 330 medical graduates. Furthermore, through our National Health and Social Care Workforce Plan we have committed to providing up to 100 additional medical places by the end of this parliament.

28 days.  

Since 2007 over £40m has been spent maintaining the A76. This includes the recent delivery of schemes as follows;

A76 Skerrington Roundabout to Cairn Road Overbridge (£361k)

• A76 Templeton RBT to Little Heateth (£864k)

• A76 North of Barleith to Bellfield Rbt (£227k)

• A76 Barleith (£162k)

Patching works are also planned for the A76 at Dalpedder and Overcairn Farm before the end of the current financial year. In the 2018-19 financial year, there are several major re-surfacing schemes programmed as follows;

A76 Horsecleugh Underpass to Glenramskill Avenue (£296k)

• A76 Crockroy to High Cairn (£237k)

• A76 Pennylands Burn to Barony Rd Underbridge (£428k)

• A76 Holywood Station (£147k)

• A76 North of Barburgh Quarry (£176k)

NHS Dumfries & Galloway has advised there is always GP out-of-hours cover provided across the region. Dumfries & Galloway operates 3 Out of Hours Hubs across the region, in Dumfries, Stranraer and the Machars. On the occasions when Dumfries has no Out of Hours GP cover, the GP in Stranraer triages calls and vice versa. Stranraer provides support to the Machars when there is no out-of-hours GP available.

NHS Dumfries & Galloway will put in place a number of contingency plans when no GP is available in a particular area, which include liaising with accident and emergency departments and re-triaging patients to a more appropriate place for support and treatment.

NHS Dumfries & Galloway has established a transforming urgent care working group to improve the current staffing situation which includes using advanced nurse practitioners, specialist paramedics and prescribing pharmacists to provide care to those patients where it would be appropriate to do so.

The Scottish Government is aware of challenges in recruiting GPs to work in out-of-hours services across Scotland, including within NHS Dumfries and Galloway. 

Scottish Government officials regularly attend the monthly National Out-of-Hours Operations Group, which is attended by both NHS Board clinical and management leads where any local out-of-hours service issues are raised.