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There are a range of options available to women who require transvaginal mesh removal surgery. A contract with Spire Healthcare, where Professor Hashim operates, was agreed earlier this year and arrangements for the first patients to travel to Bristol are underway. Furthermore, the Scottish Government can now also confirm that a contract has been agreed with Gynaecologic and Reconstructive Surgery Ltd, Missouri, USA, where Dr Veronikis operates. NHS National Services Scotland will now work closely with NHS GGC and local Health Boards to facilitate the arrangements for those who wish to travel to Bristol or to the USA for mesh removal surgery.

These additional options, alongside the potential for referral to NHS England services, complement the Complex Pelvic Mesh Removal Service in Glasgow. Despite Covid-19, we were able to introduce that service on a phased basis and a number of patients have been seen in the intervening period and have had surgeries carried out. It is expected that NHS Greater Glasgow and Clyde will work towards improving waiting times as services begin to open up more fully.

NHS Scotland Assure has carried out twenty Key Stage Assurance Reviews (KSARs) since it was established. At the conclusion of the KSAR, NHS Assure advises whether it supports or does not support a project. Where a project is not supported, an action plan is prepared by the responsible Health Board with support from NHS Scotland Assure to address the issues identified. The project can subsequently be reassessed. Twelve of the twenty KSARs resulted in a “supported” decision and eight resulted in a “not supported” decision and work is underway to address the issues identified. Responsibility for approving business cases continues to lie with the Scottish Government.

NHS Scotland Assure has so far supported the following projects at the full business case stage:

The increasing options for flexible working available through less than full-time training (LTFT), has had a positive impact on the demographics of the medical profession.

Women’s participation in medicine is currently at a good level. There are proportionately more women than men graduating from Scottish medical schools. The requirement for Scottish trainee doctors (junior doctors) to provide gender details is not mandatory, but of the 4,744 of 6,167 current trainees in medical programmes who have disclosed this information, 2,787 are women against a figure of 1,957 for men. Across the UK, women make up just under 48% of all doctors. However, the number of licenced women doctors has been increasing at a higher rate than doctors who are men, year-on-year.

There are currently 53 trainees in cardiology programmes, of the 37 who have provided information on gender, 11 are women, against a figure of 26 for men. Historically, cardiology has been dominated by doctors who are men, an issue that is not specific to Scotland. In recognition of the gender disparity, the Cardiology Specialty Training Board is taking steps to address the issue. This includes a review of their membership and that of the Speciality Training Committee memberships across the regions, in terms of both gender and ethnicity.

The Scottish Ambulance Service advise that the average call length to arrange transport for scheduled care in June 2022 was 261 seconds. This is the length of time between the call being answered by the call handler and the call ending.

The cost of the call is not held centrally, and varies between the large numbers of telephony services and the tariffs they offer.

Public Health Scotland (PHS) receives monthly data from most NHS Boards on the number of patients covered by the 18 weeks Referral to Treatment (RTT) standard seen within each specialty, including audiology. Due to the aggregate nature of this data collection, the requested detail on average length of wait and age are not available.

However, the following table shows the total number of patients seen and the number that waited over 18 weeks to be seen for audiology services across NHS Scotland, from January 2014 to December 2021 – the latest complete calendar year. This includes all patients reported as seen on the 18-week Referral to Treatment (RTT) pathway for audiology.

Total patients seen and number of patients that waited over 18 weeks, January 2014 – December 2021, NHS Scotland, Audiology

There are no plans to review home educated pupils' entitlement to free school meals at present. Free school meals are not normally provided for children and young people whose parents have chosen to home educate them, as the local authority is not responsible for providing their education. Free school meals would only be provided to children and young people who are not receiving their education at a local authority run school if they had entered into an agreement to do so through their local authority. The Scottish Government is not normally made aware of these arrangements.

Local authorities have the flexibility to make discretionary offers of free school meals to families experiencing financial hardship due to exceptional circumstances if they do not meet the regular eligibility criteria. We would urge any families who are home educating their children and experiencing financial hardship to contact their local authority to enquire about what alternative forms of assistance might be available to them.

Families can also access Money Talk Team, a free service provided by Citizen’s Advice on behalf of the Scottish Government that helps to ensure that families are receiving all available benefits and are not paying more than is required for services. More information about this service can be found online at https://moneytalkteam.org.uk/ or by calling their free phone helpline on 0800 085 7145.

In financial year 2021-22, £12m was allocated to support the wellbeing of people working in health and social care of which £11,515,152 was spent.

The need for Low Emission Zones (LEZs) is for individual local authorities to consider based on specific air quality parameters within their respective areas. To date no LEZ proposals have been submitted for Ministerial approval by Highland Council.

Any local authority considering the introduction of a LEZ would undertake an assessment in accordance with the National Low Emission Framework (NLEF).

Highland Council carried out an NLEF assessment in 2020 and concluded that existing measures contained within their Air Quality Action Plan (AQAP), along with other local measures, would be sufficient to improve air quality within Inverness.

For the current Serco Caledonian Sleepers Ltd Temporary Measures Agreement in place, there is a small, capped, incentive payment linked to performance and not linked to cost base.

As the performance payments relate to potential future revenues receivable by Serco Caledonian Sleepers Limited, this information currently remains commercially sensitive.

The concept design for the Small Vessel Replacement Programme is set to be completed by the end of 2022 with the Single Procurement Document (Scotland) set to issue at the same time.