Seòmar agus comataidhean

The Scottish Government continues to prioritise investment in health and social care and to work with health boards to address financial pressures across the system. Investment of over £73 billion over the Resource Spending Review period, and a further £1.3 billion capital investment to 2025-26, will support recovery and redesign of services and delivery of a financially, environmentally and socially sustainable health service.

The upcoming NHS Climate Emergency and Sustainability Strategy calls for Health Boards to focus on energy efficiency measures and the generation of on-site renewable electricity through solar panels and wind turbines. Short and medium term reductions in electricity use will provide reductions in cumulative emissions, i.e. the total emissions resulting from the NHS over the period, as well as limiting energy bills.

The Scottish Government’s Heat in Buildings Strategy sets out that its Green Public Sector Estate Decarbonisation scheme will invest a minimum of £200 million between 2021-2026 in public sector energy efficiency and decarbonisation improvements. Health Boards have successfully applied for funding in the first round of that scheme and will be supported to apply to future rounds as well. Up to £50,000 of pre-capital funding is also available per organisation to carry out measures such as energy audits to inform the development of energy efficiency and transition programmes.

Everyone needs a safe, warm place to call home, but I know that news of energy price rises will cause many people to worry about their fuel bills. My foremost concern is for households who are affected by these price rises, particularly those who are in or at risk of fuel poverty.

I also know that many energy consumers have seen their direct debit payments increase during this time, some to an excessive degree based on their usage. Unfortunately, regulation in the gas and electricity supply markets remains reserved to the UK Government meaning the Scottish Government’s potential actions are limited.

Within this context we have remained in contact with the UK Government and the energy regulator, Ofgem to raise the concerns of Scottish consumers in light of the large scale changes we are seeing in the energy market.

Rent Service Scotland does not request official data from the Private Rented sector on Landlords leaving the sector.

Rent Service Scotland does not request nor hold official data on Landlords exiting the market.

The Scotland Reserve provides the Scottish Government with a limited facility to manage the smoothing of all types of spending, assist the management of tax volatility and manage the timing of expenditure between financial years. As the cap is not index linked it has remained at £700m since it was implemented in 2017. In real terms it becomes proportionately smaller each year.

Under the terms of the Fiscal Framework the Scottish Government is unable to overspend its budget in a financial year. It must therefore achieve a net underspend each year and these amounts are carried forward within the Scotland Reserve to be utilised in future years.

The balance within the Scotland Reserve following the 2021-22 Provisional Outturn exercise was £650 million . This amount, subject to any adjustments as part of the Final Outturn process, will be drawn down in full to support 2022-23 spending plans as outlined in the Budget. This means the Scotland Reserve balance will be reduced to nil, allowing for an underspend of up to £700m in 2022-23 to be recorded without breaching the Reserve.

Later in the financial year 2022-23 there will be greater certainty around the funding position and spending levels. Financial management will focus on ensuring the Scottish Government achieves a balanced budget without breaching the Scotland Reserve cap. This will take the following into account:

• Ensuring sufficient headroom is included in the Scotland Reserve for a net underspend still to be achieved following post year-end accounting and audit adjustments
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• Including any targeted carry forward balances to support future financial years. In the recently published Medium Term Financial Strategy there is an assumption of £279 million of funding from the Scotland Reserve being used to support 2023-24 which would be factored into the Scotland Reserve workings. This figure is subject to change as part of the 2023-24 budget as well as any in-year revisions as circumstances change.

This process will then be replicated in financial year 2023-24 with a full draw down of any carry forward amounts in the Scotland Reserve.

The Scottish Government welcomes the announcement that the former Dawnfresh site in Uddingston will continue to operate under new owners, Thistle Seafoods, and understands that the sale included the transfer of 40 employees. We strongly encourage the company to take forward its plans to develop and grow the business with Fair Work as a key driver for achieving sustainable and inclusive economic growth.

Scottish Enterprise, Scotland's national economic development agency, has engaged with Thistle Seafoods and is arranging a meeting with the company to understand its future plans for the business and will explore potential support, whilst outlining the expectations of businesses trading in Scotland including around Fair Work and Net Zero ambitions. In line with the Bute House Agreement, the Scottish Government will introduce a requirement on public sector grants recipients to pay at least the real Living Wage to all employees and to provide appropriate channels for effective workers’ voice, such as trade union recognition.

It is important to note that while employment law remains reserved to the UK Government, we will use our Fair Work policy to promote fairer work practices across the labour market in Scotland.

The final recruitment figures under Action 15 of the Mental Health Strategy 2017-27 will be published today, 12 July, at 10:30am, at Mental health workers: quarterly performance reports - gov.scot (www.gov.scot) . A total of 958.9 whole time equivalent mental health staff have been recruited in key settings over 4 years, significantly exceeding the original commitment for 800 additional workers.

The independent analysis report of the responses to the not proven verdict and related reforms consultation will be published today, 12 July 2022 and will be available at https://www.gov.scot/isbn/9781804356890 .

The consultation received 200 responses, of which 21 were from organisations and 179 from individuals, and these will also be published today, where we have permission to do so, at https://consult.gov.scot/justice/not-proven-verdict/ .

We must now give careful consideration to the full range of views received on these complex issues. The findings from this consultation analysis, along with a range of other information and evidence from engagement and consideration of the issues, will inform the decision making process on any potential recommendations for reform.

Any potential reforms will be considered alongside wider work, including the outcome of the current consultation on improving victims’ experiences of the justice system . That consultation includes consideration of those recommendations of the Lord Justice Clerk’s review on improving the management of sexual offence cases which require legislative change to implement.

We fully understand that women want mesh removal surgery undertaken by surgeons who enjoy their full confidence and a range of measures are now in place to ensure that this happens.

The Complex Pelvic Mesh Removal Service has been established in NHS Greater Glasgow and Clyde (GGC). This service assesses needs and where appropriate, and subject to shared decision making and informed consent, performs mesh removal surgery. The Service has undertaken a number of mesh removal surgeries since its designation, despite the impact of the pandemic on activity levels across the Health Service. To complement Scottish services women can also, if they so wish, request to be treated at one of the NHS England Specialist Centres.

In addition, and exceptionally, women now have the option to request to be referred on to one of two independent providers. 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, I am pleased to be able to announce today 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 the USA for mesh removal surgery.

It is expected that anyone seeking mesh removal from either Professor Hashim or Dr Veronikis first discuss this with their local clinicians within their own Health Board. If considered appropriate at that stage, and in line with a process agreed with the independent providers, they would then be referred to the Complex Pelvic Mesh Removal Service in NHS GGC for consideration by a full multi-disciplinary team (MDT). If it is agreed that surgery is appropriate, the patient can choose to be treated by the service already available in NHS Scotland or to be referred to a specialist NHS centre in England or to one of the independent providers. Each of these options will be available free of charge. I would encourage anyone who wishes referral to one of these services to make their wishes known to their clinical team, if they have not already done so.

Through the ClimateXChange centre of expertise the Scottish Government has received expert advice on the use of animal feed additives which have the potential to reduce methane emissions. This advice has suggested that more data are needed to assess the full potential of feed additives and feed materials in reducing methane emissions from livestock.

FSS and FSA are responsible for assessing animal feed safety in GB. Any new innovative feed material would be considered through the feed risk analysis process. For feed additives these are products that require to be authorised by the GB regulated product process before they can be sold and used in animal feed in GB and may only be used for the purpose stated in the authorisation. The FSA and FSS carry out the risk analysis process for regulated products such as feed additives and provide advice to Ministers who decide whether the product can be placed on the market in England, Wales and Scotland. Feed additives intended to reduce methane production in ruminants are new and highly innovative feed additives and within the GB regulated products application process are being categorised and risk assessed as; zootechnical feed additives under the functional group ‘as substances which favourably affect the environment’.