While we work with Boards through planning to make best use of existing NHS resources and capacity, we will continue to use the private sector in a structured and prioritised manner. As we deliver new, better and more sustainable ways of delivering services to improve access for patients, we expect the need for private sector capacity to lessen. It is for local NHS Health Boards to determine how they use the private sector and to agree any contractual arrangements.

In 2022/23, total spend on use of the private sector in NHS Scotland represented just 0.7% (£116m) of the total frontline health budget, while in England, it was 6.5% (£11.5bn) of the Department of Health Budget.

Public Health Scotland’s Annual Acute hospital activity and NHS beds information provides information on non-NHS providers; NHS patients treated in non-NHS locations such as private hospitals, hospices, nursing homes, care homes etc. PHS's latest publication, covering 2022-23 shows that there were 2,958 consultant-led outpatient appointments performed by non-NHS providers in 2022-23, or 0.08% of the total that year (3,928,597) Table 1 – Outpatient Activity. During this period figures for new outpatient appointments are 1,988 by non-NHS providers out of 1,273,588 in total (0.16%), involving 1,943 new patients out of a total of 964,316 new patients. There were also 4,962 Continuous Inpatient Stays in non-NHS hospitals out of a total of 1,092,413 (0.45%). This involved 4,779 patients out of a total of 631,731 patients (0.76%) Table 2 – Inpatient and day case activity .

The Scottish Government is committed to ensuring that all children in primary school receive at least two hours of physical education (PE) each school week.

To monitor progress on this commitment, local authorities have provided us with data about provision of PE in their schools since 2012. This data is reported through the annual Schools Healthy Living Survey Statistics Report, which is available through the following web link: Data and Methodology - School Healthy Living Survey: school meal uptake and PE provision statistics 2023 - gov.scot (www.gov.scot) .

Information about schools meeting PE targets is contained on Table 18 of the supplementary statistics spreadsheet in the Schools Healthy Living Survey.

In addition to regular physical education classes there are other physical activity initiatives available for primary school age children, such as The Daily Mile. The Daily Mile is a simple and effective concept which allows all pupils to either run, jog or walk for one mile each day at any time which best suits the needs of the class. Scotland became the world’s first Daily Mile Nation in October 2022.

The Scottish Government places great importance on community sports and leisure facilities. They are crucial to the wellbeing of all our country and most importantly, for our children and young people to be healthy and active.

We have asked sportscotland to undertake a review of the facilities estate which will provide vital information in understanding the sport and leisure facilities provision in the long term. In addition, sportscotland and Scottish Swimming have recently published a detailed research study into the condition of Scotland’s swimming pools.

We are fully aware that local authorities are facing challenging financial circumstances, particularly in the maintenance and operating of facilities, largely due to energy costs and other cost of living pressures. sportscotland will continue to work with its local partners to help them assess the impact of any potential facility closures across the country. In addition, the Minister for Social Care, Mental Health and Sport and officials engage regularly with Community Leisure UK to discuss the local public facilities landscape.

In recognition of the importance of access to sports and leisure facilities, our Programme for Government sets out our intention to convene a working group, including representatives of sports organisations, community organisations and CoSLA, to explore how community access to community facilities, such as the school estate, can be enhanced.

Health and Social Care Management Board (HSCMB) last met on‎ 24 January 2024, and it discussed strategic, tactical, and operational matters which contribute to the delivery of health and care service across Scotland.

The first official meeting of the Flow Navigation Special Delivery Group was held on 4 October 2023. The group meet monthly with 4 meetings having taken place since its formation.

The group is led by the Centre for Sustainable Delivery and consists of clinical and operational leads, for Flow Navigation Centre’s, from each mainland Health Board. It also includes representatives from the Royal College of Emergency Medicine, the Royal Collage of General Practitioners, Primary Care, NHS 24, the Scottish Ambulance Service and the Scottish Government.

Local recruitment is the responsibility of the Health Board however, the Scottish Government actively supports health boards across Scotland to plan locally for service need and for service delivery.

Following our £40 million investment from 2014-2018 to recruit an additional 500 Health Visitors, Health Visitor numbers have remained largely stable. Workforce numbers are published quarterly by NHS Education Scotland (NES) in the National NHS Workforce Statistics.

We continue to work closely with Health Boards to monitor the delivery of the Universal Health Visiting Pathway and to best ensure young families get the support they need.

The NCS COM reference group last met on the 19 May 2022. The meeting was a workshop focused on review of the current system and potential options for future systems. Consideration was given at this meeting to the potential approaches for the structure of the NCS.

All 32 local authorities in Scotland currently participate in the Daily Mile Initiative.

The Scottish Government keeps the eligibility criteria for free school meals under regular review to take account of any developments which may impact upon it. The eligibility criteria was last amended in April 2023. We notify local authorities whenever any changes are made to the eligibility criteria to enable them to invite fresh applications for free school meals under the new criteria.

We are currently reviewing the existing eligibility criteria for free school meals in light of the latest increases to the National Living Wage, which were announced by the UK Government on 21 November 2023.

Scottish Government officials met with NHS Scotland Board Chief Executives on 12 December where they discussed medical locum staffing as one of their priority actions. This follows detailed engagement with Boards regarding the arrangements currently in place for contracting agency staffing, the outputs of which are being used to inform targeted improvement activity in this area.