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The Good Food Nation (Scotland) Act 2022 (Commencement No. 1) Regulations 2023 were laid before the Scottish Parliament on 16 June 2023. These regulations will bring into force most of the provisions in the Good Food Nation (Scotland) Act 2022 that relate to the national Plan. These include sections relating to the preparation of the Plan and the requirements for inclusive communication, which enables us to go out to public consultation on the first national Good Food Nation Plan this summer.

Other sections that will come into force this December relate to giving Parliament the chance to have its say on the Good Food Nation Plan and will begin the cycle of reporting and reviewing of future Good Food Nation Plans. Finally, Section 6 which relates to the effect of the national Plan, will be commenced in separate regulations at the time of the publication of the final Plan in late 2024.

It remains the Scottish Government's intention to undertake public consultation on the Good Food Nation Plan this summer and to then lay the draft national Good Food Nation Plan before Parliament in 2024. We expect the final version will be published later in 2024, when the Food Commission is to be established. Good Food Nation Plans that are to be prepared by Local Authorities and Health Boards will follow in 2025.

We continue to work with key partners across Scotland to ensure that information, with the appropriate safeguards in place, is available to all staff when and where they need it. Regional Clinical Portals support NHS Boards to allow clinicians to access different pieces of information about an individual patient as a single electronic record including those patients from other NHS Boards if and when required.

The portal will scan the many clinical systems searching for records pertinent to the patient and assemble the results into a meaningful view on screen. The portal also allows a clinician with suitable access scrutinise the clinical information presented for a more detailed view, and to move into other systems without having to re-authenticate or reselect the patient.

Community Pharmacy gained access to the Emergency Care Summary (ECS) for all community pharmacists and registered technicians during COVID 19. It remains available in all NHS Boards, and is an effective tool to deliver enhanced and efficient patient care.

The Scottish Government is aware of emerging access issues within NHS Dumfries and Galloway, noting that this is an area which has suffered disproportionately with dental workforce issues in the past – an issue has only been heightened by the significant loss of EU workforce as a result of Brexit.

While an overall assessment of the impact of local access issues has not been undertaken, as it is a matter for the NHS Board, Scottish Government is working closely with the recently appointed Board Dental Taskforce to help understand and mitigate against the drivers of access issues. This includes strategic planning on the design and implementation of more sustainable dental services across the Board area. While this work continues, unregistered patients will continue to be able to access emergency and urgent care via Public Dental Service clinics.

The Scottish Government is committed to ensuring that all people living in Scotland with chronic lymphocytic leukaemia are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and have people at the centre of their care.

Clinical nurse specialists (CNS) make a valued contribution to delivering services and supporting patients and families who require specialist care. The Scottish Government has invested over £2.4 million annually in the Specialist Nursing and Care Fund since 2015, which continues to increase access to CNS nationally.

The Scottish Government has overall responsibility for health and social care policy in Scotland; however, the statutory responsibility for delivering or commissioning services at a local level lies with local authorities, NHS Boards and integrated health and social care partnerships. Operational decisions, including whether there is a need for lymphocytic leukaemia specialist nurses, are therefore matters for those bodies.

However, within cancer services we have piloted 12 Single Point of Contact (SPoC) programmes. This approach will ensure patients with a confirmed or suspected diagnosis of cancer have dedicated person-centred support to discuss their specific circumstances.

As this is an operational matter for Scottish Water I have asked them to respond. Their answer is:

The number of interns Scottish Water hired in each year since 2013 is set out in the table below. In 2020, the Covid 19 pandemic impacted Scottish Water’s ability to support internships and this continued to have an impact in 2021 and 2022.

Throughout the 1140 expansion we have sought to improve conditions across the private, third and childminding workforce delivering funded ELC, including through our investment to support sustainable rates to be set at a level to enable payment of the real Living Wage to those workers delivering funded ELC . Evidence from the Financial Review of the ELC Sector highlights that when the ELC expansion began around 80% of practitioners and 50% of supervisors in private and third sector settings delivering the funded ELC were paid an hourly rate below the real Living Wage. In contrast, our 2021 Financial Sustainability Health Check indicated that 88% of funded ELC providers in the private and third sectors intended to pay the real Living Wage to all their staff from August 2021.

As set out in the supporting Funding Follows the Child and National Standard Contracting Guidance it is expected that within the contract terms and conditions for funded providers local authorities will set out expectations regarding payment of at least the real Living Wage to all childcare workers delivering the funded hours.

In partnership with the sector and local authorities, we have taken important steps to improve our understanding of real Living Wage progress, and to support providers to deliver higher pay and Fair Work. To support this we have established a real Living Wage and Fair Work Implementation Group to explore implementation challenges and potential solutions to help all childcare providers become real living wage employers. The first meeting of the Group took place on 15 December 2022. The group is due to reconvene shortly.

We are also collecting further information regarding the payment of the real Living Wage as part of our update of the Financial Sustainability Health Check; and through the joint Scottish Government and COSLA Review of Sustainable Rates. Both of these reports will be published this Summer.

According to the latest Scottish Government Early Learning and Childcare census data from September 2022, 99% of 3- and 4-year-olds, and 14% of 2-year-olds, are estimated to be registered for funded early learning and childcare (ELC), and 18% of these child registrations are of children with additional support needs. The 2022 Parents’ Survey found that 85% of parents with children with additional support needs were satisfied that funded ELC meets their child’s needs.

Although we do not have data on how many hours of funded ELC these children are accessing, given these overall figures we envisage that a significant proportion of eligible children with additional support needs are currently accessing their entitlement to 1,140 hours of funded childcare. We are currently developing the ELC census and are looking to collect more information on the characteristics of children accessing funded ELC, and the hours they are registered for.

Routine spending information that councils report does not distinguish between spending on 600 hours of funded ELC and spending on the additional hours provided by the expansion. The Scottish Government has therefore gathered separate financial information on spending on the expansion from councils three times. However, despite best efforts, the information gathered does not provide a comprehensive picture of how much councils have spent specifically on the expansion at a national level. Measures are being taken by the Scottish Government to change reporting through local financial returns to produce more detailed information on how much councils have spent specifically on the provision of funded ELC.

The University of Strathclyde, through a PhD project co-supervised with Marine Directorate staff, is involved in data collation and stock assessment modelling for demersal fish stocks in the Clyde. The project uses fisheries-dependent data (from logbooks for landings), routine Marine Directorate on-board observer sampling data (for fish not officially landed), and fisheries-independent data from the Scottish West Coast groundfish survey. The PhD project is in the writing-up phase, aiming to submit at the end of the summer 2023.

I am proud of what we have achieved with the expansion to 1140 hours, and I was pleased to see Audit Scotland recognising that the Scottish Government, local authorities and partners did well to deliver the expansion despite the challenges of a global pandemic. I was also pleased to see Audit Scotland conclude that most parents are happy with the flexibility available as part of the expanded Early Learning and Childcare offer. Providers in the private, third and childminding sector have an important role to play in continuing to offer this flexibility.

Recognising the need to support the sector the Scottish Government made more than £35 million of dedicated financial support available to private, third and childminding sector services during the pandemic; we have legislated to continue the Nursery Rates Relief Scheme, which provides 100 per cent relief on Non-Domestic Rates to eligible day nurseries beyond the previous end date of 30 June 2023; and we have funded pilot programmes of targeted Business Gateway support to enable childcare providers to access tailored, specialist advice on strengthening their businesses.

Childminders are a valued part of our ELC sector, providing a unique form of high quality childcare in a nurturing home-based environment. We continue to work closely with the Scottish Childminding Association to support a successful childminder recruitment pilot aiming to recruit and train 100 new childminders in remote and rural communities. We are also supporting a second phase which is trialling this recruitment model in urban communities within Edinburgh, Glasgow, Dundee and East Renfrewshire.

The Scottish Government is committed to supporting a diverse, sustainable and thriving childcare sector. However, I recognise there are real challenges facing the sector as a result of delivering an expansion in the face of the pandemic, Brexit and now the costs crisis. The Scottish Government is committed to working closely with every part of the childcare sector to understand and address these issues together. I hosted a round table with sector representatives on Tuesday 18 April to hear about challenges and opportunities for the sector, and I will be undertaking a programme of engagement over the next few months.