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.

I refer the member to the answer to question S6W-08949 on 26 July 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

The Scottish Government launched the Social Care Staff Support Fund on 25 June 2020 to ensure that social care workers receive their expected income should they be off ill or self-isolating due to coronavirus.

Staffing costs claimed through sustainability payments encompass the Social Care Staff Support Fund, the staff movement policy and other additional staffing arrangements therefore, we do not have data broken down to the level that you have requested. The guidance for the financial support for social care providers recommends a light touch approach to gathering evidence, recognising the administrative burden of claiming additional costs on both commissioners and providers alike, whilst they respond to the pandemic.

Feedback from stakeholders confirms that the Social Care Staff Support Fund has been utilised to prevent financial hardship for eligible social care workers.

The Scottish Government expects the Bank to publish its Gender Equality Strategy later this summer. As part of a wider Equality Strategy, we expect this to set out the Bank’s approach to advancing equality in Scotland across its activities and in line with legislative requirements, including those of the Scottish National Investment Bank Act.

We recognise the impact long waiting times can have on a patient, from both a clinical and mental health perspective. At this stage in recovery from the pandemic, long-waiting patients must be considered a priority.

Work is underway, through the Care and Wellbeing Portfolio, to provide more active support to people whilst they are waiting for treatment. This will include the launch this summer of a national system that will provide information on waiting times by health board and by specialty.

More information on ‘waiting well’ and accessible services will also be made available for people to manage their conditions while they wait for treatment.

To date 10 patients have requested referral to either Dr Veronikis or Professor Hashim. It is possible, however, that this number will increase once the contract arrangements with Dr Veronikis have been finalised and the formal referral pathways are in place.

For complex mesh removal surgery, case review by a specialist multi-disciplinary team (MDT) is seen as pivotal in ensuring that all clinical considerations are taken into account in the planning of surgery which meets the needs of the patients. With the agreement of the independent providers, prior to referral, patients will be discussed by the MDT in Glasgow to ensure that they are fit for surgery and that all relevant diagnostic investigations have been undertaken. If, after careful consideration by both the MDT and the patient, it is agreed that surgery is appropriate and the patient wishes to be referred to either Dr Veronikis or Professor Hashim, the team in Glasgow will facilitate this in conjunction with their local specialist within their local Health Board who will then share in the ongoing care of the women following their surgery.

The National Treatment Centre (NTC) Programme will deliver the single biggest increase in protected planned care capacity ever created in NHSScotland. The network of 10 NTCs will deliver capacity for over 40,000 additional planned procedures and diagnostic care across 12 specialties.

Within the next 18 months, NTCs will open in NHS Fife, NHS Forth Valley, NHS Highland and at NHS Golden Jubilee specialising in orthopaedic surgery. On 13 April, we also announced £1.8m of funding to purchase a private hospital in Ayrshire (Carrick Glen) to be developed into a new National Treatment Centre specialising in orthopaedics.

As well as significant investment in new infrastructure, the new NHSScotland Centre for Sustainable Delivery is also leading work to explore new and innovative ideas to reduce In Patient / Day Case and Outpatient waiting times. Examples include:

• The rollout of Active Clinical Referral Triage, to provide patients with information about non-surgical interventions and self-management options;
• Patient Initiated Reviews, enabling patients to be escalated if their condition deteriorates and reduces routine appointments while supporting patients in a safe and clinically appropriate manner; and
• Enhanced Recovery after Surgery pathways, designed to support patients achieve faster recovery after surgery.

It is clear that the changes in working practices and budgets will offer opportunities to right-size the portfolio and improve efficient delivery of services to the public. There are no details of any savings available yet as the multi-year programme has not started. The first phase of the programme will begin this year and will look to gather and validate existing estate information and to plan for a place-based approach across the public sector. Subsequent phases will identify opportunities to work towards an optimal, greener and interoperable public sector estate.

The scope for reform applies to all public bodies. After years of growth in the public sector, due to Brexit and the pandemic, we need to reset. We expect all public bodies to demonstrate that they remain fit for purpose against the present and future needs of Scotland’s people, places and communities. The spending review provides a platform for engagement ahead of the next budget. We do not intend to take the same approach as set out by the UK Government, but we do need to reshape and refocus. We will work together across the public sector to look creatively at reform in order to become more efficient and deliver better outcomes.