The funding and commissioning of specialist and general palliative and end of life care services, including workforce planning and allocating resources for staffing, is a matter for Integration Joint Boards (IJBs). It is the responsibility of IJBs to plan and commission adult palliative and end of life care services for their areas using the integrated budgets under their control.

Scottish Government officials will continue to engage with Health and Social Care Partnerships (HSCPs) and Scottish hospices in relation to supporting local planning, commissioning and resourcing of independent hospice care.

The National Institute for Health and Care Excellence (NICE) multiple technology assessment (MTA) final guidance is currently expected to be published on 20 March 2024.

As the Scottish Medicines Consortium (SMC) is partnering with NICE in the assessment of these medicines, the SMC will publish recommendations aligned with the final NICE guidance thereafter for Health Boards in Scotland to consider.

Following the most recent request from the Scottish Hospice Leadership Group and Hospice UK on 20 November for remedial funding to address their estimated deficits, as well as a new national funding framework and arrangements to future proof partnership and funding arrangements, I convened a round table with independent hospices and Health and Social Care Partnerships on 5 December. I indicated that unfortunately, their ask for funding remains unaffordable.

The financial position across Scottish Government is extremely challenging and work is ongoing to identify measures to address the continued challenges in 2023-24 and beyond.

Integration Joint Boards are responsible for the governance, planning, and resourcing of adult palliative care services, including hospices, using the integrated budget under their control. We will therefore also continue to work with Integration Joint Boards and independent hospices to explore solutions and options for longer term sustainable planning and funding for the hospice sector.

The new Palliative Care Strategy aims to ensure that everyone in Scotland, regardless of location, receives well-coordinated, timely and high-quality palliative care, care around death and bereavement support based on their needs and preferences, including support for families and carers.

We are aware of the importance of ensuring that the Strategy takes account of the differing needs of people living in rural and island areas, and of the particular challenges in these areas. Work is currently being undertaken to understand the lived experiences of users of palliative care services in rural and island settings. We have also asked our working groups, who are feeding into the Strategy, to give particular consideration to the impact that any actions they are recommending may have on rural and island areas.

I refer the member to the answer to question S6W-22774 on 21 November 2023. 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.

I welcome the Medicines and Healthcare products Regulatory Agency’s (MHRA’s) recent extension to the licence for Kaftrio ® and Kalydeco ® to include children aged two to five years old which will help address the unmet needs of younger children with cystic fibrosis in Scotland. I can also confirm that, while the National Institute for Health and Care Excellence (NICE) multiple technology appraisal (MTA) is ongoing, all existing and new patients in Scotland who are on, or who are started on, a CF medicine, including Kaftrio ® , will continue to have access to that CF medicine after NICE and the SMC issue their final recommendations. This will be irrespective of the outcome of the appraisal and will cover any need to subsequently switch to a different CF medicine.

We recognise the significant impact on people, businesses and communities in areas affected by storm Babet. The Scottish Government is committed to playing its part in helping them through this horrible experience which has destroyed so many people’s property and belongings.

We recognise the significant impact on people, businesses and communities in areas affected by storm Babet. The Scottish Government is committed to playing its part in helping them through this horrible experience which has destroyed so many people’s property and belongings.

The number of Expansion Posts created in 2023 was not impacted by the reprofiling of the Health Workforce Expansion Posts budget line, as set out in the letter from the Cabinet Secretary for Finance to the Finance and Public Administration Committee of 21 November 2023. The number of postgraduate specialty training expansion posts to be added in 2023 was set by Scottish Ministers in late 2022, on the basis of recommendations from the Scottish Shape of Training Transitions Group.

The Expansion Posts budget line was reprofiled in 2023, following the budget setting process for the 2023-24 financial year. The number of specialty training expansion posts being recruited to was not amended as a result of the reprofiling of this budget line. The budget was reprofiled in accordance with the application of directorate savings targets in the 2023-24 financial year; £3 million was the savings target for Health Workforce, with the saving being applied to the Expansion Posts line for budgeting and accounting purposes. The savings target was applied to this line as historically the forecast budget for Expansion Posts has exceeded actual costs incurred in year.

The Primary Care Reform and Delivery Budget total was £262,500,000 in 2023-2024.

Reductions, slippage and reprofiling has taken place across a variety of programmes focused on GP workforce, sustainability, rural healthcare, data and digital improvements.

As part of work being undertaken to develop the new palliative care strategy, we are working with Public Health Scotland to get a better understanding of population-level palliative care needs now and in the future, both nationally and locally.

We are working with local health and social care partnerships to identify how best we can support a local population based approach to palliative care, so that everyone can access specialist and general palliative care as needed by each person, whatever their illness or condition.