Scottish Government has asked Health Board Chief Executives within each region to nominate a lead Chief Executive to plan and deliver the changes to neonatal intensive care through the Regional Planning infrastructure. Health Boards will submit detailed implementation plans to the Best Start Programme Board and the NHS Chief Operating Officer, with the expectation that the National model is rolled out by 2025. To support planning, the Scottish Government has commissioned national modelling and capacity work.

The Best Start Implementation Programme Board is considering the future role of the Perinatal Sub Group (which undertook the Options Appraisal Process) to support implementation.

It is the responsibility of the Regional lead Chief Executives to determine whether they will set up implementation working groups and set their terms of reference and membership, and whether they will publish their papers. Timescales for completion of implementation have been set by the Scottish Government.

Funding allocated to Alcohol and Drug Partnerships (ADPs) is for both alcohol and drug treatment services. In 2022-23, £106.8 million was made available to ADPs, increasing to £112.9 million in 2023-24. This funding is used to ensure that local services meet the needs of people who experience alcohol and drugs harms.

On 7 September 2023 I supported a Member’s Debate Motion calling for investment in alcohol services - outlining the Government’s plan to reduce harm from alcohol misuse. The plan includes measures to improve access to treatment and support, including through stabilisation and crisis management, expansion in local assertive outreach services and increasing the availability of residential rehabilitation placements. The plan also includes working with partners and stakeholders to implement alcohol treatment standards – building on the forthcoming UK-wide Clinical Alcohol Treatment Guidelines which are currently out for public consultation until 8 December 2023.

Families told us, as part of the Best Start engagement process, that they wanted the best care possible for their babies. Evidence tells us that the very smallest and sickest babies will get the best outcomes if they care cared for in high volume units.

This change will affect families in many different parts of Scotland, and the Chief Executive of Bliss sits on the Best Start Programme Board and was a participant in the options appraisal process, representing the views of neonatal families.

Scottish Government will be consulting with families in the affected areas on implementation of the new model, so that we can take account of their concerns when the pathways and processes for the new model of care are designed. This will affect a very small number of families, however, it is important that we hear the voices of those families to input into design of service delivery.

Neonatal units will also continue to seek parent feedback locally to ensure opportunities to improve experiences of care for families are identified.

As set out in the Programme for Government, we are committed to prioritising capital spending to achieve net zero and maintain high quality public infrastructure across Scotland. We have been consistently open about the challenges facing our capital investment plans and tough decisions will need to be taken at the 2024-25 Budget to ensure we remain fiscally sustainable.

The challenging economic conditions of the last few years resulting from Brexit and high inflation as well as the real terms fall in the capital grant allocation from the UK Government has significantly impacted our ability to deliver on all capital infrastructure commitments. Given the economic challenges we face, we have committed to refreshing the multi-year capital spending envelopes and resetting the infrastructure project pipeline, including road projects, alongside the 2024-25 Budget.

The Scottish Government expects that where Health Boards are aware of any patient who has been adversely affected by any poor-quality infant auditory brainstem response (ABR) assessment, the relevant Health Board follows up with the patient and their family to provide appropriate support, reassurance and advice on next steps.

This Government understands the critical role of rehabilitation in supporting people affected by chest, heart, and stroke conditions, long COVID and other long-term health conditions. We are committed to ensuring that all adults who require rehabilitation have timely access to the right information and services by the end of 2025 through our Once for Scotland Rehabilitation Approach.

Our Heart Disease Action Plan, Respiratory Care Action Plan and Stroke Improvement Plans recognise the importance of timely and equitable access to care for people living with chest, heart and stroke conditions. We are working closely with NHS Boards and people with lived experience, as well as our national advisory groups as we implement these strategies. We have also established a £10 million long COVID Support Fund to support NHS boards to increase the capacity of existing services, develop these into more clearly defined local pathways and provide a more co-ordinated experience for people living with long COVID.

We are aware that people living in remote and rural areas may face disparities in access to health care. To address this we are committed to publishing a Remote and Rural Workforce Strategy and have recently established a National Centre for Remote and Rural Health and Social Care.

The Scottish Government is considering all of the recommendations made as part of the Independent Review of Audiology Services in Scotland.

Although it is NHS Boards who are responsible for ensuring staff receive the appropriate training and ongoing development to be able to undertake their role safely and effectively, in response to the concerns highlighted by the Independent Review the Scottish Government has provided Health Boards with £26,000 to support further training in auditory brainstem response (ABR) assessment for staff working in paediatric audiology services.

The Scottish Government does not hold this information.

I refer the member to the answer to question S6W-22410 on 7 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