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The Scottish Government recognises that social prescribing can be an effective method of improving an individual’s physical, mental and social health. It plays an important role in helping us achieve our commitment to prevention, holistic care and Realistic Medicine. Our Primary Care Community Link Worker programme has been in place since 2014 and a 2017 commitment to create 250 Community Link Worker posts in general practice has been achieved.

Due to the wide range of activity which is described as social prescribing, there are many Scottish Government policies and resources which play a role in supporting its delivery. For example, we recognise the important role played by local organisations in supporting the health and wellbeing of their communities and we are working with the community and voluntary sector to look at how we can enhance the capacity of the sector to help those organisations address the challenges they face. The ongoing development by the ALLIANCE of the ALISS online database helps to provide information on community resources and our Green Health Partnership programme led by NatureScot helps to promote the connection between health and the natural environment.

We recognise that there may be a need for more national guidance to support Community Link Workers. We are currently considering how to take that forward in relation to the Community Link Worker programme in Primary Care. While this work will focus on Link Workers in Primary Care, we hope that there will be wider learning that may be able to be shared with the wider social prescribing community.

The Scottish Government does not hold this information centrally as it is a matter for NHS Boards.

The Scottish Government wants to ensure that every child can attain the highest level of health and wellbeing possible.

Between pre-birth and starting school, all children in Scotland are entitled to support from our universal Health Visiting service. In addition, 3- and 4-year-olds are entitled to 1,140 hours of funded early learning and childcare (ELC). We have also invested in targeted early years interventions such as the Family Nurse Partnership, ELC funding for eligible 2-year-olds and perinatal and infant mental health services. This work is underpinned by our Early Child Development Transformational Change Programme which focuses on prevention, better integration of policies, identifying policy and implementation gaps, and building collaboration across the whole system.

The health and wellbeing of school-aged children is also supported by Curriculum for Excellence (CfE). Health and Wellbeing is one of the eight curricular areas in CfE and is one of the three core areas that are the responsibility of all staff in a school. Furthermore, the Scottish Government has invested in the recruitment of School Nurses and School Counsellors, both of whom are able to prevent the escalation of health and wellbeing concerns.

Our work across all child health and wellbeing interventions continues to be guided by ‘Getting it right for every child’ (GIRFEC). GIRFEC is embedded across Scottish Government portfolios and helps to safeguard, support and promote the health and wellbeing of all children and young people.

The Primary Care Multi-Disciplinary team may include local physiotherapy services, community mental health services and community links worker services. These services can often be seen safely and effectively without a prior GP referral.

Through our Phased Investment Programme, which will strengthen the evidence base on the national context for implementation of primary care multidisciplinary teams, we will consider any existing barriers to effective multidisciplinary team working, including any barriers regarding patient pathways to services.

In June 2021, the Scottish Government published a new professional learning resource for school staff aimed at providing essential learning required to support children and young people’s mental health and wellbeing

Education Scotland also offers a comprehensive suite of professional learning resources to support teachers in assessing, monitoring, and enhancing the health and wellbeing of pupils. These include trauma-informed training delivered to over 1,000 practitioners in collaboration with NHS Education for Scotland. Additional Education Scotland resources, such as the and Positive Mental Wellbeing guide practitioners in fostering positive change, are also available.

, launched by Education Scotland in November 2023, further supports educators in building capacity and understanding across the four key themes of Inclusion, Rights and Equalities, Relationships and Wellbeing and Care.

The Scottish Government has established procedures for sharing information on communications campaigns and messaging at key points with territorial health boards. For example, this may involve presenting the results of creative or message testing or post-campaign evaluations. The learnings from these can be applied to the communications activity undertaken by territorial health boards.

A Transvaginal Mesh Implants Learning Package is available on Turas Learn for all primary care staff.

This was issued to all Primary Care Leads and NHS Board leads for Mesh by the Chief Medical Officer in October 2023 along with information and resources including the referral pathway for mesh patients available on the NHS Greater Glasgow and Clyde website, patient information on pelvic floor available on NHS Inform and the importance of sharing information with patients and obtaining fully informed consent using the use of BRAN during consent discussions: what are the benefits, risks, and alternatives, and what if I do nothing.

Topics within the learning package include:

• an introduction and background to pelvic floor disorders for women;

• a review of the background history to pelvic mesh in the UK;

• an overview of pelvic mesh complications; and case studies

The learning package remains the most comprehensive resource for primary care.

As part of their Continuous Professional Development (CPD), GPs are also required to access a wide range of professional development resources to support their continued professional development which includes online learning, information from colleges and interface working with primary and secondary care teams.

Advanced Nurse Practitioners are employed within a range of settings within Primary Care.

The 2023 General Practice Workforce Survey ( ), reports that there are 553.7 whole-time equivalent (WTE) Advanced Nurse Practitioners (ANPs) employed by and working in General Practices.

Alongside this, the ‘Primary Care Improvement Plans - Implementation Progress Summary’ ( ) reports that a total of 219.9 WTE ANPs employed by Health Boards within Urgent Care services.

The latest NHS Scotland Workforce data published by NES ( ) shows that there are 4.8 WTE ANPs employed by the Scottish Ambulance Service, as well as 1.0 WTE ANP employed by NHS 24.

NHS Education for Scotland (NES) support the development and delivery of healthcare education and training for the NHS, health and social care sector and other public bodies. This includes the development of best practice guidelines as appropriate.

With regards to GP receptionists, NES published the Core Competency Framework for General Practice Administration Staff and Practice Managers in September 2023, which includes an accompanying learning needs analysis tools and training packages.

The Scottish Government remains committed to keeping the NHS true to its founding principles – publicly-owned, publicly-operated, and free at the point of need.

Health Boards might arrange treatment for some patients outwith NHSScotland for clinical reasons in exceptional circumstances. In all patient cases, the originating Health Board retains responsibility for the funding, consultation, diagnosis and treatment of their patients.

Guidance on establishing the responsible commissioner has been issued to NHS Boards from the Scottish Government to ensure services are always provided in the best interests of the patient: .

Healthcare Improvement Scotland (HIS) is the national authority for the development of evidence-based advice, guidance and standards for health and care professionals. All Independent Healthcare Service providers, are required to register with HIS who regulate such services in Scotland. It is a matter for HIS to detail specific guidance available, however more information is set out on their website: .