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Internationally renowned modelling company Operational Research in Health (ORH) were commissioned by the Scottish Ambulance Service to carry out an analysis on 7 years’ worth of data to help inform the review of demand and capacity.

ORH used a population growth data to predict future demand and resources required to meet performance standards. This included patient demand, types of clinical presentation, on scene times, at hospital times, travel times, vehicle tracking data, resourcing levels, receiving hospitals, station locations, rest periods and standard operating procedures.

In addition, Working Time Solutions were also commissioned to assist with the design and implementation of rosters that better match demand profiles.

Following approval, SAS will publish the third phase of the business case.

The pandemic paused the Oral Health Improvement Programme, which was developing, through Design Groups, preventive and patient focused care through the New Model of Care.

The clear focus for Scottish Government is to recover and stabilise NHS dental services, enabling the sector to emerge from the pandemic in a condition to improve patient access to care. The recovery of the sector will support the development of the longer term reform programme, building back the sector to support necessary strategic reforms that develop the work that was developed in the Design Groups pre-pandemic.

Scottish Government has signalled some key areas for the reform programme through fee changes that were put in place form 1 February, in particular the preventive Childsmile element, focus on deprivation and harmonisation of examination fees for adult and child patients.

The Scottish Government is committed to resuming the pause to self-referrals for those aged 71 and over as soon as it is feasible. The Breast Screening Programme Board (BSPB) agreed that the option for women over 70 to self-refer into the breast screening programme should resume once all screening centres are able to offer those aged 53-70 their breast screening appointments within 39 months of their previous screening. However, in recognition of the anxiety the pause is causing, the screening programme is exploring whether there are other options that will accelerate the restart without unduly impacting appointment times for the eligible screening population. Any decision will be informed by clinical advice and the on-going pandemic.

In the meantime, the programme is working hard to increase capacity, including by deploying additional mobile units and offering appointments at evenings and weekends.

Regardless of their age, women should remain symptom aware and report any symptoms to their GP immediately for these to be investigated.

a) There are six breast screening centres across Scotland. For women aged 53-70 years who were screened between 1st April 2020 and 31st January 2021, the average interval between screening episodes was 41 months across Scotland.

The average interval between screening episodes, broken down by screening centre, was as follows:

East – 46 months

North – 40 months

North East – 42 months

South East – 41 months

West – 38 months

South West – 39 months

b) It is not possible to provide information on the current longest interval between screening episodes; however, within the period between 1 April 2020 and 31 January 2021, 2% of those screened had an interval between screening rounds of greater than or equal to 51 months.

It should be noted that the data provided to answer this question is management information that has not been subject to quality checks applied on an official publication.

As of 31st January 2022, 54,726 women in Scotland have waited more than 36 months since their last breast screen. Data presented in relation to S6W-06127 on 28 February 2022 sets out the average length of time between screening appointments by screening centre. Historically, the Scottish Breast screening Programme has invited around 260,000 women per year. In 2019-20 just under 270,000 women were invited.

The programme continues to recover from the March 2020 Covid-19 related pause, and the National Screening Oversight, Scottish Screening Committee and Breast Screening Programme Board (BSPB) continue to work with health boards to increase the number of available appointments, including through deploying additional mobile breast screening units and providing additional appointments during evenings and at weekends.

It should be noted that the data provided is management information that has not been subject to quality checks applied on an official publication.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at /chamber-and-committees/written-questions-and-answers

The Scottish Government acted on requests by retail organisations not to launch the consultation in the run-up to Christmas which is the busiest trading period and may not have allowed retailers the full opportunity to share their views. We took the opportunity to liaise with a short-life working group and update the consultation in line with the most recent emerging evidence.

A full public consultation into proposed restrictions on the advertising and promotion of vaping products was launched on February 3. The consultation will run for 12 weeks and all responses will be independently analysed.

In light of the pressures of the COVID-19 pandemic, the wellbeing of our health workforce, wherever they work, remains a key priority. The 2021/22 pay uplift saw staff receive an average 4% pay rise, the highest in the UK. The Scottish Government is committed to ensure that NHS Scotland nursing staff continue to benefit from the best pay and conditions in the UK.

In 2021-22, the Scottish Government made £12 million available to support the wellbeing of the workforce. This includes £8 million from the NHS Recovery Plan to provide ongoing wellbeing support for the workforce alongside an additional £4 million to provide further support to address winter pressures.

To complement this at a local level, we also have a range of resources including the National Wellbeing Hub, a 24/7 National Wellbeing Helpline, confidential mental health treatment the Workforce Specialist Service and funding for additional local psychological support. We are also providing further support for practical measures to aid rest and recuperation alongside additional resources such as Coaching for Wellbeing and grief and bereavement support.

Nursing and midwifery staffing is also at a record high, up by 13.1% since September 2006.

Scottish Water set out in its 2021 Delivery Plan its expectation that it would invest between £570m and £650m (excluding responsive repair activity) in 2021-22. Scottish Water forecasts that it will outturn in the upper half of this range.

It is possible for Scottish Water Business Stream Holdings Ltd to pay dividends to Scottish Water Horizons Holdings Ltd and this has been done in the past. It is not possible for Scottish Water Business Stream Holdings Ltd to pay a dividend to Scottish Water as Scottish Water is not a direct shareholder and this has not happened in the past.

It is possible for Scottish Water Horizons Holdings Ltd to pay dividends to Scottish Water but this has not happened to date.