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On top of the £1.9 billion provided to support COVID pressures in health and care this year, as set out in the statement, the £300 million represents additional investment to specifically support winter pressures.

This is funded from health and social care consequentials.

Public Health Scotland publish figures and on the number of acute beds broken down by NHS Board of Treatment and Specialty.

The most recent annual publication, covering April 2020–March 2021, was published on 29 September 2020.

I refer the member to the answer to question S6W-03808 on‎ 8 November 2021. 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.

We are committed to ensuring that people with chronic pain are involved in decisions about the services they use. We have established a Patient Reference Group for Chronic Pain, convened and run by the Health and Social Care ALLIANCE, to ensure that the views of those with lived experience are included in Government policy development and service improvement work.

Representatives from the Group are members of the National Advisory Committee for Chronic Pain and have been equal contributors (alongside third-sector groups, researchers, NHS decision-makers and those on the frontline delivering pain management services) in developing a new Framework for Pain Management in Scotland.

Any claims of bullying and intimidation of patient representatives on the Committee by officials are untrue. All members of the National Advisory Committee are free to make whatever contribution they wish to discussions. However, all committee members must abide by the behaviours set out in the Terms of Reference, including the values of respect and mutual collaboration. The National Advisory Committee last met in May 2021 and since then we have communicated with members by correspondence, including reminding them of the behaviours set out in the Terms of Reference.

We will be reviewing how we can best engage the chronic pain community in order to help inform implementation of the Framework to ensure we improve services, support and outcomes for people with chronic pain.

Ministers are not responsible for individual staffing decisions. However, I am confident that the officials involved in supporting our policy development for chronic pain are suitably trained and equipped to do so as set out in my response to question S6W-02871 on 21 September 2021. 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.

There are no plans to undertake an immediate metastatic breast cancer audit. Our focus currently remains on maximizing available clinical capacity to see patients. Our £114.5m National Cancer Plan has a range of measures aimed at benefitting all cancer patients, including implementation of a single point of contact resource that will support patients throughout their pathway, and after discharge, including those with secondary breast cancer. We are however giving further clinical consideration to possible audit work in this area while recognising the ongoing severe pressures in our NHS.

We continue to monitor closely and assess this next phase of the pandemic. The current package of statutory measures is considered an appropriate public health response to the incidence or spread of infection in Scotland in line with our strategic intent to suppress the virus to a level consistent with alleviating its harms while we recover and rebuild for a better future. We have acted to give as much clarity and consistency as possible to individuals, businesses, and sectors within society, and we will continue to do so. The fact that COVID-19 continues to be a threat – to individual health and to the capacity of our health system – is the reason why our existing mitigations remain in place.

However, we are keeping these measures under review, with regular reviews scheduled every three weeks. As part of this process, we will consider whether any existing mitigations need to be strengthened in light of what the data is telling us.

Cabinet Secretaries and officials have renewed efforts to engage with sectoral stakeholders to re-invigorate stronger messaging on the need to comply with existing baseline measures. This means taking all possible proactive steps to promote and reinforce baseline measures, the promotion of advisory precautionary measures and sector specific good practice in all sectors.

As set out in the Programme for Government 2021 - 22, published on 7 September 2021, the Scottish Government is committed to establishing a dignified and compassionate miscarriage service by the end of 2023.

Work is underway to progress this commitment, which aims to support the development of individualised care plans after a woman’s first miscarriage, take forward specific recommendations made in the Lancet series on miscarriage published on 26 April 2021 and ensure women’s services in Health Boards have dedicated facilities for women who are experiencing unexpected pregnancy complications.

We are committed to meaningful engagement with UK Government and with the devolved governments. The Scottish Government has frequent and ongoing engagement across the Four Nations. The First Minister has been taking part on a weekly basis in four nations ministerial calls – until the UK government cabinet reshuffle last month these were chaired by the Chancellor of the Duchy of Lancaster (as Minister for the Cabinet Office) and they were also attended by first ministers from the other devolved governments. We are now re-configuring these calls with Mr Gove in his new role as Minister for Intergovernmental Relations. The Cabinet Secretary for Health and Social Care also takes part in weekly meetings with counterparts from the UK Government and other devolved governments. We are working extensively with the UK and Welsh Governments and Northern Ireland Executive and seeking to make decisions on a ‘Four Nations’ basis where possible and appropriate. However, it is wholly right and appropriate that we respond to the virus in a way that is right for Scotland, that works in our context and offers us the flexibility to adapt to our changing circumstances. Similarly, UK Government is entitled to make their own decisions on measures that they introduce in England, but it is important to remember that these decisions apply in England only. This includes on Plan A and Plan B.

We are working closely with colleagues in Public Health Scotland to develop systems that will collect key data to inform service planning, delivery of clinical standards, and improvement across Scotland. In the first instance we have commissioned an audit of prevalence for neurological conditions from primary care system and we anticipate this data collection will begin during 2022.

We are also working with the Neurological Alliance of Scotland to distribute the first national patient experience survey specifically for people with neurological conditions.

Public Health Scotland collects waiting times data for neurology, which informs current practice in relation to service improvement. We are aware that the pandemic has impacted on waiting lists for neurology clinics and are currently implementing programmes to mitigate this situation. We are working with NHS boards through the Centre for Sustainable Delivery to implement more efficient ways of working such Patient Initiated Review and Active Clinical Referral Triage. These can be applied in various neurological conditions.

Regarding the cost of treating neurological conditions, service areas within NHS health boards carry their own budgets and associated financial improvement plans to manage and improve efficiency of their spend across specialties. Neurology spend data is collected as part of the annual Costs Book exercise published by Public Health Scotland, and we continue to work with health boards and consider data issues as part of this.