Chamber and committees

The Scottish Government is committed to continuing its work on preventing, raising awareness and improving our understanding of Lyme disease and ticks.

The Scottish Government-led Lyme Disease Awareness Raising Group will run the Lyme Disease Awareness Raising Campaign in May 2024 to coincide with National Lyme Disease Awareness Month. During which patients, activists, educators and Government will share information through social media and other platforms to raise awareness of Lyme and other tick-borne diseases.

In May 2023, the group ran the Lyme Disease Awareness Raising Campaign which saw posters in community pharmacies across Scotland. The campaign was supported by PR activity, organic social media and stakeholder engagement for wider messaging dissemination. In addition to the posters, pharmacies were provided with information cards for customers to take away which included a QR code to link to further information on NHS Inform

A follow up campaign was carried out in summer 2023, with posters provided for display in local libraries, GP surgeries, community and leisure centres to highlight signs and symptoms to people holidaying in Scotland and may have missed the May campaign.

The campaign assets were shared with a variety of stakeholders including Visit Scotland, the Lyme Resource Centre, and Ramblers Scotland. A small-scale evaluation was undertaken in July in relation to engagement and impact of the May campaign.

The Scottish Health Protection Network (SHPN), comprising Public Health Scotland (PHS) and NHS Health Boards, as well as Local Authorities and other agencies with a responsibility for public health, formed a Lyme disease group as a subgroup of the Gastrointestinal Infections and Zoonoses (GIZ) group at the beginning of 2016.

The Scottish Government continue to work closely with PHS and the as well as the SHPN Tick Borne Diseases subgroup which has developed content for an e-learning module to be made accessible through Turas for all health care workers in Scotland which is hoped to be ready this spring. The module covers an overview of ticks and tick borne diseases and focusses on the common presentations of Lyme disease which will allow care workers to diagnosis and treatment for the diseases early.

In addition, the Scottish Government will continue to use its own platforms to highlight the need to be tick aware and to set out the signs and symptoms of possible infection.

I refer the member to the answer to question S6W-26312 on 8 April 2024. 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 .

In conjunction with Scottish Government and wider stakeholders, NHS Education for Scotland (NES) are leading the development of a national midwifery career framework, although this is not a formal commissioned piece. The work is being overseen by a steering group, chaired by the Chief Midwifery Officer.

The steering group has already developed a Midwifery Preceptorship Framework to support those starting their career in the midwifery workforce and a Midwifery Development Framework Ecosystem has also been created to underpin the framework activity. A development framework for Level 2-4 Perinatal Healthcare Support Workers is nearing completion with a draft framework for consultation anticipated in April 2024.

In addition, the group will consider career development in Bands 5-9 across the four pillars of practice.

Auditory Verbal UK is a suitable therapeutic intervention for some young people, and it remains an option that can be pursued by local health boards.

The provision of services including suitable therapeutic intervention remains a matter for local authorities and health boards.

A wealth of evidence is being collated and analysed as part of the 2024 Clinical Review of the Scottish Referral Guidelines for Suspected Cancer, including from key partners Cancer Research UK and Healthcare Improvement Scotland. All factors that are relevant in the context of symptoms suspicious of cancer based on available evidence, that could support primary care decision-making, will be considered in the Guideline review. The prostate peer review session (PRS), as part of the Review, is scheduled for May 2024.

Officials met with every Health Board’s Cancer Management Team in March 2024 to discuss their plans for implementing, or sustaining, a Rapid Cancer Diagnostic Service. All possible funding options for both existing and future services will require careful consideration, locally and nationally.

At present, no consideration has been given for patients to self-refer to a Rapid Cancer Diagnostic Service. The focus remains on working towards population based coverage to an RCDS for eligible patients by Spring 2026. While we will continue to monitor emerging evidence from UK and international counterparts who have established similar Rapid Diagnostic Centre models, primary care currently play an integral role at the point of referral for RCDS patients. As well as undertaking key initial tests to support triage in secondary care, patients are informed of the process ahead so they can make informed decisions about their care.

Our priority is to ensure those people referred for suspected cancer or via screening programmes receive the appropriate diagnosis and treatment safely, based on their clinical urgency. To specifically support scope-based diagnostics, we have published a £70m Endoscopy and Urology Diagnostic Recovery and Renewal Plan, including provision of additional endoscopy training places via the NHS Academy to future-proof the workforce and provide additional diagnostic capacity to reduce waiting times.

Figures on arrests or charges related to particular offences are not held centrally by the Scottish Government, the most recent figures shared by Police Scotland were provided in the answer to question S6W-21328 on 27 September 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 .

Up until the end of February 2024, 40 charges under the Fireworks and Pyrotechnic Articles (Scotland) Act 2022 were reported to the Procurator Fiscal. Of those 40 charges, 20 charges have thus far been prosecuted. There have been 4 convictions, 2 charges did not result in a conviction, and the other 14 charges are part of ongoing prosecutions. A breakdown of prosecutions by offence are set out below:

• Section 21 (Prohibition on providing fireworks or pyrotechnic articles to children): T here have been a total of 5 prosecutions. These are all ongoing at present.
• Section 35 (Prohibition of pyrotechnic articles in public places): There have been a total of 7 prosecutions. There has been 1 conviction while the other 6 are ongoing at present.
• Section 36 (Prohibition of pyrotechnic articles at designated venues or events): T here have been a total of 8 prosecutions. There has been 3 convictions and 2 acquittals, while a further 3 are ongoing at present. One of the cases which is still ongoing under this section is also aggravated as per Section 44 of the Fireworks and Pyrotechnic Articles (Scotland) Act 2022.
• Section 44 (Aggravation of offences against emergency workers): 77 aggravations have been recorded. Thus far, there have been 8 prosecutions, and 1 conviction.

Through its Just Transition Fund, t he Scottish Government has supported industry-led development of a practical Skills Passport that works for the different offshore energy industry sectors, recognising the cross-sector skills of workers, and the importance of supporting a fair and managed transition.

We understand that the key industry bodies leading on the Passport's delivery intend to make a statement in relation to next steps on the project shortly . We will have a clearer understanding of when we can look forward to an initial version of the Passport being available for workers to access after this announcement.