A short life working group to look at Hepatitis C treatment in people who inject drugs was established in early 2021.

Membership comprised the Scottish Government, Public Health Scotland and clinical representation from NHS Tayside, which was one of the first areas in the world to effectively eliminate Hepatitis C 11 years ahead of the 2030 World Health Organisation target of 2030.

The group recommended exploring the development of a national service, delivered through the community pharmacy network, to provide Hepatitis C testing and treatment to people who inject drugs, and thereby support elimination of Hepatitis C as a major public health threat in Scotland by 2024. Discussions will be taken forward with the representative body, Community Pharmacy Scotland, to explore how the community pharmacy network can support this work.

The Government looks at its entire capital programme on an on-going basis. This includes looking at phasing of, and the delivery arrangements for projects, including Ferguson Marine, in order to allocate resources accordingly to meet our commitments.

During 2020, national treatment targets were suspended in recognition of the necessary response to the covid-19 pandemic, before being reinstated in 2021.

We know that the covid-19 pandemic had a major impact across our health services, including the detection and treatment of Hepatitis C. In considering the re-instatement of Hepatitis C treatment targets, both the impact of COVID and associated steps to manage it were considered by the SHPN Hepatitis C Elimination Group, which comprises clinical expertise from Scottish Health Boards.

A recent PHS report shows that the number of new diagnoses made in 2020 and 2021 were the lowest recorded in the last decade. Encouragingly, however, it also shows that major progress has been made despite the pandemic. For example, there is evidence to indicate that Scotland has already achieved one of the WHO targets set for 2030; 80% of those ever diagnosed having received treatment.

The full PHS report can be found here: Surveillance of hepatitis C in Scotland (publichealthscotland.scot).

The Scottish Government remains committed to eliminating Hepatitis C as a major public health concern by 2024.

We must recognise the impact the covid-19 pandemic has had on services, as well as the monitoring and evaluation of HCV data.

However, despite that impact, PHS recently published a report (“Surveillance of hepatitis C in Scotland”) which shows that major progress has been made on a number of key targets including a large drop in cases in people who inject drugs, with some parts of Scotland seeing as much as a 70% reduction. This is hugely encouraging. As we continue to recover from the pandemic, we must build on that progress and continue to work with key stakeholders to remove this public health threat.

It is for each Board to decide how to deliver healthcare services in line with the needs of their local populations. However, following the suspension of treatment targets in 2020, and after advice from the Scottish Health Protection Network Hepatitis C Elimination Group, national treatment targets were reinstated in 2021 at a level of at least 2000 new treatment initiations for 2021-22 rising to 3000 in 22-23.

Alcohol duty is reserved to the UK Government. The Scottish Government would strongly recommend that the UK Government considers public health as part of any review to alcohol duty.

The Scottish Government believes that the stronger the beverage, the higher the duty should be, as it is the alcohol that causes the harms and stronger alcoholic drinks allow for faster consumption of alcohol. This is in line with the rationale behind our world leading minimum unit pricing policy which targets high strength, low-cost alcohol.

Our Alcohol Framework sets out our priorities for preventing alcohol-related harm. We take a whole population approach to tackling alcohol-related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.

The Scottish Government has not carried out recent assessment of the financial viability of independent, third sector Scottish Hospices.

As confirmed by the First Minister in the Chamber on 15 December 2022, the Scottish Government will meet with Hospice representatives to discuss the pressures they are facing, in common with other voluntary and statutory sectors, due to the impact of increased inflation and energy costs.

The Parole Board for Scotland is required to make a report on the performance of its functions to the Scottish Ministers as soon as practicable after the end of each year, after which this report is laid before Parliament. No specific date has been set as yet for the receipt of the annual report, including accounts, for 2021-22, but this will be laid before Parliament and published in due course.

Alcohol duty is reserved to the UK Government. The Scottish Government would strongly recommend that the UK Government considers public health as part of any review to alcohol duty.

We have made no assessment of the impact of the six-month freeze on alcohol duty on alcohol harm in Scotland. We remain committed to reducing alcohol related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.

Alcohol duty is reserved to the UK Government. The Scottish Government would strongly recommend that the UK Government considers public health as part of any review to alcohol duty.

The Scottish Government believes that the stronger the beverage, the higher the duty should be, as it is the alcohol that causes the harms and stronger alcoholic drinks allow for faster consumption of alcohol. This is in line with the rationale behind our world leading minimum unit pricing policy which targets high strength, low-cost alcohol.

Our Alcohol Framework sets out our priorities for preventing alcohol-related harm. We take a whole population approach to tackling alcohol-related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.