Chamber and committees

Transport Scotland is preparing to undertake an evaluation of the A77 Maybole Bypass Project which opened to traffic on 31 January 2022. The evaluation will be undertaken in line with Scottish Trunk Road Infrastructure Project Evaluation (STRIPE) Guidance, comparing conditions one year after (1YA) opening with forecasts of the impacts made during project design and development. The evaluation will consider scheme objectives; operation, including traffic flows and journey times, environment; safety; economy; integration; accessibility and social inclusion and cost to government. Transport Scotland is aiming to complete this work and publish the evaluation report on Transport Scotland’s website by March 2024.

Full dualling of the A77 was not recommended by the South West Scotland Transport Study (SWSTS), because of the significant cost and environmental impacts when compared with the other transport options for improving travel on this route. In addition, full dualling does not align well with the Sustainable Investment Hierarchy as defined in the second National Transport Strategy.

Only once an intervention is recommended at the Case for Change stage, as the SWSTS represents, would the costs and benefits or disbenefits of not building an option be considered as part of the later stages of the business case process.

The Scottish Government recognises the strategic and economic importance of the A77 Trunk Road which was reflected in publication of second Strategic Transport Projects Review (STPR2) in December 2022. Under recommendation 40, safety, resilience and reliability improvements are to be made on the A77 strategic road corridor. This could include, but is not limited to, enhancing overtaking opportunities, widening or realigning carriageways and improving junctions.

In January 2022, resurfacing and lining works were completed at Dutchhouse roundabout. Whilst there are no current minor improvement schemes planned for the Whitletts or Dutch House Roundabouts at the moment, through our ongoing maintenance of the A77, a resurfacing scheme for the A77 Whitletts roundabout including new Intelligent road studs is currently planned for the 2024-25 financial year.

A new Detect Cancer Earlier campaign – Be The Early Bird – was launched on 6 th March 2023 and ran for four weeks, aiming to reduce fear of cancer and empower those with possible symptoms to act early. The campaign has been developed with primary and secondary care clinical input and will be independently evaluated. We have a dedicated page on our NHS inform website, which highlights the causes, symptoms and treatment for bladder cancer .

We know that the earlier cancer is diagnosed, the easier it is to treat and even cure, which is why we continue to invest in our Detect Cancer Early (DCE) Programme. Since DCE launched, positive shifts have been noted. Our new earlier cancer diagnosis vision in Scotland is due to be published shortly as part of our ambitious new 10-year cancer strategy, which will outline the future of the DCE Programme.

The Endoscopy and Urology Diagnostic Recovery and Renewal Plan, backed by £70 million investment, was published on 30 November 2021. The Plan focuses on key areas such as clinical pathways, workforce training and development and innovation.

In partnership with the Centre for Sustainable Delivery (CfSD), we are committed to developing and implementing clinical pathways that optimise the value of endoscopy and urology diagnostics in each patient’s care. This includes refreshing ‘Once for Scotland’ clinical pathways to prioritise demand for cystoscopy, including where bladder cancer is suspected.

The Scottish Government has invested £5,793,617 on the management and maintenance of the A77 since January 2023. This figure includes all aspects of maintenance including major resurfacing, drainage improvements and routine maintenance activities such as vegetation clearance and grass cutting. It also includes targeted road safety measures, maintenance of bridges and structures and winter service.

Between January 2007 and December 2022, the Scottish Government has invested £64 million in five separate major capital schemes on the A77. These schemes are:

A77 Haggstone Climbing Lane & A77 Glen App Improvements - £18.7m

A77 Park End to Bennane - £5.5m

A77 Symington to Bogend Toll - £10.6m

A77 Maybole Bypass - £29m

There has been no expenditure on these schemes in 2023.

Ground investigations for the slope stability works at A77 Glengall have been completed and initial design work to find a solution for slope stability have been undertaken. Further design work is now ongoing which is currently programmed to conclude in September 2023. Works on the slope will be programmed thereafter depending on the progression of the design adopted.

Investigation work has been undertaken on the upgrade of 4 laybys on the A77 between Ayr and Stranraer. The designs to improve these 4 laybys will be completed by the end of this calendar year with construction anticipated early in financial year 2024/25.

The Scottish Government is considering the issues that the hospice sector raised at its meeting in March with the then Cabinet Secretary for Health and Social Care and the then Minister for Public Health, Women’s Health and Sport, including immediate and longer-term funding issues.

The Digital Prescribing and Dispending Pathways Programme is currently in the planning and development stage, and I expect to be able to confirm the timetable for full roll out in due course.

The Scottish Government provides baseline funding to NHS Boards, which Boards use to best meet the healthcare needs of their resident population. Funding is not ring-fenced for cancer services. It is not therefore possible to provide this proportion of the budget since 2007-08.