Questions and answers

Question reference: S6W-16441

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Michael Matheson on 28 April 2023

To ask the Scottish Government what assessment it has made of clinicians' awareness of magnetic resonance-guided focused ultrasound (MRgFUS) treatment.

The Scottish Government recognises the benefits magnetic resonance-guided focused ultrasound (MRgFUS) could provide to eligible patients with essential tremor. However, we have not assessed clinicians’ awareness of MRgFUS.

NHS National Services Division continue to work with NHS Tayside to support an application to designate MRgFUS as a national specialist service. Once received, the application will be considered by the National Specialist Services Committee (NSSC) who will take into account any evidence to support introduction of the service.

If approved, appropriate communications will be carried out within the NHS to ensure relevant clinicians are aware of the service availability.

Question reference: S6W-16437

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Michael Matheson on 28 April 2023

To ask the Scottish Government what plans it has to ensure that the referral pathway for magnetic resonance-guided focused ultrasound (MRgFUS) treatment for patients with essential tremor is clear and easy to understand.

There are currently two referral pathways which are being utilised by clinicians in Scotland to allow patients to access magnetic resonance-guided focused ultrasound (MRgFUS) treatment for essential tremor.

Patients who are eligible for magnetic resonance-guided focused ultrasound (MRgFUS) for essential tremor can be referred to NHS Tayside in conjunction with the University of Dundee, this is currently not a nationally commissioned specialist service.

Patients can also be referred to London or Liverpool for assessment or treatment. Referrals to services in NHS England are considered through the standard national funding routes for out of area referrals through NSS.

Discussions are ongoing with NHS Tayside to designate MRgFUS as a national specialist service however at present, no new application has been received. NSD will continue to work with the MRgFUS team in NHS Tayside in the meantime.

If a MRgFUS service is designated to NHS Tayside relevant communications will be made to ensure clinicians are aware of the revised referral pathway.

Question reference: S6W-16439

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Michael Matheson on 28 April 2023

To ask the Scottish Government what assessment it has made of any benefit of routinely offering magnetic resonance-guided focused ultrasound (MRgFUS) treatment to patients with essential tremor.

The Scottish Government does not formally assess the impact of clinical interventions.

NHS National Services Division continue to work with NHS Tayside to support an application to designate MRgFUS as a national specialist service. Once received, the application will be considered by the National Specialist Services Committee (NSSC) who will take into account any evidence to support introduction of the service.

Question reference: S6W-16438

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Michael Matheson on 28 April 2023

To ask the Scottish Government what plans it has to offer funding to the University of Dundee to support timely access to magnetic resonance-guided focused ultrasound (MRgFUS) treatment for patients with essential tremor.

The Scottish Government currently has no plans to offer funding to the University of Dundee to support access to magnetic resonance-guided focused ultrasound (MRgFUS) treatment for patients with essential tremor.

NHS National Services Division continue to work with NHS Tayside to support an application to designate MRgFUS as a national specialist service. Once received, the application will be considered by the National Specialist Services Committee (NSSC) who will take into account any evidence to support the service introduction as well as any financial implications.

Question reference: S6W-16432

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Lorna Slater on 25 April 2023

To ask the Scottish Government, further to the answer to question S6W-15872 by Lorna Slater on 24 March 2023, regarding its reference to all capital costs being met by investors, whether that is the capital costs of any planting or peatland restoration scheme remaining after payments from forest or peatland grant schemes and other contributing payments from other Scottish Government funds to the land owners or managers concerned, and what the estimated proportion is of the total capital costs involved that will be paid for by contributions from (a) Scottish Government funds, (b) private investor funds and (c) the landowners.

Private investment from the partnership will cover all capital costs although land managers may also choose to apply to existing grant schemes, in which case there will be a mix of funding. The usual processes and policies for public grants will apply.

Until investment cases have been completed and agreements reached with individual land managers, it is not possible to determine the proportion of funding that will each come from private investment, existing grant schemes and, if applicable, landowners. It is likely that this will vary from project to project.

Question reference: S6W-16434

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Lorna Slater on 25 April 2023

To ask the Scottish Government, further to the answers to questions S6W-15878 and S6W-15879 by Lorna Slater on 24 March 2023, what steps it is taking to identify, support and advance potential community purchases of land and to encourage alternative models of ownership in the areas covered by the Memorandum of Understanding.

The partnership is actively exploring alternative models of ownership with the Scottish Land Commission and has already held two workshops to explore these opportunities. In addition, existing routes to community ownership remain open across the whole of Scotland, not just in this area, through Asset Transfer Request and Community Rights to Buy. The Scottish Government also continues to support community ownership through the Scottish Land Fund, which will be doubled to £20m by 2026.

Question reference: S6W-16430

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Lorna Slater on 25 April 2023

To ask the Scottish Government what assurances were (a) sought and (b) received by NatureScot from Hampden & Co, Lombard Odier Investment Managers and Palladium, in concluding the recent Memorandum of Understanding (MOU), that any private investment deployed in Scotland as a result of the MOU would not come from entities or individuals operating from offshore jurisdictions and that any return on investment would not be paid directly or routed to individuals or entities beyond UK or Scotland tax jurisdiction.

Question reference: S6W-16433

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Lorna Slater on 25 April 2023

To ask the Scottish Government, further to the answer to question S6W-15869 by Lorna Slater on 24 March 2023, what the main component parts are that make up the £20 billion in the calculation of the finance gap; whether an independent assessment has been made of how accurate the £20 billion gap is for the specific circumstances of Scotland, and, if so, whether any such assessment will be published; over what period the gap is expected to be filled, and whether it anticipates that all of the gap will need to be filled by private finance.

The £20 billion finance gap figure for nature-related outcomes in Scotland was reported in research by the Green Finance Institute in 2021. The finance gap is defined as the difference between required spending and committed/planned spending to deliver desired nature-related outcomes, for 10 years from 2022. Given the complexity in determining this figure and the volume of related evidence, £20 billion is a central estimate within a range of models. Optimistic assessments of the gap suggest the figure could be £15 billion while more pessimistic models suggest it could be £27 billion. The main component costs for the central estimate include climate mitigation through bio-carbon (£9 billion) and protecting and restoring biodiversity (£8 billion). The report makes clear the assumptions made in reaching these estimates. This work and the report were steered by an independent project board comprising public, private and third sector organisations from across the UK. Scottish public sector representation was provided by NatureScot and Scottish Forestry.

The Scottish Government and relevant agencies will continue to monitor and refine estimates as natural capital markets mature and our work in this area develops.

Question reference: S6W-16431

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Lorna Slater on 25 April 2023

To ask the Scottish Government, further to the answer to question S6W-15870 by Lorna Slater on 24 March 2023, whether the Scottish Land Commission agreed to the wording referring to it prior to the publication of the Memorandum of Understanding, and what the estimated monetary value of staff resources is that will be deployed by the Scottish Land Commission and NatureScot in support of the private wealth investments envisaged.

Not being a party to the Memorandum of Understanding (MOU), the Scottish Land Commission did not provide comment or input into its wording. The MOU published in March incorrectly listed the Scottish Land Commission as having a decision making role on the project board, rather than correctly identifying its role as advisory. Both NatureScot and the Scottish Land Commission have since clarified the role of the SLC with the partnership.

As this partnership is at an early stage, NatureScot is currently not able to provide an estimate of the staff resource costs associated with this work. The Scottish Land Commission’s advisory role will be provided in line with its existing good practice programme.

Question reference: S6W-16435

Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
Date lodged: Tuesday, 04 April 2023
Current Status: Answered by Lorna Slater on 25 April 2023

To ask the Scottish Government, further to the answer to question S6W-15873 by Lorna Slater on 24 March 2023, what its position is on whether (a) there will be returns to investors from private investment in the areas covered by the Memorandum of Understanding, (b) much of that investment will (i) be from outwith the localities concerned and Scotland, (ii) involve institutional investment and (iii) result in any returns extracting wealth from those localities and Scotland; what it anticipates the average rate of return for investment will be that is offered to investors, and whether it has considered other investment models that may result in less extraction of wealth from those localities.

We expect all investment to adhere to the Interim Principles for Responsible Investment in Natural Capital as a minimum. The ethical framework that is being developed by NatureScot and its partners to guide investments under the Memorandum of Understanding will support this.

The matters referred to cannot be determined until the ethical framework has been agreed and approved and the project design phase, which includes developing investment cases with land managers, has been completed.

Chamber and committees