The Scottish Government published our draft strategy Palliative Care Matters for All on 2nd October 2024. The draft strategy builds on extensive work with stakeholders to date and the consultation is open until 10 January 2025. We look forward to receiving any comments on the draft strategy in due course.

There are 1423 Sites of Special Scientific Interest (SSSI) in Scotland, the majority of which have one or more private owners. 88.2% of all SSSIs cover the properties of one or more private owners.

Many specialist medicines, often referred to as "biologics", and including the disease modifying medicines for multiple sclerosis (MS), are normally managed by secondary care specialists, but supplied to patients in their homes, most often by homecare medicines (HCM) suppliers. A number of these companies operate in the Scottish market.

The national HCM dataset is a relatively new resource and is still developing as new suppliers come onstream and start providing data (including, where available, retrospective data from January 2019). As a new resource, and because these medicines can have multiple supply models, work is being undertaken to validate the completeness and accuracy of the national HCM dataset in comparison with local registries, where local registries are available.

It is anticipated that, in the future, the national HCM dataset, either itself or through linkage with other datasets, will become a valuable resource in helping to better understand treatments pathways and the beneficial outcomes or otherwise from these types of medicines, as well as helping to identify any unwarranted variation in clinical practice or access to treatment.

We continue to work alongside the Poverty Alliance and others to support the aims of Taking Action on Rural Poverty.

Scottish Government officials are currently working in partnership with the Poverty Alliance in preparation for Challenge Poverty week, including presenting at the event launch on the 4th of October.

As part of Challenge Poverty Week, both myself and the Minister for Agriculture and Connectivity will visit rural projects supported by the Scottish Government’s Community Led Local Development fund which aim to tackle Child Poverty.

In June 2024 officials also attended a Taking Action on Rural Poverty - Learning Partnership, meeting with rural poverty stakeholders, including the Poverty Alliance to explore further opportunities to address rural and island child poverty.

The Scottish Government expects that health and care professionals will support patients with cancer to help them understand their condition and explain the options open to them, including around self-monitoring their condition where appropriate.

The Scottish Government is committed to working with third sector support services for cancer. We are currently in partnership with Macmillan to improve the service we offer patients with cancer through the Transforming Cancer Care Programme. This joint partnership with Macmillan is worth £27 million and is the first of its kind in the UK. The programme ensures that every patient with cancer in Scotland has access to specialist key support worker, who can provide emotional, financial, and practical support to those who need it most.

We have also piloted 12 Single Point of Contact (SPoC) sites, which allow an individual to work through their individual needs and design a care pathway that works best for them. Learning from this programme is demonstrating the role of SPoC in improving communication and optimising collaborative working across health, care and third sectors. We are considering how best to scale up this approach to the benefit of all patients, including those with blood cancer.

Every life lost to alcohol is a tragedy and the recent alcohol specific deaths statistics published by the National Records of Scotland is a stark reminder of the challenge we continue to face in tackling alcohol harm across Scotland. There is currently no specific information available on the effect of licensed hours for the off-sale of alcohol being 10:00 to 22:00 on alcohol deaths and alcohol-related illness in Scotland though a number of studies have concluded that reducing the times of availability of alcohol are effective at reducing alcohol harms.

The Scottish Government takes 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. Reducing availability of alcohol through limiting hours of sale continues to be recommended by the World Health Organization as one of the ‘best buys’ for reducing alcohol related harm.

The Electricity Act 1989 is legislation enacted by the UK Parliament. Interpretation of the requirements of paragraph 10(2) of Schedule 4 of The Electricity Act 1989 would be dependent on legal advice based on the circumstances of the individual case.

The Scottish Government is committed, through our draft palliative care strategy, to work with Health and Social Care Partnerships (HSCPs) and adult independent hospice organisations to develop a national guidance framework to support and improve consistency of local planning and commissioning of independent hospice services.

The Scottish Government continues to work with Integration Joint Boards (IJB) Chief Officers and adult independent hospice organisations to support longer-term sustainable planning and commissioning for the sector, and officials will take forward plans to develop a new national guidance framework.

Through NHS Research Scotland (NRS), the Scottish Government provides funding for infrastructure to support the delivery of both investigator-led and commercially-sponsored clinical trials in the NHS here.

The NRS infrastructure includes the NRS Cancer Network whose role is to support the recruitment of cancer patients into clinical research studies. Cancer | NHS Research Scotland | NHS Research Scotland.

In Financial Year 2023-24 the NRS Cancer Network supported a total of 56 Blood Cancer clinical studies across Scotland.

The Scottish Government co-funds in partnership with Cancer Research UK the Adult Experimental Cancer Medicine Centres (ECMC's) in Edinburgh and Glasgow, and a Paediatric ECMC in Glasgow. These form part of a UK-wide ECMC Network that works to support the delivery of commercial and non-commercial early phase cancer studies, covering both solid tumours and haematological malignancies:

Edinburgh | ECMC (ecmcnetwork.org.uk)

Glasgow | ECMC (ecmcnetwork.org.uk)

The Glasgow ECMC has supported early phase studies developed through Blood Cancer UK's Trial Acceleration Programme (TAP).

Approximately 80% of deer culling in Scotland is carried out by the private sector and in these circumstances stalkers are not employed to do so by the Scottish Government, its bodies or agencies

Where deer are culled on publicly owned land this is done by trained stalkers which can include: agency staff, for example those employed by Forestry and Land Scotland; contractors; and recreational stalkers.

It is for those managing the land to decide how and when to shoot deer in line with their responsibilities and their Deer Management Plan, with support from NatureScot

I would also refer the member to the answer to the question S6W-30224 on 8 October 2024 which sets out methods being trialled to support and incentivise individuals to cull more deer in some parts of Scotland.

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.