The Scottish Government is aware that there are global supply issues with Pancreatic Enzyme Replacement Therapy (PERT) medicines, including Creon ® , which are licensed for the treatment of pancreatic exocrine insufficiency for those with cystic fibrosis.

While the supply of medicines and the associated legislation are a reserved matter for the UK Government, Scottish Government officials continue to engage with them on this supply issue and other medicine shortages. The Chief Pharmaceutical Officer (CPO) for Scotland is a member of a UK-wide Medicines Shortage Response Group (MSRG), set up to identify and co-ordinate responses to medicines shortages across the UK and provide advice to prescribers on alternative therapeutic options.

In May, the Scottish Government issued a Medicine Supply Alert Notice (MSAN) and National Patient Safety Alert (NatPSA) which outline actions to be taken by prescribers to ensure patients are moved onto alternative treatments and measures to help conserve stocks of PERT medicines, including Creon ® .

The Scottish Government recognises the impact of these global medicine shortages on people living with cystic fibrosis. The supply of medicines and associated legislation are a reserved matter for the UK Government, and we continue to engage with them on this supply issue and other medicine shortages. The Chief Pharmaceutical Officer (CPO) for Scotland is a member of a UK-wide Medicines Shortage Response Group (MSRG), set up to identify and co-ordinate responses to medicines shortages across the UK and provide advice to prescribers on alternative therapeutic options.

In May, the Scottish Government issued a Medicine Supply Alert Notice (MSAN) and a National Patient Safety Alert (NatPSA) which outline actions to be taken by prescribers, who are best-placed to determine the impact of this shortage on each individual person, and offer an alternative treatment, where appropriate. We also issued a Serious Shortage Protocol (SSP) for Creon ® 25000 gastro-resistant capsules which allows community pharmacists to restrict the total quantity of Creon ® supplied to one month’s supply to help conserve stocks of Creon ® .

Toxics use reduction as a concept is already well embedded in the regulatory system on chemicals safety in Great Britain. This system includes UK REACH (Registration, Evaluation, Authorisation and restriction of Chemicals) regulation, part of the post-brexit chemicals regulatory framework we inherited from the EU. It includes specific provisions to prevent the use of harmful substances, ensure mitigations are in place to reduce exposure from such chemicals where their use is essential, and reduce risks associated with chemical use more generally.

As this is an operational matter for Scottish Water, and the Scottish Government does not hold this information, I have asked them to respond. Their reply is as follows:

Scottish Water is currently developing its Long Term Strategy, due for publication in January 2025, which will include the investment requirements for addressing the forecast supply-demand deficits through demand reduction activities, increased connectivity between supply systems and potentially new water sources.

Scottish Water is also working on a zonal model which will inform the strategic choices for managing their supply-demand balance. Scottish Water is in the middle of the detailed planning activities and will be in a position to respond to the specifics of this query by the end of December 2024/early in 2025.

NatureScot holds data on the type of roosts recorded by bat workers during visits to homes, including the number of bats present, and whether the roost was retained or excluded under licence.

In 2023, in Bats in Houses, a total of 74 bat roosts were excluded from properties across Scotland, following householder requests to do so due to Health & Safety requirements:

The creche service is available 3 days per week.  The opening hours reflect that the core purpose of the creche is to facilitate public engagement with parliamentary business.  We recently successfully negotiated with the Care Inspectorate to increase the number of hours each week, but we currently have no plans to review the facility on non-business days. 

As the member will know, decisions on how to deliver healthcare services for local communities are ultimately for local health boards and integration authorities to make. Boards and IJBs are expected to carry out proportionate engagement around service change proposals in line with Planning for People: Community Engagement and Participation Guidance. HIS have met with the board and made a number of recommendations on how they can better adhere to the guidance going forward.

The Government plans to commence the Visitor Levy (Scotland) Bill within three months of the Bill receiving Royal Assent.

The Scottish Government has already introduced a national smartcard that can be used across all modes of public transport. The National Entitlement Card ( saltire card) is available to any Scottish resident and, since 2019, can be used across Scotland for any operator that provides a compatible smart ticket. This platform is also used for the national concessionary travel schemes, with approximately 170m smart journeys taken each year.

Our refreshed Smart Delivery Strategy will be published in summer 2024, outlining our programme of work in the coming years. This includes exploring development of options for a new national integrated ticketing system to reflect passenger desire for progression to integrated contactless and digital ticketing. We will encourage operators across all modes to participate in these options for a new system that could offer multi-modal fare capping, removing the need to think about a ticket for each leg of the journey, potentially building on the five regional integrated ticketing schemes that are available in Scotland, led by operators and local transport authorities.

The strategy aligns with the work of the National Smart Ticketing Advisory Board (NTSAB), established in November 2023, to advise on national technological ticketing standards that will support a new integrated system, as well as delivery of smart ticketing measures from the Transport (Scotland) Act 2019. With NSTAB’s advice, a business case will be developed, which will consider the timescales and costs of delivering a national integrated ticketing system.

Following the UK General Election, we will work with the new UK Government to understand the approach they plan to take regarding a consultation on a Renewable Liquid Heating Fuel Obligation, which will then determine the need for engagement with the Scottish supply sector.