Chamber and committees

Based on Ofcom’s latest figures up to the end of January 2023, 5% of all residences in Scotland do not currently have access to a superfast broadband connection of 30 Mbps (megabits per second) or more.

Through the R100 programme, all premises without access to superfast broadband are being supported to obtain an improved broadband connection - either through inclusion in the R100 contract build plans, or via eligibility for the R100 Scottish Broadband Voucher Scheme.

Some people choose not to upgrade to faster broadband speeds, even when they are available to them, with Ofcom estimating that only 71% of premises in Scotland take up superfast broadband service when it is available.

The project partners have not started the public consultation and engagement stage of the project yet and are working to secure resource to do this for the local pilot projects. They will engage with communities as soon as resource is in place for the engagement activities in order to shape the pilots and identify how best to deliver community benefits. The project team are currently working to design the engagement process.

The ethical framework will be used to deliver investment which meets the aims of the Scottish Government’s Interim Principles for Responsible Investment in Natural Capital. Adherence to these principles is set out in the Memorandum of Understanding (MoU) between the project partners and the framework will be secured through the terms of the MoU. If the principles are not adhered to, NatureScot and the Project Board will work to address this and, if necessary, NatureScot will withdraw from the partnership if the investment does not deliver against the principles in the way intended.

The Public Switched Telephone Network (PSTN) is a privately-owned telecoms network and the decision to upgrade it has been taken by the telecoms industry, and not the UK Government. PSTN migration from analogue to digital telephony services also does not affect the Universal Service Obligations set out in the Electronic Communications (Universal Service) Order 2003, which require designated providers to offer telephony services throughout the UK, and providers will remain bound by their existing statutory responsibilities.

However, we are working closely with the UK Government, Industry, Ofcom and other Devolved Administrations through the Electronic Communications – Resilience and Response Group (EC-RRG), a UK Government-supported telecoms industry group, whose aim is to develop and maintain cooperation between the communications sector and Government on issues regarding telecoms resilience and emergency planning.

Estimates of the number of people prescribed opioid substitution therapy (OST) in Scotland are published on the Scottish Public Health Observatory website as, in spite of some data quality issues, Public Health Scotland (PHS) deem there to be a public interest in reporting this information. These statistics are published in a way that accurately describes the limitations of these data. Further, these estimates have been subject to external validation which indicates that their accuracy is good and has improved over time.

ISD (now Public Health Scotland) first published estimates of the number of people prescribed methadone for opioid dependence in 2015. The narrative accompanying these statistics states that, in spite of Community Health Index (CHI) capture being below the agreed threshold of reliability for individual-level analysis, these statistics are published due to ongoing public interest. As drug-related deaths have become an issue of growing concern, it is felt that this public interest argument continues to provide a strong reason for publication of statistics relating to prescribing for opioid dependence.

The way in which these statistics are published accurately reports the data quality issues that may affect their reliability. These statistics are published as ‘Management Information’ and the accompanying narrative describes the data quality issues and other appropriate caveats. The estimates are appropriately described as a ‘minimum number’ of people prescribed OST medications. Also, patient age and sex analysis that would typically be included for medications where CHI capture was above the agreed threshold of reliability for individual-level analysis, are not included.

Although the percentage of CHI numbers that were successfully captured from community prescriptions for OST medications in Scotland remains below the agreed threshold of reliability for individual-level analysis, there has been a substantial improvement in the quality of the underlying data over time. For the OST estimates, the CHI capture percentage increased from 64% in 2011-12 to 81% in 2021-22. As the information on ScotPHO in relation to prescribing for opioid dependence has developed, PHS have taken steps to understand how CHI capture affects the reliability of these estimates. Prior to releasing the first annual estimate of numbers of people on OST in March 2022, PHS held discussions about estimation methodologies with NHS Board prescribing leads and worked with them to agree a suitable way forward.

An analysis (also published on ScotPHO ) comparing estimates of the numbers of people on OST generated from NHS Board systems with the estimates produced by PHS shows that there was less than 1% difference between the 2020-21 total derived from local systems (29,588) and the PHS estimate (29,416). PHS continues to work with NHS Boards to improve the reliability of data on OST and any associated analyses.

I refer the member to the answer to question S6W-19040 on 22 June 2023. 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

I refer the member to the answers to questions S6W-15749, S6W-15748 and S6W-15747 on 15 March 2023. Since this question was last answered, the ‘keeping pace’ power has not been used further by Scottish Ministers. 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

The Scottish Government remains committed to reducing inequalities across all screening programmes. That is why we have supported the Equity in Screening strategy, which will give direction and focus to tackling this issue across all screening programmes. However, we also recognise that Health Boards are most often best placed to find solutions that meet the needs of their populations, and we have allocated inequalities funding since 2021-22 to support local initiatives.

This funding has played a part in a programme of work in Ayrshire and Arran to tackle inequalities of uptake in cervical screening. In particular the Health Board has developed a targeted Health Board cervical screening clinic for women who have experienced sexual violence, or who have physical disabilities; They have also run additional Saturday clinics, particularly in areas of deprivation, to increase access to screening outside working hours.

In addition, Primary Care staff have directly contacted patients who have not taken up their screening invitations to offer appointments. Further work is underway with primary care to consider outreach work for 23/24, which will specifically take into account the needs of areas with highest depravation within the Health Board.

In Scotland, a formal identification of dyslexia or a learning difficulty is not required before appropriate support is provided, although I recognise that a diagnosis can be helpful for children and young people and their families.

We want all children and young people, to receive the support they need to reach their full potential. Under the Additional Support for Learning Act 2004, education authorities have duties to identify, provide for and review the additional support needs of their pupils, including those with dyslexia and other learning difficulties. We are committed to supporting teachers and school staff to meet these needs.

Our national approach recognises that children and young people with dyslexia benefit from early identification. We are working with local government partners to continue to improve the consistency of early identification through the adoption of the Scottish working definition of dyslexia and use of the Addressing Dyslexia Toolkit’s Dyslexia Identification Pathway.

NHS Health Boards and local authorities are responsible for the provision of, and funding for, services for deaf children. This includes the provision of specific therapeutic approaches.

The Scottish Government funds the Scottish Sensory Centre and CALL Scotland to provide advice and training to school staff on support, including the use of assistive technology, for children and young people with specific communication and sensory needs.