Chamber and committees

The Scottish Government remains committed to achieving elimination of Hepatitis C across the whole of Scotland by 2024.

This includes the prison population. However, we know that the health needs of those in prison can be complex and may need more targeted intervention.

Opt-out testing for blood borne viruses, including hepatitis C, is recommended in prisons and PHS published “Guidance to Support Opt-Out Blood Borne Virus (BBV) Testing in Scottish Prisons” in 2019. This guidance recommends that BBV testing should be offered to everyone within 7 days of entering custody. The guidance is due to be reviewed later this year and that review, in combination with the work underway to re-invigorate progress towards the wider elimination target, will ensure there remains a focus on eliminating hepatitis C in Scottish prisons.

The Scottish Government is progressing its Fair Fares Review to ensure a sustainable and integrated approach to public transport fares as we recover from the pandemic. The Fair Fares Review is considering both the availability of services and the range of discounts and concessionary schemes which are available on all modes including bus, rail and ferry. The review will consider options that maintain and increase affordability for those who need it most, taking cognisance of the relative changes to the overall cost of travel. I have asked my officials to ensure that the terms and conditions attached to the Young Scot NEC card are considered as part of this wider review.

Scottish Government officials have been in contact with the UK Government to ensure that North Ayrshire Council and other stakeholders have the opportunity to discuss the decision taken to locate the Spherical Tokamak for Energy Production programme at a West Burton site, in North Nottinghamshire.

We understand that the United Kingdom Atomic Energy Authority, an executive non-departmental public body of the Department for Business, Energy and Industrial Strategy, are conducting follow up sessions with each of the unsuccessful sites, including Ardeer.

Scottish Government officials are in regular communications with public partners including SEPA, South Ayrshire Council, and The King’s and Lord Treasurer’s Remembrancer.

In addition to the regular communication, officials from Scottish Government have met representatives from SEPA, and South Ayrshire Council on the following occasions: 1 July 2020, 8 December 2020, 4 February 2021, 22 March 2021, 28 January 2022, 15 February 2022, 3 March 2022 and 29 June 2022. Further meetings will also be held shortly.

The Scottish Government is working with wider public partners to consider all possible avenues for the long-term management of the site. This includes the consideration of any private sector interest in the site.

The Scottish Government remains committed to reaching its target of eliminating Hepatitis C (HCV) in Scotland by 2024, whilst recognising the impact that the covid-19 pandemic has had across all our health services.

In 2019, the Scottish Health Protection Network established the Hepatitis C Elimination Implementation Group to oversee and monitor the implementation of the Scottish Government’s Hepatitis C Elimination Strategy. Including hard to reach populations in efforts to eliminate Hepatitis C is fundamental to the Elimination Strategy, and this issue is therefore regularly considered by the Group, which meets four times per year. Along with representatives from Scottish Government, the Group is made up of clinicians, representatives from NHS health boards, and primary care and prevention leads.

In addition, in 2021 the Scottish Government provided funding to NHS Tayside to deliver the Cocoon project, which provided point of care BBV testing and treatment to people who inject drugs, whilst integrating wound care, naloxone provision and other harm reducing measures.

Public Health Scotland produced the “Surveillance of Hepatitis C in Scotland” report earlier this month and the report indicated that major progress in Scotland has been made. By 2021, 80% of individuals diagnosed with chronic HCV infection in Scotland had been initiated on HCV treatment, meaning that Scotland had met the World Health Organisation Target on treatment.

While this is encouraging, the COVID-19 pandemic impacted progress towards the elimination target, and particularly challenged our ability to gather data needed to guide interventions. Additional prevalence data is expected before the end of this year. This will support decision-making on the extent and location of required interventions and resources.

Students in further or higher education currently experiencing financial hardship should apply to their college or university for support from Discretionary Funds. We have provided £16.8m in hardship funding for the current academic year to support higher education students experiencing financial hardship, in addition to free tuition in Scotland and a range of bursary support.

I have urged college and university principals to continue to prioritise hardship funds to students most in need, taking account the impact of rising energy bills.

Patient safety is our utmost concern and the Scottish Government is committed to ensuring that patients continue to receive high quality Out of Hours services. Officials work closely with Out of Hours services across Scotland, including NHS Dumfries and Galloway to support them in delivering a safe, resilient and sustainable service. Whilst the Out of Hours service in NHS Dumfries & Galloway remains under pressure – as it does across Scotland – the Scottish Government receives regular assurances that there are robust arrangements in place to maintain a safe Out of Hours service and that the Board are working to make the service more resilient for the future. This includes the recent recruitment of two salaried GPs and a sessional GP. I understand that the Board are also working with Scottish Ambulance Service to recruit Advanced Paramedic Practitioners.

Patient safety is our utmost concern and the Scottish Government is committed to ensuring that patients continue to receive high quality Out of Hours services. My officials have been in contact with NHS Dumfries and Galloway and have been advised that, on 26 September 2022, all shifts were filled and that the Out of Hours service was maintained through this time. I would expect that the Board continues to make every effort to fill all shifts to ensure the resilience of its Out of Hours service.