Chamber and committees

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.

ScotRail advises that it extended its contract with Trainline Plc as a holding position to maintain continuity of service while waiting for details of the alternative approach to ticketing which has been promised as part of the proposed Great British Railways arrangements.

You will appreciate that the UK Government has now again postponed delivery of it proposed rail reform process. Such uncertainty and delay are unhelpful.

As part of a suite of measures introduced on 1 February 2022, dentists now receive an enhanced examination fee for seeing patients, including a new additional child examination fee. These changes also included the extension of Childsmile fees for children and young people up to 17 years of age (before up to 5 years of age), and fluoride varnish application between 2 and 12 years of age (before between 2 and 5 years of age). Childsmile fees are weighted so that NHS dental teams receive three times the payment for children from SIMD areas 1 and 2.

The Childsmile Programme has an emphasis on prevention, rather than treatment, and has resulted in significant improvements in children's oral health through being delivered via nursery schools, primary schools, and dental practices, and includes free, daily, supervised toothbrushing, the application of fluoride varnish, and dietary and oral hygiene advice.

The Scottish Government remains committed to achieving elimination of Hepatitis C (HCV) in Scotland by 2024. We are pleased that excellent progress has been made to date, despite the additional challenges created by the COVID-19 pandemic. An update on the progress of this work has recently been published by Public Health Scotland, and the report can be found here: https://www.publichealthscotland.scot/media/15549/surveillance-of-hepatitis-c-in-scotland-oct22.pdf

Clinicians and carers across Scotland are encouraged to identify those with risk factors for HCV and test them. To support this activity, the Hepatitis C Clinical Leads Group of the Scottish Health Protection Network (SHPN) published Recommendations on Hepatitis C Virus Case-finding and Access to Care in 2019, and this can be found at: https://hps.scot.nhs.uk/web-resources-container/recommendations-on-hepatitis-c-virus-case-finding-and-access-to-care/

In 2019, NHS Tayside were world-leading in eliminating HCV within their Health Board area, a key part of their strategy involved innovative testing models using community pharmacy. Officials are exploring what a national roll out of that approach requires.