Questions and answers

Question reference: S6W-15160

Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
Date lodged: Friday, 17 February 2023
Current Status: Answered by Mairi McAllan on 13 March 2023

To ask the Scottish Government when the last inspection of each of the 345 SEPA-licensed and regulated sewer networks in Scotland was carried out; whether any were found not to be compliant with their licence conditions at their last inspection, and, if so, (a) for what reason, (b) whether any work was carried out on them and (c) whether it will provide a list of any non-compliant networks.

Sewer networks are dynamic and non-compliance can be short-lived. At the time of writing SEPA is not aware of any current, ongoing non-compliance with sewer network licences.

The inspection of sewer networks by SEPA can be the result of both planned work and in response to a notification of an issue by a member of the public or by Scottish Water. These inspections are normally targeted to specific areas, such as a pumping station and overflows in the local area which are in themselves part of a much larger sewer network.

SEPA investigations from June 2021 to date found 78 incidences of networks being non-compliant with their licence conditions. Reasons for non-compliance included:

Blockage of downstream sewer,

Sewage debris visible as a result of a discharge,

Significant visible impact on receiving waters due to the presence of oil or grease,

Significant deposition of sewage solids.

Scottish Water investigate reports of non-compliance, which can involve CCTV surveys, and undertake work to rectify issues identified such as clearing of tree roots, fats oils and grease, identifying and deterring illegal disposal of wastes and cross connections, and clearing watercourses and the surrounding areas.

Between 2010 and 2021, SEPA required Scottish Water to improve 279 sewer overflows and 104 wastewater treatment works, which were causing significant pollution. As a result, water quality is now at its highest level to date, with 87% of Scotland’s waters having good or better water quality.

Scottish Water’s route map for improving urban waters sets out actions required by Scottish Water, as well as significant work needed with other partners, to deliver long term improvements. The route map signals Scottish Water’s prioritised investment programme in this area.

Question reference: S6W-15157

Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
Date lodged: Friday, 17 February 2023
Current Status: Answered by Mairi McAllan on 13 March 2023

To ask the Scottish Government, further to the response to the members' business debate on motion S6M-06148 (Sewage and Scotland's Waters) by the Minister for Environment and Land Reform on 26 October 2022 (Official Report, c. 124), how many of the (a) 40 waste water treatment works and (b) 26 priority storm overflows, which the Minister stated would be improved over the next six years, have since undergone improvement works.

Scottish Water publishes an annual update to its Urban Waters Route Map and the most recent update from December 2022 is available on its website at https://www.scottishwater.co.uk/-/media/ScottishWater/Document-Hub/Key-Publications/Urban-Water-Improvements/141222IUW22AnnualUpdateV22.pdf

In its December 2022 update, Scottish Water confirmed that 54 projects have been initiated to develop solutions and support delivery of all high priority discharges by 2027. Following discussions with SEPA, some initially identified needs have been removed/downgraded. Scottish Water intends to target investment towards a revised list of 104 high priority CSO discharges (detailed on its website at https://www.scottishwater.co.uk/-/media/ScottishWater/Document-Hub/Key-Publications/Urban-Water-Improvements/110522HighPriorityUIDs.pdf ); this includes 24 storm overflows which have been assessed as potentially impacting water quality. Scottish Water has also initiated projects and is scrutinising options to enable improvement works to be delivered at 39 identified waste water treatment works.

Scottish Water’s capital investment projects involve a significant period of development work, including identifying options, determining costs and completing all land, planning and permitting activities in advance of delivering any scheme on site. The projects identified in the routemap will develop over the next two years, in line with Scottish Water’s capital investment process, to the point where clear timescales for improvements can be agreed. It is anticipated that the majority of improvements will be in place closer to the 2027 target timeframe, but Scottish Water will review all opportunities to deliver improvements in the shortest possible timeframe, where possible. Scottish Water will continue to provide annual updates on its website to outline progress being made in delivering commitments under its Improving Urban Waters Route Map.

Question reference: S6W-15154

Asked by: Monica Lennon, MSP for Central Scotland, Scottish Labour
Date lodged: Friday, 17 February 2023
Current Status: Answered by Humza Yousaf on 13 March 2023

To ask the Scottish Government what action it is taking to raise awareness, among people diagnosed with or at risk from cervical cancer, regarding the availability of the drug pembrolizumab on the NHS.

In Scotland, the Scottish Medicines Consortium (SMC) appraises the clinical and cost-effectiveness of newly-licensed medicines. Following a full submission from the submitting company, Merck Sharp & Dohme Ltd, the SMC published “accepted for restricted use” advice for Health Boards on the routine use of Keytruda ® for the treatment of persistent, recurrent, or secondary cervical cancer in NHS Scotland on 13 February 2023.

The decision to prescribe a medicine for an individual, and which medicine to prescribe, is entirely for the clinician in charge of an individual’s care, having taken into account their clinical condition, safety considerations and any relevant clinical guidance.

Question reference: S6W-15379

Asked by: Maurice Golden, MSP for North East Scotland, Scottish Conservative and Unionist Party
Date lodged: Friday, 24 February 2023
Current Status: Answered by Lorna Slater on 13 March 2023

To ask the Scottish Government whether it will provide a breakdown of the process used to set up and install Circularity Scotland as scheme administrator for the Deposit Return Scheme.

The Scottish Government released information regarding Circularity Scotland’s application to Scottish Ministers to become a scheme administrator for Scotland’s Deposit Return Scheme, in response to an information request under the Environmental Information (Scotland) Regulations 2004. The information released in response to that request was published on the Scottish Government website on 22 January 2022 under reference FOI/202200276068.

Question reference: S6W-15407

Asked by: Liam McArthur, MSP for Orkney Islands, Scottish Liberal Democrats
Date lodged: Monday, 27 February 2023
Current Status: Answered by Lorna Slater on 13 March 2023

To ask the Scottish Government what (a) volume and (b) percentage of Scottish waste was exported to other parts of the UK in (i) 2020, (ii) 2021 and (iii) 2022.

That information is not available for the years requested.

Due to the cyber attack suffered by SEPA in 2020, data for that year is unavailable. The 2021 data is expected to be available from 28 March 2023, following publication of official statistics on Waste from All Sources. SEPA does not yet have a complete dataset for 2022, as returns are still being processed.

SEPA’s Waste from All Sources Discover Tool is available here: Waste (from all sources) (sepa.org.uk)

Question reference: S6W-15408

Asked by: Liam McArthur, MSP for Orkney Islands, Scottish Liberal Democrats
Date lodged: Monday, 27 February 2023
Current Status: Answered by Lorna Slater on 13 March 2023

To ask the Scottish Government what (a) volume and (b) percentage of Scottish plastic waste was exported to non-UK countries in (i) 2020, (ii) 2021 and (iii) 2022, broken down by that which was exported (A) directly from Scotland and (B) via other sites in the UK.

Details of transfrontier shipments of waste are not published or held by Scottish Government, but are held by SEPA.

Information on exports to other UK countries is not available for the years requested.

Due to the cyber attack suffered by SEPA in 2020, data for that year is unavailable. The 2021 data is expected to be available from 28 March 2023, following publication of official statistics on Waste from All Sources. SEPA does not yet have a complete dataset for 2022, as returns are still being processed.

SEPA’s Waste from All Sources Discover Tool is available here: Waste (from all sources) (sepa.org.uk)

Question reference: S6W-15404

Asked by: Liam McArthur, MSP for Orkney Islands, Scottish Liberal Democrats
Date lodged: Monday, 27 February 2023
Current Status: Answered by Lorna Slater on 13 March 2023

To ask the Scottish Government to which countries, including other parts of the UK, Scottish plastic waste was exported in (a) 2020, (b) 2021 and (c) 2022, broken down by the percentage exported to each.

Details of transfrontier shipments of waste are not published or held by Scottish Government, but are held by SEPA.

Information on exports to other UK countries is not available for the years requested.

Due to the cyber attack suffered by SEPA in 2020, data for that year is unavailable. The 2021 data is expected to be available from 28 March 2023, following publication of official statistics on Waste from All Sources. SEPA does not yet have a complete dataset for 2022, as returns are still being processed.

SEPA’s Waste from All Sources Discover Tool is available here: Waste (from all sources) (sepa.org.uk)

Question reference: S6W-15416

Asked by: Fergus Ewing, MSP for Inverness and Nairn, Scottish National Party
Date lodged: Monday, 27 February 2023
Current Status: Answered by Lorna Slater on 13 March 2023

To ask the Scottish Government what information it holds on whether any members of the Executive Team of Circularity Scotland have had any direct experience of running a deposit return scheme.

Question reference: S6W-15418

Asked by: Fergus Ewing, MSP for Inverness and Nairn, Scottish National Party
Date lodged: Monday, 27 February 2023
Current Status: Answered by Lorna Slater on 13 March 2023

To ask the Scottish Government, in relation to the Deposit Return Scheme, whether it has made an application for an exemption under the United Kingdom Internal Market Act 2020, and, if not, what plans it has to submit any such application.

The Scottish Government has been following the process for excluding the deposit return scheme regulations from the Internal Market Act 2020 and we expect a decision from the UK Government as soon as possible.

I recently met with ministers and senior officials from each UK administration at the inter-ministerial group on Environment, Food and Rural Affairs to again ask for urgent clarity from the UK Government on this matter, and by the end of March at the latest.

Question reference: S6W-14875

Asked by: Monica Lennon, MSP for Central Scotland, Scottish Labour
Date lodged: Monday, 13 February 2023
Current Status: Answered by Maree Todd on 13 March 2023

To ask the Scottish Government, further to the answer to question S6W-13739 by Maree Todd on 24 January 2023, whether it will address the issue raised in the question regarding what action it will take to improve diagnosis times for lipoedema; and whether it will improve the availability of medical treatment, such as liposuction, in light of reports of there being only one surgeon in Scotland with experience of providing this treatment.

We are aware of the serious negative impact this condition can have on people’s lives and therefore it is important that access to treatment and support is timely. We want to ensure that people have informed conversations with their GP in order to support the diagnosis of lipoedema.

We have now finalised the new NHS Inform webpage on Lipoedema . The new resource aims to provide people with consistent, reliable and accessible information empowering them to make informed decisions about their health and includes information on the symptoms, causes, self-management and treatment options.

We will continue to work with organisations such as Talk Lipoedema to find ways to raise awareness of the condition and its symptoms.

In March 2022, the National Institute for Health and Care Excellence’s (NICE) Interventional Procedures Advisory Committee did a rapid review on the available evidence on the safety and efficacy of liposuction as treatment for lipoedema and found it to be inadequate. The recommendation was for the procedure to only be carried out in the context of research.

Previously, NHS Tayside was the only Health Board to provide liposuction as a treatment for lipoedema. Due to the updated guidance, NHS Tayside have stopped liposuction as a treatment option until NICE reviews its guidelines in 2025 after further evidence and research has been undertaken.

There are currently non-surgical treatment options for lipoedema and those with the condition will be treated by healthcare professionals at primary care level and, where appropriate, referred to specialist services in secondary care. Any particular treatment is at the discretion of the lead clinician. It is NHS Boards and healthcare professionals locally who have responsibility for service delivery and patient treatment.

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