Chamber and committees

I refer the member to the answer to question S6W-06217 on 16 February 2022. 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 recognises that certain inhalers have a particularly harmful impact on the environment. This is an area where rapid change is possible and reducing the environmental impact of inhalers must be a priority.

Hydrofluorocarbons used as propellant in metered dose inhalers prescribed for asthma and chronic obstructive pulmonary disease (COPD) can have a global warming potential of 1430 or 3220 times greater than CO2 depending on the type of gas used.

A draft NHS Scotland Climate Emergency and Sustainability Strategy is out for consultation until 10 th March 2022. This sets out the Scottish Government’s intention to publish an updated Scottish Quality Respiratory Prescribing guide which will focus on minimising patient over-use of inhalers through review and improving patient outcomes, using propellant free options where possible.

Other actions within the draft strategy include encouraging manufacturers to make inhalers with lower emissions and to support inhaler return to pharmacy schemes to help patients dispose of their used inhalers in a more environmentally friendly way.

The Scottish Government’s Chief Scientist Office is funding an on-going research project to examine how to best identify those at highest risk of lung cancer in the Scottish population. They are subsequently offered a medical check on their ‘lung health’, and screening using Computed Tomography (CT) if their risk of cancer is assessed as high. Results and learning from this work will be appropriately considered once available, and any decisions taken regarding wider rollout.

Any decision on whether or not to introduce a new national lung screening programme in Scotland is guided by the recommendations of the UK National Screening Committee (UK NSC), an independent expert advisory group which advises all four nations of the United Kingdom on screening policy.In 2007, the UK NSC recommended against the introduction of a lung cancer screening programme; however, it is currently reviewing this and will take into account new evidence that has emerged since the previous recommendation.

We do not have a definite timescale for when the NSC will publish its findings, but we are expecting an update in the coming months. Following completion of this review, the UK NSC will make a new recommendation. If the recommendation is to introduce lung cancer screening then the Scottish Screening Committee, in consultation with medical experts in this field, will advise Scottish Ministers on the most appropriate course of action for Scotland.

The Scottish Government recognises that island communities can face distinct challenges in the transition to zero emissions heating. We are committed to continuing to make higher levels of funding available per head through our energy efficiency/fuel poverty delivery programmes in remote rural areas, where we know installation and labour costs are higher.

Through our Islands Energy Strategy – of which a draft is due to be published later this year, we will work with stakeholders to take an evidence based approach to explore the need additional support for those rural and island homes which require bespoke and targeted advice for heat and energy efficiency.

Furthermore, our Heat in Buildings Supply Chain Action Plan, due to be published later this year will include a specific focus on developing local supply chains, including in our islands and remote communities, to help bring costs down.

The Cancer Survival publication is due for release on 19th April 2022 and will be hosted by Public Health Scotland. Data on 1 and 5 year survival will be published for patients diagnosed between 2015 and 2019 as well as long-term trends in survival for patients diagnosed since 1995. Information is presented for 27 types of cancer, for Scotland as a whole and by age, sex and socio-economic deprivation.

Information on the number of diagnostic procedures performed in NHS Scotland is available on the Public Health Scotland website and can be found in the Acute Hospitals and Finance Cost Books . However, the activity data published for radiology in the Finance Cost Books is reported with elective and emergency totals combined, which does not allow us to report on elective diagnostics activity disaggregated. Further, the Acute Hospitals publication only publishes activity data on particular endoscopy tests, therefore it cannot give us a complete picture for endoscopy activity. Data on the ongoing waits of diagnostic procedures can be found in the PHS Diagnostics publication .

We have provided £29 million to support an increase in diagnostic procedures by 78,000 during the current year and expect diagnostic capacity to increase by at least 90,000 procedures per year by the end of the NHS Recovery Plan in 2025/26. This equates to 29,000 additional CT scans, 24,000 MRI scans and 25,000 additional endoscopy procedures by the end of the Plan.

We do not have the information requested as we are still in the test phase of this programme. In this government’s first 100 days, we established ten pilot schemes to test how best to provide free bikes for school age children who cannot afford one. These pilots will run for up to 12 months, testing different approaches and delivery models which will then be independently evaluated to help inform a national rollout. Of the mentioned council areas, Shetland is currently covered by one of the ten pilots. The pilot team in Shetland have procured their first 25 bikes, and are now preparing their distribution.

The Scottish Government expect all stock within the Private Rented Sector to meet any energy efficiency standard set by regulations or to have a valid exemption. The Heat in Buildings Strategy confirms our intention to introduce, subject to consultation, such regulations, where that is technically feasible and cost effective from 2025. We plan to consult during 2022 on these regulations, and this will include details of any exemptions including those linked to cost, tenant rights, what might be technically feasible, and matters relating to compliance and enforcement.

In general, private landlords or letting agents will advertise available properties through a range of ways including online property website portals, property centres, letting agencies and student accommodation services. The Scottish Government does not provide direct advice or support to people who are looking to find a suitable property to rent. General advice regarding renting from a private landlord is however available at Renting property from a private landlord - mygov.scot . Where a person is unable to access suitable accommodation in the private rented sector, individuals should approach their local authority housing department for support if they are homeless or to go onto the housing list. Registered Social landlords can also be approached to go onto the housing list.

The information requested is not held centrally by the Scottish Government or by Public Health Scotland, however confirmed cervical cancer patients being treated on the 31 day or 62 day pathway, with their waiting times, can be found at:

Cancer waiting times - 1 July to 30 September 2021 - Cancer waiting times - Publications - Public Health Scotland

The Scottish Government is committed to developing and implementing within this parliamentary term a revised contracting framework for community pharmacy NHS pharmaceutical services, underpinned by a review of existing Control of Entry, funding arrangement and introduction of a Performers List for the Pharmacy profession, as outlined in Achieving excellence in pharmaceutical care: a strategy for Scotland strategy.

Any future amendments to the regulations will uphold the necessity for successful applications to be granted around set criteria. These include neighbourhood requirements, the adequacy of existing pharmaceutical services in an area (from registered pharmacy premises), and the necessity or desirability of to secure adequate pharmaceutical services in an area.