Chamber and committees

The Scottish Government recognises that an improved streamlined process for the implementation of new genetic tests linked to a Scottish Medicines Consortium (SMC) approved medicine is required. The SMC currently provides early information to National Services Division (NSD) on cancer medicines in clinical development that are expected to require a companion diagnostic through regular horizon scanning reports. To support financial and service planning, the SMC also provides Health Boards – in confidence - with information on medicines that may require a companion diagnostic through regular Forward Look reports, which include emerging new medicines, including Advanced Therapy Medicinal Products (ATMPs).

A key function of the Scottish Strategic Network for Genomics Medicine (SSNGM) is to horizon scan for new medicines to prevent delays for patients getting access to advanced therapies. To support this, the SSNGM has established Scottish Genomics Testing Assessment Groups (SGTAG) for cancer and rare disease. The SGTAG will work with the SMC and others to approve the availability of companion diagnostic tests in the genetic laboratories.

Official statistics for the Scottish Cervical Screening Programme will be published this Spring, with data up to March 2022. It is therefore too early to assert what uptake for 2021/22 will show, however the Scottish Government is aware that previous years have highlighted the need to improve uptake.

Both the Scottish Government and the Cervical Screening Programme encourage all those eligible for cervical screening to go for a test when invited, and for all those eligible to take up the offer of the HPV vaccine when invited to.

We continue to work with Jo’s Cervical Cancer Trust to support their vital campaign work on cervical cancer, having awarded £456,000 in funding to highlight the benefits of screening and to better understand barriers to uptake.

Finally, we understand that increasing uptake alone is not enough, and that we must also strive for equality of uptake. Work is currently underway on a national Equity in Screening Strategy, which is being led by National Screening Oversight. The strategy will provide a focus and commitment to tackle inequalities in screening, to achieve equity of access for all eligible individuals across the whole screening pathway. It will consider the main causes of inequalities and will outline initial actions to address barriers and facilitate access of underserved groups.

The responsibilities of Scottish Ministers and the Water Industry Commission for Scotland are set out in the Water Industry (Scotland) Act 2002, as amended. The Principles of Charging, available at https://www.gov.scot/publications/principles-of-charging-2021-2027/ , specify how Scottish Water is to charge for its services, together with the discounts, exemptions and reductions which must be applied.

The Business Principles Agreement, jointly developed with business, was published in December 2021 to cover the current five year Parliamentary term. The Agreement applies across all Scottish Government policy areas and provides a framework to enable more effective joint working between the Scottish Government and business though greater co-development, collaborative delivery and collective assessment of policies impacting business.

During 2022 Ministers had almost 1,250 engagements with business, an average monthly increase of 5% on the COP26 boosted average from May to December 2021. In addition business experience informed development of our National Strategy for Economic Transformation Delivery Plans, while a number of Industry Leadership Groups (ILGs) were set-up or refreshed during 2022 to deepen our sectoral connections, and I established an ILG Chairs group to foster cross-sectoral collaboration and sharing of experience.

The establishment of the Joint Taskforce on Business Regulation provides a further best practice application of the Principles approach with the majority of Agreement signatories being Taskforce members. The Joint Taskforce is co-chaired by myself and CoSLA Spokesperson for Environment and Economy Cllr Gail Macgregor and has so far met in December 2022 and February 2023.

Business organisations and regulatory stakeholders have set out what they would like the group to look at and this will be reflected in the Terms of Reference, with members acknowledging that there is ongoing work in many areas to address the concerns they have raised around specific regulations. The Joint Taskforce will look to identify the existing mechanisms for discussing these regulations before considering and suggesting what interventions might be most appropriate. We will publish minutes and papers on the Scottish Government Website.

The Taskforce has also agreed to look at ways of identifying and demonstrating the cumulative burden of regulation on businesses and members have been asked to consider and provide feedback on the Business Regulatory Impact Assessment approach to help improve the process for developing new regulations in future.

Maintenance of its estate and the allocation of its capital budget is a matter for the Scottish Fire and Rescue Service. The safety of its staff is paramount and SFRS are continuing to monitor the measures put in place to rectify the defects and support staff to deliver its service safely.

In 2019 an urgent issue was identified in relation to an obsolete method of roof construction (Reinforced Aerated Autoclaved Concrete (RAAC). As soon as the defects were discovered (from May 2019 to 2020) action was immediately taken with temporary support (acrow props) to reinforce identified weak points and scaffolded out crash decks to catch roof collapses and minimise the risk of injury to occupants. All roofs are subject to quarterly inspections by building surveyors to monitor the condition/identify any deterioration. There has been no negative impact on SFRS operations from these sites.

Maintenance of its estate and the allocation of its capital budget is a matter for the Scottish Fire and Rescue Service.

SFRS is currently conducting an options appraisal exercise to identify the best and most economic options for the 14 fire stations identified with Reinforced Aerated Autoclaved Concrete (RAAC) roof construction.

SFRS is also continuing to work with partner agencies to explore if there is potential for greater shared services across all of its estate and in particular those fire stations which require significant capital maintenance because of the defective RAAC roofing.

The Scottish Government is not aware of plans to relocate Helensburgh Community Fire Station. Decisions on the allocation and location of resources is a matter for the Scottish Fire and Rescue Service.

Data around the number of people taking up interim care placements procured using the additional funding offer announced in January 2023 is published weekly on a Thursday at Interim care placement uptake - gov.scot (www.gov.scot) .

The data is currently not available broken down by NHS board.

Under the Fire (Scotland) Act 2005, the Scottish Fire and Rescue Service (SFRS) is an enforcing authority for fire safety in hotels and other relevant premises across Scotland and already has the necessary powers available to them to enforce fire safety .

As an enforcing authority, SFRS work with duty holders in relevant premises to achieve compliance in fire safety through an auditing framework and providing advice and support. Where partnership working does not produce compliance, SFRS may decide to take enforcement or prohibition action where necessary.

The 2023-24 budget confirms our ongoing commitment to invest in social care and increasing the sustainability of the sector ahead of implementation of the National Care Service.

The 2023-24 Stage 1 budget presented, at level 4, a total investment of £1.2 billion in Social Care support and National Care Service (NCS) delivery. This total represents a social care spending increase of over £800 million compared to 2021-22, demonstrating that we are well ahead of our trajectory to increase spending by 25% (£840 million) over the life of the Parliament.

The £1.1 billion expenditure line supports a number of areas including an additional £100 million for adult social care pay up to £10.90 per hour, £344 million of existing funding to support pay, £124 million for care at home investment, £60 million for the Carers Act and funding to support inflationary uplifts for Free Personal Nursing Care Rates. We note the Report on the Financial Memorandum published on 1 December by the Finance and Public Administration Committee and are currently revising the NCS Financial Memorandum. This will provide more detail on expected spend in 2023-24 and beyond.