Chamber and committees

I refer the member to the answer to S6W-11396 on 1 November 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 .

Cancer services do not sit in silo, they cross-cut numerous specialties and teams which have been greatly affected by the pandemic, including diagnostics. While those referred as an urgent suspicion of cancer (USC) continue to be prioritised and more patients were treated on a 62-day pathway in the latest published quarter (Q2 2022) compared to pre-COVID, clearly recovery will take time. This is why we published our NHS Recovery Plan in August 2021. It reinforces our commitment to continue to invest in cancer pathways - £10 million was released to Boards in August 2022 – and our ambition to maintain the 31-day standard and achieve the 62-day standard on a sustainable basis.

Our National Cancer Plan set out to recover and redesign cancer services, with 68 individual actions across the patient pathway to improve patients’ experience of care, and roll-out innovative treatments. The plan adopts a ‘Once for Scotland’ approach to cancer services and ensures that access to care and treatment is equitable across Scotland.

Public Health Scotland does not publish data at the level of detail requested. However, statistics relating to the waits patients experience for inpatient or day case treatment at specialty level are published up to 31 March 2022 and can be found here: Stage of treatment waiting times - Inpatients, day cases and new outpatients 30 June 2022 - NHS waiting times - stage of treatment - Publications - Public Health Scotland

Both the Scottish Government and NHS Greater Glasgow and Clyde are aware, and regret, that patients are experiencing longer than normal delays in accessing NHS care, including at the mesh removal service in Glasgow. Patients are, however, being seen, surgeries carried out, and concerted efforts are being made to reduce waiting times.

The Complex Pelvic Mesh Service provided by NHS Greater Glasgow and Clyde (NHS GGC) offers holistic care for women experiencing mesh complications. There are a number of consultants operating in the service allowing women a choice over who is involved in their care. Complementing this, and to allow women more choice, individuals can also opt to be referred to NHS England services for surgery, or can choose to travel to Spire Hospital in Bristol, or to Dr Veronikis in the USA.

Any woman seeking referral to the mesh service in Glasgow, NHS England, Spire Hospital or Dr Veronikis should initially discuss her case with clinicians within her own Health Board. If considered appropriate at that stage, she will then be referred to the specialist service in NHS GGC for consideration by a full multi-disciplinary team (MDT). If, after careful consideration by both the MDT and the patient, it is agreed that surgery is appropriate, she will then be given the option of receiving treatment through the Glasgow centre, or referral to an NHS England Specialist Centre, the Spire in Bristol, or Dr Veronikis, depending on her wishes.

Regardless of the treatment option chosen, initial assessment in the specialist service in Glasgow is extremely important as it ensures that the patient receives the proper consideration of a full MDT, and will receive care that is fully integrated with any pre- and post-operative care provided locally.

I refer the member to the answer to question S6W-11635 on‎ 14 November 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

A number of women have been assessed at the specialist service in NHS Greater Glasgow and Clyde and have subsequently requested onward referral to the independent providers. It is the responsibility of the patient’s local Health Board to make that referral and, in a number of cases, this has already occurred whilst, in others, preparations for referral are ongoing.

Neither the Scottish Government nor NHS National Services Scotland are able to confirm specifically when any patient will travel to the USA or Bristol for treatment, as the scheduling of surgery is dependent on clinical review by the provider and their subsequent acceptance of the case in question.

In light of the small number of patients referred, it would not be appropriate to disclose exact numbers due to the potential risk to patient confidentiality.

The reimbursement scheme established under the Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Act 2022 is concerned with the reimbursement of costs associated mesh removal surgery arranged by women privately, where such arrangements were made on or before 3 June 2022. The scheme has no function in relation to the commissioning by NHS Scotland of mesh removal surgery from independent providers.

Mesh removal surgery commissioned from independent providers by NHS Scotland, in the UK or elsewhere, is arranged under Health Boards’ general powers, and there is no time limit on such arrangements being made.

Evidence and data play an important part in efficient policy delivery. Our commitment to continue to improve on our data and evaluation efforts is highlighted as part of the revised evaluation strategy to tackle child poverty. The Scottish Government publish child poverty estimates by detailed ethnic group and since March 2022, time series for ethnicity breakdowns have also been published, including for child poverty estimates by detailed ethnic group. The Scottish Government is happy to support CRER – and any stakeholders – with finding our published data and producing ad-hoc analysis.

Whilst recognising the important role of detailed statistical data, our tackling child poverty delivery plan is clear that an intersectional approach is needed to support priority families. Beyond statistical analysis, our action to tackle child poverty is based on a strong evidence base identifying the main drivers of poverty, as the CRER report acknowledges. To design policies that specifically help minority ethnic families, further evidence has been published to widen our understanding. This includes a detailed focus report on minority ethnic families, a summary update on drivers of poverty for all priority family types which fed into the development of ‘Best Start, Bright Futures’ and detailed understanding of what works to tackle child poverty.

The Scottish Government is refreshing the non-statutory guidance for Local Child Poverty Action Reports (LCPARs) to support local authorities and health boards to deliver focused reporting on their actions to support priority families. CRER and other stakeholders representing priority families have been consulted in drafting the guidance. This is part of our work with stakeholders to strengthen targeted action for priority groups. We welcome the opportunity to work with CRER to enable a greater focus on BME families in our national and local practice and reporting.

The Scottish Government, in collaboration with other national partners, review LCPARs and engage with local authorities and health boards, offering feedback and sharing learning across areas. This process provides a further opportunity to support local focus on the six priority family groups.

The non-statutory guidance also highlights that the intersectional approach needed to support priority families is best served by person-centred, holistic action. We will continue to support local leads to engage directly with priority families in their areas who have direct experience of poverty to understand, design and deliver the tailored support needed.

This government welcomes CRER’s assessment of Local Child Poverty Action Reports (LCPARs) which recognises the vital role which local authorities, health boards and local partners play in our national mission to tackle child poverty.

Tackling child poverty is a national mission for this government and our Tackling Child Poverty Delivery plan, ‘Best Start, Bright Futures’ focuses on the six priority family types at highest risk of poverty, including minority ethnic families. We know we cannot tackle child poverty without a clear focus on supporting priority families, including minority ethnic families, to increase their income from employment and benefits, and reduce their living costs.

We are refreshing our non-statutory guidance for LCPARs to support local authorities and health boards to deliver focused reporting on their actions to support priority families. CRER and other stakeholders representing priority families have been consulted in drafting the guidance.

This is part of our wider programme of work supporting local action to tackle child poverty. Through our partnership with the Improvement Service and the peer support network for child poverty leads from each Local Authority and Health Board we will continue to encourage and support local action to tackle child poverty amongst priority groups.

We awarded a contract through a competitive tender for independent VAT advice from Anderson Anderson & Brown LLP. AAB have been commissioned to provide advice and support to SG on VAT implications. This work is ongoing. We will engage with the wider sector and HMT prior to any decision being taken which would have a VAT impact.