In May 2023 the Scottish Government published an analysis of survey data of health boards’ arrangements: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Services in Scotland: Findings from an analysis of surveys issued to NHS Boards in Autumn 2022 (www.gov.scot) for the care and support of individuals with ME/CFS, with the aim of establishing a clearer picture of variations in service provision around Scotland.

The report sought to map ME/CFS support and service provision, review implementation of the 2021 NICE guideline and identify barriers to this, and highlight areas of good practice or where further support is needed to embed the guidance.

We have since gathered updated information on ME/CFS care from every health board in Scotland and are currently preparing to publish a revised report later this month.

As part of the Anti-Racism in Education Programme - gov.scot (www.gov.scot), the Scottish Government has established the Racism and Racist Incidents (RRI) workstream. This workstream is focussed on developing support for schools and school staff to improve understanding of racism and to ensure that these issues are properly identified and addressed.

The RRI workstream is currently developing practical guidance for schools to support them to respond to racism and racist incidents, including strengthening approaches to recording and monitoring.

It is anticipated this guidance will be published in Spring 2025.

The Scottish Government is currently consulting on Scotland’s draft palliative care strategy Palliative Care Matters for All. The consultation is open until 10 January 2025 and builds on extensive stakeholder engagement to develop a framework to support delivery and build on existing work to support those in need of palliative care and their families. Through our draft palliative care strategy, we are committed to working with Health and Social Care Partnerships (HSCPs) and adult independent hospice organisations to develop a national guidance framework to support and improve consistency of local planning and commissioning of independent hospice services through Integrated Joint Boards (IJBs).

Scottish Government through its national Centre for Sustainable Delivery (CfSD) has formed a Specialty Delivery Group for Liver Disease with the first meeting on 6th November 2024. Early Detection is one of the pathways being prioritised.

The Early Detection Pathway has already been passed through the first Gateway in the CfSD delivery pathway. The challenges are around how individual boards can implement this before the National Laboratory Information Management System.

There has been progress in developing the Early Detection pathways in individual boards using the technology as currently available while others are using the their Referral Advice to Primary Care with increased use of the FIB-4 and Fibroscan with advice for Lifestyle changes and repeat investigation as required.

The Scottish Government is aware that supplies of various ADHD medicines continue to be intermittent. The supply of medicines and associated legislation are a reserved matter for the UK Government and the Scottish Government continues to engage with them on all medicine supply issues. At present, information provided by the UK Government indicates that some ADHD medicine shortages will continue into early 2025.

Scottish Government officials continue to monitor the situation for any further developments and are maintaining a close dialogue with all Health Boards to help manage these medicine supply disruptions. The Chief Pharmaceutical Officer (CPO)

for Scotland is a member of a UK-wide Medicines Shortage Response Group that supports the management of medicine shortages. In addition, the CPO will be holding a roundtable meeting with key stakeholders in Scotland on 12 November 2024 to better understand the impact of ADHD medicine shortages locally and to determine if there is any further action that can be taken to strengthen our response.

The See Hear Strategy is supported by Scottish Government See Hear funding of £320,000 yearly, shared across each local authority area and based on population size, to deliver local implementation of the Strategy. This is in addition to Section 10 grant awards made in 2024-25 and totalling £102,475 to support sensory loss projects that meet recommendations in the Strategy.

Future funding of the Strategy will be subject to the outcome of the Scottish Budget which is due to take place on 4 December.

I also refer the member to the answer to question S6W-22870 on 22 November 2023 which details the amount of funding used to support the Strategy since its publication in 2014. 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.

sportscotland’s Institute of Sport delivers tailored support services for athletes. Their Female Athlete Performance Working Group have developed a range of resources specifically for female athletes, designed to support anyone working with girls and women in sport. The Group have also launched a learning platform which provides access to e-learning resources such as the menstrual cycle in sport.

These resources are available for free to all, with the ambition that all within the sporting system are comfortable having conversations about female athlete health and understand the impacts on training and performance.

Menstrual health and wellbeing education is a key part of relationships, sexual health and parenthood (RSHP) education. RSHP education is an integral part of the health and wellbeing area of the Scottish curriculum, Curriculum for Excellence.

The RSHP teaching resource, refreshed in 2023, equips young people with information on a wide range of issues, including menstrual health and wellbeing, depending on their age and stage of learning, enabling children and young people to build positive relationships as they grow older.

Through programmes such as sportscotland’s Fit For Girls and Young People’s Sport Panel, tutors are holding workshops with girls where menstrual education and impact on physical education is a key topic of discussion.

The Scottish Government is more than halfway towards achieving our ambition for 2GW of community and locally owned energy by 2030, with an estimated 1,028 MW of community and local renewable energy capacity operational in Scotland at the end of December 2023. We are taking action to continue to help ensure people and communities benefit from the energy transition, including support for community and locally owned energy.

In 2024-5, the Scottish Government’s Community Energy Generation Growth Fund awarded up to £1.5 million in grants to community groups across Scotland to develop their own renewable energy projects. We are also taking action to increase ownership opportunities. Through our Community and Renewable Energy Scheme (CARES) we provide online guidance, resources, and support to access funding and contractors to enable communities to engage with shared ownership opportunities.

While the Scottish Government provides the overarching guidance/framework for patient travel expenses reimbursement, NHS Boards are responsible for developing local policy to best meet the needs to their populations, and for assessing eligibly for financial support and level of that support.

The cost of reimbursement is met from Boards’ budgets and all Boards must balance value for money with patient need, ensuring that patients are supported in identifying and accessing available support and that patient care is at the centre of all decisions.

It is recognised that transport to health is a key enabler to ensure equitable access to healthcare, and work to bring travel/transport and health planning closer together is in progress. This work will include bringing local bodies together at a regional level to consider the options for transport to health. This work will also inform how and when a review of the overarching patient travel expenses reimbursement guidance is taken forward.

In 2023, Scottish Government published revised guidance on the Provision of Equipment and Adaptations, which includes actions regarding provision for short-term wheelchair loans. Officials are currently engaging with Health and Social Care Partnerships to better understand how this and the related guidance on the Provision of Wheelchairs for Short-Term Loan is being locally implemented. Throughout the course of their engagement, officials will consider if any updates to this guidance or additional materials are necessary.