Chamber and committees

Under the established major service change process in the NHS (outlined in the national Planning with People guidance), this proposal, which was agreed by the Board of NHS Ayrshire & Arran at its meeting on 9 October 2023, is subject to Ministerial approval.

Having carefully considered all the available information, I have today written to the Chair of NHS Ayrshire & Arran to confirm that I am approving the Board’s proposal to retain the interim changes to local Systemic Anti-Cancer Therapy (SACT) services. The Board has made a compelling case for retaining the change that has been made, which is supported by the clear majority of local stakeholders. The proposal is fully consistent with both the aims and ambitions of our new cancer strategy and the tiered, clinically risk-assessed approach under the West of Scotland Strategic Review of SACT services. As such, I am content that the Board has adopted an appropriate, clinically-based risk approach to maximise local access to services, as far as possible.

LED parapet lighting installations are currently in place and attached to the Carnoustie Street, West Street and Eglinton Street flyovers on the M74 motorway in Glasgow.

Transport Scotland’s Operating Company for the Glasgow area, Amey Ltd, has identified some faults in these assets as part of their ongoing inspection regime. Amey is currently developing a programme for these repairs and I have asked officials at Transport Scotland to provide with a further update by the end of January.

Across NHS Scotland a total of 89 patients have been treated for fascial sling repair, urethra bulking or colposuspension since this summer. This excludes patients from NHS Tayside who have been treated via independent sector support. Treatment has been booked for 38 patients in December and January, and further patients are currently in the pre-assessment stage and will be offered a date early in the new year.

As the member will know, the Centre for Sustainable Delivery’s (CfSD) National Elective Coordination Unit (NECU) is supporting a nationally coordinated campaign to support treatment of these patients, which was intended to conclude by November 2023. However, due to a number of complexities this has progressed more slowly than expected.

Programmed work locally within Health Boards is often booked 6-8 weeks in advance, and as such a lead in time for treatment options was longer than initially anticipated. This must also be balanced with clinical prioritisation, with Health Boards continuing to prioritise urgent and suspected cancer pathways within this specialty and subspecialty area.

Each of the three procedures identified also requires enhanced governance processes before patients are identified, particularly when patients are moving from their board of residence, including high vigilance scrutiny checklists to support a person-centred approach. To support a clinically safe and governed pathway, several cross board clinical engagement meetings were required to agree the governance pathway.

A small number of patients have also declined the offer of treatment outwith their local board area.

We will continue to work with Health Boards and NECU to ensure all patients receive treatment as soon as possible.

We are working with partners to improve social care services and deal with the challenges the sector faces. Adult social care support is vital to all who require additional support, whether that is to live independently at home, in the community, or to move into a care home.

While the number of care homes has fallen, the estimated number of care home places available has remained relatively stable.

This reflects our policy of supporting people to live at home for as long as possible.

No one wants to see the closure of care homes, unfortunately this can happen for a number of reasons, such as quality concerns or changing ownership.

The Scottish Government supports the Scottish Environment Protection Agency’s (SEPA) essential work to deliver a comprehensive monitoring programme in order to understand Scotland’s environment and the risks from emerging contaminants of concern, such as perfluoroalkyl and polyfluoroalkyl substances (PFAS). SEPA collaborates closely with partners across the UK and engages in various research projects to work towards a common approach on the assessment and management of a wide range of chemicals.

SEPA has developed a new analytical technique to screen environmental water samples for a large number of chemicals, including PFAS. It is currently expanding the extent of this monitoring and the range of substances and analytical media included. SEPA is also developing another method specifically to monitor PFAS substances, which will be ready in 2024.

The Scottish Government is also funding several relevant research projects through its five-year Environment, Natural Resources and Agriculture strategic research programme and through the Centre of Expertise on Waters (CREW). This work includes developing techniques to measure perfluoroalkyl and polyfluoroalkyl substances (PFAS) in salmon, food products (fish), and soils, and developing approaches for future monitoring programmes.

The 2009 Flood Risk management Act allocates clear roles and responsibilities for managing flood risk in Scotland. In accordance with this the Scottish Government works in in partnership with local authorities. Local authorities are responsible for ensuring local accountability by leading on the preparation of local flood risk management plans, which supplement the national strategies prepared by SEPA and ensure actions are locally targeted and delivered.

The Grangemouth Flood Protection Scheme is exceptional in terms of scale and financial cost. As such it requires careful consideration and the Scottish Government will continue to work with Falkirk Council to ensure that the scheme brought forward delivers for the local community and economy.

Unite’s Fair Hospitality Charter contains many important elements which the Scottish Government continues to promote through Fair Work First, such as payment of at least the Real Living Wage, appropriate channels for effective workers’ voice through trade union recognition and no inappropriate use of zero hours contracts.

Everyone should expect to be properly rewarded for their work and treated correctly with respect, free from any forms of harassment. The Scottish Government is committed to working with trade unions and industry to ensure Scotland is the best place to live, work, invest and do business, and Fair Work is the foundation to this.

There remain many challenges in our key sectors, therefore it is essential that we all work together – Government, employers, employees and trade unions – to create a hospitality industry with fair work at its heart and for all. The industry-led National Tourism Strategy; Outlook 2030 commits to support and enable the adoption of fair work practices in Scotland’s tourism and hospitality sector.

The outcomes and recommendations of the independent Fair Work Convention inquiry into hospitality, due in Spring 2024, will be reviewed to provide further insight into how we can increase the adoption of fair work practices for the sector.

The Scottish Government looks forward to continuing partnership working with unions and industry.

Under the Flood Risk Management Act (2009), it is for local authorities to develop, design and deliver flood protection schemes within their area. It is therefore the responsibility of local authorities to predict the likely economic damages resulting from flooding in their areas as part of producing a robust business case for their proposed flood protection schemes. The Scottish Government will continue to work collaboratively with Falkirk Council and input where required to ensure that their estimates are robust and up to date.

The Scottish Government recognises the potential risks posed by PFAS in drinking water and works closely with Scottish Water and the Drinking Water Quality Regulator to ensure risk is minimised. The Public Water Supply (Scotland) Amendment Regulations 2022 were brought into force to align with the EU's recast Drinking Water Directive's (rDWD) updated list of parameters, which sets statutory limits on the combined concentration of a group of 20 named PFAS substances. These Regulations broadly align with the Royal Society of Chemistry's recommendation to limit the sum of PFAS to 10 nanograms per litre (0.1 µg/l)

There is also a legislative requirement for Scottish Water to carry out risk assessments of all drinking water supplies, and PFAS risk is assessed for every water supply. A further statutory duty is that Scottish Water must sample for any substance where it considers that there is risk, and this would include any other PFAS compounds that are not listed in the Regulations.

In line with the Public Water Supply (Scotland) Regulations 2014, Scottish Water is required to carry out risk assessments to assess the likelihood of the presence of the most widespread PFAS compounds in its drinking water supplies. Where risk is identified, controls must be determined. It is a matter for Scottish Water to decide what treatment technology is necessary, however, the Drinking Water Quality Regulator has provided guidance on the types of treatments that can be effective in removing PFAS from drinking water.

The DWQR is participating in a UK wide research project on the effectiveness of different treatment processes for the removal of PFAS that is led by Cranfield University; this research is due for completion by June 2024.