Chamber and committees

The Scottish Government is mindful of the use of mesh in non-transvaginal settings. In February 2018, the then-Chief Medical Officer wrote to NHS Scotland Medical Directors about public interest in the use of mesh implants, including in hernia repair. Medical Directors were asked to ensure that clinicians offer patients all appropriate options for surgery, as well as the option of no surgery. In addition, the importance of shared decision making, informed consent and listening and acting upon patients’ concerns was noted.

Furthermore, the Scottish Government has commissioned the Scottish Health Technologies Group (SHTG) to produce two reports on the use of mesh in hernia repair; the first published in January 2020 and the second in December 2021 . These reports, based on current published evidence, support the continued use of mesh in a variety of abdominal wall and groin hernia subject to all the tenets of Realistic Medicine – ensuring shared decision making and informed consent with knowledge of the benefits, risks alternative measures and the possibility of doing nothing. The findings of the reports have been discussed with professional bodies, including the Royal Colleges and the British Hernia Society.

The Chief Medical Officer (CMO) wrote to the Board Chief Executives and Medical Directors in December 2021 to draw their attention to the SHTG report. In the letter, the CMO asked Health Boards to consider the availability of non-mesh surgery, how best to address skill gaps, if they exist, and the development of broader clinical networks for management of complex cases. The actions resulting from this will be discussed at a meeting of the Scottish Association of Medical Directors in August.

There is also work ongoing with regard to establishing a Medical Device Information System (MDIS) which will provide important surveillance and outcome information.

I refer the member to the answer to question S5W-24134 on 18 July 2019.. 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 is aware of the international consensus principles for ethical wildlife control and alongside the recent Parliamentary debate on the issue, I previously met with OneKind to discuss those principles in more detail, and last month Scottish Government officials attended a workshop organised by both John Muir Trust and OneKind on the principles and how they could be applied in deer management.

Animal welfare remains at the heart of our wildlife management policies and we have taken a number of steps in recent years in order to ensure the highest standards of animal and wildlife welfare in Scotland.

NatureScot has invited stakeholders such as the Scottish Animal Welfare Commission and animal welfare organisations such as the Wild Animal Welfare Committee to work with them on exploring where they think we can go further in regards to animal welfare and the international consensus principles for ethical wildlife control being applied within the Shared Approach.

The Scottish Government is committed to the recruitment of 1,500 additional staff to support the delivery of Scotland’s National Treatment Centre (NTC) Programme, and is supporting a range of activity to achieve this.

This includes support for domestic and international recruitment activity, growth in domestic training pathways for registered medical professionals and new youth employment and apprenticeship opportunities in a variety of non-registered roles, designed to attract individuals who may not have originally viewed NHS Scotland as an employer of choice.

Work is also being undertaken to upskill existing NHS staff through bespoke in-house training programmes delivered via the NHS Scotland Academy, thereby directly supporting career progression and retention for existing staff, and providing access to a variety of new roles that the NTC programme will offer. Through these initiatives we are also supporting boards with backfill arrangements.

Recruitment to specific roles in a given National Treatment Centre is the responsibility of each NHS Board. It is therefore for NHS Ayrshire and Arran to provide details of ongoing recruitment activity relevant to their Centre.

We have not undertaken any assessments regarding the affordability of nappies in Scotland, however we will continue to work with partners to ensure that our financial supports, such as the Scottish Child Payment and the Best Start Grant, are maximising the support available for families to live dignified lives and meet their basic needs.

Our Best Start Grant Pregnancy and Baby Payment helps eligible low income families with expenses associated with pregnancy or with having a new child. Families are able to use this payment to best meet their needs which could include buying nappies.

Food banks do not currently publish data on nappies and other baby products, however, Scottish Government officials do meet regularly with both the Trussell Trust and the Independent Food Aid Network who share information about food bank use in general.

The Rural Communities Ideas into Action (RCIA) fund was part of a Community Led Local Development (CLLD) test of change pilot developed and delivered in 2021-22 by Scottish Government. The fund made available a total of £3.3 million of CLLD funding to rural and island communities across Scotland.

The learning from this pilot and, previous CLLD funding through the former LEADER fund, has informed development of a new Scottish Government CLLD fund which will deliver £11.6 million in two tranches over 2022-23.

I can confirm that the tranche one phase is progressing and will see £7.6 million allocated to Local Action Groups (LAG) representing rural and island communities who will be responsible for project funding decisions.

Details of tranche two for the delivery of the remaining £4 million within the current financial year are being finalised.

In ‘A Fairer, Greener Scotland: Programme for Government 2021-22’, the Scottish Government committed to begin work on establishing a register of interests for the judiciary to increase public confidence and improve transparency.

To date, preparatory work on developing proposals for a judicial register of interests has been undertaken and my officials are currently developing options and next steps with the intention of engaging with stakeholders towards the end of 2022.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

The Scottish Court Custody and Prisoner Escort Service Contract (SCCPES) provides the requirements of the service provider to ensure safe and secure transfer of prisoners between court appearances and mainland prisons.

1. The escort provider has clear processes and Standard Operating Procedures that have been agreed with SPS including:-

• the management of all transfers, regardless of location, including the use of public transport where the use of their vehicle fleet is not possible and other transport is required, such as Ferries, Boats and use of Aircraft.
• agreement of the protocols with Scottish airports for the facilitation of the movement of prisoners through the terminal buildings to facilitate the flight to and from all Scottish Islands where a flight is necessary, timeous and has been deemed to be required.

1. The current service provider has established a robust working relationship with all Scottish airports to facilitate the movement of individuals through the airport and terminal buildings.

In the scenario where an airport is unable to facilitate the transfer, the service provider will arrange, where possible, a flight to another Scottish airport and manage the ongoing movement via road transport if necessary, taking into consideration the impact of the person being escorted and the time spent in transit.

The Scottish Government has not been requested to research a headcount reduction in the Scottish civil service.

The Scottish Government regularly reviews its workforce numbers to ensure affordability, and that the organisation is delivering for the people of Scotland as efficiently and effectively as possible.

The UK Government has not provided details on how their plans to reduce the number of civil servants by 91,000 will affect their staff working in Scotland. There are around 24,800 [1] Civil Servants who are part of the reserved Public Sector in Scotland.

The UK Government plans do not have a direct impact on civil servants who serve the Scottish Government, as the responsibility lies with Scottish Ministers and the Permanent Secretary when it comes to determining our workforce size.

[1] Source: Public Sector Employment In Scotland Statistics For 1st Quarter 2022 .

The Pig Producers Hardship Support Scheme was first published in August 2021, when a £715,000 fund was made available. All 39 applications received were successful, totalling a spend of approximately £654,000.

In February 2022, the scheme was extended to offer a further £680,000 and had 32 applicants, leading to a total spend of c£675,000. There were no unsuccessful applications.

In June 2022, a further extension to the scheme of £410,000 saw 32 applications, with no unsuccessful applicants. The total spend for this third and final round of the Pig Hardship Scheme is estimated at £406,000 with payments to be made by the end of August.

This amounts to c£654,000 being paid out in 2021 and approximately £1,081,000960 to be paid in total this calendar year. Due to the nature of the scheme, the same applicants could apply for multiple rounds of support.