- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Friday, 17 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government how patient outcomes in rural areas compare with those in urban areas for (a) heart disease, (b) cancer, (c) diabetes and (d) any other key health conditions.
Answer
The Scottish Cardiac Audit Programme publishes annual data on incidence, cardiac interventions and patient outcomes across Scotland. The most recent reports are available here; Scottish Cardiac Audit Programme report 2023/2024 - Scottish Cardiac Audit Programme (SCAP) - Publications - Public Health Scotland.
The Cancer Strategy for Scotland 2023-2033 and Cancer Action Plan for Scotland 2023 – 2026 have a focus on reducing inequities in access to cancer care and cancer outcomes.
The Scottish Government is looking to improve our understanding of outcomes of people with cancer living in rural and island communities. Examples include an independent evaluation of their experiences accessing cancer services, and a research programme on rural healthcare funded by the Chief Scientist Office.
The Scottish Diabetes Survey (SDS) collates data extracted from SCI-Diabetes database submitted by all 14 NHS boards and provides an annual summary of key issues and trends in diabetes care and treatment across Scotland. A link to the survey can be found at: Publications | diabetes in scotland.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 29 January 2025
To ask the Scottish Government what consultation it has had with stroke clinicians and third sector organisations in relation to thrombectomy funding in its draft Budget 2025-26.
Answer
The Scottish Government draft budget 2025-26 has been informed by planning forecasts provided by the Thrombectomy Advisory Group (TAG). Clinicians and third sector organisations, as well as NHS planning colleagues, are represented on the TAG and the information provided by them helps to inform decisions taken by the National Thrombectomy Programme Board.
Work is ongoing to establish how the £16 million funding announced in the Scottish budget, subject to parliamentary scrutiny, will be best used to maximise the number of patients able to benefit from thrombectomy.
- Asked by: Alexander Stewart, MSP for Mid Scotland and Fife, Scottish Conservative and Unionist Party
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 29 January 2025
To ask the Scottish Government what progress is being made in delivering a national round-the-clock thrombectomy service, in line with the Stroke Improvement Plan 2023.
Answer
The Scottish Government remains committed to expanding the national thrombectomy service, and ensuring access to this treatment is as equitable as possible. The delivery of a national thrombectomy service has already received over £38m of investment.
Most NHS Boards now refer to thrombectomy Hub centres, increasing geographical access to thrombectomy procedures. We have also funded thrombectomy specialist nurse posts in spoke hospitals with high rates of ischaemic stroke to ensure people who would benefit from thrombectomy are promptly identified.
Through the National Thrombectomy Programme Board and Thrombectomy Advisory Group, planning is being undertaken to drive expansion of the thrombectomy service. Work is ongoing to establish how the £16 million funding announced in the Scottish budget, subject to parliamentary scrutiny, will be best used to maximise the number of patients able to benefit from thrombectomy.
- Asked by: Kenneth Gibson, MSP for Cunninghame North, Scottish National Party
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Date lodged: Monday, 20 January 2025
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Current Status:
Answered by Shona Robison on 29 January 2025
To ask the Scottish Government, regarding private finance initiative (PFI) and public private partnership (PPP) contracts, what the total amount in unitary charge payments is that (a) has been paid since 1997-98, up to and including the latest financial year for which figures are available, for all (i) expired and (ii) active projects, and (b) remains to be paid for all active projects until contract expiry by (A) local authorities, (B) NHS Scotland, (C) the Scottish Funding Council, (D) Transport Scotland, (E) the Scottish Prison Service, (F) Scottish Water, (G) Police Scotland and (H) the Scottish Children's Reporter Administration.
Answer
The latest published data as at 31 March 2023 relating to (a) the total unitary charge payments associated with PFI and PPP contracts including NPD (Non-Profit Distributing) which were paid across the public sector in Scotland from 1997-98 to 2022-23 comprising both (i) expired and (ii) active contracts are contained within the following table.
Contract Type | 1997-98 to 2022-23 | 1997-98 to 2022-23 |
| (a)(i) Expired Contracts | (a)(ii) Active Contracts |
| (£m) | (£m) |
PFI | 372 | 15,437 |
NPD (pre-2010) | - | 758 |
NPD Programme | - | 1,573 |
Total | 372 | 17,768 |
The latest published data as at 31 March 2023 relating (b) the total estimated remaining unitary charge payments associated with PFI and PPP contracts including NPD from 2023-24 until contract expiry for (A) local authorities, (B) NHS Scotland, (C) the Scottish Funding Council, (D) Transport Scotland, (E) the Scottish Prison Service, (F) Scottish Water, and (G) Police Scotland are contained within the following table (the PFI contract relating to (H) the Scottish Children's Reporter Administration expired in 2012-13 when the last payment was made).
Contract Type | Procuring Authority | 2023-24 onwards |
| | (b) Active Contracts |
| | (£m) |
PFI | (A) Local Authorities | 8,147 |
| (B) NHS Boards | 3,999 |
| (C) Scottish Funding Council / Colleges | 6 |
| (D) Transport Scotland | 644 |
| (E) Scottish Prison Service | 511 |
| (F) Scottish Water | 1,376 |
| (G) Police Scotland | 17 |
NPD (pre-2010) | (A) Local Authorities | 1,025 |
| (B) NHS Boards | 274 |
NPD Programme | (A) Local Authorities | 1,986 |
| (B) NHS Boards | 1,955 |
| (C) Scottish Funding Council / Colleges | 662 |
| (D) Transport Scotland | 2,510 |
- Asked by: Douglas Lumsden, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 20 January 2025
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Current Status:
Answered by Neil Gray on 29 January 2025
To ask the Scottish Government what initiatives it has introduced to promote workplace wellness programmes, and how these have been implemented in rural areas.
Answer
The Scottish Government supports the Healthy Working Lives (HWL) initiative, hosted by Public Health Scotland, which offers a range of materials to support employers on all aspects of work-related health promotion and ill health prevention, return to work and workplace safety.
The Scottish Government, in partnership with Public Health Scotland and See Me, also delivers the Supporting a Mentally Healthy Workplace: National Learning Network for Employers. The network brings together employers of all sizes and across all sectors to share learning and experiences of supporting mental health and wellbeing in the workplace. Over 800 individuals are now engaged with the network.
The Scottish Government also fund Paths for All, a Scottish charity which promotes everyday walking. Paths for All run two national challenges a year in the spring and autumn. The Step Count Challenge (SCC) is a walking challenge for Scottish workplaces, which aims to encourage business to support employees to walk more to improve mental and physical health. In 2023-24, 325 workplaces took part in the spring, autumn and bespoke challenges.
- Asked by: Craig Hoy, MSP for South Scotland, Scottish Conservative and Unionist Party
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Angus Robertson on 29 January 2025
To ask the Scottish Government how much it has spent on the research, compilation and publication of the Building a New Scotland series of papers.
Answer
Across the Scottish Government, a range of staff have been or will be involved in independence work. We do not routinely record details of individual tasks carried out by civil servants, including the number of hours spent on research and compilation, as there is no business need to do this.
The Scottish Government has published the publication costs of the thirteen papers in the Building a New Scotland series, found at the following link: Building a New Scotland papers: costs - gov.scot
Preparatory work on additional material within the series has also been undertaken, adding £9,371.45. This brings the total spent on the publication of the BANS papers to £216,418.98.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Jenni Minto on 29 January 2025
To ask the Scottish Government what steps it is taking to advance professional expertise in the training of neurologists in (a) immunology and (b) virology, and what action it is taking to improve the integration of neurological practice with these specialities.
Answer
Neurology trainees are provided with training in immunology and virology. The curriculum for neurology training, published by the Joint Royal Colleges of Physicians Training Board, includes Capabilities in Practice (CiPs) on managing inflammatory and infectious disorders.
These CiPs make clear expectations upon neurology trainees regarding:
- understanding of the underlying anatomy and pathophysiology of inflammatory and infectious diseases of the nervous system, including the treatments and their side effects
- ability to select, request and interpret relevant investigations including serology, genetic testing, imaging of the brain and spine, neurophysiology, tissue culture and histology in order to diagnose and manage such disorders
- ability to work with other relevant clinicians both in treating and monitoring patients and in referring them to other disciplines as appropriate.
There is robust educational Governance through NHS Education Scotland (NES) for neurology training in Scotland. NES does not consider it necessary to require neurologists to be experts in either immunology or virology, but to be able to clinically assess, investigate and manage people with neuroimmunological conditions and neuroinfectious disease using an evidence-based approach.
- Asked by: Annie Wells, MSP for Glasgow, Scottish Conservative and Unionist Party
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Date lodged: Wednesday, 15 January 2025
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Current Status:
Answered by Maree Todd on 29 January 2025
To ask the Scottish Government how it is working to help ensure that victims of trauma, either physical or mental, do not turn to illicit substance use.
Answer
Evidence confirms that substance use can be a potential consequence for those of us who have experienced high levels of trauma and adversity in our lives.
The Scottish Government’s ambition, shared with COSLA, is for anyone who has been affected by trauma to be supported by the trauma-informed and responsive support, care and services they need. These are services built on safe, trusted relationships, which foster recovery, prevent re-traumatisation and help reduce the risk that individuals and/or their families might turn to substance use to cope.
Since 2018, the Scottish Government has invested over £12 million in the National Trauma Transformation Programme (NTTP). The NTTP aims to support all sectors of the workforce, to understand how to adapt the way they work to be trauma-informed. This includes understanding how substances can be a coping strategy for the impact of trauma and embedding the principles of choice, collaboration, empowerment, safety and trust to help improve the life outcomes of those affected.
- Asked by: Tim Eagle, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 23 January 2025
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Current Status:
Answered by Mairi Gougeon on 29 January 2025
To ask the Scottish Government how much the Marine Directorate spent on the (a) maintenance, (b) repair and (c) fuel costs of the (i) patrol boats and (ii) patrol planes that it has had access to in each year since 2021.
Answer
Patrol Vessels
The following table sets out the patrol vessel spend for the last three financial years, for the purposes of the response maintenance includes the maintenance of the vessels, cranes and landing craft both at refit and on an ongoing basis.
Vessels | 2021-22 | 2022-23 | 2023-24 |
Hirta | Jura | Minna | Total | Hirta | Jura | Minna | Total | Hirta | Jura | Minna | Total |
Fuel | £529,446 | £504,358 | £280,870 | £1,314,674 | £919,617 | £916,924 | £439,914 | £2,276,455 | £738,498 | £667,363 | £401,065 | £1,806,926 |
Maintenance | £55,696 | £232,007 | £50,430 | £338,133 | £181,903 | £139,499 | £162,687 | £484,089 | £685,172 | £400,509 | £277,382 | £1,363,063 |
Repairs | £82,756 | £129,213 | £54,481 | £266,450 | £84,780 | £139,971 | £108,982 | £333,734 | £126,259 | £417,382 | £83,118 | £626,759 |
Patrol Aircraft
The Scottish Government engages an external contractor to provide aerial surveillance services utilising our aircraft by providing certification, maintenance and crewing for the aircraft. The following table sets out the aerial surveillance costs for the last three financial years of which a small proportion of the maintenance cost is borne by the external contractor with the main proportion being carried by the Scottish Government and billed as part of the contracted cost.
Aircraft | 2021-22 | 2022-23 | 2023-24 |
Fuel | 173,097 | 199,586 | 141,102 |
Aerial Surveillance Ops | 1,324,482 | 1,407,115 | 1,529,433 |
- Asked by: Tim Eagle, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 23 January 2025
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Current Status:
Answered by Mairi Gougeon on 29 January 2025
To ask the Scottish Government when it plans to consult stakeholders on the future of the Sea Fish (Prohibition on Fishing) (Firth of Clyde) Order 2024.
Answer
Following the 2025 closure there will be a public consultation on future management. That consultation will assess any changes that have happened since 2022 and make recommendations for the future on that basis.