Chamber and committees

The Scottish Government reconvened the Burial Regulations Working Group (first established in 2016) on 9 December 2021 to continue work to develop burial regulations, as provided for in the Burial and Cremation (Scotland) Act 2016.

At that meeting the Group reassessed the remit and membership of the Group, progress to date and the approach to take going forward.

The membership of the Group includes both public and private burial authorities, third sector organisations, special interest organisations and funeral sector trade organisations, ensuring views from across the sector are represented.

The Group agreed that the membership be expanded to the wider funeral sector, and invitations to join the Group are being sent to the identified parties. It would not be appropriate to share members’ details until the membership is agreed.

The minutes of the previous meeting will be published on the Scottish Government website once they have been cleared by the Group.

The Local Delivery Plan Standard for IVF Waiting Times is for ‘90 per cent of eligible patients to commence IVF treatment within 12 months of referral. The 90% standard continues to be met since it was first measured in March 2015.

Waiting time statistics on the waits experienced by patients from referral to screening appointment for in vitro fertilisation (IVF) treatment can be found on the PHS website at the following link: https://www.publichealthscotland.scot/publications/ivf-waiting-times-in-scotland

This is the latest IVF Waiting Times publication and data from January 2016 to present can be downloaded under Data Files, data from July 2014 can be found https://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/2018-08-28/2018-08-28-IVF-Waiting-Times.xlsx . Collection of waiting times data on IVF screening and waiting times only began in 2014.

As the statistics produced are predominately based on aggregate data and presented in 13 week time bands an average (mean) waiting time cannot be calculated.

The Breast Screening Programme Board (BSPB), which oversees breast screening in Scotland, has agreed that the option for women aged 71 and over to self-refer into the breast screening programme will resume once all screening centres are able to offer those aged 53-70 their breast screening appointments within 39 months of their previous screening. Progress towards this is being closely monitored, and the timing for restarting the option for women aged 71 and over to self-refer into the programme is regularly reviewed.

The breast screening programme offers routine screening to women aged between 50 and 70 years old. It remains important for women of all ages to be symptom aware, and to report any concerns about the signs and symptoms of breast cancer to their GP straight away, so that they can be promptly investigated. Their GP will be able to refer women of any age for further investigation and treatment if required. Further information regarding the possible symptoms of breast cancer can be found at https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-adults/breast-cancer-female.

The early warning system, referenced in the Scottish Drug Deaths Taskforce’s Interim Report, is on track to be developed and rolled out by 31 March 2022.

Public Health Scotland is leading the development and will operate this system by working closely with Health Boards to monitor information on drug harms. The early warning system will review evidence of trends or clusters of drug harms or deaths and support early, targeted and intelligence-led action in response. When concerns about clusters or trends in drug harms are identified, a risk assessment will be completed to guide actions and communicate risks where appropriate.

An advisory group will be in place to ensure actions are taken at a local and national level to reduce further harms.

Our Fuel Poverty Strategy, published on 23 December, details how we aim to meet our statutory fuel poverty targets, as set out in the Fuel Poverty (Targets, Definition and Strategy) (Scotland) Act 2019 ("the 2019 Act"). The 2019 Act requires us to meet our 2040 targets both nationwide and within each local authority area, so we recognise that local authorities will be key partners in our efforts to achieve our fuel poverty goals.

Local authority fuel poverty and extreme fuel poverty rates are used to determine the funding allocations for our Area Based energy efficiency schemes (ABS), which are delivered in partnership with local authorities, ensuring money is distributed according to need.

Local authorities are currently required to set out their plans for how to tackle fuel poverty in their Local Housing Strategies (LHS). We will be refreshing our guidance on the fuel poverty requirements of the LHS to reflect the approach taken in our Fuel Poverty Strategy. In future local authorities will also be required to produce Local Heat and Energy Efficiency Strategies (LHEES), within which they will set out how poor energy efficiency will be removed as a driver of fuel poverty.

The public health surveillance system for drug harms will be fully operational by 31 March 2022 and led by Public Health Scotland. An early warning system is in development and structures are in place to ensure evidence based approaches to reducing drug harms are implemented.

The system collates and analyses a range of information relating to drug harms made available through organisations such as Police Scotland, Health Boards Scottish Prison Services, Local Authorities, the third sector and people with lived and living experience.

The Scottish Drug Deaths Taskforce has funded a project through Stirling University to research and develop the key components required to implement Drug Checking facilities in three areas in Scotland (Glasgow, Dundee and Aberdeen). Research began in January 2021 and will conclude with an evaluation report in January 2023. The project will also include a parallel programme of implementation.

The project team has committed to submitting applications to the Home Office in early 2022. Assuming support from the Home Office is forthcoming, we expect services to be established in Aberdeen, Dundee and Glasgow in 2022.

We have highlighted our desire to introduce these facilities to the Home Office as any activity which involves the possession of controlled drugs would require a Home Office licence. Kit Malthouse, the UK Government Minister for Policing, has indicated that he is open to discussing this with the Scottish Government and conversations have taken place between Scottish and UK officials to progress this.

The emergence of new drugs is regularly monitored by Public Health Scotland and, following the alert from Public Health England in 2021, work is underway to incorporate screening for isotonitazene into toxicology procedures for both drug-related deaths and police seizures in Scotland.

In relation to detection of substances, unfortunately we do not hold information broken down to the level of detail requested. Scottish Government publish statistics on the number of drug possession and supply crimes and the quantities seized. These statistics relate to drugs controlled under the Misuse of Drugs Act 1971. The full report can be accessed via this link:

Drug seizures and Offender Characteristics, 2018-2019 and 2019-20 - gov.scot (www.gov.scot)

The Psychoactive Substance Act 2016 made it an offence to produce, supply, offer to supply, possess with intent to supply, possess on custodial premises, import or export psychoactive substances. The number of crimes of production, supply or possession in custody of a psychoactive substance was 2 in 2018-19, 10 in 2019-20 and 8 in 2020-21 (source: annex of the above noted report).

Unfortunately, we do not hold the information requested.

National Records of Scotland produce an annual National Statistics publication each year on drug-related deaths in Scotland. The most recent year for which this drug death information is available is 2020. The next report, covering drug-related deaths during 2021, is due to be published in summer 2022.

Public Health Scotland information on hospital activity relating to illicit drug use in Scotland does not identify the substances specified - heroin and methadone are the only opioids with specific ICD-10 diagnostic codes (ICD-10 refers to ‘International Classification of Diseases 10th Revision, the international standard diagnostic classification for all general epidemiological, health management purposes and clinical use).

From September 2021 we have introduced quarterly reporting of suspected drug-related deaths, providing far more timely data on the DRD crisis/situation for the first time. This report uses management information from Police Scotland on suspected drug deaths. The second publication of these suspected figures was in December 2021 and covered the period from July to September 2021 ( Suspected drug deaths in Scotland: July to September 2021 - gov.scot (www.gov.scot) ). The next report will be published in March 2022 and will cover suspected deaths up to the end of December 2021.

We continue to work with Police Scotland, Public Health Scotland and National Records of Scotland to review the surveillance data we have, review quality and determine whether additional information could be published in the future.