Chamber and committees

The Scottish Government’s Respiratory Care Action Plan (RCAP) sets out our priorities from 2021 to 2026 for driving improvement in the prevention, diagnosis, care, treatment and support of people living with respiratory conditions. A number of areas included in the RCAP are broad priorities requiring continuous work rather than finite commitments that can be completed.

We have undertaken action against every area of the Plan.

To give just some examples, significant steps have been taken on preventing respiratory disease with the launch of the Cleaner Air for Scotland Strategy, Warmer Homes Strategy and the refreshed Tobacco Action Plan that have their own specific recommendations and targets, and all of which embed respiratory prevention into wider Scottish Government policy.

In 2024, we published the Quality Prescribing Strategy for Respiratory: A Guide for Improvement 2024-2027 that sets out our ambitions for better access to respiratory care. This can be found here --https://www.gov.scot/publications/quality-prescribing-strategy-respiratory-guide-improvement-2024-2027

The Centre for Sustainable Delivery based at the Golden Jubilee National Hospital is developing national patient pathways for respiratory conditions including severe asthma, COPD and sleep apnoea. This work aligns closely with the commitments in the RCAP.

As this is an operational matter for Scottish Water, and the Scottish Government does not hold the information, I have asked them to respond. Their reply is as follows:

Scottish Water (Regulated) Contractor P&L expenditure for 2024-25 was £31.7m against a Budget of £30.7m. The actual costs include £4.0m unbudgeted proactive leakage recovery costs so therefore the underlying variance is favourable.

As this is an operational matter for Scottish Water, and the Scottish Government does not hold the information, I have asked them to respond. Their reply is as follows:

Scottish Water measures the performance of its partner organisations through a structured framework that ensures alignment with its standards for safety, health and wellbeing, cost management, efficiency, and service excellence. Executive Director led Strategic Boards, and Senior Manager led Operational Boards are in place to review performance, and set direction for future strategic improvements.

There is no funding solely allocated to the Respiratory Care Action Plan (RCAP) in 2025-2026. However, a number of the commitments in the Plan are being addressed by work that is part of other Scottish Government strategies– such as the Cleaner Air for Scotland Strategy, Warmer Homes Strategy, and the refreshed Tobacco Action Plan - or by additional funding we have provided to NHS Boards on a broader basis to make improvements that apply regardless of condition. This means it is difficult to break down funding we provide to various areas and organisations that is spent on delivering commitments listed in the RCAP.

For example, we are investing a record £21.7bn in our NHS in Scotland in 2025-2026, this includes £200m to reduce waiting times, which will deliver additional MRI, CT, ultrasound and endoscopy procedures and supports the delivery of the RCAP commitment to improve and simplify access to appropriate diagnostic tests.

We recognise that pulmonary rehabilitation is an important element in managing respiratory disease and it is already a key recommendation for all appropriate patients in NICE clinical guidelines, which we expect all NHS Boards to follow.

The Scottish Government has not provided any specific funding to NHS Boards for pulmonary rehabilitation. We provide NHS Boards with baseline funding, and it is for each individual NHS Board to determine how they utilise the resources provided by the Scottish Government to best meet the needs of their local populations.

Ensuring that workers and communities currently reliant on oil and gas are protected and indeed, stand to benefit from the transition to net zero is central to the rationale underlying our wider Just Transition policy.

The Grangemouth Just Transition plan will be an iterative document that is subject to ongoing monitoring and evaluation and this will inform wider policy development around the transition to net zero at a local level.

We will continue to work with stakeholders across Scotland’s energy system, doing all we can within our power to identify priority areas for action.

The final decision on how protections for Priority Marine Features (PMFs) will be implemented will be made by Ministers after the proposed fisheries management measures have been consulted on and the responses analysed.

Whilst the legislation to be used is yet to be decided it cannot be done through the Marine (Scotland) Act 2010 and use of Marine Conservation Orders (MCOs). MCOs can only be used to implement management measures in specific designated sites. These are nature conservation Marine Protected Areas, demonstration and research Marine Protected Areas, historic Marine Protected Areas and, any European marine site which overlaps these (either wholly or partly), which requires management measures.

The proposed PMF management areas will be fisheries closures with measures being introduced via a Scottish Statutory Instrument (SSI), allowing for Parliamentary scrutiny.

The Scottish Government engages with both Ineos and Petroineos as a matter of course. We remain open to discussion on all commercial options for the future of the Finnart Terminal and would urge the present owners to engage constructively with any parties with an interest in utilising it in the future.

Project Willow did not specifically examine the Aker Solutions study focussed on Equinor Refining’s Mongstad facility. However, both hydrogen for fuel switching and the development of sustainable aviation fuel (HEFA and e-fuels) are proposed pathways in Project Willow. The potential usage of hydrogen as a means of decarbonising via fuel switching is already being progressed by Ineos O&P at Grangemouth and is being supported by investment from the Scottish Government of £5 million in the form of grant funding delivered by Scottish Enterprise.

The Independent Review on the Role of Incineration in Scotland’s Waste Hierarchy (2022) recommended that no further planning permission for incineration facilities, beyond what was already in place, should be granted. This was reflected in National Planning Framework 4, which came into force on 13 February 2023 and is clear that development proposals for energy from waste facilities will not be supported except under very limited circumstances.

The key policy levers on this matter exist within the planning system. We will continue to work with SEPA, planners and the wider sector to ensure appropriate management of incineration capacity issues.

Extender Producer Responsibility for packaging (pEPR) applies the polluter pays principle, ensuring that packaging producers pay for the disposal costs of their packaging when it becomes waste. It incentivises businesses to reduce excess packaging, to design and use packaging that is easily recyclable, and encourage use of reusable and refillable packaging. pEPR funding will go to local authorities to support effective and efficient collection systems for household packaging waste.

Scotland’s whole-system approach to residual waste treatment is set out in the final Circular Economy and Waste Route Map. It includes measures making incineration a less attractive waste treatment method, such as the proposed Emission Trading Scheme (ETS) expansion to include incineration. The Route Map also includes measures that limit the production of plastic upstream and increase its removal from the waste stream prior to incineration, including pEPR.