Chamber and committees

Cleaner Air for Scotland 2 (CAFS2) was published in July 2021 with two actions on the topic of nitrogen deposition. At the time of publication these actions were assigned a medium term timescale for delivery by 2024.

In April 2022 the Nitrogen Impacts on the Natural Environment (NINE) project led by the James Hutton Institute commenced as part of the Strategic Research Programme for air quality. In considering how to take the CAFS2 actions forward, Scottish Government worked with the NINE project team to ensure it would deliver the CAFS2 evidence needs. Following commencement of the NINE project we revised the delivery milestones for the CASF2 actions to align with the project deliverables.

The NINE project was commissioned on time and continues to be on track for delivery by 2027, with CAFS2 elements to be delivered in 2026.

We are committed to reducing waiting lists backed by an initial investment of £30 million has been allocated to Health Boards and will target reductions to the national backlogs that built up throughout the pandemic. This funding is being targeted at a series of national and local plans to reduce backlogs by maximising the use of local and national resources across Scotland. As part of this, we have allocated additional funding to Gynaecology services which we expect to l deliver around 3,500 New Outpatient Appointments.

NHS Scotland’s Centre for Sustainable Delivery (CfSD) is also playing a central role in working with Health Boards to ensure that they are able to continually identify new ways to increase capacity, and to respond to demand through service innovation and redesign.

CfSD programmes have developed strong clinically-led Specialty Delivery Groups (SDG), including one for Gynaecology, which promote multidisciplinary team working, and support local adoption of service improvement programmes. These groups are now well established and have supported several new and innovative pathway developments, many of which are now being successfully scaled up across Scotland, including Active Clinical Referral Triage (ACRT), Patient Initiated Review (PIR) and Enhanced Recovery after Surgery (ERAS).

This is all part of our programme to drive up productivity and tackle waiting lists, supported by the CfSD. Together, our actions will further enable NHS Scotland to maximise capacity, build greater resilience and deliver year-on-year reductions in the number of patients who have waited too long for treatment.

Scottish Government officials are currently undertaking scoping work with a variety of stakeholders including healthcare professionals (representatives from British College of Aesthetic Medicine and British Association of Cosmetic Nurses), hair and beauty industry representatives, Environmental Health Officers, Healthcare Improvement Scotland (HIS), and other UK Governments in order to bring forward proposals regarding the potential further regulation of non-surgical cosmetic procedures within the beauty sector in Scotland.

The scoping of further regulation of non-surgical cosmetics procedures includes the consideration of age restrictions, the levels of insurance, training, qualifications and supervision required to safely perform various types of non-surgical cosmetic procedures that pierce and penetrate the skin, is underway.

We hope to be in a position to update Parliament on timescale for this in due course.

The anticipated cut by the UK Government to the Scottish Government's capital budget of up to £1.3billion in real terms over the coming years has consequences. In December 2023, given the extremely challenging capital funding position, NHS Boards were instructed to pause any project development spend and instead direct capital budgets towards maintenance of the existing estate and essential equipment and digital replacement. Boards were notified that the Scottish Government does not anticipate starting construction of any new project over the next two years at least. Obviously should the UK Government change course on capital investment we have an opportunity to look at this again alongside the capital review ongoing across the Scottish Government.

There is therefore no change to the position on NHS Capital Projects as a result of the ongoing review of the Infrastructure Investment Plan.

The Independent Review of the Role of Incineration in Scotland’s Waste Hierarchy recommended that no further planning permission is awarded to incineration facilities, beyond those for which planning permission has already been granted, with some limited exceptions. This analysis took into account the need to develop some additional capacity to ensure that Scotland can manage its own waste and implement the ban on landfilling biodegradable municipal waste by 2025, as recommended by the Climate Change Committee. We addressed this recommendation through National Planning Framework 4.

Our Circular Economy and Waste Route Map consultation, published January 18, set out further detail and proposed provisional associated timescales on the steps we will take to minimise the environmental and climate impacts of waste, including the development of an indicative capacity cap as part of our Residual Waste Plan to 2045, with a provisional publication date in 2025-26.

The Pollution Prevention and Control (Scotland) regulations 2012 (“the PPC regulations”) require that SEPA make impartial assessments of all PPC Permit applications and make decisions relating to environmental permits in accordance with these regulations. While Scottish Ministers do have the ability to intervene in the PPC process by way of a direction, SEPA is Scotland’s independent environmental regulator and intervening in the PPC process needs careful consideration and typically would not be appropriate in the absence of exceptional circumstances.

Further information on these developments can be found here: Circular economy and waste route map to 2030: consultation - gov.scot (www.gov.scot)

The Scottish Government’s Donation and Transplantation Plan: 2021-2026 sets out a number of actions designed to help reduce waiting lists for a kidney transplant. This includes the use of novel technologies, which offer the opportunity to allow transplant units to use more “marginal” organs that may previously have been declined, by means of closer joint working between transplant units, and through work to increase living kidney donation.

Working through the Scottish Donation and Transplant Group, which brings together key stakeholders, and by means of NHS National Services Division's commissioning planning, we will to continue to monitor organ utilisation to encourage good practice. In addition, the Scottish Government and NHS Boards continue to raise awareness about organ donation in order to help increase numbers of deceased organ donors, for example during Organ and Tissue Donation Week, which will take place in September 2024.

The Scottish Government recognises the importance of ensuring equitable access to living kidney donation. All nine Renal Units in Scotland are currently supporting living kidney donation, with sixteen living donor co-ordinators in post across the Renal Units. In 2016, the Scottish Government supported the creation of the Living Donation Scotland Board, whose role, working with referring Renal Units and Transplant Centres, is to make it easier to access living donor kidney transplantation. The Scottish Government also supports the Renal Units in their work by hosting an annual event for staff to share good practice and learning.

In addition, the Scottish Government is taking a number of steps to make accessing kidney donation easier as set out in the Scottish Donation and Transplantation Plan: 2021-2026 . The plan makes clear that whilst it will not be feasible for everyone, the aim is to encourage all those who need a kidney transplant to consider and explore options for a living donor transplant as their first transplant.

To ensure that every recipient who would benefit from a kidney transplant receives standard information about living donation during transplant assessment, the Scottish Government provides living donor information packs and a range of resources through the Organ Donation Scotland website, including written information, video and clear pathway contact information access for recipients and donors. Annual living donation multi-media campaigns have also proven successful in increasing awareness for donors.

Finally, following a pilot project, the Renal Education and Choices at Home (REACH Transplant) programme was implemented in 2022. REACH Transplant is funded by the Scottish Government and has involved the appointment of both a REACH transplant programme lead and ten REACH Transplant nurses across Scotland, based in each Renal Unit. The REACH Transplant nurses work with local nephrologists to identify those at an early stage who may need a kidney transplant in the future. A visit is organised with the recipient and their support network in a place of their choice to provide information on living kidney donation and to support the recipient to discuss living donation. The aim of this tailored support and timely referral for living donor transplantation is to increase the likelihood of pre-emptive transplantation by overcoming barriers and ensuring equity of treatment choice.

The regulatory regime for hydrogen in Scotland is a mixture of reserved and devolved powers and we continue to routinely engage with UK Government on a range of hydrogen policy matters including the regulation of and responsibility for the decommissioning of hydrogen production sites.

To achieve our hydrogen production ambitions, we must ensure that the regulatory framework for renewable hydrogen developments supports the scale-up of hydrogen at pace, whist protecting the environment and communities.

This is why the Scottish Government is working with the Scottish Regulatory Steering Group, comprised of key regulators, to assess the regulatory requirements for the development of the hydrogen sector in Scotland. This work with UK and Scottish regulators is designed to ensure that action is taken to address any identified issues and create a clear regulatory framework for the full life cycle of hydrogen projects, including the decommissioning of assets.

I refer the member to the answer to S6W-26620 on 25 April 2024 for information on the progress of installing CSO monitors.

Overflow data is being published on Scottish Water’s website at https://www.scottishwater.co.uk/Your-Home/Your-Waste-Water/Overflow-Event-Data . As new monitors are installed, more information will become available in line with commitments under the Improving Urban Waters Routemap.

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 remain committed to pursuing a sustainable future for Ferguson Marine (Port Glasgow) Ltd. Any lease of facilities would be a commercial decision for the yard and it would not be appropriate for the Scottish Government to make any such instruction.