Chamber and committees

We are now considering the most recent inflationary trajectory over the next 12-18 months and are working on a Pay Strategy for 2023-24 in collaboration with stakeholders. This will set out key principles and recognise the link between pay, public service reform and workforce. We expect to publish the strategy by the end of March 2023.

Oil and gas exploration and production, including licensing and climate compatibility, remains reserved to the UK Government.

Our draft Energy Strategy and Just Transition Plan, published in January, sets out clearly that the North Sea basin is mature and production will inevitably decline. I have been clear about our intention to move away from a policy of unlimited extraction, even if the North Sea was not a declining resource. We need a new plan for Scotland’s energy system, the ESJTP seeks to do this.

Independent analysis on the energy system and just transition, published this month, includes a detailed assessment of oil and gas production in Scotland. Our forthcoming Climate Change Plan for Scotland, a draft of which is due in November, will set out our pathway to meeting our emissions reductions targets to 2040 alongside the costs and benefits of policies within the plan.

The Scottish Government does not hold the information requested. The recruitment and deployment of resources is a matter for the Chief Constable.

Policing is and will continue to be a priority for the Scottish Government. Scotland has a higher number of officers than at any time during the last administration – and more per head of population than England and Wales (30 officers per 10,000 population in Scotland, compared to 24 officers per 10,000 population in England and Wales). Local police divisions have a core complement of officers who may be supported by specialist expertise and resources at a regional and national level.

In Scotland, the Scottish Medicines Consortium (SMC) appraises the clinical and cost-effectiveness of newly-licensed medicines. Following a full submission from the submitting company, Merck Sharp & Dohme Ltd, the SMC published “accepted for restricted use” advice for Health Boards on the routine use of Keytruda ® for the treatment of persistent, recurrent, or secondary cervical cancer in NHS Scotland on 13 February 2023.

The decision to prescribe a medicine for an individual, and which medicine to prescribe, is entirely for the clinician in charge of an individual’s care, having taken into account their clinical condition, safety considerations and any relevant clinical guidance.

I refer the member to the answer to question S6W-14332 on 7 February 2023. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at Questions and answers | Scottish Parliament Website .

An additional £2.5 million has been re-allocated to the Scottish Welfare Fund from the proposed £5 million addition to the Discretionary Housing Payment budget during 2022-23. This additional funding is an exceptional measure in response to the cost of living crisis, and will enable local authorities to provide more flexible local support through Crisis Grants and Community Care Grants. This can include payments to individuals and households who are experiencing financial challenges, including the effects of the cost of living crisis and food or fuel insecurity.

We are aware of the serious negative impact this condition can have on people’s lives and therefore it is important that access to treatment and support is timely. We want to ensure that people have informed conversations with their GP in order to support the diagnosis of lipoedema.

We have now finalised the new NHS Inform webpage on Lipoedema . The new resource aims to provide people with consistent, reliable and accessible information empowering them to make informed decisions about their health and includes information on the symptoms, causes, self-management and treatment options.

We will continue to work with organisations such as Talk Lipoedema to find ways to raise awareness of the condition and its symptoms.

In March 2022, the National Institute for Health and Care Excellence’s (NICE) Interventional Procedures Advisory Committee did a rapid review on the available evidence on the safety and efficacy of liposuction as treatment for lipoedema and found it to be inadequate. The recommendation was for the procedure to only be carried out in the context of research.

Previously, NHS Tayside was the only Health Board to provide liposuction as a treatment for lipoedema. Due to the updated guidance, NHS Tayside have stopped liposuction as a treatment option until NICE reviews its guidelines in 2025 after further evidence and research has been undertaken.

There are currently non-surgical treatment options for lipoedema and those with the condition will be treated by healthcare professionals at primary care level and, where appropriate, referred to specialist services in secondary care. Any particular treatment is at the discretion of the lead clinician. It is NHS Boards and healthcare professionals locally who have responsibility for service delivery and patient treatment.

The Scottish Government is committed to providing opportunities to participate in shaping inclusive policies that promote mitigation of climate change in line with our Public Engagement Strategy for Climate Change. We are aiming to engage with stakeholders and members of the public during 2023 to inform the development of the next Climate Change Plan. This is in advance of a public consultation which will commence when the draft Climate Change Plan is laid in Parliament later in 2023 for a period of at least 120 days of scrutiny.

We are engaging on the next Climate Change Plan with stakeholders through a variety of means including the Climate Change Plan Advisory Group (CCPAG) and the Climate Policy Engagement Network. The CCPAG includes representatives of academia, NGOs, business and industry and trade unions, and meetings are planned to take place up to October 2023. The Climate Policy Engagement Network will consist of representatives of key sectors of interest, organisations and relevant experts to enable meaningful participation in delivery of climate change policy. Additionally as the draft Climate Change Plan continues to be developed, we will continue engagement at a sectoral level with stakeholder representatives and we are exploring other opportunities to engage with other relevant interests.

We are working closely with NHS Boards to support a range of local initiatives designed to meet the basic and practical needs of junior doctors, and their teams. This includes access to quiet spaces to support health and wellbeing, the installation of lockers and further support to facilitate out of hours catering.

The Scottish Government is determined to deliver the recommendations of the Expert Working Group’s report on junior doctor wellbeing and have begun introducing further improvements to working conditions. We have met the key recommendation of limiting consecutive days of long shifts, with 100% compliance achieved in December 2022. We will continue to work with NHS Boards and employers to monitor and ensure this continues in the long-term.

In February 2023 we invited Boards to consider the purchase of small hot food appliances for all Doctors in Training in Secondary Care. We encouraged Boards to liaise with their local BMA rep around the specifics of the ask and are currently in the process of allocating budget to cover the purchase of appliances.

The Scottish Government, Health Boards and National Services Scotland (NSS) maintain regular contact on reducing single-use items in healthcare settings through the Sustainable Procurement Steering Group, which supports Boards transition to more circular supply practices.

A programme of work has been established to review the use of reusable alternatives and reduce the amount of single use Personal Protective Equipment used by Health Boards. This work looks at existing stock within NSS warehouses, current decontamination guidance and the capability of Health Board infrastructure to process reusable products. Where the use of reusable products is not possible, we aim to increase the number items that can be recycled at the end of their use.

National uniforms, bedding and textiles are all reusable and are laundered in house through NHS Scotland laundries, or in the case of uniforms and workwear, staff may launder at home.

Regulation of the nursing profession is reserved to the U.K. Parliament. Making the word “nurse” a protected title in law is problematic due to its historical use in a broader context than today’s graduate profession, as regulated by the Nursing and Midwifery Council. Such protection would require an amendment to the Nursing and Midwifery Order (2001). SG is working closely with DHSC on a programme to modernise regulation of healthcare professions and the protection of titles will be carefully considered within this agenda.