Chamber and committees

The Scottish Government is committed to early diagnosis which is why we continue to invest in our £44 million Detect Cancer Early (DCE) Programme. In 2021-22, DCE funded the North Cancer Alliance to support community pharmacy in the identification of patients with symptoms suspicious of cancer and, where necessary, prompt referral to an urgent suspicion of cancer (USC) pathway.

Learnings from this early work will be shared with the Early Cancer Diagnosis Programme Board and help inform possible wider roll-out across NHS Scotland.

A new early cancer diagnosis vision is under development as part of Scotland’s new cancer strategy, due to be published Spring 2023, and will consider the role of community pharmacies in supporting earlier diagnosis efforts.

The Complex Pelvic Mesh Removal Service in NHS Greater Glasgow and Clyde receives referrals from Health Boards across Scotland and a number of patients are seen on a weekly basis.

Public Health Scotland confirm that between July 2020 (when the Service was established) and December of that year, seven removal procedures were undertaken, whilst 24 procedures were carried out in 2021. In order to protect patient confidentiality a precise figure cannot yet be provided for 2022, as fewer than five procedures have been performed so far this year. For similar reasons, precise numbers of full and partial removals cannot be quoted here, though the majority of surgeries undertaken have been full removals.

The Covid 19 pandemic has undoubtedly had a significant impact on both waiting times and the numbers of procedures carried out, as indeed is the case in many speciality areas across the NHS as a whole. However, the Scottish Government expects the Health Board to improve this situation, and will work with it in the coming months to that end.

All occurrences of mesh complications are treated individually depending on the circumstances of the patient in question, and decisions on the most appropriate treatment are a private matter between the patient and her clinicians. Many patients will undergo full removal of their mesh implant whilst, in other cases, partial removal may be more appropriate and therefore be the preferred option. There may also be circumstances where other, more conservative treatments are considered. What is fundamental in all cases, however, is that patients are aware of and understand the benefits of the treatments open to them, the risks, the alternative treatments, and the potential consequences of doing nothing. Therefore, in each individual case, and in consistence with GMC guidance on consent, it is expected all appropriate and available treatments are discussed with the patient in question, allowing them to make a fully informed decision on their care.

Whilst prevalence of COVID remains high this is not translating into severe illness and deaths in the same way as earlier in the pandemic due largely to vaccination. So we would encourage everyone who is eligible to take up their boosters as soon as these are offered to ‘top up’ their immune response. The autumn booster vaccination will be offered to people aged over 50 and those at highest risk aged 5 and over – this will include people with a chronic neurological disease.

The Scottish Government fully supports the Scottish Children’s Reporter Administration (SCRA) in its efforts to meet the needs of children and young people with additional support needs. Every child’s individual needs are considered by SCRA, based on information provided by other agencies and professionals. SCRA has, for a number of years, worked on support and assistance for neurodiverse children and families. They are creating sensory spaces in their hearings centres, the first of which opened in March this year, and have updated information material and internal guidance to staff in conjunction with the charity Reach for Autism. They are currently working on plans to develop a network of local neurodiversity champions to further promote and address the specific needs of children and families in Children’s Hearings.

The new SCRA digital case management system, now in its second full year of operation, is capable of recording specific data relating to protected characteristics and SCRA are considering how this can be used to the greatest effect.

The Public Health Scotland COVID-19 Shielding Programme impact and experience survey which was published in March 2022 reported that 81% of respondents still make decisions that are mainly influenced by fear of COVID-19 infection, and 36% still try to minimise all physical contact with other households. While this data relates to a survey completed between 25 October 2021 and
‎ 7 November 2021, we know there are still people who continue to limit activities and contacts with other households.

Our case transfer processes have been developed in line with our case transfer principles, which were developed with input from our experience panels, others with lived experience and wider stakeholders. We have worked and continue to work with existing benefit recipients, other key stakeholders including the Disability and Carer Benefits Expert Advisory Group, and the Department for Work and Pensions to develop and test our case transfer processes, including to ensure they deliver against these principles.

We have delivered roadshows over spring and summer focusing specifically on the detail of the case transfer process for people in Scotland who will see their awards move to Adult Disability Payment. We have included case transfer messaging in all our Adult Disability Payment communications such as media releases, opinion pieces, social media posts on Scottish Government and Social Security Scotland channels and paid for marketing campaigns that have run in the pilot areas including radio, social media, digital and print. We are also providing a stakeholder toolkit which will include specific fact sheets, video content and FAQs. We are also producing a specific leaflet to explain the differences between Disability Living Allowance and Adult Disability Payment and signposting individuals on where to seek independent advice, consistent with the recommendation of the Scottish Commission on Social Security.

We will continue to communicate, engage, and work closely with stakeholders as we near the national launch of case transfer for Adult Disability Payment to ensure those currently in receipt of adult disability benefits in Scotland, and those that support them, have a solid understanding of how their awards will transfer to Social Security Scotland.

Case transfer guidance, which provides people with further information on the case transfer process to Adult Disability Payment is available at: https://www.mygov.scot/browse/benefits/benefit-transfer .

Energy markets are reserved to the UK Government. As part of our response to the rising cost of energy, the Scottish Government has raised concerns that many consumers who are not registered directly with a licenced energy supplier may not receive a £400 energy rebate. Although no solution is currently in place, the UK Government has advised that, this Autumn, it intends to widen support to include those consumers who are not currently reached through the Energy Bills Support Scheme such as park home residents.

The Scottish Fiscal Commission published its latest set of benefit forecasts in May 2022 where they estimated, based on outturn information, that in 2020-21 there were around 103,000 people in receipt of Adult Disability Living Allowance in Scotland, forecasting that in 2021-22 there could be around 95,000 people.

Accessibility of our railways is a reserved matter for the UK Government. We will continue to press for full devolution in Scotland of all rail matters to deliver more accessible improvements. There are no immediate plans to improve accessibility at Insch railway station, however the station will be included for consideration, alongside others, for improvement to its accessibility, as part of the Department for Transport’s (DfT) Access for All programme for Control Period 7, which commences in 2024.

Over the last two years our NHS has suffered the biggest shock of its 74 year existence. Caring for large numbers of patients seriously unwell with COVID-19 has inevitably meant that planned care procedures have had to be delayed, and while we are working hard to recover and remobilise our NHS, this will not be done in a few weeks or even months. Addressing the backlog of care, while continuing to meet the ongoing urgent health and care needs of the country, remains a priority for this Government.

We know that excessively long waits have grown as a result of the pandemic, which is why we now need to focus on treating people that are waiting too long for treatment. On 6 July 2022, I introduced a new set of targets for NHS Scotland to address the backlog of planned care.

We will continue to work with the National Complex Pelvic Mesh Removal Service in NHS Greater Glasgow and Clyde to improve the waits that people are currently experiencing.

In the first instance where patients have concerns regarding their appointments these are best addressed by contacting their local Health Board who can advise on rescheduling in a timely manner. The patient feedback team within the Health Board may also be able to advise or support if required.