Chamber and committees

Information on the numbers of metastatic breast cancer patients who have had access to a breast cancer specialist nurse is not held centrally.

As part of the National Cancer Plan, we are providing up to £2.5 million to NHS boards to support 12 pilot programmes across Scotland to deliver a single point of contact for cancer patients. These points of contact will support patients throughout their journey to discuss questions or anxieties related to their clinical care from the point of diagnosis.

The Social Care and Social Work Improvement Scotland (the Care Inspectorate) was established on 1 April 2011 following the commencement of the Public Services Reform (Scotland Act) 2010 (“the 2010 Act”) and encompassed other bodies such as the Care Commission. The statutory role and functions of the Care Inspectorate are as set out in the 2010 Act and does not extend to a role in the distribution of public or private funding across care homes.

The statutory responsibility for delivering and commissioning care home placements at a local level lies with local authorities and integrated health and social care partnerships. The agreement on the rates paid for care home placements is determined by the contractual relationships in place. Scottish Government provides funding through the local government settlement but is not a contractual party to these arrangements.

The Scottish Government has allocated £862 million to Health Boards to support with costs arising from the pandemic, this will include additional costs for the adult social care sector. The current arrangements for additional financial support for the sector are in place until 30 June 2022.

I refer the member to the answer to question S6W-06927 on 4 March 2022. 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 2018 advice from the Climate Change Committee (CCC), our statutory advisers, was that over the next decade government policies should only support biomass use where this

a) provides cost-effective abatement whilst avoiding ‘lock-in’ to sub-optimal uses, and/or

b) develops key technologies and sustainable supply chains.

They recommend that we limit support for bioenergy use in buildings to biomethane produced from anaerobic digestion and other niche uses (as part of hybrid heat pumps systems in hard to treat off-gas homes, local combined heat and power systems and small-scale district heat networks) - whilst minimising air quality impacts.

Overall, the Scottish Government’s aim is to see bioenergy used where it has the greatest value in reducing emissions. We are currently working to understand the most appropriate and sustainable use of bioresources across the whole energy system in Scotland and intend to publish a Bioenergy Action Plan in 2023.

Biomass in a low-carbon economy - Climate Change Committee (theccc.org.uk)

All three and four year olds and around a quarter of two year olds in Scotland have a statutory entitlement to up to 1140 hours of funded early learning and childcare a year. Our funded ELC offer is the most generous across the United Kingdom.

Unlike the UK Government’s funded ELC offer for England which prioritises children with two working parents, our aim in Scotland is to ensure that every child benefits from high quality early learning and childcare. Regardless of their parent or carer’s working status, all children have a right to play, to learn and to access experiences that meet their physical, social, emotional and cultural needs; and a right to associate with their peers.

Where national guidance, including in the form of Scottish Intercollegiate Guidelines Network (SIGN), does not exist, as in this case, NHS Boards develop guidance using up to date evidence, including NICE guidelines through their existing Board governance structures.

We would expect the information in the updated NICE guideline, NG207, to be used by NHS Boards to assist pregnant women when making decisions about induction of labour.

The Out of Hospital Cardiac Arrest (OHCA) Strategy 2021 to 2026 , recognises the importance of defibrillation within the chain of survival. The strategy outlines a number of actions to ensure that Public Access Defibrillators (PADs) are mapped, maintained and accessible to the public.

If a PAD is stored in a secure, passcode-protected cabinet and is registered on the National Defibrillator Network (The Circuit), the security code to access the PAD cabinet will be held by the Scottish Ambulance Service (SAS). This security code will be verbally provided to any member of the public that requires access to the cabinet. The code is not texted or transmitted to the caller’s mobile device.

In the event that the mobile network is down, as a consequence of poor weather conditions, and a member of the public requires access to a locked PAD cabinet, they should endeavour to contact the Scottish Ambulance Service via an available landline or public telephone.

We would recommend that defibrillator guardians follow the advice of the Resuscitation Council of the UK (RCUK) and consider placing their defibrillators in an unlocked cabinet in order to make them as accessible as possible. Further information is available at: https://www.resus.org.uk/about-us/news-and-events/consensus-statement-aed-cabinets.

The Scottish Government has no plans at this time to review the eligibility criteria for Funeral Support Payment but we continue to monitor and evaluate all our benefits.

During the development of Funeral Support Payment we consulted and engaged with stakeholders, including people with direct personal experience of the benefits system. This work helped to inform the eligibility criteria for Funeral Support Payment. As a result, we substantially widened eligibility compared to the UK Government’s funeral payment. This has allowed us to support 40% more people, who would have received nothing from the UK Government.

Eligibility for Funeral Support Payment is based on receipt of a qualifying benefit, ensuring support is targeted at those on lowest incomes. State pension recipients who are in receipt of a qualifying benefit - for example pension credit - are therefore eligible to apply.

The Scottish Government continues to urge the UK Government to maximise take-up of Pension Credit. This is a vital support for many older people, but we know that only around 6 in 10 of those who are entitled to it actually claim it. On 12 November 2020 we joined Welsh and Northern Irish Ministers in sending a joint letter to Secretary of State for Work and Pensions urging a more strategic approach to maximising the take-up of reserved benefits. To date no response has been received.

The Financial Conduct Authority (FCA) has published guidance on what is reasonable for a policyholder to rely on to satisfy the burden of proof for claims against Business Interruption Insurance. This includes, but is not limited to, a range of publicly available data including the Public Health Scotland Daily Dashboard which provides information about the location of positive cases in Scotland.

We have been as open and transparent as possible, with professional analysts publishing available data seven days a week to inform the public on how the pandemic is progressing. The data made available will continue to evolve over time to ensure the most relevant information is included, and it is fit for purpose. This supports public scrutiny and transparency, providing timely and equal access to data for the public, media and other commentators.

Work is underway with Public Health Scotland and other partners to review the content and frequency of all Scottish Government current data reporting to identify what is required to support resilience and recovery in the future. This will involve prioritising the modelling, data and analysis that is essential to support the future monitoring and surveillance of Covid. We also need to establish the data and evidence required to monitor the wider harms of Covid in the future. A data and reporting strategy will be published in Spring to support implementation of the Strategic Framework following consultation on any planned changes.

There is no evidence at this time to suggest that insurance companies are not following the FCA’s guidance or that there are any specific issues regarding access to data to support insurance claims being made by businesses in Scotland. The Scottish Government stands ready to work constructively with the United Kingdom Government, the FCA and the insurance industry and will engage with them specifically on this matter as part of regular ministerial and official engagement activity.