Chamber and committees

The Scottish Government recognises the benefits magnetic resonance-guided focused ultrasound (MRgFUS) could provide to eligible patients with essential tremor.

The Scottish Government has not carried out an assessment of MRgFUS for the treatment of essential tremor.

We understand the University of Dundee and Ninewells hospital continue to run a MRgFUS service for essential tremor on a trial basis. It is imperative that before any new procedure is adopted into the NHS, it is first subject to rigorous clinical assessment to establish patient safety and efficacy. The trial in Dundee will help contribute to the building evidence base for the treatment.

For those people who have been prescribed lifesaving equipment at home, such as home hemodialysis, any reimbursement of energy costs would be the responsibility of the NHS Board. In relation to home oxygen concentrators, the energy costs are covered by a contract with NHS National Services Scotland (NSS), part of NHS Scotland and delivered by Dolby Vivisol. As such, reimbursement of energy costs for running home oxygen concentrators are made to patients by Dolby Vivisol.

Our Fuel Insecurity Fund (FIF) was first established in late 2020, as part of the wider Winter Support Fund, delivered via trusted third sector partners, to help households struggling with their energy costs who were at risk of severely rationing, or self-disconnecting entirely because they could not afford their energy costs.

The First Minister, has confirmed the Scottish Government will now build on the doubling of the Fuel Insecurity Fund announced last year, to now triple it to £30 million for 2023-24. The Fund is a critical plank in our support to people who are struggling with their energy costs. It continues to provide a lifeline to households who are at risk of self-rationing or self-disconnecting their energy use.

This will be delivered in 2023-24 by third sector partner organisations, specifically the Fuel Bank Foundation (FBF), Scottish Federation of Housing Associations (SFHA), Advice Direct Scotland (ADS) and the Wise Group. Whilst core staff costs will be provided to Energy Action Scotland, as Scotland’s National Fuel Poverty charity.

FBF and ADS have to date from FIF funding, provided direct financial assistance, up to a limited ceiling, as a short-term crisis support to disabled people for help with their energy costs related to lifesaving medical equipment in their homes.

In light of the current impact of the cost crisis on disabled people, the former Minister for Equalities and Older People approved an immediate priorities plan and set up a Short Life Working Group to focus on progressing this work. The first meeting of this group took place in March 2023 and the group will meet four more times between now and May 2024. Although out of scope for the SLWG, further updates will be provided to them on the analysis of the energy costs and reimbursement of lifesaving equipment at home.

The commissioning of NHS national services is the responsibility of NHS National Services Division (NSD), a sub division of NHS Services Scotland (NSS).Eligible patients for magnetic resonance-guided focused ultrasound (MRgFUS) for essential tremor can be referred to NHS Tayside in conjunction with the University of Dundee.

At present, no new application has been received to designate MRgFUS as a national specialist service to NHS Tayside. NSD will continue to work with the MRgFUS team in NHS Tayside in the meantime.

Although energy retail policy is reserved to the UK Government, the Scottish Government remains concerned at the disproportionate impact the high cost of energy prices combined with inflation is having on vulnerable consumers, including those living with disabilities.

We were disappointed that the UK Government did not answer our calls to extend the Energy Bills Support Scheme as part of its Spring Budget Statement. The removal of the support scheme means a typical household’s annual bill will increase by around 19%. That is why the First Minister recently announced that our Fuel Insecurity Fund will be increased to up to £30 million in the next financial year to support the most vulnerable households in Scotland. In addition, our new winter heating payment is providing a stable and reliable annual £50 payment to around 400,000 low-income individuals. This benefit is an investment of over £20m each year which is more than double the £8.3m provided on average by the UK Government in each of the last 7 years.

Following the progress made at the Scottish Government energy summits held last year, we continue to work with energy suppliers to explore ways to mitigate the impact of rising energy costs on those who are struggling to pay their bills and heat their homes.

I will of course be meeting with UK Government Ministers over issues concerning fuel poverty and mitigation of the cost of powering life-saving medical equipment will feature in those discussions.

Official statistics covering processing times for Adult Disability Payment are published as a part of the regularly scheduled quarterly publication. The latest Adult Disability Payment statistical publication was published on Tuesday 14 March 2023 and the next publication will be published in June 2023. Information on the average processing time by month is included in table 9. This publication is available from

https://www.gov.scot/collections/social-security-scotland-stats-publications/#benefitsforcarersanddisabilityassistance .

The Scottish Government is taking a number of actions to ensure access to affordable credit for people on low-incomes. This includes investing £8.5 million in our Community Sustainability Fund, which launched in December 2022, where community lenders can access loans for a range of purposes including support with cash flow and to promote the availability of affordable credit. Also investing up to £1 million in a No-Interest Loan Scheme pilot to offer a lifeline for people on low incomes who are financially excluded and unable to borrow from mainstream or community lenders due to their credit score or affordability issues.

This work builds on the £15 million grant funding allocated to Scottish Community Lenders in 2021 to promote the availability of affordable credit, strengthen the balance sheet of affordable credit providers and improve financial resilience. Along with the £2 million Affordable Credit Fund, backed by funding of £1 million from the Scottish Government and £1 million from Carnegie UK Trust, to enable low income families to access affordable credit.

In addition, the Scottish Government is represented on Financial Inclusion for Scotland, whose aims include enabling better financial inclusion in Scotland by supporting those who find it difficult to access fair or affordable financial services.

As part of our rights-based approach to social security, we are committed to minimising as far as possible any burden on clients. Where we have been able, we are already working with the UK Government to automate some of our payments for that very purpose.

Most eligible people already receive Child Winter Heating Assistance and Carer’s Allowance Supplement automatically based on qualifying benefits. Also, throughout February and March almost 400,000 low-income households will have automatically received the £50 Winter Heating Payment, providing support towards their energy bills for this winter.

Alongside DWP, we have developed a successful case transfer process which ensures people continue to receive the right payments at the right time – automatically transferring their awards from UK Government benefits onto the appropriate Scottish payment without them having to re-submit the information they provided in their original application.

In line with our commitment to maximise the take-up of Scottish benefits, we will continue to explore further opportunities for automation – including further appropriate and proportionate data-sharing across the range of systems that support Scotland’s population.

I refer the member to the answer to question S6W-13958 on‎ 26 January 2023. 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

We recognise that rises in the cost of living are putting a huge strain on some families and they are facing unforeseen challenges.

The management of debt is an issue for education authorities and their finance departments. Councils have the power to make discretionary offers of free school meals to families, where they are experiencing financial hardship due to exceptional circumstances, who do not meet the regular eligibility criteria.

COSLA, working with partners from across Local Government, have developed a set of good practice principles for the management of school meal debt, which were published on 20 February 2023. The intended audience for these principles is local authority staff across a range of departments (including education, catering, finance and debt collection) as well as Head Teachers, class teachers and other school staff. The principles can be accessed through the following link: COSLA Publish Good Practice Principles for Managing School Meal Debt - 20th February 2023 | COSLA .