Chamber and committees

The Scottish Government is aware of the vast challenges in attempting to ensure pancreatic enzyme replacement therapy is offered to every patient at the point of diagnosis.

Pancreatic cancer patients can present as asymptomatic despite pancreatic exocrine insufficiency, while patients can also be diagnosed through many different pathways.

This can result in clinicians not always having the specialist knowledge and experience to know about the importance of pancreatic enzyme replacement therapy.

The Scottish Governments National Cancer Recovery Plan will help address this knowledge gap by working to review Cancer Clinical Management Guidelines in liaison with relevant parties.

Under the National Cancer Recovery Plan, we have funded the Scottish HepatoPancreatoBiliary Cancer Network (SHPBN) which is reviewing guidelines to address this issue.

The Complex Pelvic Mesh Removal Service in NHS Greater Glasgow and Clyde (NHS GGC) is managed through a Service Level Agreement with NHS National Services Scotland (NSS). The service reports to NSS on a number of indicators, including patient experience data, any significant adverse events and waiting times. This information will be used for comparison across the UK specialist centres, and will support quality assurance and improvement.

In addition, NHS Scotland is taking part in the development of a UK-wide Pelvic Floor Registry, which will aim to monitor and improve patient safety. It will record surgical mesh implants, and related medical devices, given to patients, and the organisations and surgeons that have carried out the procedures.

The registry will also collect information about patients that receive alternative procedures that do not include a medical device or implant so that outcomes can be compared and complications can be understood.

The main aim of the registry is to improve patient safety. It will mean that patients can be traced in the event of a product recall or safety concern relating to a specific type of implant or treatment. Outcomes data collected by the registry will also be used to improve procedures offered to future patients.

NHS Scotland will pilot the registry in Scotland and the NHS GGC will be involved.

I refer the member to the answer to question S6W-00790 on‎ 13 July 2021. 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

528 applications have been approved and when the next payment is made in July, £534,359 will have been paid from the Scottish Government mesh fund. This includes fees paid to GPs for providing proof of complications.

The Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill was introduced on 23 June 2021. It is published on the Scottish Parliament website .

A planning application has been submitted by Stonepack Ltd to Scottish Borders Council for a proposed Sand and Gravel Quarry at Slipperfield, West Linton. It is understood that the Health and Safety Executive does not advise, on safety grounds, against the granting of planning permission in this case. As this is a live application it would not be appropriate to comment on the merits of the case.

Delivery of new fibre infrastructure is a key component part of a number of Scottish Government digital infrastructure programmes. It is therefore not possible to single out the costs solely attributed to fibre infrastructure.

The level of capital investment in digital infrastructure in each financial year since 2015-16 is provided in the following table:

We welcome the publication of The Change Programme, which sets out what needs to happen over the next year to ensure Scotland keeps its Promise to improve the lives of children and young people in or on the edges of care.

I wrote an open letter to Fiona Duncan, Chair of The Promise Scotland, setting out the Scottish Government’s response to the publication of The Change Programme. A copy of the letter can be found here .

We recognise that there is still a lot of work to be done to ensure full implementation of The Promise by 2030 and we will continue to work with The Promise Scotland, Local Authorities, partners, families, children and young people to deliver the ambition of making Scotland the best place to grow up where every child feels loved, safe, respected and able to reach their full potential. We will #KeepThePromise.

Flood Risk Management Strategies were published by SEPA in 2015. These set out proposals for 42 flood protection schemes which were prioritised according to their cost benefit ratio and taking into account a series of additional criteria, encompassing the environmental and social impacts of flooding.

It is for local authorities to commission and take forward these Schemes. In July 2016, it was agreed by Scottish Ministers and COSLA that 80% of the flood component of the General Capital Grant would be distributed according to the SEPA prioritisation of flood protection schemes set out in the Flood Risk Management Strategies. 40 of the prioritised schemes were deemed to be eligible for grant funding.

Of the 42 prioritised schemes 9 are complete, 5 are under construction and the others are at various stages of development. 7 other schemes commissioned by local authorities prior to 2016 have also been completed since 2016.

The financial support we have made available to businesses has, in the main, been predicated on the restrictions in place on specific businesses through legislation agreed by the Scottish Parliament rather than on sectoral classifications. Businesses were grouped by sectoral classification for the purposes of distributing the January Top up Grant and the Business Restart Grant but these grants were similarly awarded based on the impact of Regulations.

Eligibility for support can be found on the Scottish Government’s website including those businesses classified as Retail, Hospitality and Leisure businesses for the purposes of determining these top up payments. As Kennels and Catteries were not required to close or subject to any specific legislative restrictions on their operations, they were not eligible for support through the Strategic Framework Business Fund or associated schemes.

We did, however, set up the £120 million Local Authority Discretionary Fund specifically to support those businesses which were financially impacted due to COVID but did not qualify for other forms of financial support.