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Our published analysis of health board data on ME/CFS care has established a clearer picture of the variation in service provision around Scotland.

We are considering these findings in identifying areas where there is the potential to further explore or support aspects of service development, and the resource required to do this.

In doing so, we are seeking to ensure that learning from the introduction of models of care for Long COVID is used to benefit the management of other long-term and complex conditions, including ME/CFS, where appropriate.

To support future planning decisions, we accepted the review’s recommendation to develop an indicative capacity cap. It is important that any indicative cap is as robust as possible and developing such a cap is a significant piece of work.

For that reason, we are undertaking work to improve the quality of data on waste to support the development of an indicative cap. This includes, working with other governments of the UK to implement mandatory Digital Waste Tracking from April 2025, which will provide a step-change in the quality of Scottish waste data, and engaging with partners, including ZWS and SEPA, to draw together key waste composition, carbon and environmental impact data insights. In addition, the Strategic Research Programme 2022 to 2027, Theme C: Human Impacts on the Environment includes work on the circular economy. As part of this, a mapping exercise of the waste flows in Scotland is being undertaken by Scotland’s Rural College (SRUC).

Together, these initiatives will provide invaluable data to support the accurate forecasting of Scotland’s waste infrastructure needs and the development of an indicative cap.

Further information on these developments can be found here:

Digital Waste Tracking Consultation Response.

Outcome of the Household Waste Composition Analysis.

Information on the Strategic Research Programme 2022 to 2027.

Our draft Circular Economy and Waste Route Map, due for publication shortly, will set out further detail and associated timescales on the steps we will take to minimise the environmental and climate impacts of waste, including the development of an indicative capacity cap.

The Parliament building closed to the public for one day, Friday 13 October. Unfortunately, on the day in question, there was a combination of staff taking pre-approved annual leave,  several staff who were too unwell to come to work, and a small number of operational vacancies. As this issue occurred during the October recess period there was no impact on parliamentary business therefore the decision was taken to close the building to the public.

The SPCB is satisfied that since this incident happened on 13 October, the Security Office has taken all relevant steps to ensure staffing levels are maintained by supporting staff in returning to work and employing new staff.

I refer the member to the answer to question S6W-23717 on 19 December 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 .

The National Digital Platform continues to undergo development, with core components that will enable individual access, such as standards-based data storage and integration, access controls and user authentication for the workforce now largely in place.

However, the Platform itself will not provide patients digital access to their medical records or the ability to book appointments, rather it will power the underlying data requirements and systems integration for digital services that are public facing. Examples of such services include the Scotland-wide national vaccine service, where patients could access their vaccine information and book appointments through systems that relied on the capabilities of the National Digital Platform. Additionally the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) digital application, which is designed, delivered and deployed on the National Digital Platform is currently live in two Boards, and being implemented in several others. The Platform is also being used to power the developing OpenEyes Ophthalmology electronic patient record and the development of a Stroke Assessment tool.

A more detailed update on the National Digital Platform, along with detail on how patient access to their medical information and how appointments will be able to be booked online, will be provided to the Health, Social Care and Sport Committee in February 2024 in response to their correspondence on 05 December related to electronic patient records.

The vast majority of spending on mental health is delivered through NHS board budgets – and this is not directly affected by the Budget reprioritisation. Between the Scottish Government and NHS boards we expect spending on Mental Health to be well in excess of £1.3 billion in financial year 2023-24.

Historically Scotland has a relatively high number of mental health beds per 100,000 of the population and lower levels of bed occupancy (compared to the rest of the UK). However, we are aware of recent pressures on the availability of psychiatric beds, exacerbated by the continuing impact of seasonal illness and COVID-19 on staff capacity in both inpatient and community settings.

Officials have developed a support and engagement plan across mental health services. This will include routine engagement with NHS Boards, alongside access to professional advice and tailored support for those NHS Boards with the highest levels of delayed discharge.

We remain fully committed to delivering the Coming Home recommendations, and to support public bodies to reduce inappropriate hospital stays and out-of-area placements experienced by people with learning disabilities and complex care needs.

Historically Scotland has a relatively high number of mental health beds per 100,000 of the population and lower levels of bed occupancy (compared to the rest of the UK).

However, we are aware of recent pressures on the availability of psychiatric beds, exacerbated by the continuing impact of seasonal illness and COVID-19 on staff capacity. Officials have developed a support and engagement plan across mental health services. This will include routine engagement with NHS Boards, with additional support for those with the highest rates of delayed discharge.

We are continuing to invest record amounts into mental health provision across the country, to ensure the needs of the population are met effectively, safely, and in a timely fashion – this includes advancing our aspiration for care to be person centred and delivered in the community wherever appropriate.

The Scottish Government welcomes the UK National Screening Committee’s (UK NSC) recommendation that the four nations should move towards implementing a targeted lung screening programme for those aged 55-74 with a history of smoking. However, the roll-out of any screening programme is a complex undertaking, and the UK NSC acknowledged in its recommendation that there remain a number of significant issues that must be worked through before a full programme of lung screening can be implemented. Scotland is a member of the four nations group established to explore some of these issues, and has also established its own targeted lung cancer screening Scottish Expert Advisory Group (SEAG).

The SEAG’s remit is to provide the Scottish Government with advice on the scoping, implementation, establishment and delivery of a targeted lung cancer screening programme. The first stage of this work is underway and will support development of an evidence-based assessment of timescales for design and implementation.

Older people can be particularly vulnerable to being targeted by criminals intent on carrying out fraudulent activity. The Scottish Government is committed to working with partners on the Serious Organised Crime Taskforce (SOCT) to disrupt fraudsters and protect our elderly from being exploited.

The SOCT recently published its Progress Report which highlighted the success of the Banking Protocol. This has prevented the loss of £29 million since its introduction in 2018. The Scottish Government also funds and supports a range of campaigns, and online and in-person workshops, such as ‘ DigiKen ’ which aims to raise awareness of how to stay secure online, and Digital Skills Education , which supports older people on how to spot and avoid scams, and how to protect personal information.

I refer the member to the answer to question S6W-23485 on 14 December 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/questions-and-answers