Seòmar agus comataidhean

The Scottish Government remains committed to supporting people with cystic fibrosis (CF) to benefit from medicines which help them to live fuller lives, for longer. That is why we introduced a memorandum of understanding (MoU) with the manufacturer, Vertex Pharmaceuticals, in 2018. As part of the MoU, there was an expectation that Vertex would resubmit each of their CF medicines to the Scottish Medicines Consortium (SMC) for a health technology appraisal (HTA). To progress this, the SMC is collaborating with the National Institute for Health and Care Excellence (NICE) on a multiple technology appraisal (MTA) of Vertex’s CF medicines, including Kaftrio ® .

While the NICE MTA is ongoing, I can confirm that all existing and new patients in Scotland who are on, or who are started on a CF medicine will continue to have access to that CF medicine after NICE and the SMC issue their final recommendations. This will be irrespective of the outcome of the appraisal and will cover any need to subsequently switch to a different CF medicine.

If any CF medicine is not recommended in the final MTA guidance, clinicians in Scotland will be able to request the use of that medicine on a case-by-case basis for any new patients using the Peer Approved Clinical System (PACS) Tier Two process. National guidance explicitly states that Health Boards should not take account of the cost of medicines when considering applications using the PACS Tier Two system.

The Scottish Government is working with Healthcare Improvement Scotland (HIS) to develop the Coming Home Practitioner Peer Support Network and this will be launched in early 2024.

HIS will bring their sector expertise in strategic improvement to bring together professionals from a range of disciplines and agencies, as well as people with lived experience, to form a Practitioner Peer Support Network to learn and share best practice. The network will provide a space for local teams to learn from others who have implemented successful services and processes, for collaborative problem-solving and to pool resources such as staff or buildings.

This is a key step in our Coming Home programme of work, which aims to reduce delayed discharge and inappropriate out-of-area placements for people with learning disabilities and complex care needs.

The Children and Young People’s Mental Health and Wellbeing Joint Delivery Board, chaired by COSLA and Scottish Government produced a number of learning resources for the workforce to support children and young people’s mental health. All resources are hosted on the Digital Learning Map and will continue to be supported by NHS Education for Scotland (NES). These resources have been disseminated through key networks.

Further details on the work of the Board and links to the resources can be found in the report Children and Young People's Mental Health and Wellbeing Joint Delivery Board: final report - gov.scot (www.gov.scot)

I refer the member to the answer to question S6W-23358 on 11 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

To date, Advice Direct Scotland (ADS) have claimed £5 million for the Home Heating Support Fund, from a total of £9 million allocated for this financial year, with the bulk of funding expected to be distributed across the winter months.

ADS' internal controls are in place to appropriately manage the allocation of funding up to end March 2024.

As previously set out in the response to S6W-16651 on 21 April 2023 recruitment of the 1,000 additional roles to support community mental health resilience, ensuring every GP Practice has access to a mental health and wellbeing service has not yet commenced. The re-profiling of spend means that recruitment for this programme continues to be paused in 2023-24. We have already prioritised significant investment to build mental health capacity in primary care through Action 15 of the Mental Health Strategy 2017-2027 and the Primary Care Improvement Fund, with funding for posts continuing in 2023-24.

We continue to focus on delivery of our mental health and wellbeing strategy and recently published delivery plan, which includes commitments around mental health in primary care.

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

Scottish Government fund peatland restoration via the Peatland Action partnership. The individual delivery partners that make up this partnership apply their own grant offer terms and conditions regarding protections and restrictions on the land that receives money from them for undertaking peatland restoration. I would refer the MSP to those organisations for further information.

At a programme level, the Peatland ACTION Monitoring Strategy ( https://www.nature.scot/doc/peatland-action-monitoring-strategy ) is putting in place a structured approach to monitoring sites that have had their peatland restored to evidence whether we are delivering effective restoration.

In its November 2023 independent assessment of progress on climate adaptation, the Climate Change Committee (CCC) recommended that the Scottish Government “should set specific and quantified targets for levels of resilience across Scottish society under each outcome” of the next Scottish National Adaptation Plan.

The Scottish Government is considering all recommendations from the CCC on the structure of the next adaptation plan. Public consultation on a draft of the next adaptation plan is anticipated in early-2024 and we have asked the CCC to provide further views at this stage.

I refer the member to the answer to question S6W-23310 on 11 December 2023. All answers to 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 Scottish Prison Population Statistics 2022-23 were published on 5 December 2023 at 9.30am.