Seòmar agus comataidhean

Financial planning to address the significant challenges our public finances face took place in advance of the Deputy First Minister and Cabinet Secretary for Finance's update on the 2023-24 in-year budget changes on 21 November.

The difficult decisions which have had to be taken, have allowed us to help balance the Scottish Government's budget, while still progressing implementation of our mental health and wellbeing strategy from a revised direct budget of £260.3 million.

As set out in the Scottish Public Finance Manual grant payments should not be made in advance of need.

The independent due diligence on Ferguson Marine’s initial capital investment request concluded that the initial business case would not meet the Commercial Market Operator test, which is a key legal requirement if we are to demonstrate compliance with the subsidy control regime.

The Scottish Government remains fully committed to enhancing community audiology services. We are continuing to work closely with NHS Boards, Independent Providers and the Third Sector to develop fully integrated and sustainable audiology care and treatment located closer to the local communities being served. Our approach will continue to be informed by holistic consultation with the audiology sector, as well as by outcomes from the recently published Independent Review of Audiology services in Scotland.

I refer the member to the answer to question S6W-22774 on 21 November 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.

I welcome the Medicines and Healthcare products Regulatory Agency’s (MHRA’s) recent extension to the licence for Kaftrio ® and Kalydeco ® to include children aged two to five years old which will help address the unmet needs of younger children with cystic fibrosis in Scotland. I can also confirm that, while the National Institute for Health and Care Excellence (NICE) multiple technology appraisal (MTA) is ongoing, all existing and new patients in Scotland who are on, or who are started on, a CF medicine, including Kaftrio ® , 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.

In Scotland, the Scottish Medicines Consortium (SMC) appraises the clinical and cost-effectiveness of newly licensed medicines. The SMC has a transparent and robust process that is fully described on its website. It is worth noting that any SMC appraisal is undertaken independently of Scottish Ministers and is based on the clinical and cost-effectiveness of a medicine at a population level.

The SMC’s process allows companies to present a cost-effectiveness case which sets out the predicted health benefits of their treatment (including one-off treatments) over a person’s lifetime, and the SMC’s assessments follow standard methodology for such calculations. In addition, in the assessment of innovative medicines for rare conditions (including gene-edited precision medicines where a single treatment may have lifelong benefit), the SMC process involves additional flexibilities as outlined on its website. By way of an example, in 2021, the SMC was the first health technology appraisal body in the UK to accept a one-off gene therapy for spinal muscular atrophy.

The Scottish Government welcomes Food Standards Scotland’s Our Food 2022 report and the wide ranging recommendations.

We are aware of workforce shortages, such as veterinarians and environmental health officers, and the fundamental role these have to safeguard animal health and welfare and the safety of food in Scotland. The Scottish Government continues to promote the role of veterinarians in public health. This includes through initiatives, such as the Scottish Veterinary Delivery Landscape Project which brings together public and private sector veterinary employers, academia and veterinary industry bodies. We have also set up the Environmental Health Policy Co-ordination Group to consider solutions to the EHO vacancies across Scotland and work with key stakeholders to gain further insight on this issue.

Furthermore, we are committed to protecting Scotland’s consumers and businesses through robust biosecurity controls. Since EU Exit, Scottish Government officials and Ministers have been engaged in discussions with the UK Government around the introduction of import controls, resulting in the recent publication of the Border Target Operating Model.

We will continue to work with Food Standards Scotland and other partners on the issues raised within the report.

The latest available information on convictions is for the financial year 2021-22 and is provided in the following table.

People prosecuted for TV Licence evasion, by gender, where main charge, 2017-18 to 2021-22*.

The Scottish Government is committed to expanding electronic monitoring use across a broader range of licences and community orders, including exploring use of remote alcohol monitoring as provided for by the Management of Offenders (Scotland) Act 2019.

A new national contract for electronic monitoring was procured in 2020 that would allow for use of new technologies. In May 2022, provisions in the 2019 Act were commenced to allow electronic monitoring as part of bail and to allow electronic monitoring with Community Payback Orders at first disposal.

As work continues to embed these recent changes, we are now engaging with justice partners to explore the potential uses of new technologies, including remote substance monitoring technologies.

In developing narrower proposals on alcohol marketing the Scottish Government will take account of both the potential public health benefits as well as potential impacts on industry, business and consumers. The next phase in this work will be targeted engagement early in 2024, which will include engagement with a range of stakeholders including those representing business and consumer interests.

As part of the annual Homelessness in Scotland publication, the Scottish Government releases national statistics on the number of households assessed as homeless or threatened with homelessness by former armed forces status. Table T22 in the main tables, in the supporting documents of the most recent publication, provides data from 2018-19 to 2022-23. These statistics are available here: https://www.gov.scot/publications/homelessness-in-scotland-2022-23/

Additional statistics about veteran homelessness in Scotland, including the number of homelessness applications by former armed forces status, is available here:

https://www.gov.scot/publications/homelessness-in-scotland-veteran-homelessness/

Note, these figures have been rounded to the nearest 5 for disclosure control purposes and totals may not sum due to rounding.