Seòmar agus comataidhean

The Scottish Medicines Consortium (SMC) has accepted a cannabidiol (Epidyolex ® ) for three severe treatment-resistant epilepsies:

• as adjunctive therapy of seizures associated with Dravet syndrome (DS) in conjunction with clobazam, for patients 2 years of age and older
• as adjunctive therapy of seizures associated with Lennox-Gastaut syndrome (LGS) in conjunction with clobazam, for patients 2 years of age and older
• as adjunctive therapy of seizures associated with tuberous sclerosis complex (TSC) for patients 2 years of age and older

The biggest barrier to the prescribing of other Cannabis Based Products for Medicinal Use (CBPMs) on the NHS is that most products remain unlicensed with a limited, or non-existent, peer-reviewed clinical evidence base for their use.

The National Institute for Health Research (NIHR) is currently leading on the design of CBPM clinical trials into epilepsy. The Chief Pharmaceutical Officer continues to engage on the progress of these trials, which will be critical in building the evidence for CBPMs.

The authors of this letter recognise the very real progress being made on child poverty because of Scottish Government policies, including our ‘game-changing’ Scottish Child Payment.

More than 323,000 children were benefitting Scottish Child Payment at the end of September 2023, providing support to families which is unparalleled across the UK.

We have committed to uprating Scottish Child Payment by inflation next year and will continue to do everything within the scope of our powers and limited budget to tackle child poverty, in line with our challenging targets.

The Deputy First Minister and Cabinet Secretary for Finance will set out the Government’s spending plans in the 2024-25 Scottish Budget, which will be presented to Parliament on 19 December.

Scottish Government officials were notified about this matter by the Scottish Police Authority on the 1st November 2023. This was for information only as the governance and scrutiny of Police Scotland is for the Authority and not Ministers. No engagement with Police Scotland was required.

The Chair of the Authority has discussed this with the Chief Constable, who has apologised, and the SPA now considers the matter closed.

With regard to the assistance being provided to Police Scotland by Durham Constabulary, while this is an operational matter for the Chief Constable, it is good practice for police organisations to share their knowledge and experience. Police Scotland routinely collaborates and works in partnership with police forces across the UK, and beyond.

The Prior Information Notice (PIN) process is used to give advance notice of projects to the sector and then this is followed by the contract notice and contract award notice process. Publishing a PIN is not a mandatory requirement, but it can alert the market that there is an opportunity coming up within the next 12 months, allowing bidders to research and start to prepare your bid. It can also make it possible for the procurement officer to reduce the timescales needed to complete the procurement exercise.

Peatland ACTION has spent £56,800 towards physical restoration costs on projects within Dumfries and Galloway in this financial year. The total capital budget (not spend as that will be available once we complete the planned activities in this financial year) for Peatland Action in current financial year is £23m, so this spend is approximately 0.24% of overall budget.

The National Institute for Health and Care Excellence (NICE) multiple technology assessment (MTA) final guidance is currently expected to be published on 20 March 2024.

As the Scottish Medicines Consortium (SMC) is partnering with NICE in the assessment of these medicines, the SMC will publish recommendations aligned with the final NICE guidance thereafter for Health Boards in Scotland to consider.

We are currently engaging with the UK Government on plans to implement the Electricity Networks Commissioner’s recommendations and will update local authorities and Heads of Planning Scotland at the appropriate stage.

The Scottish Government is committed to promoting and advancing Natural Flood Management (NFM) as one of a range of measures to adapt to current and future water-related environmental pressures.

The Scottish Government has provided funding over a number of years to both the Eddleston Water research catchment and Allan Water improvement project to help develop an evidence base to improve understanding of NFM. This evidence helps stakeholders understand its considerable value from a biodiversity perspective, and potential value as a complementary measure to improve flood resilience across catchments. Evidence already produced from these projects have indicated that NFM can help to delay flood peaks, deliver multiple environmental benefits and help mitigate the impacts of climate change. Evidence also indicates that flood risk reduction is limited in more extreme events.

The Scottish Government funds the Centre of Expertise on Water (CREW), and the James Hutton Institute to conduct both short and long-term research projects assessing the effectiveness of nature-based flood management solutions.

Our five year Strategic Water Research Programme (2022-2027) is funding the “Achieving Multi-Purpose Nature-Based Solutions” research project which is currently working to explore how to work at scales and across sectors to deliver urban and rural nature-based solutions that make a significant contribution to meeting society’s needs.

In its November 2023 independent assessment of progress on climate adaptation, the Climate Change Committee (CCC) outlined the need for private investment, alongside public funding, to support adaptation action. Barriers limiting private investment to date have been identified by the CCC in its report from February 2023, titled Investment for a well-adapted UK , and include:

As part of our National Mission to reduce deaths and improve the lives of people impacted by drug use, the Scottish Government commissioned Scotland Excel, as the centre of procurement expertise in local authorities, to undertake market analysis and engagement with Alcohol and Drugs Partnerships to consider the different routes available to the Scottish Government for developing a national approach to commissioning residential drug and alcohol services.

I can confirm that the Scottish Government did not request confidential commercial information from Scotland Excel as part of this work in 2023. Any information gathered by Scotland Excel as part of this work was done with the knowledge that this would be shared with the Scottish Government in order to inform the market analysis report. As a result, information such as pricing schedules were shared with the Scottish Government in a confidential manner.