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The Scottish Government has commissioned the Centre for Sustainable Delivery (CfSD) to identify treatment options for patients across Scotland, including in NHS Tayside, who are currently on waiting lists for the following urogynaecology procedures:

• Urethral Bulking
• Laparoscopic Colposuspension
• Fascial Sling

Working Collaboratively with clinical colleagues across NHS Scotland and CFSD we have agreed a plan that sets out how and when these patients will be treated by adopting a national approach to clear the waiting list. We aim to ensure all patients requiring a procedure is appointed and treated by late summer.

To provide future resilience, the national unit, based in CFSD, will support increased capacity for treatment within NHS Scotland and enable the development of training to build future sustainability within this highly specialist clinical area.

In terms of NHS Tayside, there are eleven patients waiting who required fascial sling surgery. These patients now have a treatment plan and will be seen by Spire Healthcare, Edinburgh. Spire Healthcare is expect to be able to treat all eleven patients by the end of August 2023.

Scottish Government officials meet regularly with the Centre for Sustainable Delivery (CfSD) to discuss a range of improvement programmes that support service innovation and redesign, including new pathways of care that are more efficient and provide sustainable solutions for the future.

The CfSD was first approached about urogynaecology waiting times on 19 May 2023 and a plan to identify treatment options for long waiting patients across Scotland, including NHS Tayside, was agreed on 5 June 2023.

As the information requested is personal data of a third party, disclosing the list of attendees at these meetings would contravene the data protection principles in Article 5(1) of the General Data Protection Regulation and in section 34(1) of the Data Protection Act 2018.

Professor Graham Ellis, Deputy Chief Medical Officer, met separately with Dr Pamela Johnston, Operational Medical Director of NHS Tayside, on 11 May 2023.

A new edition of the Scottish Ministerial Code was published on 20 July 2023 and is available here: https://www.gov.scot/isbn/9781835210567 .

Colleges are responsible for their own operational decisions, including course provision, and must adapt and respond to the current economic constraints flexibly.

The Scottish Government, despite the unprecedented fiscal challenge, has maintained college and university resource budgets at last year’s levels and I understand that Fife College will continue to offer counselling courses in Academic Year 2023-24.

The recently published Mental Health and Wellbeing Strategy places strong focus on prevention, early intervention and recognises the importance of a diversity of service provision.

Later this year we will publish the accompanying Delivery Plan and the Workforce Action Plan. Thereafter, we will publish actions to support students.

The UK National Screening Committee (UK NSC), an independent advisory group which makes recommendations on all screening programmes in the UK, have never recommended routine breast screening for women over 71 years. The Committee has concluded that there is not clear evidence that the benefits of screening women in this age group outweigh the potential risks of harm.

Nonetheless, prior to the COVID pandemic, women over 71 could self-refer to be screened if they chose. As the service continues to recover from the pandemic, Women aged 71-74, and those over 75 with a history of breast cancer, are once again eligible to self-refer for a screening appointment. There continues to be a pause in self-referral appointments for women aged 75 and over without a history of breast cancer.

The Scottish Government understands the wish to widen self-referrals to include those over the age of 75 without a history of breast cancer. However, before doing so we need to understand the impact of current self-referral appointments on wait times for women between 50-70 for whom screening has clear benefits. These impacts are under regular review by the breast screening programme board.

This is a matter for the relevant part of the civil service. The Scottish Government does not hold information for other parts of the civil service, for example those that serve UK Government ministers.

Regarding recruitment and verification for the Scottish Government Pain Panel, there are generally no preconditions specified, except for the requirement to acknowledge and honour an individual’s expressed willingness to contribute to a particular process based on their personal knowledge of the subject matter. The Scottish Government is committed to ensuring a range of people and organisations can contribute to collective means through a variety of ways. I also refer the member to the answer to question S6W-17660 on 19 May 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 focus of our activity remains engagement with public sector organisations to seek reassurance of both their awareness and any action identified on this issue. Maintaining the safety of buildings is the responsibility of building owners, and this includes responsibility for any assessment of the presence of reinforced autoclaved aerated concrete in private sector buildings.

Authoritative guidance on identification and assessment of reinforced autoclaved aerated concrete is already published by organisations such as the Institution of Structural Engineers. We continue to engage with the UK government and such organisations to understand and support broader action being taken to raise awareness of this risk topic across all sectors.

Scottish Government officials will continue to have discussions with the UK Government and the Health and Safety Executive on the presence of reinforced autoclaved aerated concrete in the built environment. This will enable a consistent and informed response on relevant reserved matters, such as health and safety legislation.

I am committed to reforming crofting law by 2026, however, a decision on the timing of a Crofting Bill will be taken by Cabinet in the context of setting the content of future legislative programmes in the normal way.

The Crofting Bill Group is making good progress in reaching a consensus on the issues raised in 2016-2019, and further issues put forward by the Law Society and the Crofting Commission.