Seòmar agus comataidhean

I refer the member to the answer to question S6W-24498 on‎ 23 January 2024. 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 .

Whilst this is an operational matter for ScotRail and the previous Franchisee, Abellio ScotRail prior to 1 April 2022, ScotRail advises that, as part of the Grant Agreement, ScotRail conducts an annual survey of ticketless travel. The fieldwork for the most recent survey was carried out between 9 September and 23 September 2023 and the results reported that ticketless travel was 5.9%, down from 8.8% in 2022, a reduction of 2.9%.

ScotRail also advises that it invested in a mobile revenue protection team of 42 officers in 2023 who conduct revenue protection experience across the network to ensure that passengers pay their fares. In addition, over 130 frontline roles were recruited to ensure trains and automatic ticket gates are staffed.

There is no quick fix for the challenges leading to depopulation and the Scottish Government is committed to delivering, through its Addressing Depopulation Action Plan, a range of actions which are pragmatic, targeted, and affordable, and respond to what we have heard from communities and stakeholders during policy engagement and development.

The Addressing Depopulation Action Plan will be published shortly, and will ensure that within a challenging budget environment we are able to maximise the impact that our interventions can have in supporting the sustainability of communities affected by population decline.

I refer the member to the answer to question S6W-24444 on‎ 22 January 2024. 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 NorthTick project is part of the 'Interreg IV' programme, in which future participation is a reserved matter for the UK Government.

The Scottish Government recognises there is no specific legislation to prevent individuals who are not health professionals and who operate from unregistered premises from carrying out non-surgical cosmetic procedures that pierce or penetrate the skin, and the risks associated with this.

Following the Scottish Government’s 2020 consultation on the regulation of non-surgical cosmetic procedures (that pierce or penetrate the skin), officials are working on introducing secondary legislation to enable Healthcare Improvement Scotland (HIS) to regulate independent healthcare services, including non-surgical cosmetic procedures, which are provided by pharmacists and pharmacy technicians from premises other than registered pharmacies, and/or outwith the terms of NHS contracts. This will be brought forward by the end of Summer 2024.

In addition, officials are engaging with the UK Department of Health and Social Care regarding their recent consultation on the Licensing of non-surgical cosmetic procedures and working with stakeholders in Scotland, including healthcare professionals, hair and beauty industry representatives and Environmental Health Officers, to consider the potential scope of further regulation in Scotland. This work includes consideration of the levels of training and qualifications required to safely perform various types of non-surgical cosmetic procedures that pierce or penetrate the skin.

The Disabled Persons (Badges for Motor Vehicles) (Scotland) Amendment Regulations 2007 gave local authorities the discretion to charge a fee not exceeding £20 for the issue or re-issue of a blue badge. A charge may only be made only when an application is successful and a blue badge is issued. We have no plans to review this grant of discretion to local authorities.

I refer the member to the answer to question S6W-24682 on 29 January 2024. 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

NHS Lothian have advised that they make significant efforts to support attendance at appointments with affected families and follow an enhanced did not attend (DNA) policy whereby if a patient doesn’t attend their first appointment, they are contacted by telephone by an Audiologist to discuss non-attendance. A further appointment is then verbally agreed, and a letter sent to the family confirming the new appointment date. If there is a second instance of failure to attend, a further phone call by an Audiologist is made to agree a new appointment date and to discuss any issues and/or barriers in relation to attending the appointment. However, if there is a third instance of failure to attend then a DNA letter is sent to the family and copied to the GP and/or Health Visitor informing them the patient has been discharged from the service. Even after this letter if sent, if the family feel they still require an appointment, they can contact the service within 4 weeks and will be offered an appointment.

The BAA selected the different cohort of patients and the number of patients to be reviewed in each of the cohort groups, which was based on an increased likelihood of risk of missed hearing loss and cohorts were stratified in this way by the BAA to maximise detection of missed or delayed cases of hearing loss and poor quality testing. NHS Lothian have confirmed that all children who have been identified through the original audit have had their care clinically reviewed and, where appropriate, have been recalled for review to ensure these children are receiving the right support and treatment. NHS Lothian have provided assurances on the process that they have in place to respond to patients who were not part of the original BAA audits but who, on review, have a pattern of care that reflects the issues highlighted by the BAA. Families are being directly contacted and offered a meeting with the Senior Management Team to discuss the findings and to agree an appropriate care plan, with a focus on ensuring the right support is in place. I have sought further assurance from NHS Lothian around those children that are predicted to have been missed, based on the cohorts and percentages reviewed and I will provide an update to the member in due course.

To date, out with the 2 BAA audits, 6 further cases have been identified and in line with previous arrangements, these families have been directly contacted and offered a meeting with the Senior Management Team to discuss the findings and to agree a future care and support plan.

All children and young people should receive the support that they need to reach their full potential. Education authorities are under a statutory duty to identify, provide for, and review the support that they provide for pupils with additional support needs. Decisions on support are a matter for individual education authorities. Education authorities also have duties to employ a teacher of the deaf where support is required for child or young person who is deaf or deafblind. NHS Lothian and Local Authorities work very closely to help ensure those affected receive the multi-agency support they need. In addition, in working closely with their colleagues within Speech and Language Therapy, NHS Lothian have increased the capacity of the specialist team that works with children with a hearing impairment to ensure appropriate support is available to affected children and families.

The Scottish Government commissioned an Independent Review of Audiology Services in Scotland which was published in August 2023 and in December 2023, announced that it accepted, in principle, all of the recommendations made as part of that review and work on implementation is now underway. Implementation will be undertaken with partners from the third sector, as well as the health service, which will allow us to ensure the voices of those with lived experience, including those affected within NHS Lothian, are front and centre as changes are made.

All teachers provide support to children and young people with additional support needs. The Additional Support for Learning Act places education authorities under duties to identify, provide for and review the additional support needs of their pupils, including those affected by deafness. Education authorities also have duties to ensure that teachers who support children and young people with sensory impairments, including deafness, are appropriately qualified.

Any additional resources required to support the children affected would be a matter for the affected authorities to consider. Officials have engaged with the education authorities to support communication with NHS Lothian on this matter to help them identify any unmet needs.

The Scottish Government provides over £500,000 to voluntary sector organisations to support children and young people with additional support needs including sensory impairment. This includes funding to the Scottish Sensory Centre to support training to increase the capacity of staff in schools to provide effective support to deaf children and young people.

I refer the member to the answer to question S6W-24682 on 29 January 2024. 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