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As part of the £30 million investment in the Fuel Insecurity Fund for 2023/24, the Scottish Government has allocated £9 million for the Home Heating Support Fund (HHSF), administered by Advice Direct Scotland (ADS), to support households with increased energy costs.

The most common reasons for HHSF applications being rejected are that evidence requirements are not met; or the customer has not already received debt advice, which is a requirement for support. As part of the appropriate verification and compliance process, relevant supporting evidence is required.

ADS adopt an holistic support approach, meaning that households presenting with debts exceeding £1,700 are internally passed to their FCA-accredited debt advice team for more comprehensive support and debt solutions. In all cases, ADS works with the applicant to ensure they have what they need to reapply to the HHSF.

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.

Since 2008 the Scottish Government has made available capital funding of £42 million per year to enable local authorities to invest in flood protection measures. Currently 80% of the available £42 million is allocated to prioritised flood schemes and the other 20% is allocated between all 32 councils to introduce, upgrade and maintain other flood resilience measures set out in Local Flood Risk Management Plans.

The 2020 Programme for Government committed an additional £150 million over the course of this Parliament for flood risk management actions, which is being allocated on an annual basis to support the delivery of flood resilience actions.

In its November 2023 independent assessment of progress on climate adaptation, the Climate Change Committee (CCC) recommended that the Scottish Government should include “a national assessment of the scale of current and future risks from weather-related cascading infrastructure failures” in the next Scottish National Adaptation Plan (SNAP3).

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.

Following the most recent request from the Scottish Hospice Leadership Group and Hospice UK on 20 November for remedial funding to address their estimated deficits, as well as a new national funding framework and arrangements to future proof partnership and funding arrangements, I convened a round table with independent hospices and Health and Social Care Partnerships on 5 December. I indicated that unfortunately, their ask for funding remains unaffordable.

The financial position across Scottish Government is extremely challenging and work is ongoing to identify measures to address the continued challenges in 2023-24 and beyond.

Integration Joint Boards are responsible for the governance, planning, and resourcing of adult palliative care services, including hospices, using the integrated budget under their control. We will therefore also continue to work with Integration Joint Boards and independent hospices to explore solutions and options for longer term sustainable planning and funding for the hospice sector.

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.

The Scottish Medicines Consortium (SMC) provides advice to NHS Scotland on a ‘once for Scotland’ basis about the value for patients of newly licensed medicines, including innovative cell and gene therapies such as one-off gene-edited treatments for debilitating inherited conditions.

For example, in 2021, the SMC was the first health technology appraisal body in the UK to accept a gene therapy for spinal muscular atrophy. This ensures that NHS patients have equal access to innovative medicines that are clinically and cost-effective. The SMC has a transparent and robust process that is fully described on its website.

To ensure that people get the financial support that they are entitled to as quickly as possible, adult disability benefit applications from people with a terminal illness in Scotland are fast-tracked. We also ensure that those who are terminally ill automatically receive the highest rates of assistance that they are entitled to, with no award reviews. They are eligible for this support straight away, with no qualifying period.

The new palliative care strategy will seek to understand and respond to the social determinants of people’s experiences towards the end of life, including financial insecurity and housing.

The Scottish Government believes that every child should be given the opportunity to learn to swim, it is a life skill that can save lives.

While the Active Lives Survey relates to England only, we recognise that children living in areas of deprivation may be less likely to be able to swim. We have been working with Scottish Swimming, Education Scotland, sportscotland and Scottish Water to develop interventions and approaches to provide opportunities for children to become confident, safer and competent swimmers. Inclusion has been central to the approach and there is a specific focus on targeting areas within quintile 1 of the Scottish Index of Multiple Deprivation. Four Delivery Pilots have taken place to support schools to understand and consider different approaches on how best to support young people to access school swimming. An evaluation, available here , has been published and we will work with Scottish Swimming and sportscotland to utilise the learning from these pilots to consider the best approach for a continued roll out of a national framework for school swimming.

Our Water Safety action plan which focuses on key initiatives to improve education, data, local area water safety planning and incident reviews, was updated in June 2023.

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.

The other two medicines alluded to in that answer are Orkambi ® , and Symkevi ® .

If any cystic fibrosis medicine is not recommended in the final multiple technology appraisal (MTA) guidance, clinicians in Scotland will be able to request the use of that medicine on a case-by-case basis for individual 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.