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The Scottish Government remains committed to supporting people with cystic fibrosis (CF) to benefit from medicines which help them to live fuller lives, for longer. That is why we introduced a memorandum of understanding (MoU) with the manufacturer, Vertex Pharmaceuticals, in 2018. As part of the MoU, there was an expectation that Vertex would resubmit each of their CF medicines to the Scottish Medicines Consortium (SMC) for a health technology appraisal (HTA). To progress this, the SMC is collaborating with the National Institute for Health and Care Excellence (NICE) on a multiple technology appraisal (MTA) of Vertex’s CF medicines, including Kaftrio ® .

While the NICE MTA is ongoing, I can confirm that all existing and new patients in Scotland who are on, or who are started on a CF medicine 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.

If any CF medicine is not recommended in the final MTA guidance, clinicians in Scotland will be able to request the use of that medicine on a case-by-case basis for any new 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.

The Children and Young People’s Mental Health and Wellbeing Joint Delivery Board, chaired by COSLA and Scottish Government produced a number of learning resources for the workforce to support children and young people’s mental health. All resources are hosted on the Digital Learning Map and will continue to be supported by NHS Education for Scotland (NES). These resources have been disseminated through key networks.

Further details on the work of the Board and links to the resources can be found in the report Children and Young People's Mental Health and Wellbeing Joint Delivery Board: final report - gov.scot (www.gov.scot)

The Scottish Government is working with Healthcare Improvement Scotland (HIS) to develop the Coming Home Practitioner Peer Support Network and this will be launched in early 2024.

HIS will bring their sector expertise in strategic improvement to bring together professionals from a range of disciplines and agencies, as well as people with lived experience, to form a Practitioner Peer Support Network to learn and share best practice. The network will provide a space for local teams to learn from others who have implemented successful services and processes, for collaborative problem-solving and to pool resources such as staff or buildings.

This is a key step in our Coming Home programme of work, which aims to reduce delayed discharge and inappropriate out-of-area placements for people with learning disabilities and complex care needs.

The Scottish Government funds five direct delivery partners to carry out peatland restoration projects through the Peatland ACTION partnership - NatureScot, Forestry and Land Scotland, Cairngorms National Park Authority, Loch Lomond and Trossachs National Park Authority and Scottish Water.

Operational and delivery aspects of the programme, such as vetting of individual applications seeking funding for their projects, are a matter for each respective delivery partner and I would refer the MSP to those organisations for further information.

To date, Advice Direct Scotland (ADS) have claimed £5 million for the Home Heating Support Fund, from a total of £9 million allocated for this financial year, with the bulk of funding expected to be distributed across the winter months.

ADS' internal controls are in place to appropriately manage the allocation of funding up to end March 2024.

Scottish Government is working with the Board of FMPG as it develops its plans for the future. Decisions on which contracts to pursue are operational matters for the management and Board of the business.

As set out in the Climate Change Committee’s ‘ Adapting to Climate Change Progress in Scotland ’ November 2023 report, there is a need to develop our understanding of the effects of heat on population health and wellbeing in Scotland.

Public Health Scotland, an NHS National Board, and our national public health agency, committed in their 'Climate change and sustainability strategic approach 2023–2026: working together to build a greener, fairer, healthier future ', to carrying out a study to explore the feasibility of developing climate related health indicators for heat and cold for Scotland.

The work, which is underway, will examine the potential to use routine data to report excess heat related deaths and hospitalisations in Scotland. When available, the results of this study will be reviewed, and next steps agreed with Public Health Scotland.

National Records of Scotland (NRS) also publish an annual Winter Mortality report. The report and further background information is available here:

Winter Mortality | National Records of Scotland (nrscotland.gov.uk)

An analysis of the relationship between mean winter temperatures and mortality was last published by NRS in the 2020-21 report available here:

[ARCHIVED CONTENT] Winter Mortality in Scotland 2020/21 | National Records of Scotland (nrscotland.gov.uk)

As previously set out in the response to S6W-16651 on 21 April 2023 recruitment of the 1,000 additional roles to support community mental health resilience, ensuring every GP Practice has access to a mental health and wellbeing service has not yet commenced. The re-profiling of spend means that recruitment for this programme continues to be paused in 2023-24. We have already prioritised significant investment to build mental health capacity in primary care through Action 15 of the Mental Health Strategy 2017-2027 and the Primary Care Improvement Fund, with funding for posts continuing in 2023-24.

We continue to focus on delivery of our mental health and wellbeing strategy and recently published delivery plan, which includes commitments around mental health in primary care.

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

We continue to work closely with NHS Boards to reduce long waits, which have been exacerbated by the impacts of the global pandemic. This includes targets to address long waits and delivery of the commitments in our £1 billion NHS Recovery Plan to support an increase in inpatient, day-case, and outpatient activity.

While we know there is more to do, we are making progress. The latest Public Health Scotland data shows that in the 12 months to September 2023, almost 1.24 million (1,237,657) New Outpatients were seen across NHS Scotland; 2.5% more than previous 12 months.

We are also working with the Royal National Institute for Deaf People (RNID) as a third sector partner to promote and deliver community-based support for hearing-aid users. RNID Near You is currently operating in three Board areas, with plans to extend to a further two areas this financial year, and provides after-care support including maintenance, battery replacement and peer support and advice.

Scottish Government officials engaged with the Energy Systems Catapult in online stakeholder workshops during development of the UK Electricity Networks Commissioner’s report. In addition, the Scottish Government’s Planning, Architecture and Regeneration Division (PARD) and Energy Consents Unit (ECU) attended a meeting with the Energy Systems Catapult on 28 February 2023 to discuss procedures around the consenting of electricity transmission infrastructure. A minute of the meeting was taken by the Energy Systems Catapult.

The Cabinet Secretary for Wellbeing Economy, Fair Work and Energy met the UK Government Parliamentary Under Secretary of State (Minister for Nuclear and Networks) on 21 November 2023 to discuss the UK Government’s response to the UK Electricity Networks Commissioner’s report, which was published alongside the UK Government’s Autumn Statement on 22 November 2023.

Following the publication of UK Electricity Networks Commissioner’s report, Scottish Government officials have engaged with the UK Government, and other key stakeholders, through the UK Government’s Transmission Acceleration Forum and Stakeholder Working Group. The Scottish Government does not publish minutes taken by other organisations.