Seòmar agus comataidhean

I refer the member to Scottish Government’s publication on 28 February 2023 of the timeline and process for securing an Internal Market Act exclusion for the Deposit Return Scheme: https://www.gov.scot/binaries/content/documents/govscot/publications/correspondence/2023/02/internal-market-act-correspondence/documents/timeline-and-process-for-securing-an-internal-market-act-exclusion-for-drs/timeline-and-process-for-securing-an-internal-market-act-exclusion-for-drs/govscot%3Adocument/DRS%2BTimeline%2Band%2BProcess.pdf

Yes. We are committed to transparency and openness in our administration of the Deposit Return Scheme, and will publish this by the end of May 2023.

The Digital Prescribing and Dispending Pathways Programme is currently in the planning and development stage, and I expect to be able to confirm the timetable for full roll out in due course.

As with the development of all new trade arrangements, the Scottish Government has sought to engage with the UK Government at Ministerial and official level throughout the negotiation process for accession to the CPTPP to ensure that Scottish interests are identified and taken into account. Most recently, I wrote to the UK Government Minister of State for International Trade, Nigel Huddleston MP, following his confirmation that the UK Government had secured Agreement in Principle to accede to CPTPP. In this correspondence I raised a number of concerns including those around Investor State Dispute Settlement (ISDS).

The Scottish Government’s position, as set out in the Vision for Trade, is that no future Investor-State Dispute Settlement (ISDS) system should prevent Scotland (and the rest of the UK) from making laws on health, social, environmental and economic matters. Any future ISDS system should be transparent, based on judicial procedures, and permit meaningful representations by all parties with a potential stake in the matter.

We will continue to call on the UK Government to recognise widespread concerns around ISDS, actively consider alternative models of dispute resolution, and to contribute to the development of international best practice.

NHS Boards are responsible for providing support to GP practices by providing Community Treatment and Care (CTAC) and Pharmacotherapy services and regulations were amended in 2022 to reflect this change. On account of the variation in the extent of implementation of these services, the Scottish Government is currently taking forward an exercise to collect and analyse data on the recurring workforce requirements, to ensure the financial and legal framework is fair and sustainable.

Local areas should continue to work in collaboration with all partners to ensure that services meet local needs. This may also include flexibility for local transitionary arrangements with practices to be funded as an interim and time-limited measure from within the existing Primary Care Improvement Fund funding envelope.

The Scottish Government currently has no plans to endorse the Plant Based Treaty. We are keen to explore ways to both encourage a healthy diet and reduce the environmental impact of our food system. We continue to work with Public Health Scotland, Food Standards Scotland and others to evaluate the evidence base on diet, health and climate impacts.

We continue to engage with retailers of all sizes regarding Scotland’s Deposit Return Scheme, and have set up a new operational group with retailers to resolve any outstanding issues to allow the scheme to launch successfully on 1 March 2024.

This obligation is not new and has been in place since 2020. We have, however, published regulations that will remove the obligation to take back containers bought online from the vast majority of retailers. Only the very largest supermarkets are being asked to provide this service, which will benefit those who are physically less able to access a return point. While we recognise this creates a challenge for large retailers, we consider it to be fair, proportionate, and important as it will mean that everyone has access to Scotland’s deposit return scheme.

Retailers still have the flexibility to provide their own takeback service or have a third party deliver it for their customers, and we have been clear that we will continue to work with them to explore the possibility of a centralised takeback service.

The UK government, who are developing their own plans for Deposit Return Scheme, have also made it clear that online takeback will be required from the start of the scheme, particularly for large retailers.

Home haemodialysis is provided for people who need this. Any reimbursement for increases in utility bills as a result of home haemodialysis would be the responsibility of the NHS Board. Individuals who wish to pursue reimbursement of living costs should contact their local NHS Board in the first instance.

The Fuel Insecurity Fund – established in 2020 and tripled to £30 million for 2023 to 2024 - is a critical plank in our support to people who are struggling with their energy costs.

The Construction Advice and Support Service was funded through ERDF and ended in 2021-22 . The Green Islands Fund was partially funded through ERDF and ended in April 2021.

I welcome this report and the valuable insight it has given us. The report highlighted that pension taxation was the main driver for Consultant’s seeking early retirement, which is why we continued to press the UK Government to resolve this issue. I am pleased they listened and brought forward changes at the UK Budget on 15 March to the annual and life time allowances that resolve this issue for the vast majority of Senior Doctors, ensuring they have an alternative choice to retiring early and leaving the service.

The report gives NHS Employers a clear understanding of the issues facing our highly valued Consultant staff. It will allow us to work in partnership with BMA Scotland and NHS Boards through our established structures to address the issues raised in this report, ensuring that NHS Scotland is able to attract and retain doctors at all stages in their career.

We have already established the Improving Medical Retention Advisory Group who have made recommendations to improve the retention of senior doctors and are continuing to implement these actions.