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The three regional cancer networks continue to make operational improvements to service provision across Scotland to reduce ovarian cancer surgery waits. Improvements taken to date include increasing surgery provision, by increasing surgical teams and theatre capacity; improving theatre scheduling and joint working across surgical teams; and expediting pathways to expand capacity for these complex, multidisciplinary surgeries.

According to the most recent published data (October-December 2024), 98.4% of women are receiving their first treatment for ovarian cancer within 31 days of a decision to treat. The maximum wait during this quarter was 43 days, a decrease from 90 days in the same quarter in 2023. This may be a range of treatments, including surgery.

I refer the member to the answer to question S6W-38143 on 13 June 2025.

Following extensive stakeholder engagement and data review, we published the first optimal cancer diagnostic pathways on lung, head & neck and colorectal cancers. Prioritisation of the next optimal diagnostic pathways to be developed in the subsequent Cancer Action Plan(s) will be based on data and stakeholder engagement.

A clinical review of the Scottish Referral Guidelines for Suspected Cancer has just concluded to help ensure the right person is on the right pathway at the right time. For the first time, the review has ensured the inclusion of a nationally agreed non-specific symptoms referral guideline, as well as an update to the guidance for urgent referral for suspected brain tumours. Publication of the reviewed guidelines is expected this month.

The National Headache Pathway was published by the Centre for Sustainable Delivery, has been developed to support the assessment, diagnosis and management of primary headache disorders. This includes the red flag symptoms that indicate the need for urgent and/or emergency assessment to exclude a secondary cause, such as a brain tumours.

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 Greater Glasgow and Clyde have and are continuing to take action to simplify scheduling of these complex cases. Following updates provided by NHS Greater Glasgow and Clyde on 19 February and 9 June, I will be meeting with members of the board and clinicians in September 2025 to seek further clarity in terms of progress made.

The Scottish Government has no role in reviewing how additional support needs team allocations are determined within local authority secondary schools.

The Education (Additional Support for Learning) (Scotland) Act (2004) places duties on Education authorities to identify, make provision for, and review provision for the additional support needs of children and young people for whose education they are responsible.

Funding is provided to Local Authorities by means of a block grant to allow them to allocate the total financial resources available to them, on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

I refer the member to the answer to question S6W-37609 on 27 May 2025. 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.

Education authorities are responsible for identifying and meeting the additional support needs of their pupils. They have responsibility for securing appropriate resources, including teaching and support staff, to meet children and young people’s long or short-term needs.

All teachers are responsible for supporting pupils with additional support needs, not just those teachers whose role is specifically related to additional support for learning.

The number of secondary school teachers by main subject is published on the Scottish Government website here: see https://www.gov.scot/publications/teacher-census-supplementarystatistics/.

Statistics on school support staff are published on the Scottish Government website here: https://www.gov.scot/publications/school-support-staff-statistics/

It is a matter for Health Boards to consider the implementation of any new medicine to meet the needs of their local population. However, in response to concerns raised regarding access to givinostat in Scotland, the Cabinet Secretary has met with the four health boards who provide regional services across Scotland for children and adults with neuromuscular disorders, including Duchenne Muscular Dystrophy (DMD). He has asked them to set out their timelines and approaches to the families who have children with DMD, and this is now underway. In addition, the Chief Pharmaceutical Officer (CPO) has been assured that the consultants have reviewed all those who eligible to ensure fair and equitable access across Scotland.

Funding is provided to Local Authorities by means of a block grant to allow them to allocate the total financial resources available to them, on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

It is the responsibility of individual local authorities to manage their own budgets and to allocate the total financial resources available to them, including on additional support needs.

Scottish Government and COSLA work in partnership on additional support needs through the Additional Support for Learning Project Board. The new Education and Childcare Assurance Board provides a further opportunity for jointly agreeing priorities and joint working in this context.

The medicines regulatory body, the MHRA, has issued regulatory action on labelling of topical steroids with their potencies, so that prescribers and patients can have informed discussions about the length of treatment of these products and associated risks and benefits.

Local authorities retain the statutory responsibility for the delivery of education in Scotland. Decisions around the delivery of additional needs support and the minimum levels of staff to meet local level needs are matters for education authorities.

We have 17,046 pupil support assistants in Scotland – the second highest level on record and an increase of nearly 1,800 since 2020. This is a direct result of our continued investment of £15m each year to help them respond to the individual needs of children and young people and maintains our record levels of investment in these staff.