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The Gender Recognition Reform (Scotland) Bill was passed by an overwhelming majority of the Scottish Parliament, with support from members of all parties. The UK Government's use of section 35 of the Scotland Act 1998 to prevent the Bill proceeding to Royal Assent represents an unprecedented challenge to the Scottish Parliament's ability to legislate on devolved matters.

The Scottish Government has provided detailed responses to questions from the Equalities, Human Rights and Civil Justice Committee in a letter of 5 February, is now considering the reasons given by the UK Government for its use of the section 35 power, and will update Parliament on next steps in due course.

We note the Committee has expressed disappointment that the Secretary of State for Scotland made little attempt to answer directly any of the questions it raised.

I have received three ministerial notes since April 2022 in relation to an ongoing incident of listeria in the food chain. These were dated 1 April 2022, 11 August 2022 and 16 December 2022. Reference is made to a specific strain of listeria which is highly unusual, highly distinguishable and highly pathogenic, particularly for vulnerable groups in comparison to other strains in the notes dated 16 December 2022. To date sixteen human cases have tested positive and there have been three cases across the UK where Listeria infection is linked to the cause of death and all are linked to a particular strain confirmed by whole genome sequencing.

The small grants will enable wide-scale public engagement across Scotland for the refreshed New Scots Refugee Integration Strategy. Arrangements for the distribution of the small grants are being developed by the strategy’s key partners, the Scottish Government, COSLA and Scottish Refugee Council. Further information will be available in due course.

We know that endometriosis can have a significant impact on people’s lives, and that support for those with the condition is required while we work to improve waiting times.  

To ensure those with endometriosis are receiving consistent and appropriate care we will help support The Modernising Patient Pathways Programme (MPPP) to implement the new Integrated Endometriosis Referral Care Pathway for NHS Scotland, which has now been approved and will be circulated to all NHS Scotland health boards this year.  

We have invested in research into endometriosis, which is vital to help us achieve better care for those with the condition. We are jointly funding a £250,000 endometriosis research project with Wellbeing of Women and the recipient of the grant will be announced later in March. The research aims to develop improvements into treatment and management options for the condition.  

To ensure that people with endometriosis have access to the most accurate and relevant information and links to further support, we updated the NHS Inform endometriosis page. This includes videos to support those with the condition and to provide information about symptoms and treatment options available.  

The supply of medicines is a reserved matter for the UK Government. Scottish Government officials are regularly updated on any supply disruptions which may arise and will provide advice to the NHS in Scotland on options to address any shortages.      

The Scottish Government is aware of the severe pressures which rising energy and other inflation-related costs are putting on the sector. The Cabinet Secretary for Health and Social Care has established a Ministerial Advisory Group to ensure we collaborate effectively to meet these challenges.

Many of the policy and economic levers that would help reduce the pressures on care homes are reserved to Westminster and the Scottish Government has written on a number of occasions to the UK Government to raise these matters.

The Scottish Government is in regular contact with NHS Boards and providers of social care across the Highlands and Islands region to understand the challenges they are facing which include the rise in energy costs.

The Scottish Government has continuous contact with Health Boards and has recently engaged with NHS Greater Glasgow and Clyde on the provision of their Out of Hours services.

Despite the system wide pressures, NHS Greater Glasgow & Clyde continue to deliver a primary care out of hours service for the provision of urgent care when GP Practices are closed. Although the figures published on 14 February 2023 report a decline in the number of GPs working in the service it is important to note that this service is now provided using a multi-disciplinary model which includes nurses, advanced nurse practitioners and paramedics.

Additionally, NHS Greater Glasgow & Clyde has advised that in the past 6 months they have successfully recruited 15 salaried doctors to the Out Of Hours service. The Board has provided assurance that this will increase the level of stability going forward.

The Scottish Government’s Chief Scientist Office (CSO) along with partners in the UK Clinical Research Recovery, Resilience and Growth programme considers it important that clinical trial populations reflect the populations that could benefit from the treatments as closely as possible. For this reason, a theme of this programme is the widening of opportunities for people to participate in clinical research. CSO is working with partners on the UK-wide Be Part of Research initiative and invests in the Scottish Health Research Register and Biobank (SHARE) with this aim. CSO is also funding a research project looking at ways to support ethnic diversity in clinical trials populations.  

The funding allocated for the 85 per cent funding floor from the introduction in 2012-13 up to and including 2023-24 is set out in a document that has been placed in the Scottish Parliament Information Centre, Bib number 64023

The Local Government Finance settlement also includes a main funding floor however that is self-funding which means that the 85 per cent funding floor is the only funding floor mechanism where the Scottish Government provides additional funding. The purpose of the main funding floor is to provide a degree of stability for all local authorities where the alignment of funding with relative need results in a lower-than-average change in the year-to-year funding. The main funding floor forms part of the needs based distribution formula that is discussed and agreed with COSLA on behalf of all their members each year.

The small grants will enable wide-scale public engagement across Scotland for the refreshed New Scots Refugee Integration Strategy. Arrangements for the distribution of the small grants associated are being developed by the strategy’s key partners, the Scottish Government, COSLA and Scottish Refugee Council. Further information will be available in due course.

The Scottish Government, as Sponsor, works closely with ILF Scotland on financial monitoring to ensure that funds are available to meet operational requirements whilst not being provided in advance of need or building up large reserves balances. This is consistent with the Scottish Public Finance Manual. In the current financial year, the Scottish Government has provided £47.72 million to ILF Scotland which covers the funding requirement for 2022-23. Financial reserves, held by ILF Scotland that are in excess of minimum requirements, have been used in addition to funds made available by the Scottish Government to meet operational demands.