Chamber and committees

An evidence based approach is central to the development of our policy to restrict promotions on less healthy food and drink.

Scottish Government published economic modelling that estimated that removal of price promotions such as temporary price reductions, multi-buy and 'Y for £X', just on discretionary foods such as cakes, biscuits, confectionary, crisps, etc., has the potential to reduce calorie intake by 613 calories per person per week.

While this research was commissioned in 2019, publication of this modelling was delayed to May 2022 due to the impact of the coronavirus pandemic. The data used for this analysis is from the Kantar World panel dataset for Scotland from 2013 to 2018, which provides information about purchases at the level of products by households and whether they were made under a price promotion (e.g. x GBP pounds less). A 5 year period was used for the modelling to ensure that as many possible households could be included in the estimation and to avoid the effects of specific annual fluctuations.

This modelling is only one part of the wider evidence base on this policy. We are using a wide range of evidence and data sources to consider the potential impacts of restricting promotions, ensuring we have a robust and balanced evidence base to inform policy making.

An evidence based approach is central to the development of our policy to restrict promotions on less healthy food and drink.

We are using a wide range of evidence and data sources to consider the potential impacts of restricting promotions, ensuring we have a robust and balanced evidence base to inform policy making.

Evidence gathering remains ongoing and we continue to add to our evidence base and engage with a range of stakeholders. We are undertaking analysis to inform a suite of impact assessments in order to assess whether the proposed measures are proportionate as well as to consider their impact on health inequalities. These impact assessments will be published upon introduction to Parliament of the Public Health (Restriction of Promotions) Bill.

An evidence based approach is central to the development of our policy to restrict promotions on less healthy food and drink.

Further to our 2018/19 consultation , we recently consulted again on our proposals on restricting the promotions for foods high in fat, sugar or salt to further inform the evidence base and development of this policy. As part of this we have engaged with a range of industry organisations, including manufacturers and food producers, to seek views on our proposals. Responses to this consultation are now being analysed and will help to inform development of this policy.

We continue to engage with a range of stakeholders and update our wider evidence base to inform a suite of impact assessments in order to assess whether the proposed measures are proportionate as well as to consider their impact on health inequalities. This includes engagement with businesses to inform a Business and Regulatory Impact Assessment that will set out the anticipated costs and benefits of these measures. These impact assessments will be published upon introduction to Parliament of the Public Health (Restriction of Promotions) Bill.

Financial support for travel is available for patients and authorised escorts, according to eligibility criteria and medical requirements. Health boards are responsible for reimbursing patient travel expenses, in line with Scottish Government guidance, and payments will continue as normal until the review of the guidance is completed.

Where travel is necessary, Boards are expected to support patients to identify and access support available, taking account individual circumstances and ensuring patient care is at the centre of all decisions.

The impact of the unprecedented global pandemic has been felt all across the health service, and while we regret that the planned review had to be paused it will be taken forward as soon as possible, and requires prioritisation alongside our ongoing response to Covid and recovery of services.

Through our £1 million partnership with the Climate Justice Resilience Fund (CJRF) we have begun to support communities to address the impacts of loss and damage in Bangladesh, the Pacific Region and Malawi. This includes supporting the rights and needs of climate-forced displaced people, as well as helping families make more informed decisions about migration as a means to diversify livelihoods. Separate to the CJRF funding, the Scottish Government is also providing £500,000 to support communities in Malawi facing losses and damages resulting from recent tropical storms. The Scottish Government is funding research on needs assessments and case studies as part of our commitment to build evidence around how to most effectively address loss and damage.

The First Minister and I will be hosting a conference in October [11 & 12] in partnership with the High Level Champions and Global Resilience Partnership, which will explore how we can mobilise finance, drive solutions and develop best practice for addressing losses and damages. We hope to demystify how to fund loss and damage by establishing clear routes to action with the outputs of the conference synthesised into a report launch at COP27.

Information relating to processing times of new applications is published as part of routine statistics publications on Adult Disability Payment. The most recent publication provides information covering the period from 21 March to 31 July 2022. These statistics showed that:

• the shortest time taken to process an application was less than one day;
• the median average processing time was 36 working days; and
• 2% of new applications in the time period took 81 days or longer to process.

The published statistics can be found at https://www.socialsecurity.gov.scot/about/statistics/social-security-scotland-statistics-publications . The next publication, covering to 31 October 2022, will be released in December 2022.

This information is not held centrally by the Scottish Government.

There are no plans to extend the Air Discount Scheme to cover travel by apprentices. Where employers and learning providers are unable to fund travel and subsistence costs for apprentices attending off job formal learning opportunities, Skills Development Scotland will reimburse the costs for residents of Shetland and other Highlands and Islands areas. This would include the full cost of air fares where no public transport alternative is available.

Given the range of symptoms which can be presented by Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS), we know there’s no ‘one-size fits all’ response. Our approach is to support people with ME/CFS to access care and support in a setting that is appropriate and as close to their home as practicable.

We are working to support and develop Scotland’s multi-disciplinary primary care workforce, and have increased the Primary Care Improvement Fund to recruit multi-disciplinary teams from £155 million in 2021-22 to £170 million in 2022-23. This will help towards giving people living with ME/CFS access to a wider range of healthcare professionals through their local practice.

In July 2022, we published a Scottish stakeholder review of the National Institute for Health and Care Excellence (NICE) guideline on ME/CFS. This review involved engaging with stakeholders to discuss how we implement the NICE guidance in Scotland and identify priorities for service improvement in ME/CFS care.

In June 2022 the National Clinical Director wrote to health boards , including primary care and AHP leads, and integration authorities to highlight:

• that the finalised NICE guideline on ME/CFS had been published
• key changes in recommended practice regarding Graded Exercise Therapy and Cognitive Behavioural Therapy
• key points from the NICE Implementation Support Statement.

Officials are partially updating the Scottish Good Practice Statement on ME/ Chronic Fatigue Syndrome to incorporate the key changes in practice from the NICE guideline and are currently working to publish this on the Scottish Government’s website.

I refer the member to the answer to question S6W-11067 on 3 October 2022. 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 .