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In March 2020, Scotland implemented human papillomavirus (HPV) testing as the primary cervical screening test, and increased the routine screening interval from every three years to every five. Both changes followed UK National Screening Committee (UK NSC) recommendations, which were based on strong evidence that HPV causes almost all cases of cervical cancer and typically takes years or decades to do so.

The change was accompanied by guidance to explain the increased interval, and we have continued to reiterate this as part of on-going work to raise awareness of the importance of cervical screening. Considerable efforts have also continued to improve the information available for those invited for cervical screening, which includes revision of invitation letters and information leaflets and updates of NHS inform.

To date, there is no evidence that the changes made to the English programme have given rise to increased concerns in Scotland. We will, however, keep this situation under review, and consider if additional work is needed to ensure the benefits of Scotland’s cervical screening programme are communicated clearly.

It remains important that anyone who has concerns about possible symptoms of cervical cancer discusses them with their GP, even if they have not yet received an invitation for their next cervical screening appointment. In addition, anyone between the ages of 25 and 64 who did not attend their last screening appointment can ask to be screened, no matter how long ago they were last invited.

The Projecting Future Demand for Health and Care Services in Scotland (2024-2034) report forecasts a continued rise in unplanned acute inpatient hospital admissions. Public Health Scotland (PHS) emphasises that this trend is not fixed and can be influenced through strategic investment, service redesign, and addressing the wider determinants of health.

The Scottish Government acknowledges the projected increase, particularly in admissions related to respiratory conditions, and is taking action. We recently published the NHS Scotland Operational Improvement Plan, the Scotland's Population Health Framework and the Health and Social Care Service Renewal Framework in which we outline our shared, long-term vision for reforming and renewing health and social care services to ensure they are more sustainable, preventative, and equitable. A new Long Term Conditions (LTC) Framework is under development. This framework aims to ensure equitable and sustainable access to the services that all people with long term conditions need while allowing for targeted action on condition-specific care and support where appropriate.

Both the Health and Social Care Service Renewal Framework (SRF) and the Population Health Framework (PHF) place prevention and early intervention at their core. The actions in the PHF – promoting healthy eating, investing in sport and active living, and work to reduce the harms of smoking – will support the prevention of cardiovascular (circulatory) disease.

The SRF includes a focus on early detection to support intervention and treatment to reduce the level of harm. For example, our CVD Risk Factors programme seeks to improve the identification and management of key risk factors (obesity, smoking, high blood sugar, blood pressure or cholesterol). As part of this programme, we will support 100,000 patients, who may be at risk of cardiovascular disease, with extra GP appointments by March next year.

Preventative measures, such as those detailed above, should help to address cardiovascular mortality and morbidity, including hospital admissions.

Scottish Government do not hold this data. Health Boards who have a Fracture Liaison Service in place will be able to provide this information.

Scottish Government officials meet with Healthcare Improvement Scotland on a regular basis to discuss the ongoing work surrounding adverse events. The most recent meeting took place on Monday 21 July.

Healthcare Improvement Scotland (HIS) recently reviewed and published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland in February this year. This provides updated templates to support NHS Health Boards to consistently report and learn from Significant Adverse Event Reviews (SAER). Work is ongoing by HIS to standardise the terminology and definitions for recording SAERs.

Healthcare Improvement Scotland (HIS) recently reviewed and published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland in February this year. The revised framework includes an updated shareable learning template which NHS Health Boards should complete following a Significant Adverse Event Review (SAER). These summaries, which will support local and national learning, will be published on an online community of practice for NHS staff which HIS will launch later this year.

The framework is clear that those people directly affected by a significant adverse event should have the opportunity to be involved in the review process and should be made fully aware of the circumstances surrounding the event. This includes sharing the final report with the individual concerned, or their family in the event of a death.

The Scottish Government does not require NHS Health Boards to publish SAER reports more widely. It is the responsibility of the Health Boards to consider relevant legislation and guidance when releasing or publishing information.

The current project plan is on track to have this business case completed by summer 2025. Once completed it will be reviewed through the appropriate governance processes.

The Agent of Change principle is enshrined in both the Town and Country Planning (Scotland) Act 1997 (the Planning Act) and National Planning Framework 4 (NPF4).

Section 41A of the Planning Act sets out that, if residents or occupiers of any proposed development are likely to be affected by significant noise from an existing activity, the planning authority must take account of whether the proposed development includes sufficient measures to minimise or manage the effect of noise between the development and any existing cultural venues or facilities (including in particular, but not limited to, live music venues). A planning authority may not, as a condition of granting planning permission for a noise-sensitive development, impose on a noise source additional costs relating to acoustic design measures to mitigate, minimise or manage the effects of noise.

Policy 31 (Culture and Creativity) of NPF4 states that development proposals within the vicinity of existing arts venues will fully reflect the Agent of Change principle and will only be supported where they can demonstrate that measures can be put in place to ensure that existing noise and disturbance impacts on the proposed development would be acceptable and that existing venues and facilities can continue without additional restrictions being placed on them as a result of the proposed new development.

It is the responsibility of planning authorities to ensure they comply with their statutory duties, including in relation to the determination of planning applications.

Scottish Government commissioned Public Health Scotland (PHS) to implement and deliver the national Fracture Liaison Service (FLS) audit.

As part of the implementation, PHS is consulting with all NHS Boards to review services currently in place across Scotland and to consider how local examples of good practice feed into a national audit and are shared across the country.

PHS is collaborating with NHS Glasgow and Greater Clyde’s (NHS GGC) South Sector team and have met with the external provider of the digital solution technology for patient identification use in their service to understand the results achieved.

NHS Boards are responsible for the services they deliver. The decision to implement an external IT system to support service delivery is therefore the responsibility of NHS Boards.