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The Scottish Government has not fully assessed the level of awareness of MAT standard 7 among healthcare professionals working in primary care settings. Local services are being supported to implement the MAT standards by the MAT Implementation Support Team (MIST) which includes healthcare professionals with experience in primary care.

The National Mission benefits from the expertise of a Clinical Advisory Group of healthcare professionals and the implementation of the standards is also supported by NHS Healthcare Improvement Scotland (HIS) which has primary care professionals on its MAT team.

Given the involvement of this support for implementing the standards and through their ongoing engagement with services all healthcare professionals working in primary care settings that have contractual arrangements in place to provide medication assisted treatment should be aware of MAT standard 7.

In January 2023, in the Cross-Government Plan published by the Scottish Government included a commitment to ring-fence £30 million of the funding available to General Practice to encourage more primary care providers to take on Enhance Service provision to support people impacted by drugs.

The timeline for MAT standard 7 ‘Primary Care’ has not been amended this year – it remains at full implementation to be completed by April 2025 as per the 2022 National Benchmarking report published by Public Health Scotland.

The MAT Implementation Support Team (MIST team) within Public Health Scotland provide support to local areas to engage with their primary care providers and will continue to do so.

The Scottish Government is aware of this drug, to date there have been two detections in Scotland that we have been made aware of through the Welsh WEDINOS programme.

Public Health Scotland, through their Rapid Action Drug Alerts and Response (RADAR) programme, are continuing to monitor this situation. Currently xylazine is not routinely screened for in police or post-mortem toxicology throughout the UK, but we will keep this under review and future decisions around adding this to toxicology screening in Scotland would be made by the RADAR pathology and toxicology network.

The Advisory Council on the Misuse of Drugs (ACMD, the UK Government’s drug advisory body) New Psychoactive Substance committee are also monitoring the availability of this substance and are conducting an evidence review which will also inform action in Scotland. Public Health Scotland continue to lead on the ongoing development of RADAR which provides essential and real-time data on drug trends and harms to ensure a quick response to what is happening on the ground, including providing vital public health alerts, such as they issued around nitazenes in January 2023.

No consideration has been given to a moratorium on the creation of bus stop bypasses. Local authorities are responsible for management of local roads and paths and the Scottish Government has no authority to make such a mandate.

The Scottish Government has provided funding and technical assistance to local authorities to design and deliver projects through the Spaces for People, Places for Everyone and National Cycle Network programmes that are delivered by Sustrans Scotland, and a small number of these projects contain bus stop bypasses.

Consultation was undertaken prior to publishing design guidance on bus stop bypasses in the updated ‘Cycling by Design’ document in 2021, and considered impacts on those walking and wheeling as they interact with cycling infrastructure. The consultation included representation from the Mobility and Access Committee for Scotland, Guide Dogs Scotland, Royal National Institute of Blind People, Spinal Injuries Scotland, Living Streets, Cycling UK and Cycling Without Age.

To inform the design guidance further, Transport Scotland commissioned Living Streets in 2021 to investigate issues of inclusion where bus stop bypasses have been introduced, primarily to accommodate cycle facilities. The study has visited sites across the UK, photographing, measuring and recording behaviours of pedestrian and cyclists, and has analysed footage using fixed cameras. The study has also included a literature review, and consultation with a wide range of user groups including disabled people and others who are most at risk. The study is due to report late summer 2023.

Transport Scotland commissioned Living Streets in 2021 to investigate issues of inclusion where bus stop bypasses are introduced, primarily to accommodate cycle facilities. The study has visited sites across the UK, photographing, measuring and recording behaviours of pedestrians and cyclists, and has analysed footage using fixed cameras. The study has also included a literature review, and consultation with a wide range of user groups including disabled people and others who are most affected. The study is due to report late summer 2023.

The updated ‘Cycling by Design’ document was published in 2021 and provides guidance for cycling infrastructure design on all roads, streets and paths in Scotland. It includes design guidance for incorporating cycle facilities past bus stops, with bus stop bypasses as one option. A series of training sessions on the guidance has been undertaken throughout 2022 and early 2023, with attendance by the majority of local authorities.

To inform the design guidance further, Transport Scotland commissioned Living Streets in 2021 to investigate issues of inclusion where bus stop bypasses have been introduced, primarily to accommodate cycle facilities. The study is due to report late summer 2023.

Our Neurological Care and Support Framework 2020-25 sets out our vision to ensure everyone with a neurological condition, including ME/CFS, can access the care and support they need to live well.

Through the Framework we have funded Action for ME and partners to disseminate an online learning module on ME/CFS for GPs and health professionals, authored by Dr Nina Muirhead, which aims to support person-centred care, informed by good practice and current research.

In addition to Scottish Government activities, we understand that NHS Education for Scotland (NES) are currently finalising a Practice Based Small Group Learning (PBSGL) CPD module for GPs, Pharmacist and Nurses working in General Practice/Primary Care.

Rapid Cancer Diagnostic Services (formerly known as Early Cancer Diagnostic Centre) are established within existing NHS infrastructure.

RCDSs provide primary care with access to a new fast-track diagnostic pathway for patients with non-specific symptoms suspicious of cancer, such as weight loss and fatigue. So far, NHS Ayrshire & Arran, NHS Fife, NHS Dumfries & Galloway and NHS Borders have established a RCDS with NHS Lanarkshire expected to be operational by June 2023.