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The psychological support considerations regarding specialist workforce for children and young people with cancer are currently being reviewed by the Managed Service Network for Children and Young People with Cancer (MSN CYPC) as part of a wider workforce review.

This review includes making clear how the current workforce could be upskilled, as well as how the MSN will prioritise various roles across the entirety of the patient pathway to support psychological needs. The Scottish Government is in regular contact with the MSN as their review continues.

Management of the NHS clinical waste contract is a matter for Health Boards, and management of the NHS’s relationship with the clinical waste contractor is a matter for NHS National Services Scotland’s National Procurement and Logistics Service. According to information published by NHS National Services Scotland, around 3000 to 4000 tonnes of clinical waste were shipped to England / Wales annually between 2018-19 and 2021-22. This publication is available at: https://www.nss.nhs.scot/publications/foi-000270-clinical-medical-waste-shipped-to-england-and-europe/foi-000270-clinical-medical-waste-shipped-to-england-and-europe-html/

In 2023/24, Health Boards reported 7,833 tonnes of CO2 equivalent (tCO2e) of greenhouse gas emissions from waste disposal (both general and clinical waste). This made up 1.4% of total NHS reported emissions. This information is published through the Annual NHS Scotland Climate Emergency and Sustainability Report - Annual NHS Scotland Climate Emergency & Sustainability Report 2024 - gov.scot (www.gov.scot)

The NHS Scotland Climate Emergency and Sustainability Strategy 2022-2026 sets out the Scottish Government’s plans to help reduce carbon emissions from clinical waste in NHS Scotland. This publication is available at: NHS Scotland climate emergency and sustainability strategy: 2022-2026 - gov.scot (www.gov.scot)

Specifically, the strategy sets out that each Health Board should set appropriate targets for reducing the volume of clinical waste it produces through measures including; greater use of reusable items, improvements to waste segregation and increased recycling of recyclable materials. The Scottish Government will review the need for a national target for clinical waste reduction.

In addition, the strategy requires that Health Board waste management officers ensure that arrangements are in place for the safe treatment and disposal of all waste streams. The Scottish Government supports Health Boards with their net zero commitments and monitors progress towards these targets.

Hassockrigg Ecopark is currently not operating as a waste processing plant. NHS National Services Scotland (NSS) are carrying out essential works on the site to allow the site to operate as an NHS Scotland waste resilience plant. The site has a license and NSS are currently in a process of application for the license to be transferred under the control of NSS.

This is a matter for NHS National Services Scotland. The information requested is not held centrally.

Yellow Stream Waste, which makes up less than 20% of clinical waste in Scotland, requires High Temperature Incineration (HTI). There are no healthcare waste HTI disposal facilities in Scotland.

The cost to purchase Hassockrigg Ecopark in Shotts was £4,920,000.

This is a matter for NHS National Services Scotland. The information requested is not held centrally.

The Scottish Government currently has no plans to build a high temperature incineration plant in Scotland.

I refer the member to the NHS Scotland Climate Emergency and Sustainability Strategy 2022-2026 which sets out the Scottish Government’s plans to help reduce carbon emissions from clinical waste in NHS Scotland. This publication is available at: .NHS Scotland climate emergency and sustainability strategy: 2022-2026 - gov.scot (www.gov.scot).

Specifically, the strategy sets out that each Health Board should set appropriate targets for reducing the volume of clinical waste it produces through measures including; greater use of reusable items, improvements to waste segregation and increased recycling of recyclable materials. The Scottish Government will review the need for a national target for clinical waste reduction.

In addition, the strategy requires that Health Board waste management officers ensure that arrangements are in place for the safe treatment and disposal of all waste streams. It is the responsibility of Health Boards to manage the NHS clinical waste contract while NHS National Services Scotland’s National Procurement and Logistics Service manages the NHS’s relationship with the clinical waste contractor.

The Scottish Government supports Health Boards with their net zero commitments and monitors progress towards these targets. This information is published through the Annual NHS Scotland Climate Emergency and Sustainability Report - Annual NHS Scotland Climate Emergency & Sustainability Report 2024 - gov.scot (www.gov.scot).

The key group responsible for co-ordinating the national cancer registries of all the UK nations, as well as the Republic of Ireland, is the UK and Ireland Association of Cancer Registries (UKIACR). Achieving consistency and comparability in the collection, analysis and reporting of cancer data are among the UKIACR’s Terms of Reference. The Director of the Scottish Cancer Registry represents Scotland on this group.

The UK and Ireland cancer registries all adhere, where possible, to the recommendations of the European Network of Cancer Registries (ENCR).