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The Scottish Government does not assess clinical diagnostic interventions.

However, non-invasive liver scans, including transient elastography devices such as FibroScan, are recommended by NICE in primary care settings and are currently used in several NHS Boards throughout Scotland to assess liver disease.

Currently, there is limited evidence on the efficacy of these scans in a community care context. Trials to test the expanded use of non-invasive liver scans are ongoing in both primary care and for populations at higher risk of liver disease in community care.

The Scottish Government is committed to ensuring fund accessibility as part of ongoing implementation. We met with Health Boards in summer 2022 to discuss the implementation of the fund and areas for improvement, including accessibility.

The Scottish Government does not yet have complete YPFF data for the whole period of 2022-23. We expect Health Boards to have provided this data by the end of May 2023.

Table 1 presents the latest available statistics on the total waiting list size for patients covered by the Treatment Time Guarantee (TTG) and the number of ongoing waits for treatment within an inpatient or day case setting at 31 December 2022, broken down by waiting times of over (a)two years (104 weeks), (b) two years and six months (130 weeks), and (c) three years (156 weeks) for an orthopaedic procedure.

Table 1 - Number of ongoing waits for an inpatient or day case admission for orthopaedics by length of wait in NHS Scotland, at 31 December 2022

A consortium of 12 NHS Health Boards has procured a Laboratory Information Management System (LIMS) for Scotland which is described as National LIMS.

NHS Fife will be the first Board to make use of the intelligent Liver Function Tests (iLFT) with the roll out of National LIMS in 2023. Roll out will then follow across the rest of the consortium over the next few years.

Whilst national LIMS implementation in Scotland is in its early stages, some NHS Boards already utilise iLFT and have this capability within their current LIMS.

Those Boards that are not part of the consortium can also procure the product should they wish to do so.

The Scottish Government is tackling marine litter with actions detailed in our Marine Litter Strategy, which aims to address the amount of litter entering the marine environment, to achieve ecological, economic and social benefits. Our Strategy and action plan was refreshed in September 2022 and focuses on the most problematic types of marine litter including fishing and aquaculture gear, sewage-related debris, and plastic pellets. The Strategy will drive forward our work over the next five years and co-ordinate the efforts of our stakeholders and partners, working at a national and international level to help tackle this global problem.

The many actions include: improving the management of end of life fishing and aquaculture gear to reduce litter and improve recycling rates, contributing to our circular economy; working across the UK administrations to put an end to pollution caused by wet wipes containing plastic; and developing international solutions to prevent spills of plastic pellets (nurdles), which can be found on our beaches and risk the health of our marine wildlife. In addition to preventative actions, we are also supporting litter removal, whether off shore through the funding of KIMO’s Fishing for Litter scheme, or at our rivers, with Keep Scotland Beautiful’s Upstream Battle project.

The bay at Arrochar was chosen as the location of a marine litter case study in Loch Long in 2017. Since then, a total of £183,827.78 has been spent on litter removal at the site. This includes the cost of heavy machinery contracting, haulage, and the disposal of the mixed debris. Costs have varied annually according the amount of material washed ashore requiring removal.

Our ambitious 10-year cancer strategy is nearing completion, with publication planned this Spring. The strategy will be under-pinned by action plans which will evolve with the changing cancer landscape. The strategy will take a comprehensive approach to improving patient pathways from prevention and diagnosis through to treatment and post-treatment care.

It will encompass a new earlier cancer diagnosis vision for Scotland and will continue to focus on those cancer types that are the largest burden and have poorer survival, in particular the less survivable cancers, including liver cancer.

I refer the member to the answer to question S6W-16943 on 28 April 2023. 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

Despite ongoing significant pressures, we continue to see progress in reducing long waits following the introduction of targets in July 2022. The latest Public Health Scotland data shows:

• The total number of patients waiting than more two years for a new outpatient appointment was reduced by 60 per cent in six months;
• 18 of 30 inpatient / day-case specialities have fewer than ten patients waiting more than two years
• 61 per cent of new outpatient specialties have fewer than 10 patients waiting over 78 weeks.

We have also progressed significant immediate and long term solutions to support Boards to clear their remaining long waits. In addition to the targets introduced last year, the Centre for Sustainable Delivery is supporting Boards to maximise their capacity and increase theatre efficiencies, including through Active Clinical Referral Treatment and Patient Initiated Review.

Four National Treatment Centres will also open this year, providing significant additional capacity for orthopaedics, ophthalmic and diagnostic treatment. This includes NTC-Fife and NTC-Highland, which opened in March and April respectively, and NTC-Forth Valley and the second phase of the NHS Golden Jubilee which will open later in the year.