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The Scottish Government is committed to raising awareness of all forms of cancer, including brain, through our Detect Cancer Earlier (DCE) Programme, which we continue to invest in.

A new Detect Cancer Earlier campaign was launched on 06 March 2023 to reduce fear of cancer and encourage those with possible symptoms to contact their GP practice. The NHS Inform website highlights the common symptoms of brain tumours .

The Scottish Referral Guidelines for Suspected Cancer support primary care clinicians in identifying patients who are most likely to have cancer and therefore require urgent assessment by a specialist. DCE funded a clinical refresh of eight pathways in 2018, including brain, with revised guidance published January 2019. Work continues with primary care clinicians to raise awareness of the Guidelines and share best practice.

A new cancer strategy is under development, which will include a new earlier diagnosis vision for Scotland. It is expected to publish in Spring 2023.

Since becoming the first developed country to pledge funding for Loss and Damage at COP26, the Scottish Government and Ministers have actively sought to push the issue further up the global climate agenda. For example, in October 2022 the Scottish Government hosted a conference which brought together international representatives and practitioners to articulate best practice on addressing loss and damage. During COP27, the First Minister met with other governmental and organisational representatives, including Prime Minister Mia Mottley, Germany’s Special Envoy for International Climate Action Jennifer Morgan and UNFCCC Executive Secretary Simon Stiell. The Minister for Environment and Land Reform also met with Ministers from Bangladesh, Ghana, Vanuatu and Malawi. Our COP27 outcome report has further details on the Scottish Government’s engagements and achievements at the UN conference. We are delighted that there is now over $300m of finance committed to address loss and damage and an international agreement for a Loss and Damage Fund.

However, we recognise we cannot lose momentum following this breakthrough. Since COP27, Scottish Government Ministers and officials have met with various other governments to better understand their plans for funding loss and damage, share lessons and urge both commitment of funding and rapid disbursement. For example, the Minister for Environment and Land Reform has discussed the issue with a Minister from North Rhine-Westphalia and will shortly meet and discuss it with a Minister from Ghana. At official level, the Scottish Government has met with representatives from UK, US and New Zealand. In addition officials have presented through subnational knowledge-sharing networks on loss and damage and climate justice. The Scottish Government will continue its convening role on loss and damage to platform best practice and to activate potential funders.

As part of this, the Scottish Government launched an extensive report on practical action to address loss and damage on 16 March at the online international Gobeshona conference hosted by International Centre for Climate Change and Development in Bangladesh. This report gathers, analyses and platforms case studies on existing action to fund and address Loss and Damage, building on the outcomes from the Scottish Government’s Loss and Damage conference. The report is be available online but the Scottish Government will make it specifically available to key governments (for example, those who are members of the UNFCCC Transitional Committee on loss and damage). With this report and our programming we are making the case internationally on the impact funding can have to support communities facing climate-induced loss and damage.

The Scottish Government is developing a new Palliative and End of Life Care Strategy, which aims to ensure that everyone in Scotland receives well co-ordinated, timely, and high quality palliative care based on their needs and preferences including support for families and carers. We have appointed a National Clinical Lead for Palliative and End of Life Care to drive this, supported by a Clinical and Practice Advisory Group and a wide-reaching Strategy Steering Group. The Steering Group is currently reviewing the information and evidence we have and need to develop the strategy, including mapping services and support across Scotland across all care settings including people’s own homes. We will develop a strategy that reflects what matters to people experiencing serious illness, dying and bereavement, and are therefore also reviewing the information and evidence we have about people’s experiences of palliative and end of life care, and bereavement, in order to inform our strategy going forward.

Details of the number of candidates awarded SCQF Level 5 National Progression Award in Beekeeping between 2018 and 2022, broken down by Education Authority are set out in the following table:

The loss of a baby, no matter at what stage of pregnancy, is a significant and traumatic event for women and their families. The Scottish Government is committed to delivering high-quality, sensitive bereavement care and support, and has provided funding to Sands UK to develop the National Bereavement Care Pathways in Scotland. The pathways are currently being piloted in 9 Health Boards in Scotland, and the remaining Boards will join later this year. A link to the National Bereavement Care Pathway can be found here: Home | SANDS (nbcpscotland.org.uk)

Scottish Government grant funding is also provided to a range of other third sector pregnancy and baby loss organisations who provide care, advice and support to women and families. Baby Loss Retreat, who offer 2 days respite for families who have experienced pregnancy or baby loss, has successfully applied for funding over the last 3 years.

The First Minister has announced that a Memorial Book of Pregnancy and Baby Loss Prior to 24 weeks will launch this Summer. Along with an entry in the book, there will also be a commemorative certificate, which is intended to give recognition and comfort to those who want to record their loss. The service is free of charge and will be entirely voluntary.

The Scottish Government holds some of the information asked for and this has been provided in the following table.

Table - The number of Significant Adverse Event Reviews commissioned for a Category I event – data held by Scottish Government .

The information has been provided with the following caveats:

• This table shows Category I adverse events receiving a Level 1 review, or Significant Adverse Event Review (SAER), as reported to Healthcare Improvement Scotland (HIS) through the national notification system. This does not include ‘never events’ (defined as: “serious, largely preventable patient safety incidents that should not occur if relevant preventive measures have been put in place”).
• It covers the period January 2020 to February 2022. Prior to this date, this information was not collected centrally.
• The Scottish Government does not routinely request the information from HIS. Further information will be held by HIS.

Data on SAERs commissioned before January 2020 will be held by individual NHS Health Boards.

In February 2021, we published a refresh of the Diabetes Improvement Plan (DIP). This sets out our priorities and commitments to improve prevention, treatment and care for everyone in Scotland affected by diabetes. The Scottish Diabetes Group (SDG) oversees implementation and governance of the DIP.

There are several sub-groups of the SDG, with responsibility for specific commitments within the Plan. The Type 1 Sub-Group is focused on improving access to diabetes technologies, including closed loop systems. Using real-time data from SCI-diabetes, the SDG and Scottish Government work with key stakeholders to regularly monitor the number of people accessing each specific technology.

This data also allows Managed Clinical Networks (MCNs) to self-assess where there are gaps and how they compare to other board areas. The SDG and Scottish Government work closely with MCNs to ensure sharing of good practice.

We recognise that there are still significant challenges for NHS Boards to provide technology to everyone who would benefit from it; and we are now working in partnership with the Centre for Sustainable Delivery in order to try to address these. The Accelerated National Innovation Adoption (ANIA) pathway team are currently assessing the suitability of a project which would support the roll out of diabetes technology, and in particular closed loop systems, as an innovation challenge. As part of this, there has been significant engagement with the diabetes community and people have shared their views on the benefits of closed-loop systems. As this project develops, we will adapt the process of measuring and evaluating to track where there are gaps across Scotland.

The Scottish Diabetes Group will continue to work with partners to assess the impact and outcomes of the roll-out for people living with diabetes.

The Scottish Government’s funding for addressing loss and damage is supporting work in several countries including, although not exclusively, Malawi, Bangladesh and the Pacific. The majority of the initial £2 million committed to loss and damage has already been spent on the ground supporting communities or delivering important research to help close the knowledge gaps on loss and damage. Our funding is paid in quarterly arrears and some of the remaining funds will be spent on these programmes by the end of this financial year in March 2023, including projects in Malawi supported by the Scottish Catholic International Aid Fund and the Climate Justice Resilience Fund. However, some projects will continue until December 2023, including work by International Centre for Climate Change and Development on integrating loss and damage into national framework in Malawi and Zambia. The Scottish Government will aim to publish a report once the programmes supported by the initial £2 million have concluded, which will detail the outcomes and impact of the funding.

The Scottish Qualification Authority (SQA) has advised that the following centres offer the National Progression Award (NPA) in Beekeeping at SCQF Level 5.

a): Schools

• Annan Academy (Dumfries & Galloway)

• Dalkeith HS (Midlothian)

• Garnock Community Campus (North Ayrshire)

• Keith GS (Highland)

• Kelso HS (Borders)

• Mearns Academy (Aberdeenshire)

• Oban HS (Argyll & Bute)

• Peterhead Academy (Aberdeenshire)

• St John Ogilvie HS (South Lanarkshire)

• St Ninian’s HS (East Renfrewshire)

• Stirling HS (Stirling)

• Tain Royal Academy (Highland)

• The Berwickshire HS (Borders)

• Trinity HS (Rutherglen) (South Lanarkshire)

(b): Colleges

• Borders College

• Inverness College UHI

(c): Training providers

• Nil

The Programme for Government published in September notes that the Scottish Government will consider what further actions need to be taken to embed women’s rights to safe access to healthcare. In the first instance, the Scottish Government plans to focus on immediate priorities to improve access to abortion services, including providing full support to Gillian Mackay MSP’s members bill to protect women and staff accessing healthcare facilities providing abortion care from feeling harassed or intimated.

Further to this, the Scottish Government is continuing to improve access to early medical abortions at home, and working with Health Boards and NHS National Services Scotland (NSS) to allow women to access services between 20 to 24 weeks’ gestation within Scotland.