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The Scottish Government is committed to reaching its target of eliminating HIV Transmissions in Scotland by 2030.

On 1 December 2022 the Public Health Minister announced the establishment of the HIV Transmission Elimination Implementation Group for Scotland. The groups primary focus will be on prioritising the recommendations within the HIV transmission elimination proposal, having particular regard to their impact, deliverability and resource implications.

In her statement on the 1 st of December the Minister announced significant funding of £400,000 to support two pilots, the development of an E-PrEP clinic and a national media campaign. Both pilots support the findings within the HIV Elimination Proposal.

Officials will continue to liaise closely with the chairs of the implementation group as this process unfolds to understand any implications for central funding.

We know that opt-out testing in emergency departments in areas of high prevalence in other parts of the UK has worked well. However, it is important to evaluate the learning from this to understand both how it might apply in a Scottish context. Specifically how it compares to other interventions recommended by the HIV Transmission Elimination Oversight Group in their HIV Elimination Proposal which was published in December 2022.

The HIV Transmission Elimination Implementation Group will be responsible for assessing and prioritising the recommendations contained within the HIV Transmission Elimination Proposal.

The group is currently being formed and will be co-chaired by Professor Nicola Steedman, the Scottish Government’s Deputy Chief Medical Officer and Dr Dan Clutterbuck, Lead Clinician for Sexual and Reproductive Health, Lothian Sexual and Reproductive Health Services and Honorary Clinical Senior Lecturer, University of Edinburgh.

The formal governance and reporting structures are still to be agreed upon and will form part of the discussion at the first meeting, which is scheduled for the end of March.

The Scottish Cabinet determines the proposed programme of Government business with due regard to current circumstances, including any decisions taken by the Scottish Parliamentary Corporate Body regarding the operation of the Parliament. It is for the Parliamentary Bureau and, ultimately, the Parliament as a whole to agree the terms of the business programme.

The Priority Action in the draft Scottish Biodiversity Strategy, ‘Continue effective species recovery, reintroduction and reinforcement programmes’, is one of several actions that supports the recovery and protection of vulnerable species in Scotland, and will help us to meet Goal A and Target 4 of the Kunming-Montreal Global Biodiversity Framework.

We are committed to continue protecting vulnerable species, and are determined to step up our ambition in taking action to support nature-friendly farming, fishing and forestry, and to expand, restore and connect existing protected areas, to ensure high quality landscapes for all species across Scotland to thrive, and adapt to our changing climate.

On 1 December 2022 the Public Health Minister announced the establishment of the HIV Transmission Elimination Implementation Group for Scotland. The groups primary focus will be on prioritising the recommendations within the HIV transmission elimination proposal, having particular regard to their impact, deliverability and resource implications. Of the twenty two recommendations outlined within the proposal, seven focus on testing. We will therefore await the outcome of the HIV Implementation Group’s deliberations on where efforts should be focused before making any new commitments.

However, while we await the outcomes of this work, we are providing funding for a national marketing campaign to tackle longstanding misconceptions around HIV. Our third sector partners, in collaboration with public health and academic experts, are currently developing plans for this campaign, but it is likely that increased awareness of testing will play a part.

We expect Zero Waste Scotland to submit the review report in May, and we will then consider its findings.

Reducing health inequalities continues to be a top priority for the Scottish Government, and we recognise that particular efforts are needed for vulnerable populations, such as people who inject drugs. We know that stigma can stop people accessing the support they need and that stigma can manifest in many ways and in many settings. That is why Scottish Government recently facilitated a campaign to challenge the stigma which too often negatively impacts upon those who use drugs. In addition to this campaign, on World Aids Day 2022, the Public Health Minister announced the development of a national awareness raising campaign focused on reducing historical stereotypes associated with a positive HIV diagnosis.

Further to these campaigns, the HIV Transmission Elimination Proposal highlighted that equitable access and uptake of key prevention measures is required to avoid amplifying existing inequalities. Reducing health inequalities will be a key consideration for the HIV transmission elimination implementation group as they assess and prioritise the recommendations contained within the proposal.

While policy on energy markets is a matter reserved to the UK Government and the responsibility for supplier guidance sits with Ofgem, the Scottish Government opposes the forced installation of prepayment meters, which increases the risk of self- rationing and self-disconnection. The additional costs associated with prepayment meters also lead to increased debt.

We are engaging with Ofgem regarding its request to suppliers to immediately halt forced installations and remote switching to prepayment meters until 31 March 2023, as well as its consultation on the rules and guidance on the use of prepayment meters by suppliers. We will use this engagement to ensure that the rights and interests of Scottish consumers are fully considered.

Last year, the First Minister chaired two energy summits which were attended by energy suppliers. We continue to build upon the progress made at these summits, and are looking to suppliers for assurance that they are exploring all possible options to support struggling customers, especially those living in vulnerable circumstances.

We recognise that rises in the cost of living are putting a huge strain on some families and they are facing unforeseen challenges.

The management of debt is an issue for education authorities and their finance departments. Councils have the power to make discretionary offers of free school meals to families, where they are experiencing financial hardship due to exceptional circumstances, who do not meet the regular eligibility criteria.

COSLA, working with partners from across Local Government, have developed a set of good practice principles for the management of school meal debt, which were published on 20 February 2023. The intended audience for these principles is local authority staff across a range of departments (including education, catering, finance and debt collection) as well as Head Teachers, class teachers and other school staff. The principles can be accessed through the following link: COSLA Publish Good Practice Principles for Managing School Meal Debt - 20th February 2023 | COSLA