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Work to develop the Abortion Services (Safe Access Zones) (Scotland) Bill is drawing on a range of officials across the organisation who will contribute to varying extents as part of their wider responsibilities in supporting the Scottish Government. The exact number of officials contributing as part of their wider responsibilities cannot be set out as the Scottish Government has no need to record this information.

I am delighted that the Bill has now been introduced to Parliament. This marks the culmination of a wealth of work undertaken in the past 18 months by Ms Mackay and her team, supported by the Scottish Government. Whilst introduction is a significant milestone for the Bill, I am mindful that it is one step in the Parliamentary journey and there will be considerable work ahead. The Scottish Government will continue to offer Ms Mackay every support as that work progresses.

We understand the distress and pain that migraines cause and want to ensure that everyone living with this debilitating condition can access the best possible care and support.

The Neurology Specialty Delivery Group (SDG), commissioned via the National Centre for Sustainable Delivery, has developed a national pathway for headache, including migraine, which will be published and implemented this autumn.

Pathologists will only retain whole organs on rare occasions when it is absolutely necessary to establish a cause of death. In such cases, there are well-established procedures for ensuring that families are immediately advised when organ retention is a possibility and the options for return of that organ are discussed with them.

It is a matter for the pathologist conducting the post mortem examination to decide whether it is necessary to remove a whole organ, such as the brain, from the body of a deceased person during a post mortem examination for further testing. COPFS keeps a record of all cases where a pathologist has decided that it is necessary to retain a whole organ during a post mortem examination. This record includes details of when an organ is returned to the family of the deceased at the conclusion of examinations.

Between 1 January and 31 August 2023, COPFS instructed 4,460 post mortem examinations.

The brain required to be retained by the pathologist for further examination to determine the cause of death in one of those cases. That brain is no longer retained by the pathologist and was released to the nearest relatives in accordance with their wishes.

In 400 of those 4,460 cases, temporary removal of the brain by the pathologist during the post mortem examination took place to enable samples to be taken for neuropathological examination. In each case, the brain was returned to the body prior to the conclusion of the post mortem examination and the release of the deceased’s body to their nearest relatives.

In Scotland, the Scottish Medicines Consortium (SMC) appraises the clinical and cost-effectiveness of newly licensed medicines. Following a full submission for rimegepant (Vydura ® ) for the acute treatment of migraine with or without aura in adults, the SMC issued ‘accepted for restricted use’ advice for routine use of this medicine in NHS Scotland on 9 May 2023.

The SMC restriction is that the use of this medicine should be restricted to patients who have had inadequate symptom relief after trials of at least two triptans (a group of medicines used to treat migraine or headache), or in whom triptans are contraindicated or not tolerated; and have inadequate pain relief with non-steroidal anti-inflammatory drugs (NSAIDs) and paracetamol. Final draft guidance on routine use of this medicine in NHS England issued by the National Institute for Health and Care Excellence (NICE) is similar to that issued for Scotland.

We understand the distress and pain that migraines cause and want to ensure that everyone living with this debilitating condition can access the best possible care and support.

The Scottish Government awarded a further £135,501 to the Migraine Trust in October 2023 through our Neurological Care and Support: Framework for Action for 2023-2024 towards their work with pharmacists in NHS Grampian to help people manage their symptoms and treatments more effectively.

As at 28 September 2023, no whole organs (including brains) are being retained following a post mortem examination instructed by the Procurator Fiscal.

Human tissue samples are obtained in the majority of post mortem examinations instructed by the Procurator Fiscal, but only where necessary to assist in confirming the deceased’s cause of death, identify inherited genetic conditions or to establish identification through DNA.

It is a matter for the pathologist conducting the post mortem examination to decide whether it is necessary to obtain tissue samples in order for them to instruct further tests or examinations to clarify the cause of death. The pathologist will make the decision whether any organs require to be removed during the examination for further testing, either whole organs, or small samples from organs. At the conclusion of the Procurator Fiscal’s investigation, by virtue of the Human Tissue (Scotland) Act 2006 any blocks and slides prepared for the purposes of histopathology (examination of the tissue under a microscope to detect any signs of disease, damage or other abnormalities) are considered to be part of the medical records of the deceased person. No samples that are retained are kept by COPFS and they are instead retained by the NHS.

COPFS keeps a record of all cases where a pathologist has decided that it is necessary to retain a whole organ during a post mortem examination. This record also includes details of when an organ is returned to the family of the deceased at the conclusion of examinations.

It is not possible to provide an exact figure of the number of other samples currently being retained.

The duty to provide free school meals to eligible pupils, education authorities have the power to provide meals on a discretionary basis to those who they believe require it. The Scottish Government would continue to urge local authorities to continue to resolve any payment issues without withdrawing meals from pupils.

The information requested is not held centrally. Pupil Equity Funding empowers headteachers, who know their children best, to provide targeted additional support for children and young people impacted by poverty to achieve their full potential, focusing on targeted improvement activity in literacy, numeracy and health and wellbeing. As set out in the refreshed 2023 National PEF Operational Guidance, intended to help schools plan how they will most effectively and fully invest their Pupil Equity Funding to improve the educational outcomes of children affected by poverty, schools are expected to incorporate details of their Pupil Equity Funding plans and explicitly report on the impact on outcomes for learners impacted by poverty. This should be done within existing local authority reporting processes to their Parent Council and Forum, including in their annual School Improvement Plans and Standards and Quality Reports. These plans and reports must be made publicly available so that parents and carers can easily access, understand and where appropriate, challenge, what is happening in their school with regard to Pupil Equity Funding.

The Scottish Government does not recognise the term 'school hardship fund' and it is not part of Free School Meals legislation.

This is a matter for education authorities. The information requested is not held centrally.

However, Local Authorities have the powers to provide discretionary free school meals who they believe require them.

The Scottish Government is committed to ensuring that all children and young people who require free school meals receive these. Education authorities have duties to provide free school meals to those who are eligible in primary 6 to S6 and the Scottish Government has already expanded universal free school meal provision to those in primary 1 to 5 and special schools. We are currently working with Local Authorities on the next stages of expansion of Free School Meals to those in receipt of Scottish Child Payment in P6 and P7. In addition, Local Authorities have the powers to provide discretionary free school meals who they believe require them. These meals meet high nutritional standards as set out in The Nutritional Requirements for Food and Drink (Scotland) Regulations 2020 ensuring that school lunches contain an appropriate amount of energy and nutrients to support healthy growth and development’.