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The individual clinical management of patients is a matter for territorial health boards. We do however expect that all patients are treated and cared for in a person centred way. When there are no SIGN guideline in place, NHS Boards and Integration Authorities may choose to consider other relevant guideline such as those of the National Institute for Health and Care Excellence (NICE) in the planning and delivery of services.

In Scotland we use the Scottish Referral Guidelines for Suspected Cancer, which were revised and published in 2019. These national guidelines are based on clinical evidence and review to help support clinicians across the country to refer those patients who are most likely to have cancer, including myeloma, into diagnostic services swiftly.

The consultation was developed jointly with DEFRA and the devolved administrations. This is a UK-wide consultation aimed at the pig industry, therefore the Scottish Government will not be responding to it.

The Scottish Government currently has no plans to extend the statutory free bus schemes to include rail services.

We are, however, undertaking a Fair Fares Review that will look at look at the range of discounts and concessionary schemes which are available on all modes including bus, rail and ferry.

I refer the member to the answer to question S6W-06456 on 4 March 2022. 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 .

The Scottish Government is committed to finding cancer early, when the chance of survival and even cure is higher. NHS Dumfries & Galloway established Scotland’s first Early Cancer Diagnostic Centre in May 2021. The Centre provides primary care with a new referral route for patients with non-specific symptoms suspicious of cancer, such as weight loss, fatigue and nausea – this is often how blood cancers present.

In addition, we continue to invest in our £44m Detect Cancer Early Programme which adopts a whole-system approach to diagnosing and treating cancer as early as possible across Scotland. The NHS Recovery Plan, published August 2021, commits an additional £20m for the Programme.

This is a matter for Public Health Scotland. The information requested is not held centrally.

There are no current SIGN guidelines for myeloma.

The Scottish Intercollegiate Guidelines Network’s (SIGN) list of current guidelines, guidelines under development and archived guidelines that have been, or are being developed or updated by SIGN is available at www.sign.ac.uk.

Where there is no SIGN guideline in place, NHS Boards and Integration Authorities may choose to consider other relevant guidelines such as the National Institute for Health and Care Excellence (NICE) guidelines in the planning and delivery of services.

As part of the national conversation about our National Parks, we are considering the roles and functions National Park Authorities should have to help them continue delivering the aims set out in the 2000 Act, but also to play a key role in addressing the twin crises of biodiversity loss and climate change. We will consider consultation responses carefully, including any which propose changes to primary legislation.

Part of the current national conversation about our National Parks is aimed at developing an Evaluation Framework to identify the next areas to be progressed to National Park status. The Scottish Government and NatureScot will shortly be announcing the second phase of this consultation, at which time further details of the process will be published.

The information requested is not yet publically available.

Scotland’s first three Early Cancer Diagnostic Centres (ECDC) are pilots to help inform wider roll-out of an optimal model for patients with non-specific symptoms suspicious of cancer.

All three Centres are using a nationally agreed minimum data-set, capturing patient identifiable data locally. A sub-section of this data will be published by the three Boards later this Summer to mark one-year since the early adopter sites were established.

Meanwhile, work is underway with Public Health Scotland to scope and progress the national data collection of ECDCs as more sites are expected to come on-stream.