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The Scottish Government is working with Public Health Scotland to review options in relation to collecting data on secondary breast cancer in Scotland. This includes consideration of the NHS England audit, data available in Scotland, clinical time required, other cancer data priorities and how it can be used to improve services. We are aiming to agree the best method of data collection by the end of the current Cancer Action Plan in March 2026.

Openness and transparency of vaccination programmes is essential to building trust with the public and easy access to uptake data is an important aspect of this.

Public Health Scotland (PHS) will release the first COVID-19 and Seasonal Flu Vaccination public uptake data on 24 October 2024 via PHS Vaccination Surveillance (shinyapps.io). It will provide uptake for Covid-19, adult flu and child flu, as well as total uptake by Health Board for each of the eligible cohorts (in line with eligibility recommendations from the Joint Committee on Vaccination and Immunisation (JCVI)).

Uptake data will be updated every Thursday, until December, at which point reporting will move to monthly. The shift to monthly data is because the vast majority of vaccinations will be completed before the festive break and historically the numbers vaccinated in January, February and March are negligible and therefore do not require weekly updates. At a later point in the winter, uptake data broken down by ethnicity, SIMD and urban/rural will also become available.

The Scottish Government understands that some members of the public may require support in order to attend a vaccine appointment. The Scottish Government funds the Scottish Ambulance Service (SAS) for mobile vaccination units to reach remote and rural communities, recognising the challenge some may experience in traveling to clinics. Health Boards have been asked to plan their vaccine clinics with their local communities in mind, making them as accessible as possible. It is for Boards to decide where they deploy the SAS offer within their own area, utilising their own local knowledge and data. Information on local travel support available can be found here.

This is a matter for NHS National Services Scotland. The information requested is not held centrally.

Management of the NHS clinical waste contract is a matter for Health Boards, and management of the NHS’s relationship with the clinical waste contractor is a matter for NHS National Services Scotland’s National Procurement and Logistics Service. According to information published by NHS National Services Scotland, around 3000 to 4000 tonnes of clinical waste were shipped to England / Wales annually between 2018-19 and 2021-22. This publication is available at: https://www.nss.nhs.scot/publications/foi-000270-clinical-medical-waste-shipped-to-england-and-europe/foi-000270-clinical-medical-waste-shipped-to-england-and-europe-html/

In 2023/24, Health Boards reported 7,833 tonnes of CO2 equivalent (tCO2e) of greenhouse gas emissions from waste disposal (both general and clinical waste). This made up 1.4% of total NHS reported emissions. This information is published through the Annual NHS Scotland Climate Emergency and Sustainability Report - Annual NHS Scotland Climate Emergency & Sustainability Report 2024 - gov.scot (www.gov.scot)

The NHS Scotland Climate Emergency and Sustainability Strategy 2022-2026 sets out the Scottish Government’s plans to help reduce carbon emissions from clinical waste in NHS Scotland. This publication is available at: NHS Scotland climate emergency and sustainability strategy: 2022-2026 - gov.scot (www.gov.scot)

Specifically, the strategy sets out that each Health Board should set appropriate targets for reducing the volume of clinical waste it produces through measures including; greater use of reusable items, improvements to waste segregation and increased recycling of recyclable materials. The Scottish Government will review the need for a national target for clinical waste reduction.

In addition, the strategy requires that Health Board waste management officers ensure that arrangements are in place for the safe treatment and disposal of all waste streams. The Scottish Government supports Health Boards with their net zero commitments and monitors progress towards these targets.

Yellow Stream Waste, which makes up less than 20% of clinical waste in Scotland, requires High Temperature Incineration (HTI). There are no healthcare waste HTI disposal facilities in Scotland.

The landfill ban and infrastructure capacity report was published by Zero Waste Scotland on 11 October 2024. At the time of the Environmental Information Regulations request (EIR), 19 June 2024, the report was still being reviewed by ZWS. Scottish Government considered outputs and considerations of various draft versions of the report prior to its final publication.

The Outline Business Case is expected to be completed by early 2025 and will then be subject to review and consideration by the Transport Scotland Investment Decision Making Board and thereafter by Scottish Ministers, prior to agreeing the next steps.

Scotland’s National Strategy for Economic Transformation (NSET) is a ten-year strategy, and we stand by its vision to grow a sustainable and inclusive wellbeing economy. Two and a half years into that ten-year strategy, significant progress has already been made in driving us towards that vision of a fairer, greener wellbeing economy.

Through NSET we have established a Centre of Expertise in Equality and Human Rights, which is embedding equality and human rights in our economic policy development. We are committed to addressing the range of labour market barriers, including intersectional barriers, experienced by women that lead them to be paid less on average than men. In line with NSET’s ambition to tackle structural inequalities, we are supporting women furthest from the labour market through delivery of our person-centered employability support. Through our Fair Work approach, we are supporting the creation of good quality, well-paid and flexible jobs to support women to raise their income levels and progress in the workplace. Further, our work to tackle economic inactivity seeks to support more people to enter, remain and progress in employment. Women are more likely to be economically inactive than men and the main reason for inactivity for both women and men is long term sickness, therefore we have focussed our efforts on addressing this challenge.

Since publishing NSET we recognise that much has changed – fiscally, politically and internationally. Our focus is therefore now on accelerating delivery of NSET through our Programme for Government by prioritising actions that are affordable, deliverable and will have the greatest impact on the Government’s four priorities of eradicating child poverty, growing the economy, tackling the climate emergency, and delivering high quality and sustainable public services.

Eligible Scottish pre-registration nursing, midwifery and paramedic science students receive funding through the Paramedic, Nursing and Midwifery Student Bursary Scheme (PNMSB) which is administered by the Student Awards Agency for Scotland (SAAS).

Eligibility for support depends on three conditions:

• that the course is eligible;
• that the individual has not had previous PNMSB funding; and
• that they meet the residence requirements.

Bursaries are for eligible students attending courses which:

• lead to registration on the Professional Register maintained by the Nursing and Midwifery Council (NMC), which may include degree, honours and masters levels; or
• lead to the award of a BSc Paramedic Science; and
• are partly or wholly funded by the Scottish Government Health and Social Care Directorates (SGHSCD).

The Scottish Government is committed to land reform and improving transparency of those who own and control land in Scotland is at the heart of our land reform objectives.

The Scottish Government will continue to review any evidence – including that arising from the Scottish Land Commission’s report on land and property taxation – and assess this as part of our wider approach to tax policy

Registers of Scotland are currently working to deliver the benefits of a completed land register through their Unlocking Sasines project. This uses spatial data to help ‘unlock’ the historic information in the Sasine register, which means that they can link Sasine property search sheets to a map for the first time, making it visually more helpful and accessible. Additionally, the Land Reform (Scotland) Bill will improve transparency and help ensure that large scale land holdings deliver in the public interest. The Bill will place legal responsibilities on the owners of the very largest landholdings to set out – through Land Management Plans - how they use their land and how that contributes to key public policy priorities, like addressing climate change and protecting and restoring nature.