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The Scottish Government is working with Public Health Scotland to identify what data is already collected in Scotland on metastatic breast cancer and what data we would like to expand our datasets to include going forward.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

The Order for Lifelong Restriction (OLR) figures are available publicly on the Risk Management Authority (RMA) website. The OLR sentences made in the last 5 years are as follows:

The Scottish Government is not currently planning on establishing an attention deficit hyperactivity disorder (ADHD) taskforce.

The Scottish Government commissioned a feasibility study into a National clinical ADHD Pathway. The final report of this study published in 2021 and found that a multi-disciplinary neurodevelopmental approach, inclusive of ADHD, rather than a condition specific approach, was needed.

In response to this finding the Scottish Government provided funding for adult neurodevelopmental pathway trials. Following the adult neurodevelopmental pilots, a final report was published in March 2023 outlining what is required to provide a multi-disciplinary neurodevelopmental approach across Scotland. The Scottish Government has accepted the recommendations and we are working with NAIT on implementation.

Additionally, aligned to this neurodevelopmental approach, the Scottish Government is taking forward proposals for a Learning Disabilities, Autism and Neurodivergence bill to help better protect the rights of people with learning disabilities and neurodivergent people, including people with ADHD. The consultation ran from 21 December 2023 to 21 April 2024.

The Scottish Government does not hold the data relating to the three main outcomes outlined in S6W-25336. This information may however be available from individual Health Boards.

Eligibility for the programme was recently expanded to allow some individuals to get protected at an earlier age. To deliver the programme effectively, NHS Boards will offer the programme on a phased basis over 10 years meaning by 2033 the vaccine will be routinely offered to everyone aged 60 and over.

Since 1 September 2023 the following groups have been eligible:

• People who were aged 65 or 70 years on 1 September 2023
• People aged 71–79 years who have not previously been vaccinated
• People aged 50 years or over, about to start immunosuppressive therapy
• People aged 50 years or over, with a severely weakened immune system
• People aged 18 years or over who have received a stem cell transplant
• People aged 18 years or over who have had CAR-T therapy

This phased approach is based on the advice of the Joint Committee on Vaccination and Immunisation (JCVI) and to support NHS Boards to deliver the programme alongside other immunisation programmes.

There are no plans to expand eligibility any further at this stage. As with all vaccination programmes, the JCVI keeps its recommendations under review. If at any time the JCVI updates its recommendations around the shingles vaccination the Scottish Government will give this due consideration.

As part of the policy development for the Active Travel People and Place programme 2024-25, evidence was considered from a range of sources, including the recommendations from the Strategic Transport Projects Review (STPR2).

The policy is underpinned by a behaviour change approach that seeks to ensure that interventions tackle the individual, social, and material (ISM) factors that influence people’s travel choices. We developed four evidence-based themes that sit across the programme that address long-term social trends, target our largest trip generators, help secure a Just Transition, and systemically strengthen delivery, as well as providing structure for our overarching monitoring and evaluation framework.

Following engagement with delivery partners, RTPs, and representatives from Local Authorities, key deliverables (e.g. cycle training in schools; support for disadvantaged/vulnerable communities) were identified as priorities for continue support. Taking these into account, criteria were developed by Transport Scotland policy officials and discussed with the Minister for Zero Carbon Buildings, Active Travel and Tenants' Rights in December 2023 and January 2024. These themes are: Schools and Young People, Workplaces, Accessibility and Inclusion, and Capacity and Capability Building.

‘Schools and Young People’ covers interventions in and around schools that deliver holistic solutions for creating an environment where active travel choices are not only an option, but the most desirable way to travel for young people and families. The theme is key both in terms of ‘place’, with schools collectively being one of the largest trip generators in Scotland (there were over 705,000 children attending school in Scotland in 2023 with about 50% of their journeys being made actively), and also ‘people’, with strong evidence showing that social norms play a crucial role in behaviour change, and that helping children establish healthy travel behaviours should be a core activity of programmes seeking sustainable travel behaviours.

‘Workplaces’ covers interventions that focus on places of work (including further and higher education), that make active travel choices a realistic solution for commuting. This theme is key as places of work are significant trip generators, with the latest statistics showing ‘Commuting’ as the second most frequent reason for personal travel, at 21%.

‘Accessibility and Inclusion’ covers interventions that create opportunities for everyone to make the choice to travel actively. Evidence shows that there is a large number of underrepresented groups in Scotland who do not participate in active travel. Barriers include cost, social perception, culture, health, ability, and geographical location. Though this theme we will ensure people with different abilities, or people without the knowledge or skills, are not left out of our drive to promote walking, wheeling and cycling for everyday journeys.

‘Capacity and Capability Building’ covers interventions that build the delivery capacity and capability of the sector. Transport was part of Scotland’s Climate Emergency Skills Action Plan (CESAP), which highlighted that the transition to net zero will require behaviour change by both employers and individuals. The CESAP stressed the need for skills investment planning in this area and to support stakeholders to take action to drive behaviour change and develop the leadership and management skills that will be required for a net zero future.

We are keeping these themes under review, and our ongoing monitoring and evaluation framework will draw on data included the Walking and Cycling Index and the Scottish Household Survey (SHS) which has data on the purpose of short journeys.

In 2019, Road Safety Scotland (RSS) partnered with Police Scotland and the British Vehicle Rental and Leasing Association (BVRLA) to develop a campaign targeting foreign drivers/those not familiar with driving on the left. Leaflets, wristbands, and windscreen stickers were provided to car rental companies to distribute to foreign drivers hiring vehicles at airports across Scotland.

In 2023, following Covid, the campaign was revived and further developed, and launched by the Minister for Transport. In addition to the BVRLA route, campaign resources were also made available in Visit Scotland iCentres, airports, ferry ports, and supported by variable message signs on appropriate routes. The wristbands say 'drive on the left' in nine languages, and RSS has also produced reservoir gaiters saying 'ride on the left' in eight languages for use by motorcyclists.

Furthermore, a short, animated video was produced for companies to send to drivers in advance of picking up their vehicles providing information on the use of single track roads and passing places. More information on the campaign can be found here: Driving on the left - Road Safety Scotland

Rather than a set routine maintenance schedule, the programmes of routine maintenance on all trunk roads are developed based on need within the limits of available funding. The information that drives the programmes comes from a variety of sources, such as the regular safety inspections, the annual condition inspections and reports from the public.

Other work streams such as Strategic Road Safety can also develop schemes that contribute to the improvement of north west trunk roads if the investigation of accident statistics highlights problems at specific locations, including junctions. A number of schemes on the A9 junctions have been completed recently through this budget as part of a package of short term works to improve safety prior to the dualling of the remainder of the A9.

Cyclic maintenance is also carried out across trunk roads including grass cutting at junctions to keep visibility splays clear and bollard cleaning to maintain their reflectivity.

The following highlights the diverse range of schemes being prepared for the A9 this financial year and the schemes that have been undertaken recently.

• A9 Spittal – proposed design of new footpath link to community hall (2024-25). Associated signing and road marking upgrades. Construction subject to available funding (from 2025-26 onwards).
• A9 Tore Roundabout – traffic modelling assessment currently being progressed by an external consultant on behalf of the Transport Scotland Bus Partnership Fund. Possibly future investigation/design work to introduce signal control at the roundabout to be taken forward by our Operating Company BEAR Scotland. Awaiting confirmation of 0802 funding to determine if any work can progress in 2024-25.
• A9 Scrabster – investigation proposed 2024-25 to improve non motorised user access around the harbour area (subject to available funding).

The current financial year marks a very significant change in our delivery model for active travel behaviour change initiatives, being the first year the Scottish Government has allocated grant funding for this purpose across all seven Region Transport Partnerships (RTPs) under the umbrella of a new Active Travel People and Place programme.

The grounds for the creation of this programme are the increased scale and pace of the government’s ambition in active travel, which has already brought wholesale reform of the delivery model for active travel infrastructure through the creation of the Active Travel Infrastructure Fund (ATIF) working primarily with Local Authorities through a new tiered system.

Similarly, the previous active travel behaviour change delivery model whereby Transport Scotland continued to centrally grant fund several national third sector partners across 30+ projects and programmes also needed to be reformed to deliver at scale.

For 2024-25 we therefore developed a new regional approach whereby this funding has instead been invested in RTPs, who in turn have designed programmes of active travel behaviour change initiatives which are more responsive to local circumstances and suit their needs. This is a more streamlined, scalable, and strategic model, with strong alignment to wider Scottish Government priorities and ways of working. This includes delivering on STPR2 Recommendation 6 that we build on existing behavioural change initiatives, and the Verity House Agreement principle that public responsibilities should be exercised by authorities closest to the citizen, with presumptions in favour of local flexibility.

STPR2 recommends that these initiatives are likely to be most effective if they raise awareness of new infrastructure and services. In taking a behaviour change approach we want to ensure that interventions tackle the individual, social, and material (ISM) factors that influence people’s travel choices. We have therefore developed four ‘themes’ that sit across the Active Travel People and Place programme that address long-term social trends, target our largest trip generators, help secure a Just Transition, and systemically strengthen delivery, as well as providing structure for our overarching monitoring and evaluation framework. These themes are: Schools and Young People, Workplaces, Accessibility and Inclusion, and Capacity and Capability Building.

We recognise that these programmes of behaviour change initiatives, some directly linked to infrastructure development, do require an appropriate blend of capital and revenue funding. Of overall spend across our legacy behaviour change / access to bikes programmes in 2023-24, capital accounted for 82%, and revenue 18% of funding. Of spend on the RTP Active Travel People and Place programmes in 2024-25, capital accounts for 63% (£12m), and revenue 37% (£7m) of funding. This has been achieved in the context of a particularly challenging budget and resource spending review, which has required, and will continue to require, difficult decisions to be taken across government.

Maintenance of junction road markings is typically the responsibility of the authority whose road connects with the trunk road. In most cases on the A9 this is the local authority. The exception is acceleration and decelerations lanes, which Transport Scotland maintains. Notwithstanding this, since January 2023, Transport Scotland has collaborated with local authorities to improve junction markings on the A9.

Recent road marking improvements have included:

• Ousdale
• Geiselittle
• Cambusavie Bends
• Berriedale
• Deephaven
• South of The Mound
• North of Glenmorangie
• North of Struie
• B9169 Junction
• North of Hilliclay
• Achalone
• Alness to Tomich
• Inverbrora
• South of Inverbrora

Bollards are included in an annual cyclic maintenance programme. Our records show maintenance was undertaken between May and September 2023. More recently maintenance commenced in April 2024 with more planned in the coming months.