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The Digital Prescribing and Dispensing Pathways (DPDP) Programme is being developed, and it is intended to replace the paper prescription with a digital solution in community settings. The programme has been commissioned and funded by the Scottish Government. It is being jointly delivered by NHS National Services Scotland (NSS) and NHS Education for Scotland (NES) in collaboration with stakeholders across Scotland.

The inclusion of prescriptions for stoma items has been raised by the Chief Pharmaceutical Officer with the DPDP programme team, and consideration is being given as to how stoma items can be brought within the scope of the programme.

Addressing obesity is a priority for the Scottish Government, this financial year we have provided core funding of £8.25 million to health boards to deliver adult, children and young people’s weight management services.

The Scottish Government remains committed to taking forward the wide range of actions set out in our 2018 Diet and Healthy Weight Delivery Plan to deliver our vision for a Scotland where everyone eats well and has a healthy weight.

The quantitative impact of all policies is being tracked through our nationally representative survey on health. The latest results, for the year 2022, were published on 5 December 2023 on the Scottish Government website . Obesity rates were 29% for adults and 18% of children were at risk of obesity. Obesity rates have been measured annually in the Scottish Health Survey since 2008.

The Scottish Government wants cancer patients to be treated as close to home as clinically appropriate. However, as treatments for some cancers become more complex and expensive, it becomes impossible to deliver them in every location.

Cancer services require a highly specialised workforce. In order to ensure the future sustainability of our services, we published our ten-year Cancer Strategy in which we have committed to modelling cancer workforce requirements and continue to grow the number of training places to expand our workforce.

As part of the Scottish Government’s work to develop a sustainable healthcare workforce, we continue to look for opportunities to increase levels of recruitment and retention of healthcare staff in rural areas and will develop a Rural Workforce Recruitment Strategy by the end of 2024. This will support employers to ensure that the health and social care needs of people, including women with ovarian cancer who live in rural communities, are met.

The Deputy National Clinical Director and Scottish Government officials met with the clinical leads for ovarian cancer in the Northern Cancer Alliance (NCA) and the South East Scotland Cancer Network (SCAN) during Summer 2023.

Ongoing improvements to the service, including waiting times for treatment, and any potential support required from the Scottish Government were discussed.

As transport is a devolved matter there is no formal requirement for Scottish Government to discuss the next contract for the Clyde and Hebrides Ferry Service with representatives of the UK Government. Transport Scotland officials do, however, have regular discussions with UK Government Department for Transport officials regarding a number of maritime issues.

To date there have been two call-off contracts under the Multiple Supplier Framework Agreement for Maritime Consultancy Services. They have a combined total value of £82,170.

The Scottish Government’s position is that lifeline ferry services are classed as Services of Public Economic Interest under the UK Subsidy Control Act.

There are currently seven members of staff in the Scottish Government subsidy control team.

The Scottish Government’s position has been, and remains, focussed on the ‘whole cancer pathway’ which is why the 62-day standard is in place. This covers the period from an urgent suspicion of cancer (USC) referral from a primary care clinician to the start of treatment for Scotland’s most common cancers, including ovarian cancer.

The latest published statistics (July-September 2023) show the median time for an ovarian cancer patient from USC referral to first treatment is 51 days. Once a decision to treat is made, the median wait for treatment is 12 days for ovarian cancer patients.

Scottish Government officials meet with Boards’ Cancer Management Teams fortnightly (monthly for Island Boards) to ensure patients are moving timeously through these pathways and are treated as quickly as possible. Where cancer pathway challenges are identified, innovative solutions are explored and best practice shared from other areas.

We are investing £40 million over five years to support cancer services, with £10 million provided to Boards in 2023-24 alone.

The Scottish Government has fully funded Network Rail Scotland to meet the assessment of its requirements as carried out by the independent rail regulator for the next five year rail investment Control Period (2024-29).

The total funding for the rail sector in Scotland for financial year 2023-2024 alone is circa £1.4 billion. This is compared to pre-pandemic levels of around £1 billion, demonstrating a significant increase in investment by the Scottish Government.

Scottish Ministers’ priorities remain focussed on a high-performing, efficient and safe rail network. These objectives are fully aligned with ScotRail and Caledonian Sleeper so that best value is secured for Scotland’s rail passengers, communities and businesses.

Where the ORR has determined increases in spend, such as operations to adapt to climate change, the Scottish Government has accepted and fully funded these recommendations, in order to strike the right balance in this Control Period among operations, maintenance and renewals.