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The Scottish Government acknowledges that that it can be difficult for patients when there is a need to refer them outwith Scotland for specialist treatment.

Ministers expect Health Boards to be mindful of this, to discuss patients’ circumstances with them, and make suitable arrangements to ensure that the necessary treatment can be provided in a patient-centred way. This includes helping to identify and access financial support available for eligible patients and authorised escorts, such as through the Patient Travelling Expenses Scheme and the Highlands and Islands Travel Scheme (HITS).

All Health Boards also have the discretion to reimburse patient travel expenses where it is viewed to be an extension of treatment costs and deemed to be clinically necessary.

The National Cancer Medicines Advisory Group (NCMAG) will review the use of Anastrozole as a preventative treatment for post-menopausal women at a moderate or high risk of breast cancer, along with several other medicines for the chemoprevention of breast cancer at their Council meeting on 21 March 2024 and will publish their advice on 25 April 2024.

Alongside the NCMAG advice, consideration is being given to how it may fit into a chemoprevention care pathway in NHS Scotland, including screening and monitoring.

The Scottish Government continues to deliver on its commitment on building the case for an independent Scotland within the EU, through the development of a prospectus to give people the information they need to make an informed choice about their future, and I can confirm that today we are publishing “Our marine sector in an Independent Scotland”.

This is the eighth paper in the Building a New Scotland series, which focuses on Scotland’s marine sector, describing how independence would allow it to achieve its full potential to get the support it needs and the prioritisation it deserves. It includes proposals for how an independent Scotland in the EU would benefit fisheries and seafood businesses, coastal communities and marine science sector, and how Scotland could make a constructive contribution to the development of current and future EU strategic priorities such as reforms of the Common Fisheries Policy, the transition to renewable energy and growing the blue economy. It also sets out details of how Scotland would have a voice on the world stage, with the ability to negotiate for fisheries and other interests at international level, join international bodies and work in partnership with other countries on global marine agendas in our own right.

The Scottish Government is continuing to prepare further papers in the Building a New Scotland series and more will follow shortly.

Building a New Scotland: Our marine sector in an Independent Scotland is available to view on the Scottish Government website from today at www.gov.scot/newscotland

In 2021, Gross Expenditure on Research and Development (GERD) as a share of GDP was estimated at 2.98% in Scotland. This statistic is sourced from the latest GERD Scotland report, available at: https://www.gov.scot/publications/gross-expenditure-on-research-and-development-scotland-2021/

Note that the GERD estimates for Scotland are provisional and subject to future revision. The Office of National Statistics (ONS) have recently changed their measurement of Business Enterprise Research and Development (BERD) expenditure which has led to significant uplift revisions to GERD estimates. Work is currently underway between the Scottish Government and the ONS to further quality assure the new methodology.

We continue to monitor the implementation and effectiveness of the Young Patients Family Fund (YPFF) and keep this under review.

I have asked my officials at Transport Scotland’s to engage with British Transport Police, ScotRail, Scottish Rail Holdings, Transport Focus and Trade Unions, amongst other organisations to ensure that all views held on the existing alcohol ban on ScotRail trains are given due consideration.

Once advice has been provided to me and a decision made, the Parliament will be informed of the outcome.

Decisions on the national designation of services are considered by NHS National Services Division (NHS NSD) as part of NHS National Services Scotland.

NHS NSD have encouraged the MRgFUS team in NHS Tayside to submit a formal application for national designation of the MRgFUS service in Dundee, supported by the health board’s Executive Leadership Team, for consideration and scrutiny. NHS NSD hopes to receive such an application from NHS Tayside for 2024-25.

I refer the member to the answer to question S5W-22148 on 7 November 2023. 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

Individuals from NHS Scotland Health Boards fulfilling Service Level Agreements continue to be supported and managed under the policy requirements and the terms and conditions of employment of their substantive role. They will also be expected to meet certain requirements of the host organisation, particularly code of conduct and standards of behaviour.

Scottish Government officials have made contact with Northern Ireland and have met with counterparts in England and Wales regarding fetal alcohol spectrum disorder (FASD) policy. We will continue to share learning and consider how these discussions will inform FASD policy in Scotland.

In addition to the links through policy officials relating to FASD, our funded FASD delivery partners are also linked in nationally with other third sector organisations as well as universities and researchers.