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Transport Scotland’s trunk road maintenance budget is not allocated on a route or part-route basis. It is distributed based upon need and prioritisation of schemes developed from regular inspections and condition surveys.

For financial year 2023-24, the current programmes identify a maintenance investment total of £5.22M for the A9 between Inverness and Scrabster, for schemes delivered through our North West Network Management Contract . Programmes across the contract will remain under review depending on new or emerging pressures.

The schemes include investment in Active Travel measures, road and bridge maintenance, road safety schemes and works to improve network resilience under emerging climate challenges (e.g. earthworks, larger drainage schemes)

This is in addition to ‘core operations’ (e.g. weekly inspections, incident response, winter treatments) which the contractor delivers across the whole of the North West unit throughout the life of the contract. These are paid through a tendered monthly rate that cannot be disaggregated for specific locations or extents.

The forthcoming 10-year cancer strategy will be accompanied by a 3-year action plan aligning with the ambitions set out in our strategy. There will not be additional action plans for specific cancer types, however in both the strategy and plan we will continue to focus on those cancer types that are the largest burden and have poorer survival, in particular the less survivable cancers.

Arrangements where a person occupies accommodation as their only or principal home are not considered short-term lets. Interpretation and application of the licensing scheme to specific circumstances is a matter for licensing authorities. We continue to monitor operation of the scheme as a whole, taking a responsive approach. We have also committed to undertaking a review in 2024.

The Women’s Health Plan includes a medium-term action to “ensure women are properly supported around the time of menopause to assess their future risk of osteoporosis and fractures and given appropriate lifestyle advice” and action is being taken to progress this work.

On 5 th April, Professor Anna Glasier, the Women’s Health Champion, met with the Royal Osteoporosis Society to discuss the higher risk of osteoporosis for women and the impact that this has on their health outcomes in later life.

In addition, accessible information has been made available to women via the menopause resource on the NHS Inform Women’s Health Platform. The resource highlights that women who have been through menopause are at an increased risk of developing osteoporosis as a result of the lower level of oestrogen in the body and provides advice on what women can do to reduce their chances of developing osteoporosis. Information is included on lifestyle changes like exercise and nutrition to improve bone health as well as advice on Hormone Replacement Therapy (HRT).

The Scottish Government has also commissioned NHS Education for Scotland (NES) to create a bespoke training package and framework focussed on menopause and menstrual health for GPs and others working in Primary Care. This package will take a life course approach, including ensuring healthcare professionals are able to support women in being aware of the risk of osteoporosis around the time of menopause – and what can help.

The Scottish Government is tackling marine litter with actions detailed in our Marine Litter Strategy, which aims to address the amount of litter entering the marine environment, to achieve ecological, economic and social benefits. Our Strategy and action plan was refreshed in September 2022 and focuses on the most problematic types of marine litter including fishing and aquaculture gear, sewage-related debris, and plastic pellets. The Strategy will drive forward our work over the next five years and co-ordinate the efforts of our stakeholders and partners, working at a national and international level to help tackle this global problem.

The many actions include: improving the management of end of life fishing and aquaculture gear to reduce litter and improve recycling rates, contributing to our circular economy; working across the UK administrations to put an end to pollution caused by wet wipes containing plastic; and developing international solutions to prevent spills of plastic pellets (nurdles), which can be found on our beaches and risk the health of our marine wildlife. In addition to preventative actions, we are also supporting litter removal, whether off shore through the funding of KIMO’s Fishing for Litter scheme, or at our rivers, with Keep Scotland Beautiful’s Upstream Battle project.

The bay at Arrochar was chosen as the location of a marine litter case study in Loch Long in 2017. Since then, a total of £183,827.78 has been spent on litter removal at the site. This includes the cost of heavy machinery contracting, haulage, and the disposal of the mixed debris. Costs have varied annually according the amount of material washed ashore requiring removal.

Clyde Gateway Urban Regeneration Company is leading on carrying out remediation of the wider Shawfield area. To date, 13.5 hectares of land have been successfully remediated. The Scottish Government is in active discussion with Clyde Gateway to explore potential solutions to deal with the remaining contamination across the Shawfield area.

The devolved responsibilities for Minister for Equalities, Migration and Refugees are published on gov.scot: Minister for Equalities, Migration and Refugees - gov.scot (www.gov.scot) .

I can confirm that the Scottish Government regularly engage with Liberty Steel Group Holdings UK Ltd regarding their operations.

We are aware that last year there were instances of break-ins occurring at the Clydebridge site which were reported to the police and continue to be under investigation. Following this Liberty Steel Group put new security arrangements in place which have prevented subsequent attempts to break into the premises.

I understand that Liberty Steel Group are also undertaking work to remove graffiti from the outside of the building and are maintaining an open dialogue with Police Scotland regarding the security of the site.

The Scottish Government and NHS Scotland have a shared vision for a culture that values openness and learning and supports continuous improvement. Health Boards are responsible for delivering safe, effective and person-centred care at a local level, which includes identifying and monitoring instances of patient misdiagnosis and adverse events. The Scottish Government has legislated and has implemented procedures to support this:

• The Patient Rights (Scotland) Act 2011 provides a specific right for people to make complaints, raise concerns, make comments and give feedback about their care, and places a duty on Boards to thoroughly investigate and respond to concerns raised, and to monitor all feedback with a view to improving the services they provide.

• The NHS model Complaints Handling Procedure (CHP) was revised in 2017 to support a more consistent, person-centred approach to complaints handling across NHS Scotland.

• The Duty of Candour Procedure (Scotland) Regulations 2018make it a legal requirement for all care providers, including Health Boards, to review certain types of adverse events, meet personally with those affected, offer an apology and consider how the learning from these events can be applied.

• Since 2020, Health Boards have been required to notify Healthcare Improvement Scotland of any Category 1 Significant Adverse Event Reviews commissioned. These reviews support NHS Health Boards to improve services by learning from adverse events, reducing the risk of them happening again, and providing public assurance that adverse events are effectively managed.

• In addition, the Scottish Public Services Ombudsman (SPSO), which is independent of Scottish Government,looks into complaints about most organisations providing public services in Scotland, including Health Boards. The SPSO will create reports following an investigation, which will include their decision, any recommendations to put things right, and the deadline by which the organisation must carry out these recommendations.

The Scottish Government and NHS Scotland have a shared vision for a culture that values openness and learning and supports continuous improvement. Health Boards are responsible for delivering safe, effective and person-centred care at a local level, which includes identifying and monitoring instances of patient misdiagnosis and adverse events. The Scottish Government has legislated and has implemented procedures to support this:

• The Patient Rights (Scotland) Act 2011 provides a specific right for people to make complaints, raise concerns, make comments and give feedback about their care, and places a duty on Boards to thoroughly investigate and respond to concerns raised, and to monitor all feedback with a view to improving the services they provide.
  
• The NHS model Complaints Handling Procedure (CHP) was revised in 2017 to support a more consistent, person-centred approach to complaints handling across NHS Scotland.
  
• The Duty of Candour Procedure (Scotland) Regulations 2018make it a legal requirement for all care providers, including Health Boards, to review certain types of adverse events, meet personally with those affected, offer an apology and consider how the learning from these events can be applied.
  
• Since 2020, Health Boards have been required to notify Healthcare Improvement Scotland of any Category 1 Significant Adverse Event Reviews commissioned. These reviews support NHS Health Boards to improve services by learning from adverse events, reducing the risk of them happening again, and providing public assurance that adverse events are effectively managed.
  
• In addition, the Scottish Public Services Ombudsman (SPSO), which is independent of Scottish Government, looks into complaints about most organisations providing public services in Scotland, including Health Boards. The SPSO will create reports following an investigation, which will include their decision, any recommendations to put things right, and the deadline by which the organisation must carry out these recommendations.