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We recognise the scale and impact of non-communicable disease across Scotland and are taking a range of actions to address their impact on our health and wellbeing.

Living with overweight or obesity is linked with an increased risk of developing a range of serious health conditions, including heart disease, type 2 diabetes, liver and lung disease. We are taking wide-ranging action to support healthier choices, as set out in our 2018 Diet and Healthy Weight Delivery Plan. This includes a challenging aim to halve childhood obesity by 2030 and significantly reduce diet related health inequalities.

As stated in our recent Programme for Government, we will introduce a Bill to restrict the promotion of less healthy food and drink as part of the 2022/23 legislative session. We will also urge the UK Government to stick with its commitments to ban junk food advertisements on TV programmes before the 9pm watershed and for similar restrictions online.

We continue to support NHS boards to improve weight management services in line with our Type 2 Diabetes Prevention, Early Detection and Intervention Framework and Public Health Scotland’s national standards. We are in year 5 of delivery of the Type 2 Diabetes Prevention Framework, which has seen the adoption of effective and evidence based treatments, across Scotland.

Alongside the Framework, our Diabetes Improvement Plan sets out our priorities to deliver safe, effective and person-centred healthcare, treatment and support to those living with diabetes. Priority 1 of the Plan is focussed the Prevention and Early Detection of Diabetes and its Complications, supporting the implementation of the Framework.

COPFS aims to conduct its investigation and advise the next of kin of the outcome within 12 weeks of the initial report of the death in at least 80% of cases.

Reporting years 2020-21 and 2021-22 saw increases in deaths reported to COPFS of 44% and 40% respectively, reflecting a combination of factors including, but not restricted to, excess deaths attributable directly to COVID-19, local GPs having less contact with patients in the community and being unable to certify deaths, and changes in the process of dealing with and reporting deaths in the community.

The number of cases requiring further investigation, because no cause of death was immediately apparent, has therefore increased, with 7085 post-mortem examinations instructed in 2021-22, an increase of 742 on the previous year. The following table shows the numbers and percentage of deaths requiring further investigation for the last two reporting years and the first two quarters of the current year.

Progress against the published performance target is monitored regularly and has improved significantly this reporting year.

The Scottish Government’s Chief Scientist Office operates open competitive funding schemes for applied health research projects and fellowships across the wide range of NHS and health challenges in Scotland.

These schemes continue to operate and are open to consideration of applications addressing priorities for research conditions that effect menstrual health. Applications to these schemes are assessed through independent expert peer-review with funding recommendations made by independent expert committees.

A number of research projects on menstrual health including fibroids and endometriosis, have been funded through these schemes in the past.

In partnership with Wellbeing of Women, this year we are jointly funding a £250,000 research call which aims to develop improvements into treatment and management options for endometriosis. The funding will be awarded in December 2022, fulfilling our medium term commitment in the Women’s Health Plan to commission research into endometriosis.

The Women’s Health Plan also includes a long term action to establish a Women’s Health Research Fund with the aim of closing gaps in scientific and medical knowledge in women’s health for both sex specific and non sex-specific conditions.

The Scottish Government are developing an expert group that will be reporting on smoking cessation services early next year. We are also committed to working with our NHS cessation coordinators and pharmacy colleagues across Scotland to refocus and remobilise these services to ensure we are reaching those in our communities who are in most need of support to quit.

In addition, next year we will publish a refreshed Tobacco Action Plan which will include a range of evidence-based interventions with an emphasis on reducing smoking and vaping among children and young people.

We welcome the findings of the report which adds to the picture of health across Scotland. Scottish Government is targeting the three biggest factors that impact preventable ill-health. These are tobacco use, diet and alcohol.

Our vision is to have a Tobacco-Free Scotland by lowering smoking rates across our communities to below 5% by 2034. In autumn 2023, we will publish a refreshed Tobacco Action Plan. As part of this we are considering a range of evidence-based interventions with an emphasis on reducing smoking and vaping.

Our 2018 Diet and Healthy Weight Delivery Plan sets out how we are taking wide-ranging action to support healthier choices. This includes a challenging aim to halve childhood obesity by 2030 and significantly reduce diet related health inequalities. Our Public Heath (Restriction of Promotions) Bill will restrict the promotion of unhealthier food and drink and will be introduced as part of the 2022-23 legislative session.

We are evaluating the impact of minimum unit pricing (MUP) at the current price of 50 pence per unit and will assess what level MUP should be set at going forward, if MUP is to continue.

We will soon consult on potential restrictions on alcohol advertising and promotion to protect children and young people, and those in recovery. Subject to the outcomes of this consultation, we will introduce legislation within the lifetime of this parliament.

Significant work has been done by COPFS, toxicologists and pathologists to address this issue. Since the beginning of 2021, there has been no backlog of toxicology reports. In some cases, the toxicology analysis requires to be supplemented by further scientific testing to assist the pathologist in establishing the cause of death. The dedicated team established by COPFS in November 2021 continues to manage the submission of the final post mortem reports which then require to be considered by Procurators Fiscal.

In this reporting year, over 90% of final post mortem reports have been received within 12 weeks of the date of post mortem and the number of reports still to be processed by COPFS has been substantially reduced from a peak figure of almost 2200 in December 2021 to 356 the week commencing 20 October 2022.

The National Referral Mechanism is the UK-wide framework for identifying victims of human trafficking and exploitation and ensuring they receive appropriate support. The NRM is operated by the Single Competent Authority and Immigration Enforcement Competent Authority within the Home Office.

NRM data can be accessed via the Modern Slavery: National Referral Mechanism statisticswhich contains records back to 2013.

In addition to this, police recorded crime statistics include several types of crime in relation to the Human Trafficking and Exploitation (Scotland) Act 2015 as detailed below

• Slavery or forced labour (under sections 1 and 4 of the Human Trafficking and Exploitation (Scotland) Act 2015)
• Human organ crimes (under section 1 of the Human Trafficking and Exploitation (Scotland) Act 2015)
• Breach of Trafficking & Exploitation Order crime (under section 32 of the Human Trafficking and Exploitation (Scotland) Act 2015 and
• Immoral traffic (under section 1 of the Human Trafficking and Exploitation (Scotland) Act 2015, section 22 of the Criminal Justice (Scotland) Act 2003 and section 11 of the Criminal Law (Consolidation) (Scotland) Act 1995)

This act came into effect on 31 May 2016, with the first recorded crimes falling in the 2016-17 recording year (see Table One).

Prior to the implementation of the 2015 act, data is only available on Immoral traffic crimes recorded in Scotland (under section 22 of the Criminal Justice (Scotland) Act 2003 and section 11 of the Criminal Law (Consolidation) (Scotland) Act 1995). These are shown in table 2.

Table 1 – Recorded crimes under the Human Trafficking and Exploitation (Scotland) Act 2015, Scotland, 2016-17 to 2021-22

Notes:

1. As the act came into effect on 31 May 2016 this is not a full recording year.

2. Although this crime pre-dates the act, some charges under the act were assigned to this crime beginning with the 2016-17 recording year.

Table 2 – Recorded crimes of Immoral traffic, Scotland, 1999-00 to 2015-16

Source: Recorded Crime in Scotland, 2021-2022 - gov.scot (www.gov.scot)

Provisions within Part 1 of the Cost of Living (Tenant Protection) (Scotland) Act 2022, introduce a temporary cap on in-tenancy rent increases, which is set at 0% until at least 31 March 2023.

The following tenancies are not covered by the rent cap:

• some assured tenancies where rent increases are controlled by the contract - if a tenant has an assured tenancy where the way their rent will increase is set out in their contract - and the emergency legislation is still legally in force - then rent will be able to increase in the way agreed in the contract;
• regulated tenancies under the Rent (Scotland) Act 1984 - these tenancies already have strong protections in place, and rents for these tenancies can only increase once every three years;
• common law tenancies - this includes arrangements like agricultural tenancies and lodger agreements (where a tenant lives with a landlord in their home), with the exception of student tenancy agreements; and new tenancies.

Procurement for vessels 801 and 802 was the responsibility of CMAL. Scottish Ministers were not aware of any potential impropriety in CMAL’s procurement process.

Following the Disclosure Scotland allegations, Scottish Ministers asked the Permanent Secretary to speak with the Auditor General on this matter and we welcome confirmation that Audit Scotland will be looking at the substance of the allegations and deciding if further audit work is required.

Data showing the percentage of pre-registration students who were in the "inactive" training state on a three-year pre-registration midwifery programme over the last five years for which complete figures are available is found in the table below. “Inactive” refers to students who are neither in training nor have completed their programme – many students will return to their studies and go on to complete their programme.