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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.

PHS collate data on Direct Cancer Referrals. This includes self, GP or NHS24 referral to A&E or other, where the signs and symptoms are consistent with the cancer diagnosed as per the Scottish Referral Guidelines. Data on these patients are only available from PHS from 2010 onwards as outlined in the following table.

Table 1: Number of direct cancer referrals 1,2,3 on the 31 day pathway since data-set began

We held a public consultation for the new cancer strategy from 12th April – 7th June. Anyone who wished to submit a response was welcome to through Citizens Space, this includes members of the public, professionals working with cancer services, and organisations. The results of the consultation will be published shortly and will feed into the development of the next cancer strategy.

Early insights from the initial consultation report show that organisations in the cancer sector welcome a long-term strategy with broad overarching aims to help achieve structural changes in the delivery of cancer care.

Place directors are not appointed - these roles are voluntary positions taken on by civil servants at deputy director and director level, alongside their day-to-day responsibilities. A list of current place directors and their local authority and Community Planning Partnership areas can be found on the Scottish Government website, under Community Planning [ Community planning - Improving public services - gov.scot (www.gov.scot) ].

The requested information on how many nurses have (a) joined and (b) left the NHS in Fife each year since 2007 is not centrally available.

Information on how many Nursing & Midwifery staff have (a) joined and (b) left the NHS since 2012 can be found in the following link: NHSScotland workforce | Turas Data Intelligence .

This data is not held centrally by The Scottish Government, National Records of Scotland or Public Health Scotland. 

In September 2022 the Scottish Government and COSLA published Scotland’s 10 year suicide prevention strategy and action plan, ‘Creating Hope Together’. This sets out a comprehensive plan to reduce suicide deaths in Scotland.

The initial 3 year action plan will support continuous improvement in the quality of clinical care and support provided by mental health services for people who are suicidal. This includes embedding the National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH) guidelines into operating practices. NCISH is the UK’s leading research programme into suicide prevention in clinical services, and is supported by the Scottish Government. Data tables from their 2022 Annual Report are available to view here which provides information on location of suicides, but is not broken down specifically to mental health settings.

The new strategy includes a continued focus on rolling out multi-agency suicide reviews across Scotland, which will provide valuable learning about where service opportunities have been missed in preventing a suicide. The suicide reviews will include information on whether the person who died was a mental health services inpatient. It is expected the system will identify the location of death, including whether the person was an inpatient at the time of death. Along with other types of data and insight, the learning from suicide reviews will produce valuable intelligence to inform ongoing service improvements.

We understand that stigma associated with particular health conditions, including liver disease, can create very specific challenges - it can isolate people from their communities and act as a significant barrier to seeking help and support. This can increase the harms experienced due to delayed presentation especially given the generalised association between liver disease and alcohol misuse and/or drug abuse.

The Scottish Government is committed to tackling this stigma. We are continuing to work on tangible actions that can help reduce stigma experience by people who use drugs and/ or drinking alcohol at hazardous and harmful levels

On 20 June 2022, Public Health Scotland launched the Challenging Weight Stigma Learning Hub. The learning hub aims to raise awareness of the impact weight stigma can have on people living with overweight and obesity and what health professionals can do to mitigate this. It is interactive and has been developed alongside academics, health professionals and those with lived experience of stigma.

Data specific to Years of Working Life Lost (YWLL) for liver disease is not routinely published. Scottish Burden of Disease data published in Sept 2021 showed that for liver disease (cirrhosis and other chronic liver disease) the number of years of life lost (YLL) have fallen from 37,467 in 2016 to 32,279 in 2019. This is around 2.9% of all YLL reported in the 2019 study (1,100,944).

We know that 60 per cent of liver disease is caused by alcohol misuse and we are working on initiatives that will support communities across Scotland to reduce alcohol consumption.

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.

The Energy Company Obligation (ECO) is a UK Government scheme. Last year Scottish Ministers proposed a more flexible approach to how the new ECO4 scheme would operate in Scotland. Unfortunately the UK Government did not agree to this and has repeatedly failed to engage with us on these matters.

We continue to work with local councils, energy suppliers and stakeholders to ensure as many households as possible benefit from the scheme in Scotland. Further information about delivery of ECO4 financed measures in Scotland will be published on the UK Government website: Household Energy Efficiency Statistics - GOV.UK (www.gov.uk)

The Scottish Government would welcome a meaningful discussion with UK Government Ministers about how ECO4 can better tackle fuel poverty in Renfrewshire and more generally across Scotland. We will be writing again to UK Ministers seeking a dialogue about these issues, following the most recent changes in UK Government policy and Ministerial responsibilities.