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No testosterone products are currently licensed in the UK for use in women. We are aware that some NHS menopause specialists are following prescribing advice from the British Menopause Society (BMS) and National Institute for Health and Care Excellence (NICE) and prescribing testosterone off-label (out with the terms of its current licence) for individual women who are experiencing a loss of libido during menopause.

The decision to prescribe a medicine, and which medicine to prescribe, is entirely for the clinician in charge of an individual’s care, having considered the individual’s clinical condition and any associated safety considerations. This includes prescribing a medicine off-label.

Glasgow Prestwick Airport periodically receives expressions of interest regarding purchase of the Airport. The management team at Glasgow Prestwick Airport follow due process in reviewing proposals to ensure that offers are credible and provide value for money.

It is important that we safeguard the integrity of confidential and commercial discussions to avoid any detrimental impact on any negotiations, therefore further disclosure would not be possible.

We have committed to updating Parliament at the appropriate time on the sale of Glasgow Prestwick Airport.

Ear syringing is no longer the recommended procedure for clinicians due to concerns about uncontrolled water pressure. Instead NICE recommends that patients should be asked to self-administer with ear drops first and follow up care should be irrigation or suction.

Formerly most ear wax management procedures were carried out in GP practices. The new GP contract, introduced in 2018, committed Health Boards to set up Community Treatment and Care (CTAC) services to shift workload away from GP practices to NHS Board employed staff so that GP practices could focus on what only they can do. CTAC has been defined in GP contract regulations as including phlebotomy, chronic disease monitoring, the collection of biometric information, attending to minor injuries, changing dressings, suture removal and ear syringing. The Scottish Government has confirmed to Health Boards that CTAC services should cover ear wax management generally.

The process of transfer was underway when many practices stopped administering syringing, irrigation or suction as treatments in March 2020 amid concerns that they might be Aerosol Generating Procedures that could spread COVID-19. Despite this, and other constraints, implementation of the new GP contract continued throughout the pandemic. There are now 3,220 whole time equivalent healthcare professionals in multi-disciplinary teams supporting practices with CTAC and pharmacotherapy services as well as delivering the childhood and seasonal vaccination programmes but we are aware that gaps in delivery remain.

Scottish Government officials are now working with Health Boards to collect and review the data on the workforce and financial resources required to fully deliver these services to inform consideration of the potential for additional investment in 2023-24. We will then look to ensure that all Health Boards have appropriate communications regarding local pathways for ear wax management and other transferred services.

Circularity Scotland advise that only the very largest producers (those making more than 10 million units per year) are required to underwrite costs. As Circularity Scotland is a private company, contractual arrangements they have with their members, including any payments as part of their producer agreement, is a matter for them and it would not be appropriate for the Scottish Government to intervene in such commercial arrangements between private companies.

As Circularity Scotland is a private company, support arrangements they have with their members is a matter for them and it would not be appropriate for the Scottish Government to intervene in such commercial arrangements between private companies. Only the very largest producers (those making more than 10 million units per year) are required to underwrite costs. We are grateful to all businesses for the investment they have made in preparing for the launch of the deposit return scheme and this investment will be important for the success of the scheme when it launches on 1 March.

A number of discussions were held with those involved in the scheme in the weeks prior to the announcement including Circularity Scotland and business groups. To reach a decision on the next steps for the Deposit Return Scheme Scottish Government officials also provided advice to the First Minister and Minister for Green Skills, Circular Economy and Biodiversity.

The First Minister and I met to discuss the Deposit Return Scheme on one occasion during the time frame specified. The date of that meeting was 13 April 2023. It should also be noted that a further meeting between us on this issue was held on 20 April 2023.

The role of the Scottish Government is to monitor each of the three deposit schemes for compliance with the Tenancy Deposit Schemes (Scotland) Regulations 2011. This includes being satisfied that the tenancy deposit schemes have clear and substantial processes in place that meet the requirements laid out in the regulations.

The three approved tenancy deposit schemes are private businesses and the Scottish Government is not involved in their business operations. We do not hold information on how many full-time equivalent staff currently work at SafeDeposits Scotland.

There is no statutory duty on the Scottish Government to achieve a biodiversity net gain.

Scotland’s draft biodiversity strategy published in December 2022 sets out a clear ambition for Scotland to be nature positive by 2030, and to have substantially restored and regenerated biodiversity by 2045. Five year delivery plans will set out the actions we need to take to achieve that ambition. We will consult on the first delivery plan in the summer. We will also bring forward a Natural Environment Bill, which will put in place key legislative changes to restore and protect nature, including, but not restricted to, targets for nature restoration.

The National Planning Framework also places a strong emphasis on securing positive effects for biodiversity as one of its six statutory outcomes (as identified in section 3A(3)(c) of the Town and Country Planning (Scotland) Act 1997, as amended). The recently adopted National Planning Framework 4 (NPF4) includes a cross-cutting theme to improve biodiversity and our strategy and policies support development that helps to secure positive effects for biodiversity. NPF4 Policy 3 sets out that development proposals will contribute to the enhancement of biodiversity, including where relevant, restoring degraded habitats and building and strengthening nature networks.

There is a wide range of legislation which applies to the Scottish Government to protect Scotland’s wildlife and habitats, including specific duties which fall on individual authorities to protect, conserve and restore the protected habitats and species of European sites.

NatureScot’s role as set out in the Natural Heritage (Scotland) Act 1991 includes securing the conservation and enhancement of the natural heritage of Scotland. All public bodies have a duty under Section 1 of the Nature Conservation (Scotland) Act 2004 to further the conservation of biodiversity when carrying out their work, where appropriate and in line with the Scottish Biodiversity Strategy and the UN’s Convention on Biological Diversity.

Furthermore, for Scotland’s terrestrial and marine environments, the requirements of in the Habitats Directive and the Wild Birds Directive apply, setting out the rules for the protections and management of certain habitats and species, including wild bird species, to ensure their long term conservation.

For example, under Regulation 3A of the Conservation (Natural Habitats &c.) Regulations 1994, Scottish Ministers and NatureScot must take steps in the exercise of their functions to preserve, maintain and re-establish sufficient diversity and area of habitat for wild birds in Scotland.

While there is no explicit legal duty on the Scottish Ministers or its agencies to increase species abundance, this does form one of the key outcomes envisaged in the draft Scottish Biodiversity Strategy https://www.gov.scot/publications/scottish-biodiversity-strategy-2045-tackling-nature-emergency-scotland/ . The protected areas networks on land and sea includes sites for nature conservation, protection of biodiversity, demonstrating sustainable management and protecting our heritage. Marine Protected Areas (MPAs), Special Ares of Protection (SPAs), Special Areas of Conservation (SACs) and Sites of Special Scientific Interest (SSSI) are just a few examples of the protected areas designated under retained European Law, UK and Scottish legislation by Scottish Ministers which go to form a network of protected sites. These sites ensure protection for some of the most vulnerable species and habitats within Scotland.