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Cancer remains a priority for the Scottish Government with NHS Scotland continuing to prioritise urgent suspicion of cancer (USC) referrals and delivering high-quality care, in the safest possible way, to those who need it most. We’re continuing to invest in cancer pathways to improve waiting times, including through up-skilling nurses and have begun testing the use of Single Points of Contact in cancer pathways to support patients from the point of referral.

In addition, we have stood up a National Oncology Taskforce of NHS Board Chief Executives and Medical Directors to seek national solutions to ensure long term resilience of oncology services in Scotland.

The Scottish Government is committed to tackling health inequalities and providing access to the highest quality of care for all. We work across the clinical research system to ensure sponsors of clinical studies understand their ethical and legal responsibilities, including increasing equitable access to clinical trials. We recognise the benefits of innovative approaches to the future of clinical trials, including the opportunities presented by increased use of data and digital technologies, and learning from the response to the COVID-19 pandemic.

Information on how many midwives there have been in the NHS in (a) Scotland and (b) each NHS board area, in each year since 2016, broken down by (i) headcount and (ii) full-time equivalent terms can be found in the following link: NHSScotland workforce | Turas Data Intelligence

Neither the Scottish Government nor Public Health Scotland (PHS) currently gather data on paediatric audiology waiting times. You may wish to contact NHS Highland directly to request this information.

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 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.

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 Scottish Government is committed to ensuring that NHS Scotland has a skilled and sustainable workforce, we work in partnership with NHS Boards who are responsible for taking decisions about the configuration of midwifery services, commensurate with their local population needs.

We have taken a range of measures to support midwifery workforce supply, having grown the number of funded places on undergraduate midwifery programmes in Scotland by 20% over the last decade, to 301 funded places in 2022. Additionally, we offer a comprehensive and competitive package of student support, which is the best in the UK. In January 2022, we welcomed students from across Scotland on to a new, shortened midwifery training pathway at Edinburgh Napier University. These students will qualify as midwives in 20 months whilst continuing to work in their home regions, including in Scotland's remote and rural health boards.

In addition to our investment in education and training, we are providing direct recruitment support to all health boards across Scotland, through coordinated national marketing activity and support for ongoing international recruitment, including £8m to support the recruitment of up to 750 nurses, midwives and AHPs announced on 04 October 2022. We continue to look for opportunities to increase levels of recruitment and retention of healthcare staff in rural areas and have committed to undertaking further activity on remote and rural recruitment and retention, under the auspices of the National Health and Social Care Workforce Strategy.

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.