Seòmar agus comataidhean

Delivery of a permanent and resilient solution to the landslip risks at the A83 Rest and Be Thankful is a priority and we continue to seek ways to achieve that as quickly as possible, noting that all of the options require complex civil engineering.

Transport Scotland continues to take forward the necessary design and assessment work at pace with a view to announcing a preferred route option this Spring. Following this further detailed design and assessment work on the preferred option, including an Environmental Impact Assessment, is required before we can complete the necessary statutory planning process to allow any land to be acquired and the project constructed.

Delivery of the long-term solution can only commence if it is approved under the relevant statutory planning process and thereafter a timetable for its progress can be set. We will continue to progress the necessary design work as a priority with a view to commencing work on the ground during the current parliamentary term subject to timely completion of the statutory process.

We are dutybound to properly follow the correct statutory planning process which rightly includes consultation with communities, landowners and others with a direct interest in the scheme. However, Transport Scotland continues to explore methods to reduce the timescales of each stage of the project, where possible, and progress work at pace on this essential project.

We are aware of the serious negative impact this condition can have on people’s lives and therefore it is important that access to treatment and support is timely. We want to ensure that people have informed conversations with their GP in order to support the diagnosis of lipoedema.

We have now finalised the new NHS Inform webpage on Lipoedema . The new resource aims to provide people with consistent, reliable and accessible information empowering them to make informed decisions about their health and includes information on the symptoms, causes, self-management and treatment options.

We will continue to work with organisations such as Talk Lipoedema to find ways to raise awareness of the condition and its symptoms.

In March 2022, the National Institute for Health and Care Excellence’s (NICE) Interventional Procedures Advisory Committee did a rapid review on the available evidence on the safety and efficacy of liposuction as treatment for lipoedema and found it to be inadequate. The recommendation was for the procedure to only be carried out in the context of research.

Previously, NHS Tayside was the only Health Board to provide liposuction as a treatment for lipoedema. Due to the updated guidance, NHS Tayside have stopped liposuction as a treatment option until NICE reviews its guidelines in 2025 after further evidence and research has been undertaken.

There are currently non-surgical treatment options for lipoedema and those with the condition will be treated by healthcare professionals at primary care level and, where appropriate, referred to specialist services in secondary care. Any particular treatment is at the discretion of the lead clinician. It is NHS Boards and healthcare professionals locally who have responsibility for service delivery and patient treatment.

I refer the member to the answer to question S6W-14332 on 7 February 2023. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at Questions and answers | Scottish Parliament Website .

An additional £2.5 million has been re-allocated to the Scottish Welfare Fund from the proposed £5 million addition to the Discretionary Housing Payment budget during 2022-23. This additional funding is an exceptional measure in response to the cost of living crisis, and will enable local authorities to provide more flexible local support through Crisis Grants and Community Care Grants. This can include payments to individuals and households who are experiencing financial challenges, including the effects of the cost of living crisis and food or fuel insecurity.

We commissioned EY to undertake a substantial piece of analytical work, this has now been published and is available to view here – Energy System and Just Transition Analysis

Early outputs informed the ESJTP to help us better understand the implications of the transition to net zero on the energy system, including oil and gas, and to help us plan for a just transition across the sector.

This research will help us determine how the sector can help deliver our net zero targets, and how meeting our own energy needs can help build a new low-emission energy industry.

In response to the report, the Scottish Government established a Health and Social Care in Prisons Programme to address structural barriers to better health and social care in prisons across a number of areas. The Programme was unavoidably disrupted due to the Covid-19 pandemic but nevertheless managed to make a range of improvements including refreshing the National Prison Care Network. This Network has established strong links with healthcare staff in prisons and is delivering improvements around a number of priority areas such as mental health, substance use, and workforce. Other key achievements from the Programme include:

• publishing a suite of externally commissioned prison population health and social care needs assessments;
• developing a prisons health information dashboard through Public Health Scotland;
• completing a review of clinical IT in prisons; and
• carrying out six tests of change which modelled ways of delivering integrated health and social care in prisons.

Much of this work continues to inform ongoing improvements to health and social care in prisons.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

On 10 March 2023, there were 7 transgender women located within the female estate in the care of the SPS. Out of those 7; 4 individuals were sentenced, and 3 were held on remand.

The 4 sentenced individuals all had an index offence in the Non-sexual crimes of violence group. The remanded individuals are alleged to have committed index offences in the Non-sexual crimes of violence group and the Crimes against society group.

The Scottish Government released information regarding Circularity Scotland’s application to Scottish Ministers to become a scheme administrator for Scotland’s Deposit Return Scheme, in response to an information request under the Environmental Information (Scotland) Regulations 2004. The information released in response to that request was published on the Scottish Government website on 22 January 2022 under reference FOI/202200276068.

There are currently no plans to introduce an interoperable prescribing system for homecare medicine services. Any proposed changes will be considered as part of the wider Digital Prescribing and Dispensing Pathways Programme being taken forward by NHS National Services Scotland.

NatureScot has a range of legislative powers available to them under the Deer (Scotland) Act 1996. A summary of how NatureScot has used those powers since 2017 has been provided in the following table:

As this is an operational matter for Scottish Water, I have asked Douglas Millican, Chief Executive, to respond. His response is as follows:

Scottish Water completed an exercise with the James Hutton Institute in 2021-22 to understand the current carbon capture on its landholdings and to baseline performance. This has enabled Scottish Water to identify areas where it can improve carbon performance. Scottish Water is planning to survey and restore all circa 4400Ha of poor condition peatland on its land that were identified in the baseline exercise. In addition, it is working with other landowners to identify peatland for restoration where the poor condition peat has an impact on raw water quality. This programme of work has been underway for several years with a focus on water quality, and now has added benefit of carbon reduction.

In parallel, Scottish Water has been reviewing all of its landholdings for their potential for woodland creation. In 2021-22 they created 100ha of new woodland and are developing several schemes to increase this. In developing the plans for each site, Scottish Water engages with its tenant farmers to ensure that the plans integrate with the needs of the tenant. Scottish Water’s largest land holding is the Loch Katrine estate, where over the last two years it has been working in partnership with Forestry and Land Scotland to develop a 10 year land management plan. This was submitted to Scottish Forestry for approval in February 2023. The draft plan proposes the creation of some 4600Ha of new woodland. This landscape scale plan has involved close working with communities and stakeholders such as the Loch Lomond and Trossachs National Park Authority.