Seòmar agus comataidhean

The Scottish Government's approach to healthcare has for a number years prioritised a preventative approach, recognising the wide range of benefits this can provide. This has been supported by broader initiatives that take a whole-system approach, for example through Scotland's world-leading approach to ill-health prevention policies on reducing smoking and alcohol consumption.

A preventative approach will underpin the National Care Service (NCS), which the Scottish Government is committed to introducing by the end of this Parliament to end the postcode lottery of care provision, ensuring quality, fairness and consistency of provision that meets individuals’ needs, regardless of where they live in Scotland.

The Scottish Government recognises that change cannot wait until the NCS is in place, and we have established a number of programmes across the Health and Social Care portfolio which will further embed a preventative approach. The Preventative and Proactive Care programme will help develop preventative healthcare models, and will support the delivery of many of the recommendations made in the Independent Review of Adult Social Care, which highlighted the need for a greater preventative approach. A range of pathfinders are being considered to test potential models in various settings.

The Place and Wellbeing Programme has a primary focus on preventative local action in partnership with communities and how we – as the system – can support that. This will bolster local cross-sector partnerships with evidence, data, intelligence and the right policy context and funding so they can together address the root causes of health inequalities in their area. We are also working to better integrate community-led Third Sector provision of health improvement activity within local health and social delivery across Scotland. This will make it easier for individuals to reach preventative and early intervention support in their community.

A fundamental shift in how the NHS and the NCS contribute to community wealth will widen access to fair work in the sector with accelerated routes into these jobs for those furthest from the job market. Alongside actions to enable partnership working and local leadership, the Scottish Government will support health and social care providers to be active anchor institutions and build wealth in their community. This will mitigate against some of the drivers of poor health and health inequalities, such as unemployment.

Listed building consent applications are made to and dealt with by the relevant local planning authority, unless a specific direction is issued for the decision to be made directly by Ministers. In order to add a formal requirement for any specific supporting evidence for listed building consent applications supplied by any of the institutions the member mentions, legislative change would be required. The Scottish Government has no plans for any such legislative change at present, and welcomes any suggestions from our local planning authorities to improve our processes, or any advice from the member of the specific benefits this would bring.

I refer the member to the answer to question S5W-36024 on 15 March 2021. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

I refer the member to the answer to question S6W-07507 on 21 April 2022. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at: https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

We have written to the Comhairle setting out our view on the issues raised by Tighean Innse Gall and continued delivery of home insulation schemes in the Western Isles. The Scottish Government has proposed practical solutions and remains open to receiving proposals from the council that aim to further strengthen the local supply chain. This year we will allocate £64 million in funding to local councils to support local delivery of Area Based Schemes.

Help and support for fuel poor households continues to be available through our national Warmer Homes Scotland service. Warmer Homes Scotland has installed insulation measures in 17 homes in the Western Isles since last September. Likewise there is a range of cashback and loans available to householders, as well as advice and information, through our Home Energy Scotland helpline.

Our Detect Cancer Early (DCE) Programme aims to provide greater public awareness of signs and symptoms of cancer to improve earlier diagnosis rates. A symptom-checker tool is included on the getcheckedearly.org website, to raise awareness of the early signs and symptoms of cancer, including sarcoma cancers, and research is currently being undertaken to better understand the possible barriers and levers to early diagnosis that any new DCE campaigns should focus on.

A new Early Diagnosis Vision is planned as part of the new Scottish Government Cancer Strategy (due to launch in April 2023), and will look at awareness raising.

I refer the member to the answers to questions S6W-07665 on 21 April 2022 and S6W-07668 on 26 April 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The Scottish Government are aware of ongoing criticisms of the BS 8414 test. Opinion on the test within the sector remains divided. The test standard has not been withdrawn by the British Standards Institution and its purpose is to provide data to enable evaluation of the fire performance of components when combined to form a complete cladding system.

Following consultation last year, the Building Scotland (Amendment) Regulations 2022 were laid in the Scottish Parliament on 22 April. From 1 June 2022, these regulations introduce a ban on combustible cladding systems on residential and other high risk buildings over 11m. For such buildings, BS 8414 can no longer be used as an alternative means of compliance with building regulations.

The Fire Protection Association is represented on the Building Standards (Fire Safety) Review Panel 2020-22. BS 8414 was one of many topics covered at Review panel meetings which have taken place in December 2020, March and May 2021 and January 2022.

The Scottish Sarcoma Network is tasked with looking at this issue more closely for the whole of Scotland, particularly regarding any educational shortfall that may exist. Additionally, every year the network analyses and reports the Quality Performance Indicators (QPIs) for Sarcoma in Scotland, to identify areas for improvement and ensure quality of care and treatment for patients.

The Picture Archiving and Communication System (PACS) enables all radiologists to work together, and scans indicating a suspicion of sarcoma can be discussed with a sarcoma specialist radiologist.