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The Local Delivery Plan Standard for IVF Waiting Times is for ‘90 per cent of eligible patients to commence IVF treatment within 12 months of referral. The 90% standard continues to be met since it was first measured in March 2015.

Waiting time statistics on the waits experienced by patients from referral to screening appointment for in vitro fertilisation (IVF) treatment can be found on the PHS website at the following link: https://www.publichealthscotland.scot/publications/ivf-waiting-times-in-scotland

This is the latest IVF Waiting Times publication and data from January 2016 to present can be downloaded under Data Files, data from July 2014 can be found https://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/2018-08-28/2018-08-28-IVF-Waiting-Times.xlsx . Collection of waiting times data on IVF screening and waiting times only began in 2014.

As the statistics produced are predominately based on aggregate data and presented in 13 week time bands an average (mean) waiting time cannot be calculated.

The Breast Screening Programme Board (BSPB), which oversees breast screening in Scotland, has agreed that the option for women aged 71 and over to self-refer into the breast screening programme will resume once all screening centres are able to offer those aged 53-70 their breast screening appointments within 39 months of their previous screening. Progress towards this is being closely monitored, and the timing for restarting the option for women aged 71 and over to self-refer into the programme is regularly reviewed.

The breast screening programme offers routine screening to women aged between 50 and 70 years old. It remains important for women of all ages to be symptom aware, and to report any concerns about the signs and symptoms of breast cancer to their GP straight away, so that they can be promptly investigated. Their GP will be able to refer women of any age for further investigation and treatment if required. Further information regarding the possible symptoms of breast cancer can be found at https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-adults/breast-cancer-female.

(a) The Scottish Government is taking effective steps to meet the needs of an evolving labour market by promoting employer business models that commit to investing in evidence-based human resources development.

In September 2021, the Scottish Government established a short-life Business Purpose Commission for Scotland, to promote more purposeful businesses and better corporate governance. The Commission is tasked with examining issues related to that agenda, which includes business models, improving understanding of purpose as a way of retaining and attracting talent, and developing recommendations for how more purposeful businesses can be supported in Scotland. The Commission is currently in evidence gathering stage, with hundreds of businesses having already provided evidence via the business purpose question included in the Quarterly Fraser of Allander Scottish Business Monitor (Q3) and the Commission's call for evidence, which closed on 10 December 2021. Thematic workshops are also scheduled to take place in January 2022, to gather further evidence.

(b) The Scottish Government is likewise taking effective steps to meet the needs of an evolving labour market by ensuring that employability programmes focus on developing skills and providing quality work.

Through No One Left Behind, we are working with partners to implement an approach to employability that is person-centred, flexible and responsive to local labour market needs. We are working collaboratively across sectors to ensure our services contribute to tackling poverty and inequalities, and that people who want help to find and remain in work have access to the help and support they need. Our flagship employability service, Fair Start Scotland has supported over 13,000 people into work since launching in April 2018. We continue to focus on improving our services for those further from the labour market, offering 12-18 months of pre-employment support and a further 12 months of in-work support for participants and their employers to encourage sustained employment.

Unemployed individuals can also currently access key skills provision to support their return to work which is targeted at areas of growth or labour market and skills shortages. This includes the National Transition Training Fund for those aged 25 and over and – where applicable, Individual Training Accounts.

The ambition of the Young Person’s Guarantee is that every person aged between 16 and 24 will have the opportunity to study; take up an apprenticeship, job or work experience; or participate in formal volunteering. There are now 382 employers signed up to the Young Person's Guarantee, generating in excess of 7,400 additional opportunities. In 2020-22, we have provided additional funding of up to £130m with the aim of supporting over 24,000 new and enhanced employment, training and educational opportunities for young people, with a particular focus on supporting those who face additional challenges in participating in the labour market. A further £45m will be invested in 2022-23. Local Authority Employer Recruitment Incentives (ERIs) also remain in place to support young people into employment, including apprenticeships, particularly individuals who experience difficulties accessing the labour market.

The total number of households that have received energy saving and efficiency improvements delivered through the Scottish Government’s energy efficiency programmes between 2016-17 and 2020-21* in this region** are:

Warmer Homes Scotland – 251

Area Based Schemes – 1337

Home Energy Scotland Loans – 522 (316 of which received cashback)

*As Area Based projects for financial year 2020/21 have just concluded, final installation figures are currently unavailable until late January 2022. Home Energy Scotland loans scheme began April 2017, so there is no data for 2016/17.

**Figures for Area Based schemes and Home Energy Scotland Loans are only available on a Local Authority basis not a Parliamentary Constituency basis.

Evidence-based psychological interventions, based on psychological concepts and theory, are designed to help people understand and make changes to their thinking, behaviour and relationships. These are delivered across a wide range of services in both physical and mental health settings, from brief interventions in primary care to specialist psychological therapies aimed at service users with highly complex and/or enduring mental illness and disorder. Choices over which evidence-based intervention to deliver for specific patient groups are made locally by Health Boards.

Health Boards are also delivering on behavioural change psychology methods to support changes in lifestyle behaviours as part of their implementation of the Framework for the Prevention, Early Detection and Early Intervention for type 2 diabetes , and via delivery of Public Health Scotland’s Standards for delivery of tier 2 and tier 3 weight management services for adults and children and young people .

Silver Cloud, SilverCloud | NHS Lanarkshire (scot.nhs.uk) , is now also available in all Health Boards through referral and for some treatments self-referral options. Silver Cloud provides private and secure access anywhere, anytime to evidence-based, online programs that will help to teach you techniques that helps you reduce symptoms of stress, anxiety, low mood or depression associated with Chronic Pain or Diabetes Type 1 & 2. It is also suitable for co-morbid long term health conditions. The treatments are evidence based delivering computerised CBT (cCBT) treatment in people’s homes through smartphone, tablet and home computers and progress of the patient treatment is monitored by local cCBT Teams based in Adult Psychology.

Additionally, in order to ensure consistency in the quality of service delivery across Scotland, the Scottish Government has worked with NHS Education for Scotland (NES) to produce the Psychological Therapies Matrix - a stepped guide to planning and delivering evidence-based psychological therapies within NHS Boards in Scotland. The Matrix provides a summary of the information on the current evidence base for various therapeutic approaches, guidance on well-functioning psychological therapies services, and advice on important governance issues.

Patients can already store gametes (egg and sperm) through NHS fertility services with informed consent (regulated by the Human Fertilisation and Embryology Authority (HFEA) and by law under the Human Fertilisation and Embryology Act 1990 (as amended)) under the following circumstances:

• Storage of personal gametes for use in NHS Assisted Conception Treatment by couples that fulfil the access criteria.
• Storage of gametes for patients who require fertility preservation treatment.
• Storage of gametes donated altruistically by sperm or egg donors for use in NHS Assisted Conception Treatment.
  

The Scottish Government has not had any general discussions with the UK Government regarding the potential impact that our regulations and guidance for businesses and workplaces on reducing the risk of COVID-19, might have on their employees in Scotland. However there have been discussions with individual departments about restrictions throughout the pandemic.

All businesses in the UK have a duty to manage workplace risks under existing health and safety legislation, and those with offices or business locations (with staff) in Scotland must also ensure that they adhere to the specific requirements set out in the Health Protection (Coronavirus) (Requirements) (Scotland) Regulations 2021 .

Furthermore, information on the UK Government website signposts to Scottish guidance and UK wide employers are reminded to keep in mind their employees needs to abide by regulations and guidance published by the employee’s local administration.

We recognise the pandemic’s impact on the economy and businesses across a wide range of sectors. So far, the Scottish Government has provided £79.3 million directly to taxi and private hire drivers and operators in response to the pandemic. Further support of up to £28 million was announced on 5 January 2022 from within the £375 million package of funding announced on 21 December 2021, bringing total support for the sector to over £107 million. The Scottish Government is also calling on the UK Government to re-introduce schemes such as the Self-Employment Income Support Grant in order to make further support available. We work closely with delivery partners to make payments to eligible businesses at the earliest opportunity, which is of course our established approach.

We know that recent energy price rises will cause people to worry. My foremost concern is for households affected by these price rises, particularly those who are in or at risk of fuel poverty. It is worth noting that the setting of tariffs in the gas and electricity markets is reserved to the UK Government and subsequently we have called for action from the UK Government to address these issues. We are committed to using our available powers to support consumers however, that is why we are making £10 million available to help people struggling with their heating costs this Winter.

I would also encourage anyone struggling with their energy bills to get in touch with Home Energy Scotland for advice on how to reduce their fuel costs.

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

The review of SPS’ Gender Identity and Gender Reassignment policy is taking place in two main stages. The first stage involves an in depth analysis of evidence that has emerged since the existing SPS policy was introduced. This work is underway and will directly inform the development work for the next stage.

The second stage is a series of discussions with key stakeholders which will involve:

• engagement with prison staff who have experience of working with transgender persons in Scotland’s prisons, commencing December 2021.
• a series of interviews with transgender persons in prison, commencing January 2022.
• a survey of individuals living in custody across establishments in Scotland, commencing February 2022.
• an invitation being extended to identified stakeholders for one to one discussions with SPS between February and May 2022. This will include invitations to organisations representing communities of interest and identity.

In tandem with stakeholder discussions, the current policy will be available on the SPS website to invite comment and feedback from other interested parties. The full analysis of stakeholder feedback and evidence and a refreshed policy position is expected to be concluded in 2022.