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The National Cancer Plan, published on 9 December 2020, includes 68 actions and has been backed with up to £114.5 million. This includes a flagship innovation of the introduction of Early Cancer Diagnostic Centres (ECDC), with three Early Cancer Diagnostic Centres (ECDC) already established in NHS Scotland this year. The Centres provide primary care with a new referral route for patients with non-specific symptoms suspicious of cancer (i.e. weight loss, fatigue, nausea), which don’t meet site specific Scottish Referral Guidelines for Suspected Cancer. The Clinical Lead for two of the Centres are Haematologists, reflecting the role that this new model can play in diagnosing blood cancers in Scotland.

The establishment and implementation of ECDCs are overseen by a national oversight group, of which the Scottish Cancer Coalition (that includes blood cancer charities) has representation on.

Officials are currently in discussion with the Blood Cancer Alliance to arrange a meeting in the new year, to explore how further improved outcomes for patients diagnosed with blood cancers can be achieved.

In line with the principle of producer responsibility, Circularity Scotland Ltd (CSL) is a private company, established by industry to lead on delivery of Scotland’s Deposit Return Scheme (DRS) as scheme administrator. As an independent, industry-led organisation, CSL’s procurement decisions are not a matter for the Scottish Ministers.

Producers of in-scope drinks are responsible for having their scheme packaging collected from return points free of charge from the full implementation date for DRS, either directly or through a scheme administrator. Industry is therefore liable for delivery of DRS by the full implementation date whether or not a scheme administrator is in place by that date. Until and unless amended by the Deposit and Return Scheme for Scotland Amendment Regulations 2022, that date is set in regulations as 1 July 2022.

The Scottish Government’s commitment to the early diagnosis of cancer is reflected in the £44m Detect Cancer Early (DCE) Programme. The NHS Recovery Plan – published August 2021 – commits an additional £20m for the DCE Programme, to provide greater public awareness of signs and symptoms of cancer and supporting the development of optimal cancer pathways to improve earlier diagnosis rates. Research will be undertaken in the coming months to better understand the possible barriers and levers to early diagnosis that any new DCE campaigns should focus on.

An overarching DCE social marketing campaign 'Survivors' was previously developed in close consultation with the Scottish Cancer Coalition in 2018. The campaign aimed to reduce fear around cancer and empower people to take early action, be it visiting their GP practice or attending screening when invited. To coincide with the campaign, a symptom-checker tool was developed on DCE’s website (getcheckedearly.org) to raise awareness of the early signs and symptoms of cancer, including blood cancer.

The Scottish Government continues to work with Health Boards, Community Pharmacy Scotland and other stakeholders across the sector to address any challenges faced by temporary closures of community pharmacies.

The Chief Pharmaceutical Officer has committed to putting together a workforce forum which will meet in early 2022. The forum will look at the workforce challenges and bring together stakeholders from pharmacy education and pharmacy service provision to set a strategic workforce plan for the profession.

We are working with owners and representatives to fund the Single Building Assessments in the pilot phase. All £97.1m received in consequentials will be spent on assessments and cladding remediation over the lifetime of the programme.

Transport Scotland has undertaken to evaluate the Young Persons’ Free Bus Travel Scheme following the first full year of operation. The evaluation will assess the short, medium and long term impact of the scheme by comparing conditions at different stages.

Baseline data collection is under way, including an online survey with children, young people and parents, secondary data collection, and assessment of travel behaviour, attitudes and perceptions of travel prior to the scheme’s starting on 31 January 2022.

During the first year of operation, short term outcomes such as uptake of entitlement and travel behaviour will be evaluated. This will be followed by a more thorough evaluation following the first full year of operation which will assess medium and long term outcomes such as changing travel behaviour and improving access to education, training and employment.

Further evaluations are planned to take place periodically to ensure that the scheme is meeting its stated objectives and offers public value.

The information requested regarding whether the Health and Safety Executive (HSE) has invoked a Divisional Major Incident Response Plan, in relation to deaths due to hospital associated infection at the Queen Elizabeth University Hospital, is not centrally held by the Scottish Government.

Health and safety at work is a reserved matter. HSE has confirmed that the issues raised with them did not meet the criteria for a ‘Divisional Major Incident’ as outlined in their published response plans og-00076-appendix-4.pdf (hse.gov.uk) .

The information requested regarding whether the Health and Safety Executive (HSE) has carried out any investigation into deaths due to hospital-acquired infection at the Queen Elizabeth University Hospital is not centrally held by the Scottish Government.

Health and safety at work is a reserved matter. HSE has confirmed that their published policy is generally not to investigate hospital acquired infections Who regulates health care (hse.gov.uk) . They have not investigated deaths at the Queen Elizabeth University Hospital that may have been caused by a hospital associated infection.

HSE did however carry out an investigation into concerns raised with them in December 2019 about the ventilation within two wards at the Queen Elizabeth University Hospital and the control of legionella in water systems across the hospital.

HSE was satisfied with the control of legionella but wrote to the Chief Executive of Greater Glasgow Health Board/NHS Greater Glasgow and Clyde requesting improvements to the ventilation systems. An Improvement Notice was served in relation to the ventilation system within Ward 4C.

Further information is available on the NHS GGC webpage: https://www.nhsggc.org.uk/about-us/media-centre/news/2019/12/hse-improvement-notice/ . The Improvement Notice is being appealed by the Health Board. However, HSE is satisfied that appropriate remedial action has been taken.

The lead investigators on the 9 projects funded through the long term effects of COVID-19 infection call were notified on 22nd December 2020 that their projects had been successful in obtaining funding.

Provisional funding letters were issued in January 2021, with the start of transfer of funds as per the payment profile dependent on the receipt by the Chief Scientist Office of a Start Certificate issued by the host institution Finance Office.

Start certificates were returned for all 9 projects, with confirmation of start dates for individual projects of between 01-02-21 and 01-05-2021.

Post award monitoring is through 6 and 12 month progress reports. In addition, a final report for each project is to be submitted on completion of the project. These final reports will be made publicly available on the Chief Scientist Office website.

The end dates for the 9 projects are:

COV/LTE/20/04 HUNT

28.02.2023

COV/LTE/20/06 PELL

28.02.2023

COV/LTE/20/08 SCULTHORPE

31.03.2023

COV/LTE/20/10 BERRY

31.01.2023

COV/LTE/20/15 SHEIKH

28.02.2023

COV/LTE/20/26 CARSON

31.03.2023

COV/LTE/20/28 LINDSAY

31.01.2023

COV/LTE/20/29 COOPER/DUNCAN

30.04.2023

COV/LTE/20/32 TORRANCE/GRANT

28.02.2023

For reference, details of the 9 above projects are available from the Chief Scientist Office website

Long Covid Call – Chief Scientist Office (scot.nhs.uk)

The Heat in Buildings Strategy confirms our intention to introduce – subject to consultation – regulations requiring Scotland’s homes and other buildings to meet EPC Band C equivalent, where that is technically feasible and cost effective. We also plan to regulate to ensure that buildings use zero emissions heating and cooling systems by 2045.

While the Strategy is clear that these regulations will apply to traditional and heritage buildings, we recognise that regulating and improving these buildings will present specific challenges and may require a bespoke approach. We will work with stakeholders including Historic Environment Scotland to consider what specific support and measures may be needed with respect to such buildings.

We plan to consult during 2022 on our proposals for regulating energy efficiency and zero emissions heating.