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We recognise that more must be done to reduce inequalities in health outcomes for women, to improve information and support for women to manage their health, and to reduce the stigma associated with menstrual health, and conditions such as PCOS.

In August 2021 we published our Women's Health Plan . As part of the Plan’s commitment to improve information and support for women we are working to build a comprehensive women’s health platform on the NHS Inform website. That work began recently with two information campaigns, the first of which included information about periods Women's Health | NHS inform . The next phase will focus on menstrual health and wellbeing and will launch by Spring 2022.

Our aim is for all women to have access to high quality and appropriate information and support throughout all stages of life. This includes raising awareness of women’s health conditions widely, including amongst healthcare practitioners to improve access to information on menstrual health, management options and improve access to appropriate support, speedy diagnosis and the best treatment options.

The Woman’s Health Plan further commits to establish a Women’s Health Research Fund with the aim of closing gaps in scientific and medical knowledge in women’s health. The exact cause of PCOS is unknown and applications for research funding for PCOS (including research into the underlying causes, diagnosis, prevention, disease-modifying treatments, care pathways etc.) are welcomed by the Chief Scientist Office.

The Centre for Sustainable Delivery, based at the NHS Golden Jubilee, plans to develop a pelvic pain pathway in 2022 that will improve how women access care and support for conditions such as PCOS in Scotland. This will place importance on equipping GPs with materials and access to specialist advice to inform early diagnosis and intervention, and onward referral to specialist support for physical and psychological symptoms.

In 2021-22, we increased our Primary Care Fund from £195 million to £250 million, which includes support for the new GP contract and for wider Primary Care reform. Our Programme for Government also announced primary care spend will be increased by 25% over the course of this Parliament. Over half of all frontline health spend will be invested in community health services that will ensure more care for people with conditions such as PCOS in a place and way that meets their needs.

(a) In terms of Scottish Government support, we have set out our commitment to people with a learning disability, including those with Down’s Syndrome, and their families through the Keys to Life Learning Disability strategy and the Towards Transformation Learning Disability and Autism Plan . Both plans focus on outcomes intended to ensure people with a learning disability live healthier lives, enjoy choice and control over the services they use, and are supported to be independent and active citizens.

To this end, we have committed to introducing a Learning Disability, Autism and Neurodiversity Bill as part of the Programme for Government. This Bill will ensure that the rights of people with Down’s Syndrome, among others, are respected and protected. Additionally, we will create a Learning Disabilities, Autism and Neurodiversity Commissioner to champion the new law.

The Scottish Government works closely with a range of third sector partners and funds Down’s Syndrome Scotland as delivery partners in achieving the Keys to Life Learning Disability strategy and the Towards Transformation Learning Disability and Autism Plan as well as to allow them to provide direct support to people with Down’s Syndrome and their families.

Additional funding was also awarded to develop changes in Down’s Syndrome Scotland’s programme of work during COVID-19 and supporting families through the pandemic and the recovery phase, including their vital helpline.

(b) Whilst the Scottish Government has overall responsibility for health and social care policy in Scotland, it is for the regional health & social care partnerships to determine the level of services that are required to meet local needs and to arrange an appropriate and suitable range of services to meet these local needs, as mandated under statute in the Public Bodies (Joint Working) (Scotland) Act. The Scottish Government expects that the needs of people with Down’s Syndrome are identified, acknowledged and met, ensuring positive outcomes are achieved.

Lateral Flow Devices (LFDs) used in the National Testing Programme are routinely evaluated and reviewed to detect early signals of changes in performance with emerging variants to ensure they can detect new variants of concern as soon as possible after they are identified.

LFDs that have passed validation at UKHSA Porton Down are currently being assessed against the Omicron variant, with priority being given to the LFDs currently deployed in the UK National Testing Programme.

LFDs used in the National Testing Programme have been evaluated against, and successfully detect the Delta variant, which is currently the dominant variant in Scotland.

Shooting with lead shot over wetlands has been banned in Scotland by the Environmental Protection (Restrictions on the use of lead shot) (Scotland) (No. 2) Regulations 2004. This was achieved before current GB-wide chemical safety regulations were in place. Both NatureScot and Forestry and Land Scotland have committed to ending the use of lead ammunition to shoot deer on Scotland’s national forests and land over the next five years, and non-lead ammunition is used in approximately 95% of circumstances.

Work is ongoing under the restriction mechanism of the UK Registration, Evaluation, Authorisation and restriction of Chemicals (REACH) Regulation, that operates across England, Scotland and Wales, to produce a restriction dossier for lead in ammunition. This is the first step towards potential future GB-wide legislation.

The restriction dossier, which will be published in April 2022, will propose options for consolidating and extending the current national bans. Once published interested parties can submit comments on the dossier to the UK Chemicals Agency. The UK Chemicals Agency will then form an opinion on the most suitable restriction option and its timing for introduction based on control of risks to the environment, socio-economic factors and comments received, before April 2023.

The Agency’s opinion is then communicated to UK Government and the Devolved Administrations for a decision, which can only be made with the consent of Welsh and Scottish Ministers. Legislation would follow through powers included in the UK REACH regulation.

There is no system of coroners' inquests in Scotland unlike England, Wales and Northern Ireland.

The responsibility for the investigation of any death that requires further explanation rests with the Crown Office and Procurator Fiscal Service. Any sudden, suspicious, unexpected or unexplained death and any death which has occurred in circumstances which give rise to public concern, can result in a Fatal Accident Inquiry (FAI) a public examination of the circumstances of that death conducted before a sheriff.

Legal aid is available for relatives participating in an FAI on the same basis as for civil proceedings and the same statutory tests must be met.

Civil legal aid has generous financial eligibility thresholds and those who are entitled to participate in an FAI, such as family, are assumed to have probable cause. In terms of assessing ‘reasonableness’ the Scottish Legal Aid Board expects that the Procurator Fiscal will usually be able to represent the interests of the relatives. However, where a relative of a person who died in prison or police custody applies, SLAB will look favourably on the application.

SLAB holds data in respect of applications from 2012 only. In respect of FAIs I can confirm that since 2012 there has been a total of 134 applications received, of which 111 were granted. That is a grant rate of approximately 83%.

In the financial year 2012-13 90% of applications received were granted.

In the financial year 2013-14 78% of applications received were granted.

In the financial year 2014-15 71% of applications received were granted.

In the financial year 2015-16 93% of applications received were granted.

In the financial year 2016-17 88% of applications received were granted.

In the financial year 2017-18 87% of applications received were granted.

In the financial year 2018-19 79% of applications received were granted.

In the financial year 2019-20 81% of applications received were granted.

In the financial year 2020-21 86% of applications received were granted.

Legal aid is currently available to meet the costs of mediation where appropriate. Again, interaction between mediation and legal aid is a matter that will be considered a part of development of a Bill and I refer to my response to
‎ S6W-04609 on 8 December 2021. In the meantime, the Scottish Government is actively working with stakeholders to expand the availability of mediation and arbitration services within the civil justice system to give our citizens, businesses and organisations access to flexible, affordable and less stressful means of settling disputes, benefitting them and saving time in courts.

The Scottish Government is making available £2.332 million to the Scottish Legal Aid Board in 2021-22 to support projects offering in court expert advice and representation to help people tackle and resolve a wide range of problems including debt, housing, homelessness and small claims court actions.

The Scottish Government is also making available £100k to Scottish Mediation and £115k to the Scottish Arbitration Centre in 2021-22 to promote and expand the provision of Mediation and Arbitration services in Scotland.

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

Substance misuse services (often catering for drugs and alcohol misuse) are accessible either by open access or through GP referral to these services for review and support. These vary across Health boards with regards to support and resource available and mode of initial access.

This information is not held centrally.

We currently provide £42 million annually to local authorities through the flood component of the general capital grant. We are committed to providing an extra £150 million to the flood component over the next five years. This is a 70% increase to the flooding budget from £210 million to £360 million. We are working with SEPA and local authorities to decide the best way of allocating this additional funding.

A portion of the current flood component allocated to the City of Edinburgh Council can already be used for projects to reduce surface water flooding. SEPA prioritise flood risk management actions across Scotland every 6 years. 80% of the current funding is set aside for 40 large scale flood protection schemes, and 20% is divided amongst the 32 local authorities for other actions to reduce flood risk, including from surface water. A number of local authorities are undertaking studies to identify why surface water flooding is a problem in a given location and how it might be resolved.

SEPA are currently prioritising new flood risk management works based on information submitted by local authorities for the period 2022-2027. A number of surface water schemes or works have been put forward as part of this process.

Ministerial decisions will be informed by the recommendations of the joint Scottish Government/COSLA working group that is currently considering these issues.