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Our Diabetes Improvement Plan contains a commitment to increase access to diabetes technologies such as closed loop systems for everyone who would benefit from these life changing therapies. The closed loop system is a new technology and the additional £14.6 million of funding that we have made available to NHS Boards in 2022 will help with its introduction, as well as increase access to existing technologies such as insulin pumps and continuous glucose monitors.

Our Diabetes Improvement Plan contains specific commitments to support increased access to diabetes technologies, with significant focus on equity of access to care and services. We expect clinicians and NHS Boards to follow all relevant clinical guidelines and provide anyone with type 1 diabetes with a closed loop system, if they are clinically suitable.

Whenever someone is issued with any diabetes technology device, including closed loop systems, specific training and education on how to use it will be provided by a diabetes specialist nurse. Training is given to the individual and/or their carer, who will also need to confirm that they are competent in its use.

Patients are also encouraged to contact their diabetes clinical team if they have any concerns around the device’s function and its use.

Patient education is also a key priority of our Diabetes Improvement Plan Refresh, published in February 2021.

Please see a breakdown of the available data for a) and b)

Waste Incinerated and electricity produced at MWIs 2018, 2019, 2020 and 2021

1. Waste incinerated by site (Tonnes)

The following data is from Waste Data Returns. Please refer to attached table which notes that the data below is higher for some sites than incinerated tonnages in Annual Reports made under the Permit.

We are committed to improving outcomes for people living with diabetes across Scotland. Our Diabetes Improvement Plan contains specific commitments to support increased access to diabetes technologies, with significant focus on equity of access to care and services.

Our national policy is to further increase access to diabetes technologies for everyone who would benefit from these life changing therapies, and we expect NHS Boards to provide insulin pumps and flash glucose monitors to all clinically suitable children and adults.

We are aware that children and adults from the most deprived areas are less likely to use diabetes technologies and we are committed to understanding the reasons for this. We are working in partnership with Diabetes Scotland and the Alliance to ensure that the needs of people living with diabetes are fully understood. In December 2021 we launched a lived experience network through the Alliance, to ensure that the experiences of those living with diabetes are taken into account when shaping policy. We are working to ensure that to the membership of this panel is as diverse as possible.

We will take targeted action to ensure equity of access across Scotland and share progress of this using data from SCI-diabetes.

Additional funding of £14.6 million was allocated to NHS Boards in January 2022 to support increased access to diabetes technologies, including closed loop systems.

The Scottish Government also provides baseline funding to NHS Boards and it is for individual Boards to determine how best to utilise this funding to meet the needs and priorities of their local populations. This includes offering closed loop system technologies to all those for whom they are deemed clinically appropriate.

The Scottish Government recognised the impact on businesses of measures to control Omicron including licensed clubs. As such they were eligible for hospitality funding including the Hospitality: December and January Business Support Top Up Fund and the Hospitality and Leisure: January Business Support Top Up Fund. These funds closed to applications on the 31 January 2022.

The treatment of biogenic carbon is detailed in Section 2.1 of the technical note to the report, which was carried out in line with Intergovernmental Panel on Climate Change (IPCC) methodology. Both the report and technical note are available on the Zero Waste Scotland website: The climate change impact of burning municipal waste in Scotland | Zero Waste Scotland .

There is no requirement for the direct measurements of CO2 via calibrated flow meters and calibrated CO2 CEMS in SEPA permits for municipal waste incinerators (MWI) in Scotland. The requested information is therefore not available either in total, or as a breakdown by proportion derived from fossil fuel and proportion derived from biogenic sources.

Permit holders are however required to report their annual CO2 emissions via the Scottish Pollutant Release Inventory (SPRI) and SEPA can therefore provide this data for the last reported year although this may include CO2 from additional sources to those from the incineration process eg. standby generators. This data can be found in SEPA’s SPRI data tool informatics.sepa.org.uk/SPRI/ . This is usually estimated using emission factors. There is no requirement in SPRI for MWIs to further breakdown their reported CO2 emission data into the proportions derived from fossil fuel or biogenic sources so this data is not available.

As per S6W-06417 answered on 28 February 2022 , measurement of CO2 emissions using calibrated flow meters and CEMS is not a current requirement in SEPA permits for existing MWIs.

All SEPA Permits for existing sites must comply with the requirements of the Waste Incineration BAT Conclusions (WI BATCs) by 3 December 2023. SEPA will review Permits for MWIs to ensure they will be compliant by the deadline. This will include the new requirement for a calibrated flow meter.

The calibration of CO2 CEMS is not required by the WI BATCs. However, as part of the BAT review process, SEPA will consider whether to include a requirement for calibration of CEMS for CO2 and reporting of CO2 mass emissions to align with the approach taken by the Environment Agency. Whether or not each MWI has an appropriate CEMS in place which is able to be calibrated for measurement of CO2 will be confirmed during the BAT Review for each Permit.

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

In line with the principle of producer responsibility, the operational costs to industry of discharging its obligations under the Regulations are not funded by the Scottish Government.