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

Any loss of life in the care of SPS is tragic no matter the circumstances.

The recently reviewed Death in Prison Learning Audit and Review (DIPLAR) process, supports our ability to improve and identify lessons learned following any death in custody.

We are also reviewing and overhauling our suicide prevention strategy, ‘Talk to Me’, supported by an independent expert review. We have implemented immediate measures identified following recommendations from Fatal Accident Inquires, including but not limited to mandatory observations of young people during their first 72 hours in custody.

Additionally, the implementation of SPS’ Alcohol and Drug Strategy, which was developed with partners, will compliment operational actions by using trauma informed practices to support those in our care who are affected by substance use.

We know that some patients have waited too long for treatment but we are committed to ensuring patients receive the care they need as quickly as possible and across various specialities we will deliver over 150,000 extra appointments and procedures in the coming year. Surgical procedures, including cataract surgery are subject to the Treatment Time Guarantee.

Whilst PHS data can be used routinely to identify the specialty of treatment, data at a procedure level is unavailable. The records are designed to collect coded information on the procedure that is planned for the patient, however this information is often either incomplete, lacking in essential detail and/or its accuracy cannot be assured. In addition, the procedure(s) that was planned may not always reflect the procedure actually performed after the patient was admitted for treatment. The latter is not captured through the national datamart. Consequently, PHS is not currently able to report accurately on waiting times to this level of detail.

Work is ongoing to support local surgical teams to increase efficiency and consequently the number of patients that can be treated across the cataract surgical pathway, in line with the Royal College of Ophthalmologists’ guidelines.

The Scottish Government commissioned the Centre for Sustainable Delivery (CfSD) to support an increase in surgical throughput across cataract only surgical sessions. CfSD’s clinically-led Cataract Specialty Delivery Groups (SDG) promote multidisciplinary team working, and supports local adoption of service improvement programmes.

This short life working group has supported several new and innovative pathway developments, some of which are now being successfully scaled up in a number of sites across hospital eye services, including: high volume cataract surgery in ring-fenced sessions, and delivering one cataract every 30 mins, as per Royal College of Ophthalmologists’ guidelines. In tandem with this, The National Eyecare Workstream is undertaking clinically led peer reviews which supports new and efficient ways of working and shares best practices across the country across a number of ocular sub-specialties, including cataracts.

In January 2022, the Scottish Government commissioned the Centre for Sustainable Delivery to establish the Scottish National Cataract Short Life Working Group to address current challenges in cataract surgery in Scotland.

This work has led to the publication of 'Improving the Delivery of Cataract Surgery in Scotland: a Blueprint for Success' which will support Boards to deliver high quality, high volume, specialist care.

This Blueprint builds on existing work that has already been done by the National Eyecare Workstream to:

• Embed recommendations from Health Board Ophthalmology Peer Reviews.
• Align with the Royal College of Ophthalmologists guidelines for training lists and high volume service lists.
• Acknowledge different models of service delivery from various sites across NHS Scotland.

Cataract Surgery Standards were published by Healthcare Improvement Scotland in December 2023. Cataract surgery standards – Healthcare Improvement Scotland

In 2025/26 we have announced over £200 million to reduce waiting lists and help support reduction of delayed discharge. This will contribute to additional ophthalmology procedures, alongside our National Treatment Centre programme which is delivering cataract surgery in NTC Highland and NHS Golden Jubilee University National Hospital.

The challenges that PFI contracts present at their expiry are understood within the NHS and a programme of work is underway to support Health Boards to manage them.

NHS Scotland Assure and the Scottish Futures Trust have a joint Specialist Support Team to assist Health Boards with management of their PPP contracts.

End of contract is a major focus of the team’s work with a role dedicated to this work since 2021.

This includes handback readiness reviews of contracts expiring in 7 to 10 years.

Although, it is the statutory responsibility of local authorities to manage their school estate, we expect them to provide safe learning environments for all school users.

If there were concerns raised to Scottish Fire and Rescue Service (SFRS) regarding perceived high levels of risk to life from fire, the SFRS would undertake an urgent audit and ultimately could, if necessary, prohibit the use, or parts, of a school until the situation was satisfactorily rectified.

Police Scotland commenced its rollout of body worn cameras on 26 March 2025. Dealing with the footage submitted as evidence to the courts is an operational matter for SCTS. The Scottish Government continues to support the roll-out of the Digital Evidence Sharing Capability programme and if any additional resource requirements are identified this will form part of the normal budget setting process.

CalMac make every effort to avoid cancellations due to technical breakdowns, but it is impossible to completely remove the risk of this happening in technically complex vessels.

Between 2015 and 2024 CalMac have operated over 1.5 million sailings, with 5.2% cancelled. Of those cancelled sailings, 22% were for technical reasons and 62% were related to weather.

The arrival of 13 new vessels by 2029, which started with MV Glen Sannox in January this year, will help improve connectivity and resilience for island residents, businesses, and communities. These new vessels should be able to operate in more challenging weather and sea conditions and will also improve accessibility and route flexibility. Communities and services will also benefit from the provision of shore power upgrades and enhanced port facilities.

The reuse of surplus materials from rail projects is an issue for the asset owner. Where such materials are owned by Network Rail (as opposed to private contractors), these materials are utilised for future enhancement and renewals projects reducing the cost of these works.

Scottish Parliament officials will consider the viability of this proposal by assessing demand through our next retail survey for Members later this year. Officials will also consider how the Scottish Parliament’s Corporate Identity is used on the products suggested, as its use is restricted because it contains a heraldic device.

Our previous 2024-25 Programme for Government, published in September 2024, committed to delivering around 20,000 extra orthopaedic, ophthalmology and general surgery procedures annually in our new National Treatment Centres.

The most recent Programme for Government 2025-26, published in May 2025, has a further commitment of delivering more surgical procedures in our network of National Treatment Centres – to over 30,000 planned procedures, up from 20,000 in 2024-25. This commitment is also outlined in our NHS Scotland Operational Improvement Plan published in March 2025.

These commitments are specifically focused on optimising the use of our network of National Treatment Centres (NTCs) located across Scotland.