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Research into the implementation of the Environmental Protection (Single-use Plastic Products) (Scotland) Regulations 2021 is underway and is scheduled to be published in early 2025. The findings of this research will include both qualitative and quantitative data which has been gathered from stakeholders from across the single-use items value chain.

There is already existing discretion within NHS arrangements for dentists to charge patients for late cancellations and missed appointments, in accordance with their business need.

As circumstances may vary considerably between practices with respect to demography, registered patient numbers and other key determinants for the viability or necessity of additional charging, it would not be appropriate to implement a national policy on such matters.

In order to ensure the efficient and timeous processing of dental payments to contractors all claims require to be submitted for payment within 3 months of the completion date of the claim.

This reflects the period from the closure of the claim for the care and treatment undertaken. As this requirement is widely understood within the sector there are no plans to review this.

Our Cancer Strategy for Scotland 2023-2033 makes clear that Mental Health Support forms part of an individual’s basic care. Individuals requiring support should have access to this at the point of clinical need.

To help understand the demand and capacity for cancer related psychological care and support, a national scoping exercise was conducted as part of a Macmillan Psychology and Support Project with findings published in November 2024. The findings are being considered by Scottish Government.

We also published the Psychological Therapies and Support Framework for People Affected by Cancer to support Health Boards in considering the services which should be available to those affected by cancer, including psychological support.

The Framework includes quality statements and self-assessment tools for organisations providing support to benchmark themselves on an annual basis and develop local action plans as appropriate. The benchmarking exercise was carried out across Scotland for the first time in 2024 with Regional Cancer Networks coordinating the activity and Scottish Government looks forward to receiving findings.

There is ongoing engagement with the Nordic countries on a wide variety of policy issues which deliver against the commitments in Scotland’s International Strategy and the Scottish Government’s Priorities for Scotland. For example: officials are working to develop opportunities for policy learning and exchange with Sweden on forestry and peatland restoration, while collaboration with Denmark is proving pivotal to informing the Scottish Government’s approach to digitisation and health reform. Scottish Government officials benefit from working closely with colleagues from Scottish Development International, who are based in the Nordic Office. Integrated working between the two teams has led to the first Space Scotland Summit which can be linked to £2 million of exports.

We must ensure our children and young people learn about the issues affecting their daily lives, including consent and healthy relationships. The concerns raised by the Young Women's Movement and NSPCC around the consistency in delivery of RSHP education highlight the need for us to ensure we get the revision of the RSHP guidance right.

However, that should not restrict the professional judgement of our teachers who are able to use a range of resources to deliver age-and-stage appropriate education on consent and healthy relationships in a way that enables children and young people to make informed decisions about their lives. That can include using the excellent resources developed by the Young Women's Movement through their Young Women Know campaign.

As confirmed in the latest Programme for Government, we will implement the Curriculum Improvement Cycle (CIC), with work already underway on a number of curricular areas, including health and wellbeing. The CIC introduces a systematic approach to ensure that Scotland's curriculum remains relevant, forward looking, clarifies knowledge and ultimately support high quality teaching and learning. We will ensure this important work aligns with the work to update the RSHP teaching guidance to help ensure consistency in delivery of learning and teaching.

Practitioner training data is currently available up to 31st October 2023 for Level 1 training and to 31st August 2023 for Level 2 training. The next tranche of training data will be available after summer 2025.

Table 1 provides data on the number of frontline staff trained in Level 1 of Distress Brief Intervention where initial compassionate support is provided and referral takes place.

Table 2 provides data on the number and distribution of third sector staff trained in Level 2 of DBI where support is provided for a period of up to around 14 days.

In addition to the training by health and social care partnership area provided in the tables below, an additional 562 frontline staff have been trained in Level 1 through the DBI National Pathways (NHS 24 and call handling centres operated by Scottish Ambulance Service and Police Scotland). This additional data covers training to NHS 24 (up to March 2024), Scottish Ambulance Service (up to December 2022) and Police Scotland (up to March 2024). For Level 2, there have been 32 practitioners trained for the National Pathways.

The DBI programme was rolled out in stages which means that areas which opted in earlier may have higher numbers of practitioners trained than those who opted in later, though health and social care partnership population and demographics will also play a role.

Table 1 - DBI Level 1 Staff Training estimates

Since April 2021 the Scottish Ballet has undertaken the following number of productions in Scotland and in the Highlands and Islands:

Given the pace of change and developments in the digital landscape, the SPCB reviews its communications channels on an ongoing basis. Considerations include extent of reach and levels of effective audience engagement, ethical considerations linked to impartiality, and effective use of resources. Content strategies and how channels are managed are reviewed and adapted regularly. Given the need for us to provide impartial services, decisions on whether the Corporate Body remains active on a channel or not are informed by data and evidence. While recent changes to X and developments are being monitored, the Parliament does not have immediate plans to stop using it. Our combined following on this channel is over 245,000, and we still therefore consider it to be a viable channel for us in terms of our ability to reach a mass audience quickly and to raise awareness of the work of the Parliament.

As well as X, the Parliament has a presence on a range of other digital channels including Facebook, Instagram, LinkedIn and YouTube.  It also has a presence on Threads and is planning to run a 6-month pilot on Bluesky. Bluesky is a relatively new social media channel that looks and feels very much like X but is based on a very different operating model. During the pilot we will be increasing our understanding of this emerging platform and exploring its potential for public engagement. At the same time, we will also be monitoring how the more recent changes introduced at Meta might impact on how we use Facebook, Instagram and WhatsApp.

(a) As set out on 22 January 2024 in response to question S6W-24720, the Scottish Government has established an Expert Group to lead on scoping work to consider and provide recommendations on how Scotland will work towards reaching the targets set by the World Health Organisation (WHO) to eliminate Cervical Cancer.

As well as the Expert Group itself, three subgroups have been established to support the Expert Group in considering and analysing data on specific topics (vaccination, screening and cancer treatment).

The sub groups held inaugural meetings in September, and discussions are ongoing to inform recommendations on how Scotland will progress towards Cervical Cancer elimination and when this could potentially be achieved. These recommendations will be considered by the Scottish Government.

(b) The Scottish Government recognises the importance of HPV vaccination and screening.

(i) The latest published HPV vaccination uptake data from PHS shows that pupils living in the most deprived quintiles had lower coverage of the HPV vaccine compared with pupils from the least deprived areas. We are working with Public Health Scotland (PHS) and territorial Health Boards to consider what further actions can be taken to increase vaccination uptake, support those eligible for vaccination, and to address any inequalities in accessing immunisation services. Reducing vaccine inequalities is one of the three primary objectives in PHS’s recently published Scotland's 5-Year Vaccination and Immunisation Framework and Delivery Plan.

Completion of consent forms is required to participate in school vaccination programmes. We therefore welcome the return of the PHS marketing campaign, “chat.sign.protect”, which builds on the messages of last year’s campaign to raise awareness of vaccines offered in secondary school and encourage an increase in the numbers of parents and young people giving consent to be vaccinated.

Timed to coincide with the distribution of informed consent materials to young people, the campaign aims to increase understanding of why these vaccines are important, and the seriousness of the diseases they protect against, and encourages parents and carers to take action and sign consent forms to ensure our young people receive the protection offered by immunisation.

Addressing the inequalities in HPV uptake and maximising the opportunities for young people to receive the vaccine is a primary focus of the Cervical Cancer elimination work.

(ii) The Equity in Screening Strategy, combined with an action plan, was published on 27th July 2023. The vision of the strategy is for access for all eligible individuals, across the full screening pathway. The Strategy launched alongside the Equity in Screening Network which supports the strategy by capturing local and third sector research activity and allows individuals that work across screening to share evidence, best practice and learning around screening inequalities.

Several national projects are being supported by the Inequalities Fund of £1 million. This includes changes to national IT systems to improve engagement with participants. Research and learning from past projects has shown some ways to increase access to screening and uptake, including appointment reminders and targeted follow-up with non-responders.

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