Seòmar agus comataidhean

The Scottish Government has been engaging with Health Boards regarding their current position in relation to job offers and supply. Health Boards remain committed to maximising opportunities for new qualified nurses to find employment.

Mothers and Babies Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK), reports give us valuable insight into national and local rates of stillbirth and neonatal mortality. We expect all NHS Boards to carefully consider MBRRACE-UK reports, including their local reports, and undertake local reviews of services rated ‘red’ for stillbirth or neonatal death, and ensure that when deaths occur, any improvements are identified and acted on.

We will be writing to NHS Boards shortly to ensure that they have taken account of the MBRRACE-UK reports and to seek assurances in particular from Boards with higher-than-average rates that work is underway, or complete, to understand and learn from the possible factors which may have contributed to the reported increase.

The Scottish Government commissioned Healthcare Improvement Scotland to undertake a review to determine underlying causes of an increase in neonatal mortality in Scotland in 2021-22 and make recommendations for improvements in care.

The report, published in February 2024, found no evidence of systemic failures of maternity or neonatal care, unusual factors, or a cluster of any one factor that would account for the significant increase in neonatal deaths in 2021-22.

Following the publication, we are working with Healthcare Improvement Scotland and other partners on the recommendations of the review.

As the member is aware from previously submitted questions, most recently S6F-01607 on 8 December 2022, arrangements for setting water charges are set out in the Water Industry (Scotland) Act 2002, and the role of setting of annual price rises is primarily a matter for the Board of Scottish Water. During 2021-27, customers are protected by a cap on charges of CPI+2% as set out in the Water Industry Commission for Scotland’s Final Determination.

The answer to S6F-01607 is available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/official-report/search-what-was-said-in-parliament .

The Scottish Government remains wholly committed to supporting the development and deployment of CCUS, including the Acorn Project and the Scottish Cluster, including with up to £80 million in support. When we, the project and the Scottish Cluster, are provided with more details by the UK Government on the next stage of the process, timelines and funding, it will then be possible to assess when and how best to support the project with Scottish Government funding.

Drinking water quality is regulated by the Drinking Water Quality Regulator. The Scottish Environment Protection Agency monitors the water environment by assessing water quality and quantity.

Both regulators publish information on their websites about the compliance of drinking water quality and environmental water quality on their websites at https://dwqr.scot/public-water-supply/national-water-quality/ and https://www.sepa.org.uk/environment/water/

The regulatory regime for hydrogen in Scotland is a mixture of reserved and devolved powers and we continue to routinely engage with UK Government on a range of hydrogen policy matters including the regulation of and responsibility for the decommissioning of hydrogen production sites.

To achieve our hydrogen production ambitions, we must ensure that the regulatory framework for renewable hydrogen developments supports the scale-up of hydrogen at pace, whist protecting the environment and communities.

This is why the Scottish Government is working with the Scottish Regulatory Steering Group, comprised of key regulators, to assess the regulatory requirements for the development of the hydrogen sector in Scotland. This work with UK and Scottish regulators is designed to ensure that action is taken to address any identified issues and create a clear regulatory framework for the full life cycle of hydrogen projects, including the decommissioning of assets.

I refer the member to the answer to S6W-26620 on 25 April 2024 for information on the progress of installing CSO monitors.

Overflow data is being published on Scottish Water’s website at https://www.scottishwater.co.uk/Your-Home/Your-Waste-Water/Overflow-Event-Data . As new monitors are installed, more information will become available in line with commitments under the Improving Urban Waters Routemap.

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 .

The Scottish Government recognises the importance of ensuring equitable access to living kidney donation. All nine Renal Units in Scotland are currently supporting living kidney donation, with sixteen living donor co-ordinators in post across the Renal Units. In 2016, the Scottish Government supported the creation of the Living Donation Scotland Board, whose role, working with referring Renal Units and Transplant Centres, is to make it easier to access living donor kidney transplantation. The Scottish Government also supports the Renal Units in their work by hosting an annual event for staff to share good practice and learning.

In addition, the Scottish Government is taking a number of steps to make accessing kidney donation easier as set out in the Scottish Donation and Transplantation Plan: 2021-2026 . The plan makes clear that whilst it will not be feasible for everyone, the aim is to encourage all those who need a kidney transplant to consider and explore options for a living donor transplant as their first transplant.

To ensure that every recipient who would benefit from a kidney transplant receives standard information about living donation during transplant assessment, the Scottish Government provides living donor information packs and a range of resources through the Organ Donation Scotland website, including written information, video and clear pathway contact information access for recipients and donors. Annual living donation multi-media campaigns have also proven successful in increasing awareness for donors.

Finally, following a pilot project, the Renal Education and Choices at Home (REACH Transplant) programme was implemented in 2022. REACH Transplant is funded by the Scottish Government and has involved the appointment of both a REACH transplant programme lead and ten REACH Transplant nurses across Scotland, based in each Renal Unit. The REACH Transplant nurses work with local nephrologists to identify those at an early stage who may need a kidney transplant in the future. A visit is organised with the recipient and their support network in a place of their choice to provide information on living kidney donation and to support the recipient to discuss living donation. The aim of this tailored support and timely referral for living donor transplantation is to increase the likelihood of pre-emptive transplantation by overcoming barriers and ensuring equity of treatment choice.

Transplant patients can experience a variety of emotions following their transplant and as a result the Scottish Government recognises the importance of psychological and emotional support. In order to better understand patients’ experiences, the Scottish Government carried out a patient survey on organ transplant aftercare and support between September and December 2023, receiving 569 responses from patients in Scotland, including 192 from those who had received a kidney transplant. The survey asked about patients’ experience of psychological and emotional support both before and after transplant; about the sources of such support; about patients’ preference for where to receive this support; and about whether they had any further comments about what would have improved their experience.

The Scottish Government is currently analysing the responses to the survey with the intention of publishing the analysis by the end of the year. Working with the Scottish Donation and Transplant Group, which brings together key stakeholders, and NHS National Services Division as commissioners, the Scottish Government will consider whether further actions might need to be taken in this area and how best to ensure patients get what they need.