Seòmar agus comataidhean

I refer the member to the answer to question S6W-26499 on 23 April 2024. 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 .

Cancer remains a national priority, within the Scottish Government and across NHS Scotland, with urgent suspicion of cancer referrals continuing to be prioritised, this is reflected in the fact that more people with cancer have been treated on both the 62 and 31 day pathways this quarter alone, compared to the same time pre-pandemic. NHS Boards have provided 62 day performance improvement plans, detailing what is being done at local level to drive improvements backed by £11.3 m investment.

In addition we are committed to reducing inpatient and day-case waiting lists by an estimated 100,000 patients over the next three years, backed by planned investment of an extra £100 million annually, subject to the annual Scottish Budget process.

An initial investment of £30 million can now be funded and will target reductions to the national backlogs that built up throughout the pandemic, including orthopaedics treatments, diagnostics for cancer referrals and patients with the longest waits. This will enable NHS Scotland to maximise capacity, build greater resilience and deliver year-on-year reductions in the number of patients who have waited too long for treatment.

It is reassuring to note that once a decision to treat has been made people wait on average 5 days to receive treatment. However we continue to see an increasing number of eligible cancer referrals and our priority is to ensure these people receive cancer diagnosis and treatment safely and based on their clinical urgency.

While suspected cancer patients are always prioritised there are capacity pressures on diagnostic services. This is why we have published a £70m Endoscopy and Urology Diagnostic Recovery & Renewal plan, which includes a commitment to develop a network of Urology Diagnostic Hubs which will help reduce waiting times for people with cancer.

We have also provided three permanent CT scanners to support core capacity within Boards, including a mobile CT pod. In addition, one further mobile CT and seven mobile MRI scanners are being used across multiple NHS Boards to provide additional capacity with plans underway to further increase activity.

The Scottish Government remains committed to improving the A96. This is despite stark challenges we face as a result of the severe budgetary restrictions imposed by the UK Government including an almost 9% cut in our capital budget.

The current plan is to fully dual the route and as part of this process we are undertaking a transparent, evidence-based review of the programme.

The significant interest in the review’s initial consultation, with nearly 4,600 responses, generated 11,000 options to improve the corridor. It is only right that it has taken more time than originally anticipated, in order to properly examine and fully appraise these.

It is expected that the draft outcomes from the Review will be consulted on in the coming months, before a final decision can be reached.

The provision of infrastructure and equipment at any incident to ensure decontamination is entirely a matter for the Scottish Fire and Rescue Service.

The safety and wellbeing of firefighters is a priority for both the Scottish Government and for the fire service.

The regulation for the pricing and supply of medicines is reserved to the UK Government. Scottish Government officials worked closely with their counterparts in the UK Government during the 2024 Voluntary Scheme for Branded Medicines Pricing, Access and Growth (VPAG) negotiations with the pharmaceutical industry, however, the devolved administrations were not included in the formal negotiations.

Commitments made on medicines and pharmaceutical manufacturing sustainability in the 2024 VPAG can be found in section 7.11 to 7.14 here: 2024 Voluntary Scheme for Branded Medicines Pricing, Access and Growth (publishing.service.gov.uk) .

The safety and security of people’s data, and the running of NHS services is of the upmost importance. The NHS in Scotland and across the UK successfully defends itself against attacks on its IT infrastructure on a daily basis, demonstrating resilience to the threats faced.

An Implementation Delivery Group has been set up which has held two meetings on 21 February and 20 March 2024, with a third meeting scheduled for the end of April.

Membership of the Implementation Delivery Group consists of representatives from clinical services, third sector and lived experience, under the chairmanship of Jim Miller, the Chief Executive of NHS 24.

Excessively long waits are, of course, unacceptable. We are working hard to drive down the longest waits, which have been exacerbated by the impacts of the global pandemic, to ensure all people receive the treatment they need as soon as possible.

The commitments set out in our £1bn NHS Recovery Plan support an increase in inpatient, day-case, and outpatient activity through the implementation of sustainable improvements and new models of care, and NHS Scotland’s Centre for Sustainable Delivery (CfSD) is working with Health Boards to ensure that they are able to continually identify new ways to increase capacity, and to respond to demand through service innovation and redesign.

CfSD programmes have developed strong clinically-led Specialty Delivery Groups (SDG), including one for General Surgery which is currently focused on Inguinal Hernia, Biliary Disease, and Emergency Laparoscopic and Laparotomy Scottish Audit (ELLSA) pathways.

SDGs promote multidisciplinary team working, and support local adoption of service improvement programmes and have supported several new and innovative pathway developments, many of which are now being successfully scaled up across Scotland, including Active Clinical Referral Triage (ACRT).

The NHS Golden Jubilee also continues to provide Health Boards, including NHS Lanarkshire, with capacity for key elective services, such as General Surgery, with patients treated on the basis of their clinical priority and length of wait.

Updated guidance on the use of mobile phone technologies in schools will be published in the coming weeks. The current guidance to education authorities and schools on this issue remains available from Guidance on Developing Policies to Promote the Safe and Responsible Use of Mobile Technology in Schools (www.gov.scot).