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As part of the reception process into prison, everyone has a consultation with an NHS healthcare professional within 24 hours of arrival, using a nationally agreed admission process.

Public Health Scotland (PHS) is currently in the process of updating its guidance on opt-out testing for blood-borne virus (BBV) in prisons with the intent to publish a revised document in the coming months. This updated guidance will recommend routine opt-out testing for new admissions and check and test for transfers between establishments. PHS is taking a cross-programme approach to opt out testing for BBV in prisons, and other justice settings, and works with Alcohol & Drug Partnerships, prisons, police custody and the national justice networks to ensure a coordinated approach.

In addition the Medication Assisted Treatment (MAT) standards include a requirement for opt-out testing in justice settings (including prisons) and PHS will gather intelligence on local policies and pathways for opt-out testing in prisons as part of an improvement approach to help implement the standards. The MAT programme will also publish a toolkit for the implementation of the MAT standards in justice settings and this will complement the BBV opt-out testing guidance.

As outlined in the Terms of Reference, the Expert Group is considering the appropriate gestational limits for abortion alongside grounds for abortion; pathways for patients; the data and information collected about patients accessing services; regulations; the right to conscientious objection for healthcare workers; and criminal offences related to having or providing an abortion. This is in line with the commitment made by the Scottish Government.

The Terms of Reference can be accessed online; Abortion Law Review Expert Group - gov.scot (www.gov.scot).

Whilst I understand that both cross border operators and ScotRail have no current plans to increase calls at Carstairs railway station, my officials will raise this issue at future meetings.

The Scottish Government has received the report for a Single Building Assessment (SBA) based on the specification published on 21 June 2024 for one of the pilot entries. An invitation to tender has been issued to undertake SBAs based on the specification published on 21 June 2024 for a further twelve of the pilot entries.

Pilot works to mitigate or remediate risks have started for five of the pilot entries. Works in this context refers to any action taken to address known cladding-related risks, including Urgent Interim Measures. These numbers relate to known works on a pilot entry only, as developers or other organisations could have carried out works without informing the Scottish Government, and therefore the true numbers may be higher and could increase as further information becomes available.

Works to remediate risks have not been completed for any of the pilot entries. Although work on the external wall cladding system has been carried out on one building, a Single Building Assessment carried out to the standard to be specified by Scottish Ministers under section 32 of the Housing (Cladding Remediation)(Scotland) Act 2024 is required to ensure that all works required have been identified and completed ahead of being designated as complete.

We are aware that there are potentially a larger number of buildings in Scotland affected by cladding beyond those in the pilot phase. Full remediation of a building is a complex process encompassing, assessment, design, remediation, and assurance, with physical completion of work dependent on the entirety of any remediation design and the commercial capacity to undertake such work.

We are continuing to take steps to improve our understanding of the number and nature of these buildings (for example, whether they fall within the scope of the Cladding Remediation Act) and will collaborate with relevant authorities in considering the action required.

For many such buildings, taking forward assessment and any remediation required will be a matter for the relevant developer or other responsible body.

The regulation for the licensing, safety and efficacy of medicines is currently reserved to the UK Government and is the responsibility of the Medicines and Healthcare products Regulatory Agency (MHRA). Ivabradine is currently licensed in the UK for the symptomatic treatment of chronic stable angina pectoris, and the treatment of chronic heart failure.

The use of ivabradine for the treatment of postural tachycardia syndrome is an off-label indication (where the product licence does not cover the indication for which the medicine is being prescribed). Clinicians can prescribe medicines off-label, in line with local Health Board protocols where they consider there would be significant clinical benefit for an individual.

Decisions on whether to prescribe a medicine are based on an individual’s needs and are a matter for the clinical judgement of the prescribing clinician in consultation with the individual (and where appropriate their parent/s or guardian/s), informed by advice and guidance about the medicine.

In 2019, Scotland committed to the ambitious goal of eliminating HCV as a public health concern five years ahead of the World Health Organization’s global target of 2030. Since then, we’ve seen considerable progress with major achievements across multiple indicators. Unfortunately the COVID-19 pandemic slowed the rate of progress, however we continue to work with NHS Boards and other services to press towards our shared goal of HCV elimination.

Public Health Scotland’s annual HCV surveillance report is scheduled for release on 3 December 2024 and we are working with PHS to assess our position against the indicators. We will provide an update on progress towards our elimination goal in due course.

There are no diagnostic tools, such as blood tests, currently available in NHS Scotland to assess brain tumours in primary care.

However, the new Headache Referral pathway can be used as a triage tool across Scotland based on presentation at General Practice. The pathway lists red flag symptoms that indicate the need for urgent and/or emergency assessment to exclude a secondary cause, such as a brain tumour, and is suitable for use within remote and rural settings.

Further to this, the National Centre for Remote and Rural Health and Care (NCRRHC) was launched in October 2023. The Centre is working in an efficient, innovative way with health and social care providers that serve all of Scotland’s remote, rural and island populations, aiming to improve the capability and sustainability of primary and community care-based service delivery.

The Scottish Government has received the report for a Single Building Assessment (SBA) based on the specification published on 21 June 2024 for one of the pilot entries in Glasgow.

An invitation to tender has been issued to undertake SBAs based on the specification published on 21 June 2024 for a further twelve of the pilot entries. Seven of which are in Glasgow and that are SG led. It is expected that these SBAs will be completed by the end of February 2025.

Pilot works to mitigate or remediate risks have started for five of the pilot entries. Four of which are in Glasgow. Works in this context refers to any action taken to address known cladding-related risks, including Urgent Interim Measures.

These numbers relate to known works on a pilot entry only, as developers or other organisations could have carried out works without informing the Scottish Government, and therefore the true numbers may be higher and could increase as further information becomes available.

Works to remediate risks have not been completed following recommendations within SBA Reports for any of the SG led pilot entries.

We have made significant progress in the last few months, including the passage of the Housing (Cladding Remediation) Scotland Bill and publication of the technical specification for the Single Building Assessment (SBA).

We will publish the SBA Standards this month which will set out the basis for assessment, remediation, compliance, and assurance in Scotland and commence the Act in January 2024.

We are aware that there are potentially a larger number of buildings in Scotland affected by cladding beyond those in the pilot phase.

We are continuing to take steps to improve our understanding of the number and nature of these buildings (for example, whether they fall within the scope of the Cladding Remediation Act) and will collaborate with relevant authorities in considering the action required.

For many such buildings, taking forward assessment and any remediation required will be a matter for the relevant developer or other responsible body.

The Finance Secretary wrote to the Treasury on 31 October seeking urgent clarification on the increase to employer national insurance contributions.

We are clear that this change must be fully funded so that there is no impact on our frontline services. Clarity must be provided before we set our budget in just a few weeks’ time. We also need clarity on whether funding will cover the full extent of organisations delivering public services.

We will continue to work with the hospice sector to consider opportunities to deliver pay parity with Agenda for Change for independent hospices.