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The Scottish Government recognises that the ability to attract and deliver innovative clinical research studies is vital to improving healthcare and patient outcomes. We therefore welcome Lord O’Shaughnessy’s review into commercial clinical trials in the UK. We will engage with partners across the UK in the coming weeks to understand how we can work together to ensure the review’s recommendations are considered for Scotland.

The Scottish Government recognises that the ability to attract and deliver innovative clinical research studies is vital to improving healthcare and patient outcomes. We therefore welcome Lord O’Shaughnessy’s review into commercial clinical trials in the UK. We will engage with partners across the UK in the coming weeks to understand how we can work together to ensure the review’s recommendations are considered for Scotland.

Scottish Government’s Chief Scientist Office is fully engaged with UK partners, including the MHRA, on improving the clinical trials system across the UK. In addition to facilitating inputs from across the Scottish clinical research community to the MHRA’s recent public consultation on clinical trials legislation, officials are engaging regularly through cross-UK fora with MHRA and other UK partners to ensure that any updated regulations and their supporting guidance work well for Scotland, and as part of a streamlined, efficient, and innovative UK-wide clinical trials system.

The Scottish Government’s Chief Scientist Office invests through NHS Research Scotland in the Scottish Health Research Register and Biobank (SHARE) to support the recruitment of people into health research studies and clinical trials. SHARE is an expanding register of over 300,000 people who have expressed an interest in participating in health research and have agreed to be contacted about studies to which they might be suited.

Data produced by SHARE shows ethnic and socioeconomic distributions supportive of inclusive recruitment to health research studies. CSO is also funding an ongoing project by the University of Aberdeen looking at ways to improve ethnic diversity in clinical trials and to help trial teams recruit and retain ethnic groups in studies.

In addition, In February 2023, the Scottish Government published an independent report on Equity of Access to Cancer Clinical Trials in Scotland. The report contains 51 recommendations, with an Implementation Board established to prioritise these and develop an implementation strategy. While the report focuses on cancer clinical trials, many of the recommendations are relevant across the clinical spectrum.

Scottish Government’s Chief Scientist Office engages regularly with UK Government and agencies directly, and through cross-UK fora, on streamlining the clinical trials system across the UK. These discussions cover a range of topics, recently including post-pandemic growth, clinical trial regulations, research ethics review, and commercial trial costing and contracting – where Scotland’s already existing single price model for commercial research is informing work to realise a streamlined, standardised, UK approach.

The Scottish Government’s Chief Scientist Office invests through NHS Research Scotland in the Scottish Health Research Register and Biobank (SHARE) to support the recruitment of people into health research studies and clinical trials. People interested in participating in health research can register to SHARE in order to be contacted about studies to which they might be suited.

We have not undertaken an assessment of the impact of recent increases in mortgage rates on levels of fuel poverty among Scottish households.

National Statistics on fuel poverty use data on mortgage costs collected through the Scottish Household Survey, with the latest available figures being for 2019. Updated National Statistics on fuel poverty for 2022, incorporating mortgage costs for that year, are expected to be published in January 2024.

Given that our definition of fuel poverty uses a household’s after housing costs (AHC) income, it is likely that rising mortgage costs and/or rents will result in more fuel poor households.

The data we collect on mortgages does not include information on households' mortgage types, or on the time left before the debt is expected to be paid off. This makes it difficult to include changes to mortgages within the fuel poverty scenario modelling previously produced in relation to changes in the energy price cap and mitigation measures.

The most recent estimates produced using this scenario modelling approach suggest that, at the current energy price cap, approximately 850,000 households (34%) in Scotland will be in fuel poverty from July to September. This year we have tripled the budget for our Fuel Insecurity Fund to £30 million, which is there to support any household at risk of self-disconnection or self-rationing their energy use. We also continue to call on the UK Government to provide more targeted support.

Scottish Ministers issued National Directions on annual health checks, which state that the Scottish Health Check for Adults with Learning Disabilities documentation must be used in every health check. This documentation was tested and evidenced throughout the pilot phase and provides comprehensive best practice information and guidelines for practitioners, including on the specific health needs of people with Down’s Syndrome. This maintains the consistency and efficacy of each annual health check whilst also enabling practitioners to incorporate the specific health needs of each individual.

The Scottish Government has commissioned NHS Education for Scotland (NES) to support practitioners to complete annual health checks.

The Scottish Government continues to fund Down’s Syndrome Scotland to develop resources and accessible information about annual health checks for people with Down’s Syndrome, their families and carers, and for practitioners.

The Mental Health and Wellbeing Strategy was published on 29 June 2023, along with an Executive Summary and Easy Read version. A programme of stakeholder engagement will take place over the Summer on the accompanying Delivery Plan, with the intention of publishing it alongside the Workforce Action Plan in the Autumn. The Strategy is available online at Mental health and wellbeing strategy - gov.scot (www.gov.scot) .

St. Andrews House and Victoria Quay were illuminated in blue on 7 th July to mark Action Mesothelioma Day.