Seòmar agus comataidhean

NHS Grampian and Highland have put in place local governance and programme management arrangements and it is important to allow the Boards time to progress through these structures. They will provide me with an update on progress with implementation of the Joint Plan for an Integrated Maternity Model in the North of Scotland for the period March – June 2023 by the end of June. I gave a commitment to keeping Parliament updated on progress when I was asked this question in the Chamber on the 31 May and I reinforce that commitment.

Meeting of the Parliament: 31/05/2023 | Scottish Parliament Website

The national standards for the delivery of adult tier 2 and tier 3 weight management services require that weight management services should be provided to those above 18 years of age. There should be no upper age limit for people accessing these services.

In the interest of patient safety and the clinical effectiveness of the intervention, age limits may be set for more intensive interventions, based on published evidence.

In relation to more intensive weight management interventions, such as the type 2 diabetes remission programme of total diet replacement, the criteria set by the national clinical advisory group in relation to age is men and women aged 18–65 years. This was done in keeping with the protocol from the DiRECT clinical trial. The standards set out that exceptions may be made where appropriate.

The standards reference bariatric surgery because of the essential role of tier 3 weight management services in the preparation and progression for such surgery. However, as bariatric surgery is a tier 4 service, it is not within the scope of the standards. For bariatric surgery as a weight loss intervention, an upper age limit of 44 years is set for priority groups within the National Performance Forum Obesity Treatment: Best Practice Guide.

In all instances, NHS boards have responsibility for service delivery and patient treatment and make decisions to offer services based on clinical judgement and local needs.

The Scottish Government is committed to an infrastructure solution to address landslip risks at the A83 Rest and Be Thankful and shares the urgency communities and businesses place on maintaining and improving connectivity of this vital route.

The identification of the preferred route option through the Glen Croe valley on 2 June 2023 is a very important milestone in finding a solution to this long-standing problem. The proposed new debris flow shelter will help protect the road and road users from future landslides.

In developing the route options to improve the resilience and operational safety of the A83 and identifying the permanent, long term solution, early consideration has been given to the transportation of abnormal loads. Work is now being taken forward at pace as we move to the next stage of the project where we will continue to develop the design of the preferred option, the detail of which will be informed by consultation with a wide array of stakeholders, including with respect to possible abnormal load transportation requirements.

The Scottish Government has been clear that the UK Government's cruel Illegal Migration Bill should be withdrawn immediately. The proposals, if enacted, will unjustly harm some of the most vulnerable people in society by restricting access to support and assistance under the Human Trafficking and Exploitation (Scotland) Act 2015 for a person deemed within scope of the UK Bill.

We recognise and share the significant concern displayed across Scotland about the UK Bill. The Cabinet Secretary for Social Justice and Minister for Equalities, Migration and Refugees hosted a Summit on 22 June, focusing on our response to the Bill's likely impacts - including on potential victims of human trafficking. We will reflect on discussions at the Summit and continue our engagement with partners throughout Scotland.

The Scottish Parliament rejected the UK Bill during a debate on 25 April. We set out our intent to lodge a Legislative Consent Memorandum (LCM) on two clauses within the Bill which alter the executive competence of the Scottish Ministers. Following consideration, the Scottish Parliament has determined that it is not a relevant Bill for the purposes of Standing Orders Rule 9B.1 and has not accepted the lodging of the LCM.

Although an LCM cannot be lodged, the Scottish Government intends to facilitate an alternative debate motion to allow for Parliamentary scrutiny of the Bill. Scottish Ministers will also write to relevant Parliamentary Committees setting out the Scottish Government’s position on the Bill for the record and inviting consideration about the implications of the Bill for Scotland.

We continue to monitor the Bill closely as it is considered by the House of Lords.

Our refreshed Tobacco Action plan will be published in autumn in this year, which renews our focus on meeting our ambitious target of a Tobacco-Free Scotland by 2034.

We are considering a range of evidence, including the latest international evidence, and are working closely with stakeholders, including Smoking Cessation Co-ordinators, ASH Scotland, the Poverty Alliance, Trading Standards and PHS to deliver actions that will further reduce the smoking rates.

The Scottish Government is working closely with SEPA and the Farm Advisory Service (FAS) to communicate the risk of water scarcity to businesses who abstract water.

SEPA have been running a communications campaign since the start of May to encourage agricultural businesses and others to manage water wisely. This involves regular national and local press releases, media interviews, partnership with industry publications and participation in FAS podcasts, providing practical advice and support to farmers. SEPA also directly communicate with license holders if there a risk to abstraction supplies.

A communications stakeholder group has also been set up involving the Scottish Government, SEPA, Scottish Water, Nature Scot and the NFUS to coordinate and ensure the reinforcement of key messages.

Police Scotland updated the Scottish Police Authority Resources Committee on 9 May 2023, that the Fettes workshop has been closed, with business continuity arrangements put in place; and that staff have been relocated from the affected area in Baluniefield. No immediate action has been taken in Perth as the RAAC is limited to one small area and is graded low risk. Police Scotland has also provided assurance that there is no risk from RAAC to officers, staff or visitors across the police estate.

No estimate of the cost of providing long-term solutions has been made to date. Police Scotland updated the Scottish Police Authority Resources Committee on 9 May 2023, that it is working with structural engineers and business areas to identify longer term solutions for the areas where reinforced autoclaved aerated concrete (RAAC) has been found.

Ministers are required by the Community Empowerment Act (2015) to review the National Outcomes within five years of their previous publication, and the next review is currently underway. The Scottish Government intends to lay the statutory document in Parliament in early 2024. This will outline the work undertaken during the Review, including any proposed changes to the National Outcomes.

The number of unpaid carers who receive short breaks or respite is reported in the accompanying tables of the Scottish Government Carers Census . This collection only covers unpaid carers who have a support plan and/or receive support from local services, rather than the total caring population. Table 1 below does not include data from 2018-19, as it is not comparable to subsequent years.

Table 1: Number and percentage of people who received short breaks or respite in 2019-20 to 2021-22 (all areas submitted) (Source: Carers Census, Scottish Government)