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Clinical nurse specialists make a valued contribution to delivering services and supporting patients and families who require specialist care. The Scottish Government has invested £2.5 million annually in the Specialist Nursing and Care Fund since 2015.

The National Cancer Recovery Group (NCRG) recently carried out a short survey in November to identify workforce requirements to inform wider workforce planning. This looked at roles specifically related to cancer, including Cancer Nurse Specialists. Scottish Government Officials and the National Cancer Recovery Group are working collaboratively in the development of the National Workforce Strategy and work will be conducted around the cancer workforce over the coming year.

Information on the numbers of blood cancer specialist nurses is not held centrally.

The Scottish Government is committed to finding cancer early. That is why we have established Scotland’s first three Early Cancer Diagnostic Centres in NHS Ayrshire & Arran, NHS Fife and NHS Dumfries & Galloway. These Centres provide primary care with a new referral route for patients with non-specific symptoms suspicious of cancers including blood cancer (such as weight loss, fatigue and nausea), which don’t meet Scottish cancer referral guidelines.

Our £44m Detect Cancer Early Programme adopts a whole-systems approach to diagnosing and treating cancer as early as possible – ranging from screening and public awareness campaigns to diagnostics and data. The NHS Recovery Plan 2021-2026, published August 2021, commits an additional £20m for the Programme.

As outlined in our NHS Recovery Plan, we will also develop and support the delivery of a new early diagnosis vision for Scotland. Stakeholder engagement will be an important part of its development, with Blood Cancer Alliance included in this. Officials recently met with the Blood Cancer Alliance and committed to working together in future to ensure the experiences of those with blood cancers are reflected in national cancer improvement programmes.

The Water Industry Commission for Scotland has responsibility for setting charge caps and otherwise sets out expectations or forecasts including for income as a guide to Scottish Water and stakeholders. Consideration of the economic circumstances of customers encompassed both GDP growth and the GDP level relative to pre-pandemic, wage growth relative to inflation and unemployment levels. Scottish Water’s Independent Customer Group was consulted prior to Scottish Water making its charging decisions for the 2022-23 financial year and its clear preference was to see increases held to around 4%.

Whilst there is no formal requirement to consult the Scottish Government, Ministers were made aware of the outcome of the independent process, including the rationale underpinning the decision by Scottish Water's Board on the scheme of charges for 2022-23.

The area of the revised closure is based on sediment distribution in the Firth of Clyde, with greater protection for those sediment types known to be favoured by spawning cod. Full details and coordinates are available at: Fishing closures: Firth of Clyde - 2022 and 2023 - gov.scot (www.gov.scot) and https://www.gov.scot/publications/cod-spawning-areas-research/

The non-continuation of the exemptions is based on scientific evidence that, while spawning, cod are extremely vulnerable to disturbance . They are focussed on mating, and the males are unwilling to leave their hard-won leks, so both sexes are less likely to try and evade oncoming fishing gear which means that mating adults are at risk of being caught. In addition, physical disturbance within the relevant areas of the Firth of Clyde during the mating period will disrupt the mating activity and potentially destroy the lek areas, and cod so disturbed may not return (and therefore may not spawn that year). Removal of all fishing activity in the closure areas should significantly mitigate this risk. If the stronger males are caught or disrupted leaving the weaker males, those males that remain may not be able to attract females. Moreover, stressed males are less likely to initiate mating. Noise may also disrupt mating, with females potentially unable to hear mating calls (Slabbekoorn et al 2010).

Although we carried out a consultation on this issue in autumn 2021, we acknowledged the strong reaction from the fishing industry around this change of policy in January 2022 and engaged further with them and other stakeholders to refine the policy. We have worked at pace to develop revised closure areas which minimise disruption to fishers (through a reduction in size of the overall closure areas) while increasing protection for cod in the areas where they are spawning.

A seasonal spawning closure in the Firth of Clyde has been in place for over 20 years to provide an area to protect cod during their spawning season (14 February – 30 April). Since its introduction in 2001, the closure has included exemptions to allow Nephrops trawlers, creels and scallop dredgers to continue to fish in the area, due to the low numbers of cod they catch. However, despite the ongoing seasonal closure, the stock has shown little sign of recovery. The Scottish Government has therefore decided to introduce a revised and more targeted closure. The overall size of the closure compared to previous years has been reduced by 28%, while providing increased protection to spawning cod by prohibiting all fishing activity in the closed areas for 11 weeks from 14 th February in both 2022 and 2023.

This decision is underpinned by analysis of sediment distribution in the Clyde, as well as by scientific research which suggests that any fishing activity within 10m of the seabed (which would include trawling, dredging and creeling) has the potential to impact on cod spawning activity. Given the vulnerability of cod to any disturbance during the spawning season, we believe that it is appropriate not to continue the exemptions in order to provide a higher chance of stock recovery and contribute to a more sustainable fishery in the West of Scotland in the medium-longer term. We will be increasing monitoring in the area during the period of the closure. We will also arrange a review meeting with stakeholders at the end of the closure to assess its effectiveness and practicality.

The Sea Fish (Prohibition on Fishing) (Firth of Clyde) (No. 2) Order 2022 introduces a closure for 11 weeks from 14 February in both 2022 and 2023. Both the timing of the closure and the statutory approach are consistent with the approach the Scottish Government has taken to this closure since 2001. There are no plans at this time to amend the statutory instrument cited above.

In line with Scottish Government policy, we will not provide financial compensation to fishermen for areas closed in order to protect fish spawning, such as those in the Firth of Clyde. This approach is consistent with that take in respect of similar management measures, including the National Cod Avoidance Plan and MPAs.

Whilst we fully understand that the non-continuation of the exemptions may come with short term costs, this seasonal closure covers a short period of 11 weeks, during which vessels may fish in alternative locations, which the vast majority regularly do. This is a more targeted closure than in previous years; the overall size of the closure compared to previous years has been reduced by 28%. The closure will not affect quota and should not affect the overall volume of fish that fishers are able to catch over the year. Moreover, cod and potentially other stocks, should benefit from the closure period, allowing greater fishing opportunities on the reopening of the seasonal closure.

Internationally renowned modelling company Operational Research in Health (ORH) were commissioned by the Scottish Ambulance Service to carry out an analysis on 7 years’ worth of data to help inform the review of demand and capacity.

ORH used a population growth data to predict future demand and resources required to meet performance standards. This included patient demand, types of clinical presentation, on scene times, at hospital times, travel times, vehicle tracking data, resourcing levels, receiving hospitals, station locations, rest periods and standard operating procedures.

In addition, Working Time Solutions were also commissioned to assist with the design and implementation of rosters that better match demand profiles.

Following approval, SAS will publish the third phase of the business case.

The Demand and Capacity programme and core principals have been designed and delivered in partnership with unions - with representatives of GMB, Unite the Union and Unison all being members of the steering group which meets monthly.

A staff engagement and consultation process, also agreed in partnership with Unions at the outset, is being conducted in all regions.

SAS continue to hold regular discussions with staff side representatives, including weekly meetings with the Project Team on this review.