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The report Towards a Scotland that cares , which proposes the new National Outcome on Care for the National Performance Framework, will be fully considered as part of the Review of the National Performance Framework that will commence this year. As the National Outcomes are cross-cutting, this will ensure that the report’s findings can be considered holistically across the full range of outcomes that impact on care. This addresses the report’s recommendation that the Scottish Government further consults on the proposals, as blueprints, outlined in the report during the upcoming public engagement on the NPF.

As demand for COVID testing reaches new levels, we continue to adapt the Test & Protect system in order to protect the vulnerable and support the resilience of essential workforces.

From Wednesday 29 December prioritised booking slots have been made available at test sites for all essential workers, including health and care workers and this covers agency staff. Prioritised booking slots can be accessed by clicking to confirm you are an essential worker when booking a test online.

This is in addition to the local arrangements that Health and Social Care Partnerships (HSCPs) and NHS health boards have in place for PCR testing for employees including agency staff.

I refer the member to the answer to question S6F-00531 on 2 December 2021 which is available on the Parliament’s website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/ormain.aspx .

The proposal for a Carers Outcome will be fully considered as part of the upcoming Review of the National Outcomes. Scottish Ministers are required under the Community Empowerment (Scotland) Act (2015) to review the National Outcomes within five years of their previous publication. On 21 September 2021, I confirmed to the Finance and Public Administration Committee that external engagement for the next Review will commence in 2022, with the aim of laying the statutory report in Parliament during the third Parliamentary term in 2023.

The UK National Screening Committee’s review into whether a programme of national lung screening should be introduced will rigorously review the harms and benefits of lung screening, and will include consideration of efficacy, health economics and mortality. The Scottish Screening Committee will consider all of these elements once latest evidence is gathered.

As noted in the answer to question S6W-05600 on 19 January 2022, the Scottish Government is currently awaiting the outcome of the UK National Screening Committee’s review into whether a programme of national lung screening should be introduced. This will rigorously review the harms and benefits of lung screening, and will include consideration of efficacy, health economics and mortality.

At the same time as the ongoing UK NSC review, the Scottish Government has provided funding to the University of Edinburgh to support an exploratory piece of research into the feasibility of the introduction of lung health checks within Scotland targeting those from areas of deprivation at higher risk of lung cancer.

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 .

The Scottish Government has provided funding to the University of Edinburgh to explore the feasibility of targeted lung health checks in those from areas of deprivation. We continue to support this work which is progressing and remain in regular contact with researchers. Results and learning from this work will be appropriately considered, once available.

Any decision on whether or not to introduce a new national screening programme in Scotland is guided by the recommendations of the UK National Screening Committee (UK NSC), an independent expert advisory group which advises all four nations of the United Kingdom on screening policy.

In 2007, the UK NSC recommended against the introduction of a lung cancer screening programme; however, it is currently reviewing this and will take into account new evidence that has emerged since the previous recommendation.

We do not have a definite timescale for when the NSC will publish its findings, but we are expecting an update in the coming months.

Following completion of this review, the UK NSC will make a new recommendation. If the recommendation is to introduce lung cancer screening then the Scottish Screening Committee, in consultation with medical experts in this field, will advise Scottish Ministers on the most appropriate course of action for Scotland.

Scottish Water has not loaned any money to Business Stream (SWBS). Scottish Water Business Stream Holdings Ltd (SWBSH) loaned £10million to Business Stream (SWBS) in April 2020 as part of a pre-existing funding facility. Following the start of the Covid-19 pandemic, precautionary Covid-19 funding facilities were put in place for SWBS during 2020-2021. As part of these funding arrangements, the existing £10million loan was converted to equity, thereby strengthening the financial sustainability of SWBS. This £10m was from previous profits earned by SWBS and paid as dividends to SWBSH. To date no further loans have been made to SWBS and there has been no requirement for SWBS to access the precautionary Covid-19 financial support arrangements. Scottish Water customers have not been impacted by these funding arrangements.

Business Stream has continued to support its customers by providing a range of measures to help ease the financial burden for those that have been impacted most by the pandemic, including offering flexible payment plans and an enhanced version of the industry’s charging Deferral Scheme.

The information requested is management information and is not currently published, however, Public Health Scotland produce a weekly COVID-19 Statistical Report, with the most recent version being published on Wednesday 19 January. This report provides a range of information including the number of LFDs reported through various channels in Scotland.

At this time, none of the outstanding PFI projects have returned operating plant to Scottish Water as they have not yet reached the end of their contracts. The first one to do so will be in May 2022.

Scottish Water Horizons does not operate any plant previously returned from PFI projects. However, in 2018, SW Horizons Holdings Ltd (SWHH) acquired the Aberdeen PFI project companies. This was to protect the operational and environmental performance of the plants over the remaining 13 years of the PFI contract as the previous owner had indicated that they intended to sell the project to a party that did not have experience in operating wastewater treatment works.

The companies acquired included £46.5million of external bank debt funding. The acquisition cost was funded by SWHH and not Scottish Water, so customers were not impacted by the acquisition. Due to the contractual restrictions associated with the external bank debt, these PFI companies have continued to operate under the same structure as before, albeit now owned and controlled by the Scottish Water Group and have been integrated into Scottish Water Group operations to the extent permitted by existing contractual arrangements.

Since the acquisition by SWHH, the operational and environmental performance of the PFI project has continued to improve and, following the refurbishment of the sludge digester and CHP engines, there has also been a very significant increase in renewable energy generation and consequent carbon reduction. Further integration of the PFI project into Scottish Water operations is under active consideration. This would require repayment of the remaining external bank debt of some £33million and would therefore require to be justified by an appropriate cost/benefit business case.