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We are committed to supporting patients to deal with the emotional and physical effects of cancer. We are currently working in partnership with Macmillan to improve the service we offer cancer patients through the Transforming Cancer Care Programme (TCC). This joint partnership with Macmillan is worth £18 million, and is the first of its kind in the UK. The programme looks to ensure that every cancer patient in Scotland has access to specialist key support worker, who can provide emotional, financial and practical support to those who need it most. This partnership is the first of its kind in the UK.

To ensure vital services of support for patients continued throughout the pandemic we established the third sector resilience fund and the wellbeing fund as part of a £350 million support fund announced on 18 March 2020. The £15 million Adult Communities Mental Health and Wellbeing Fund was announced on 15 October 2021. This is the first year of a two year Fund to support mental health and wellbeing in communities across Scotland.

As part of our Cancer Recovery Plan, a new National Framework has been developed to support people affected by cancer. Launching in Spring 2022, the Framework not only sets out general principles for high quality holistic care, but also incorporates a number of tools that will aid implementation across Scotland. The Framework highlights the four levels of psychological care and support which are supported through expert evidence, and presents two models for implementation that are applicable across sectors, including health, care and the third-sector.

Cancer prehabilitation can support patients with the mental and physical challenges of living with cancer. A Cancer Prehabilitation Implementation Steering Group was convened in April 2021 to support and oversee the implementation and evaluation of comprehensive prehabilitation and evaluation whilst three subgroups look to: develop a digital resource that will improve access to education and training, improve access to psychological care and support and develop and implement a nutrition framework for prehabilitation.

The Scottish Government has a long standing commitment of improving Fair Work across Scotland. We are actively working with our partners in Local Government, COSLA, Trade Unions and the third and independent sectors to support and encourage Effective Voice within the Adult Social Care Sector. This includes ways we can support people to access Trade Union membership through an improved awareness and access of Trade Unions. It is the responsibility of Trade Unions to build their membership through their usual channels, and we are supportive of the efforts which Trade Unions are undertaking to do this’

Furthermore, we continue to support the Fair Work and Trade Union Modernisation Fund, committing to support unions in embedding the Fair Work Framework in Scotland’s workplaces. This funding has enabled unions to work proactively, and to build upon ongoing efforts, to tackle precarious work, and organising for Fair Work in less unionised sectors.

An implementation timetable for the Health & Care (Staffing) (Scotland) Act 2019 has been published. Implementation will be a collaborative and iterative process with frontline staff, taking account of the learning from the pandemic whilst recognising the new environment within which services will now operate. The timetable sets out an intended full implementation date of April 2024.

It has been agreed that some patients based in Tayside and receiving radiotherapy for breast cancer will have to travel for their treatment to their next nearest cancer centre, in Edinburgh, Glasgow or Aberdeen. Patients required to travel will be fully supported, with travel and accommodation costs covered by the Health Board.

NHS Tayside have been working closely with Oncology teams across all four Cancer Centres in Scotland to ensure that patients in need of treatment are prioritised appropriately. Discussions about mutual aid have taken place between Chief Executives and Medical Directors and the national oncology taskforce is looking at national approaches to the management of oncology.

The mutual aid provided has been agreed on the basis that there will be no adverse impact on patient care in NHS Grampian.

Public Health Scotland (PHS) is unable to provide information on how many patients have died while on an NHS Scotland waiting list in each year as far back as 1999. However, the national waiting times datamart captures quality-assured data on the reasons for a patient being removed from a waiting list, including when a patient has died, from 1st April 2013 onwards.

Table 1 contains the following trend information for the period 1 st April 2013 to 31 March 2022, presented by financial year:

? The number of patients waiting to be seen at a new outpatient appointment or waiting to be admitted for treatment as an inpatient or day case, expressed as an average based on the number waiting at the end of quarters in each financial year.

? The number of removals from waiting lists for the reason ‘died’.

? A simple mortality rate is also included to account for variation in waiting list sizes. This is presented as the number of deaths per year per 1000 patients waiting at quarter-end, averaged over the quarters provided for each year.

Table 1: Average waiting list size and total number of patients removed from lists for the reason ‘died’ whilst waiting for a new outpatient appointment or treatment as an inpatient or day case, NHSScotland, April 2013 to March 2022

Section 40 of the Nationality and Borders Act 2022 amends section 24 of the Immigration Act 1971 to include a new offence of arriving in the United Kingdom without a valid entry clearance. The new offence comes in force on
‎ 28 June 2022.

There are no plans to introduce Lord Advocate’s guidelines in relation to the new offence.

Where the circumstances of alleged offending are reported to the Procurator Fiscal, prosecutors will decide on appropriate prosecutorial action, if any, on the basis of both the principles in the published Scottish Prosecution Code and, where relevant, the published Lord Advocate’s instructions for non-prosecution of victims of human trafficking.

The Bus Priority Rapid Deployment Fund (BPRDF) ran from July 2020 until June 2021 and was designed to support local authorities – working closely with bus operators - to respond to congestion with interventions such as temporary bus lanes or gates. 41 bus priority projects were implemented across Scotland.

Though the Fund was for short-term measures, it provided an opportunity for local authorities to test interventions as they developed plans for longer-term investment in bus priority, to lock in benefits for bus passengers, the bus industry and the environment. Learning and evidence from BPRDF informed local authority applications to the Bus Partnership Fund, which opened in July 2021 for bids to develop and deliver permanent bus priority infrastructure on local roads.

Our universities are autonomous institutions and the alliances they forge across global academic networks are a matter for them and their governing bodies.

We expect all our universities to understand and manage the reputational, ethical and security risks associated with international partnerships. This includes conducting appropriate due diligence before entering into new international partnerships and monitoring existing partnerships. Guidance to support universities has been published by Universities UK.

In Scotland, NHS Boards are subject to the NHS Board Performance Escalation Framework which has a five stage escalation process. There are currently five territorial Health Boards escalated to Stage 3 or above on the framework. These boards are subject to additional scrutiny and are receiving tailored support.

Escalated Boards (as at June 2022)

The exact number of unpaid carers living in Scotland is not known. Therefore, the number of unpaid carers in Scotland is estimated from national survey data. The preferred survey used to estimate the number of unpaid carers is the Scottish Health Survey , as it samples both adults and children and allows for detailed breakdowns.

The latest estimates from the 2020 Scottish Health Survey telephone survey , which ran with a reduced number of questions due to the Covid-19 pandemic, suggest that there were around 839,000 (between 738,000 and 939,000) adult unpaid carers (aged 18+) living in Scotland in 2020.

This report cannot be compared to previous years due to differences in methodology from the main Scottish Health Survey series.

Data from the 2021 Scottish Health Survey will be published in Autumn 2022.