Seòmar agus comataidhean

Scottish Government is committed to ensuring that everyone with liver disease is able to access the best possible care and support and benefit from healthcare services that are safe, effective and person-centred.

We are working with the UK Government and other devolved administrations on the development of the revised UK-wide Clinical guidelines for alcohol treatment, which will include the treatment of liver diseases. The updated guidelines are expected to be published for consultation later this year.

We are improving our ability to detect cancer and to treat it successfully. That is why we continue to invest in our Detect Cancer Early Programme, which adopts a whole systems approach to diagnosing and treating cancer as early as possible. This will include the early detection of liver cancer.

General Practice and Primary Care multi-disciplinary teams will continue to play a key role in supporting patients with long-term condition management, including those with a diagnosis of liver disease, alongside specialist treatment services within Scotland’s healthcare system.

The existing National Institute for Health and Care Excellence (NICE) guideline on the diagnosis and management of cirrhosis recommends that very heavy daily drinkers (men drinking up to 50 units per week or women 35 units per week) should be screened for cirrhosis using one of the newer non-invasive diagnostic technologies.

NICE suggests FibroScan and in 2020 published a Medtech innovation briefing around its use in primary care settings, but blood tests for fibrosis markers are also accurate and should be available to any clinician.

The Scottish Government currently has no plans to increase the use of FibroScan and enhanced liver fibrosis (ELF) tests in primary care in order to improve the early diagnosis of liver disease.

However, the Office for Health Improvement and Disparities is developing UK Clinical Alcohol Treatment Guidance, which is expected to include the issue of liver disease. These are expected to be published for consultation later this year. Once finalised, the Scottish Government will consider recommendations regarding early diagnosis of liver disease.

The Scottish Government has supported businesses with more than £4.7bn since the start of the pandemic. All funds have been allocated and no payments remain to be paid out by the Scottish Government. All Covid-19 business support funds have now closed.

Progress on implementing the summary case reform pilot has been impacted by the Coronavirus pandemic and it is intended that the package of reforms will now be taken forward on a pilot basis recommencing in September 2022. The impact of the reforms will be closely monitored and reported on with a view to informing future rollout of the agreed reform arrangements.

I refer the member to the answer to question S6W-09214 on 28 June 2022. 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

Scottish Government is committed to ensuring that everyone with liver disease is able to access the best possible care and support and benefit from healthcare services that are safe, effective and person-centred.

We are working with the UK Government and other devolved administrations on the development of the revised UK-wide clinical guidelines for alcohol treatment, which will include the treatment of liver diseases. The updated guidelines are expected to be published for consultation later this year.

We are improving our ability to detect cancer and to treat it successfully. That is why we continue to invest in our £44m Detect Cancer Early Programme, which adopts a whole systems approach to diagnosing and treating cancer as early as possible. This will include the early detection of liver cancer.

General Practice and Primary Care multi-disciplinary teams will continue to play a key role in supporting patients with long-term condition management, including those with a diagnosis of liver disease, alongside specialist treatment services within Scotland’s healthcare system.

Scottish Ministers received the Public Inquiry Report on 18 February 2022 and are currently considering the terms of the report. The timeframe for considering reports, in addition to considering all other material considerations and application documents is very much site specific. The determination for Fetteresso is currently progressing in line with the most recent average timescales. 10 determinations, where a Public Inquiry was held, have been issued since January 2021. The average time taken, between receipt of the Public Inquiry Report from the Planning and Environmental Appeals Division (the “DPEA”) and the issue of these determinations, is around 6 months within a range of 2 to 15 months.

The Scottish Government encourages local authorities to deliver flood risk management actions that deliver multiple benefits, including for biodiversity. Securing positive effects for biodiversity is one of six statutory outcomes for our forthcoming National Planning Framework.

Falkirk Council has considered the potential impact of flood defence works and opportunities to enhance biodiversity through the option appraisal and decision-making processes. Progress against sustainability and environmental goals is reported to the Grangemouth Flood Protection Scheme Project Board on a regular basis.

As promoter of the Grangemouth Flood Protection Scheme, Falkirk Council is required and committed to protecting natural habitats and enjoyment of the waterways while constructing flood defences that will safeguard communities.

The Scheme acknowledges the nationally and internationally-significant environmental designations present in the area which provide habitat for large numbers of birds. A precautionary approach has been adopted and consultation with the relevant Statutory Authorities is ongoing. An Appropriate Assessment and Habitats Regulations Appraisal (HRA) will form part of the Scheme documentation.

The Environmental Impact Assessment (EIA) considers the possible impact of the scheme and proposed mitigation measures under a number of headings; including wildlife and biodiversity, air quality, noise and vibration, landscape and cultural heritage. This assessment will be concluded later this year and be published when the Scheme is Notified.

In 2019-2020 the Scottish Government spent £15,849,263.61 in 2020 (1 April 2019 – 31 March 2020) and £11,106,352.64 in 2020/21 (1 April 2020 – 31 March 2021) on the maintenance of the Forth Road Bridge.