Audit Scotland: Full transparency on NHS recovery needed

The Scottish Government needs to be clearer about how long it will take the NHS to recover from the Covid-19 pandemic and to reform services, says public spending watchdog Audit Scotland.

The government’s NHS recovery plan aims to reduce the healthcare backlog and change how services are delivered. But the plan does not contain the detailed actions that would allow progress to be accurately measured. It also lacks robust modelling to understand demand and capacity. The backlog has continued to increase in the 18 months since the plan was published as the NHS deals with a range of pressures.

Workforce capacity remains the biggest risk to the recovery of NHS services. Health boards are continuing to find it hard to recruit the doctors, nurses and other health professionals needed to make sure NHS services are sustainable in the long-term. Key recruitment targets, such as recruiting 800 GPs by 2027, are unlikely to be met. The NHS workforce remains under severe pressure and there are concerns over staffing levels, wellbeing, and retention.

The Scottish Government is moving ahead with the innovation and reform essential to NHS sustainability. But it is too early to gauge the impact of this work. In the meantime, every NHS board is facing significant financial challenges which could limit how much they can invest in recovery. And the Scottish Government also needs to make information on how long people will have to wait for treatment clear and meaningful.

Stephen Boyle, Auditor General for Scotland, said: “NHS staff remain under severe pressure and the Scottish Government is facing tough choices.

“Money is tight but investment is needed in recovery. That means ministers have to prioritise which NHS aims can realistically be delivered. And they need to be more transparent about the progress they’re making.

“The Scottish Government has set out the big challenges facing the NHS. But it also needs to clearly explain to the public what those challenges mean for the level of service they can expect, including waiting times.”

Case review on management of transgender prisoner: Women were not at risk from harm

An urgent case review into the management of a transgender person in custody has found that at no point were any women in the care of the prison service at risk of harm.

The Scottish Prison Service (SPS) review also confirmed the person did not come into contact with any other prisoners during their time at HMP&YOI Cornton Vale and that SPS policy was followed during each decision making process and risk assessment.

The review makes four key recommendations into the management of transgender individuals:

  • the creation of a shared justice process for admitting transgender people to prisons in Scotland – to help improve decision making at admission and subsequent case conferences
  • better communication between justice partners to ensure a clearer approach to the transfer of transgender people from court to custody
  • for the wider SPS Gender Identity and Gender Reassignment (GIGR) Policy Review to consider improvements to ‘admission’ and ‘placement and management’ and for SPS to consider the weight of a person’s previous offending history to be considered as part of the case conference process
  • to strengthen the balance around the risk of harm with an individualised approach as part of the admissions process to prison, allowing for someone to be located in secure isolation for the sole purpose of a risk assessment based on known and unknown risks

In addition to the recommendations, SPS is also undertaking a full multi-disciplinary case review for each transgender person in custody. The Service is also continuing to progress, in dialogue with the Scottish Government and other stakeholders, a review of the management of trans prisoners as part of its GIGR Policy Review.

Until these reviews are complete any transgender person in custody who has a history of violence against women – including sexual offences will not be relocated from the male to female estate. Additionally,  any newly convicted or remanded transgender prisoner will initially be placed in an establishment commensurate with their birth gender.

Justice Secretary Keith Brown welcomed the findings in a letter to the Scottish Parliament’s Criminal Justice Committee.

The Justice Secretary said: “Firstly, I want to acknowledge my concern for victims of crime and the distress caused to them.  It is important that consideration of issues relating to the management of prisoners is measured and does not retraumatise victims or risk unintended consequences for transgender people or individuals in the care of SPS.

“All recommendations from the review have been accepted by Ms Medhurst as Chief Executive and will be progressed by SPS in collaboration with others as needed. As confirmed in the letter, SPS will factor the learning identified from this review into its Gender Identity and Gender Reassignment (GIGR) Policy Review, which is ongoing.

“Pending the outcome of the GIGR Policy Review, measures to provide reassurance as set out in Ms Medhurst’s letter will remain in place.

“I would like to acknowledge the work SPS has done in continuing to fulfil its operational responsibilities while completing the lessons learned review. SPS has considerable expertise in managing complex, high-profile and challenging individuals within their care and keeping people safe; and I commend their professionalism.”

In her letter, the SPS Chief Executive Teresa Medhurst reiterated that the SPS remained firmly committed to providing person-centred care to their entire population, including managing and identifying risks, which are not exclusive to transgender people in their care.

She added: “Staff in our establishments have demonstrated their long-standing expertise and strong track record in the management and care of an increasingly complex prison population.

“My priority remains the health, safety, and wellbeing of all people in our care, many of whom are the most marginalised in our society, and that of staff.”

Community pillars join hands with Islamic Relief UK to help struggling families hit by the cost of living crisis

Blackhall Mosque – Sunday 29 January House O’Hill Rd, Edinburgh EH4 2AJ

Islamic Relief UK is partnering with community pillars including Blackhall Mosque, Crookston Community Group and Masjid Al Hikmah to distribute 500 essential food hampers and supermarket vouchers to vulnerable families.

The new year continues to see the cost of living crisis pushing families into poverty and Scotland has seen an alarming rise in food insecurity and the need for financial assistance, fuelling the need for food banks across the city.

Islamic Relief UK will continue to support the most affected through food banks, mosques and other organisations but are calling on the UK government to ensure people have adequate incomes to cover the essentials. 

new report by the Resolution Foundation finds that there are large increases in people unable to afford essentials compared to the pre-pandemic period. In November 2022, 28 per cent (up from 9 per cent pre-pandemic) of adults say that they could not afford to eat balanced meals, and 11 per cent or 6 million adults (up from 5 per cent pre-pandemic) reported being hungry in the past month but they didn’t eat as they lacked enough money to buy food.

These very alarming outcomes are more common among groups known to experience disadvantage. This includes low-income families, those suffering from domestic abuse, the homeless, asylum seekers and refugees who were already struggling to feed themselves.

Many families in Scotland have been hit hard by the pandemic and suffered a cold Winter of choosing whether to heat or eat.

To help some of the most vulnerable, hampers will be packed with essential food by staff and volunteers, before delivery to locations across the city and residents.

The food packs will contain essential items such as bread, pasta, tea, biscuits, oil, sugar and others.

Tufail Hussain, Director of Islamic Relief UK said:“Food banks are not a sustainable or dignified way to help people who are struggling to survive because they do not have a sufficient or reliable income. We will continue to support the most vulnerable through our programmes, but food banks should not exist in one of the wealthiest countries in the world.

“The current cost of living crisis has revealed just how much the UK’s benefits system is failing to support those on the lowest incomes. Only long-term structural change will give people the best chance of escaping poverty and living with dignity.   

“The UK government must do more to deal with the immediate impacts of the cost of living crisis, but also undertake a fundamental review of the UK’s social security system with a view to ensuring benefits provide people with an adequate income to cover their essential needs.”

About Blackhall Mosque and Association of Scottish Muslims

Association of Scottish Muslims (formely CEPA) is a registered charity founded in 2001 by concerned Muslims from Edinburgh. Its purpose is to work with the Muslim community and statutory organisations to build an infrastructure to provide a range of services to promote the inclusion, the development and the welfare of Muslims, enabling them to become a responsible and thriving part of civic life.

Locations:

Masjid Al Hikmah – Saturday January 28 2023 11am – 4pm 31-33 St Clement Street, Aberdeen, AB11 5FU

Blackhall Mosque – Sunday 29 January, 1 House O’Hill Rd, Edinburgh EH4 2AJ

Crookston Community Group – Tuesday January 31 11am-3pm 1005 Paisley Road West, Glasgow, G52 1EQ

Institute for Fiscal Studies: Scottish Government faces major medium- and long-term budget challenges

New analysis by IFS researchers shows the stark funding challenges facing the Scottish Government, and the public services it is responsible for, over the next five years and beyond.

In the next two financial years, the budget for day-to-day non-benefit spending looks very tight:

  • After taking account of in-year funding top-ups this financial year, which under current plans will not be available in 2023–24, funding will fall by 1.6% in real terms in 2023–24 compared with this year. Even after adjusting for major one-off costs this year, such as council tax rebates, the reduction will still be 0.8%.
  • Official projections imply that funding will fall by a further 1.6% in real terms in 2024–25, and then grow only modestly over the next three years. This means that funding is set to be almost 2% lower in 2027–28 than in 2022–23.

Such cuts would imply difficult trade-offs for the Scottish Government. Increasing spending on health to meet rising costs and demand, and boosting spending on net zero policies could require cuts of around 13% to other public service spending between 2023 and 2027.

These are among the key findings of two pre-released chapters from the inaugural IFS Scottish Budget Report, focusing on the Scottish Government’s funding outlook and devolved income tax revenue performance. Other key findings include:

Medium-term outlook

  • The baseline projections above rely on Scottish Fiscal Commission (SFC) forecasts of a significant improvement in income tax revenues. This largely reflects faster expected growth in Scotland’s underlying income tax base relative to the rest of the UK, rather than the effects of tax rises announced in the Scottish Budget last month. If this faster growth doesn’t materialise, then the Scottish Government’s choices would be harder still, with funding for non-benefits spending in 2027–28 still 5% below 2022–23 levels.
  • The faster growth in Scotland’s tax base forecast for the next few years follows a period during which the tax base has grown more slowly than in the rest of the UK. Because of this, SFC forecasts imply that even by 2026–27, almost one-third of the yield from Scotland’s higher income tax rates will be offset by slower tax base growth since the devolution of income tax in 2016–17. This would still be a substantial improvement from this financial year though, for which the SFC estimates that revenues from Scotland’s income tax policy changes since devolution will be more than fully offset by slower underlying growth in the tax base.

Long-term outlook

  • While the Barnett formula used by the UK government to allocate funding is often thought to benefit Scotland, in the long term it is likely to lead to relatively smaller increases in funding for Scotland than for England. The speed of this ‘Barnett squeeze’ depends on the rate of growth in spending in England (both real-terms growth and that which merely offsets inflation), and the rate of population growth in Scotland relative to England.
  • Using long-term projections for inflation and GDP growth from the Office for Budget Responsibility, assuming public spending is held constant as a share of GDP, and taking into account population projections from the Office for National Statistics, we project Scottish Government funding per person would increase by an average of 1.2% per year in real terms over the 30 years between 2027–28 and 2057–58. This compares to an average of 1.4% in England over the same period. Under this scenario, spending per person in Scotland would fall from 124% of English levels in 2027–28, to 121% in 2032–33, and to 115% in 2057–58.
  • Faster real-terms spending growth in England to meet the rising costs of health and social care (which are expected to grow faster than GDP) would result in bigger absolute increases in funding for the Scottish Government, making it easier for it to meet these costs in Scotland. However, it would increase the Barnett squeeze on funding levels relative to England – making it harder for the Scottish Government to maintain enhanced levels of service provision over and above those in England.

Bee Boileau, a research economist at the IFS and an author of the report said:Additional funding from the UK government and a forecast boost to devolved tax revenues mean the outlook for funding has improved a little since last May’s Resource Spending Review.

“But the picture is far from rosy. Official projections imply that funding for non-benefit spending is set to fall over the next two years and then grow only slowly over the following three years. Indeed, it would still be close to 2% below 2022–23 levels in 2027–28. And that assumes a significant improvement in the performance of Scotland’s devolved income tax revenues – without that, this funding would be close to 5% lower than this year in 2027–28.

If either of these scenarios were borne out, the Scottish Government would likely need to make significant cuts to a range of public services. Further big increases in devolved tax rates would be one way to avoid such cuts.

“The Scottish Government will instead be hoping for additional funding from the UK government – which may not be in vain as the UK government would also need to make cuts to many services if it sticks to the plans for spending it has pencilled in.’

David Phillips, an associate director at the IFS, and another author of the report said: ‘The Scottish Government’s long-term funding outlook beyond 2027–28 will also be determined, to a large extent, by UK government spending decisions via the Barnett formula.

“This formula is often seen to benefit the Scottish Government, by providing it with a much higher level of funding per person than is available for comparable services in England.

But this is a misunderstanding of the nature of the formula and its purpose. Because it provides the Scottish Government with a population-based share of funding changes planned for England, and Scotland starts with a higher-than-population share of funding, it delivers a smaller percentage increase in funding for Scotland than England.

This so-called Barnett squeeze will make it more difficult for the Scottish Government to meet rising costs and the demands on public services associated with an ageing population, and to maintain enhanced service provision relative to England, such as free personal care and free university education, in the longer term.”

Emergency service collaboration shows ‘ground-breaking’ results in disadvantaged community

Research suggests vanguard initiative helped people previously unreached by services

study led by the Scottish Centre for Policing & Public Health at Edinburgh Napier University has found a collaborative initiative between emergency services in a disadvantaged community had a potentially ‘ground-breaking’ impact.

Researchers conducted an exploratory evaluation of a Strategic Delivery Partnership ‘vanguard initiative’, which saw public service agencies Police Scotland and the Scottish Fire & Rescue Service establish a ‘team around the community’ model of cross-service response.

The report published today found the initiative transformed traditional practice and helped to address several problems faced by people who found it hard to engage with services. Officers worked full-time in a community hub in the area’s primary school and pro-actively established trusting relationships with people to identify problems, provide solutions and protect people in crisis.

The study made seventeen recommendations, such as the need for more robust evidence on the vanguard initiative, resolving tension between ‘top-down’ and ‘bottom-up’ operational working and carefully selecting the officers involved, while retaining the ones who helped to build trusting relationships.

Professor Nadine Dougall of Edinburgh Napier University’s School of Health and Social Care said: “This research could act as a model for providing crucial public services in disadvantaged communities across the country.

“Although more work needs to be done to establish the full effectiveness of the vanguard initiative, these findings suggest this model of connective working managed to reach people who were previously either unable or reluctant to get support from emergency services.

“Issues which are common in disadvantaged communities, like drug supply, anti-social behaviour, and personal safety, appear to be much better addressed by this public health and trauma-informed approach to reduce inequalities and enhance community resilience.”

The rapid research evaluation and case study assessment the vanguard initiative was based on a community in Scotland identified as being in the top 1% of most deprived Scottish areas.

It has the highest number of alcohol and other drugs admissions in the local authority area, a high prevalence of violence, and its most common crimes relate to substance use and vandalism.

The study, funded by the Scottish Institute for Policing Research, and supported  by the Scottish Ambulance Service, Police Scotland and the Scottish Fire and Rescue Service, was conducted between March and June 2022, using in-depth interviews with the services involved.

World Animal Protection reveals the travel company culprits STILL exploiting wildlife

Companies like TUI Musement, GetYourGuide, Trip.com, AttractionTickets.com and Jet2holidays are STILL, exploiting wildlife for profit despite 84%1 of UK citizens who believe that tour operators should not sell activities that cause wild animals suffering, according to a report by World Animal Protection.

Elephant riding, selfies with tiger cubs and swimming with dolphins were some of the cruel wildlife activities on offer by these travel brands, according to the Real Responsible Traveller report.

The study reviewed 9 leading travel companies on their commitment to animal welfare and wildlife friendly tourism with the aim to help holiday makers plan a wildlife friendly holiday.

Thousands of wild animals every year are forced to perform for tourist entertainment or be subjects for tourist “experiences” that are incredibly unnatural and stressful for them.

This skeletal baby elephant was forced to “rave” to music, “play” musical instruments, and perform tricks, all for tourists’ entertainment at Phuket Zoo in Thailand. Despite a global campaign to free him, he died after his back legs snapped beneath him.

For example, elephants in entertainment are captured in the wild or born into captivity and taken from their mothers at an early age. They are then subjected to violent training regimes causing huge physical and psychological harm.

Dolphins used for entertainment are mostly bred in captivity, (although some are still captured from the wild) and kept in barren tanks a tiny fraction of their natural home range which creates huge distress for these wonderful animals.

Travelling responsibly means never including captive wildlife entertainment or experiences on your itinerary and refusing to book your holiday with travel companies which may claim to offer responsible, sustainable travel, while continuing to profit from wild animal exploitation.

The report also shows the travel companies who have made significant, positive steps for wildlife over recent years including Airbnb, and Booking.com. Expedia has improved in some areas, having stopped selling captive dolphin entertainment in 2021.  

Katheryn Wise, World Animal Protection, Wildlife Campaign Manager, said: “Holiday makers have made it clear; they don’t want tour operators selling animal suffering, but the reality is, suffering is still being sold under the guise of entertainment.

“Who you book your holiday with matters. TUI Musement, Jet2holidays, GetYourGuide Trip.com and Attraction Tickets.com are STILL exploiting captive wild animals.

“World Animal Protection is urging responsible travellers to join us in challenging these companies to do better for animals. Real responsible travellers have the power to act and create lasting change for wild animals by refusing to support companies that still treat wild animals as commodities who they can exploit for profit.

“For more information on how you can make a difference visit our Real Responsible Travel Page at www.worldanimalprotection.org.uk/real-responsible-traveller.

“We are also urging the UK government to take action by passing the Animals (Low Welfare Activities Abroad) Bill, which sees its second parliamentary reading take place on February 3rd. This important bill intends to stop the sale and advertising of activities abroad which involve low standards of welfare for animals.”

The Real Responsible Travellereport builds on World Animal Protection’s 2020 Tracking the Travel Industry report, which assessed Airbnb, AttractionTickets.com, Booking.com, DER Touristik, Expedia, Flight Centre, GetYourGuide, Klook,  The Travel Corporation, Viator, Trip.com and TUI Musement.    

World Animal Protection commissioned the University of Surrey who independently analysed the public commitments travel companies have, and haven’t, made.    

Companies were scored across four key areas:     

  1. Commitment: Availability and quality of published animal welfare policies and how applicable they are to all their brands
  2. Targets and performance: Availability and scope of published time bound targets and reports on progress towards meeting animal welfare commitments
  3. Changing industry supply: Availability and quality of engagement with suppliers and the overall industry, to implement wildlife-friendly changes
  4. Changing consumer demand: Availability and quality of educational animal welfare content and tools to empower consumers to make wildlife-friendly travel choices
They are cruelly trained, chained, abused and exposed to frequent interactions with tourists, loud noises and constant camera flashes. This is no life for a tiger, and why we’re calling on Thai authorities to introduce a breeding ban of captive tigers in Thailand and for better welfare standards for tigers in entertainment venues. In the picture: Tigers spend the day chained for tourist photos. The teeth of this one had also been clipped.

World Animal Protection then checked to see if they offered any of the five “animal attractions”:  

  • Elephant rides, feeding and washing  
  • Feeding or petting primates
  • Selfies, shows, petting or walking with big cats  
  • Swimming with captive dolphins and dolphin shows
  • The sale of any interactive “experiences” involving any captive wild animals (including for example sea lions, crocodiles and alligators)

For more information about industry best practices and how holidaymakers can make their concerns known to the travel companies click here.

Crimestoppers: Survey reveals one in six children face unwanted sexual harassment from the age of 10

A major new survey and report, commissioned by the charity Crimestoppers, has shed light on general attitudes to sexual harassment and the age at which victims are targeted.

Of those that responded, around one in six people who answered said their first experience of sexual harassment in a public place happened when they were aged just 10 or even younger.

Whilst 1,800 people participated in the survey, none of the questions were mandatory. This means that respondent numbers per question are lower than overall participant numbers. Due to the sensitivity of the subject matter, the University recommended using optional questions to encourage more people to take part.

Key findings are:

  • Around one in six participants’ (16.8%) first experience occurred when they were aged 10 or younger (3.7% aged 0-5, 13.1% aged 6-10)
  • 30.9% of participants first encountered unwanted sexual behaviour between the ages of 14-16
  • Almost the same percentage (29%) first experienced unwanted approaches between 11-13 years

These shocking findings demonstrate that the majority encountered sexual harassment for the first time during adolescence or childhood. Shockingly, the survey also found that 10% of women said they had been raped with 23% saying they had been `forced’ to have sex.

The report, by the University of Suffolk and commissioned by Crimestoppers, follows the impact of the #MeToo movement against sexual abuse and harassment. Crimestoppers has also launched a national campaign today to challenge attitudes and encourage reporting on those responsible.

Figure 17: Age at first experience of unwanted sexual behaviours or interactions in public spaces [P29]

In a clear message to the culprits, fewer than 1% of victims said they felt flattered, attractive or desired after their most recent harassment experience. [P33].

Strikingly, around 78% of female participants spoke of experiencing unwanted questions about their sex life, and two thirds experienced staring (leering) and comments on their clothes, body or appearance. [P23, Figure 10]. The research found that respondents change their behaviour or activities to avoid a repeat incident, with nearly 10% (9.8%) shunning outdoor areas where they had previously encountered unwanted sexual behaviours.

Figure 10: Lifetime prevalence of unwanted sexual behaviours in public spaces: female participants [P23]

More than a third (38%) have been followed and nearly a quarter (23%) have witnessed flashing/genital exposure. Whilst the largest group of perpetrators were strangers, they were closely followed by classmates during their younger years, then acquaintances and colleagues in later life.

Lydia Patsalides, VAWG (Violence Against Women and Girls) sexual violence lead at the charity Crimestoppers, said: “This research confirms that all forms of sexual harassment begin at a shockingly early age, which is completely unacceptable.

“It raises the question to those men involved: would you accept this behaviour towards those closest to you, such as a partner, female friend, or your daughter? Crimestoppers is taking its part in the conversation as these normalised behaviours, can escalate, with some perpetrators going on to commit the most serious of crimes such as rape and child abuse.

“We know this is a difficult and complex area and won’t be solved with one study. However, it’s important that we have a frank and realistic discussion, and we must all play our part in helping change behaviour and think seriously about how sexual harassment affects others.”

Mick Duthie, Director of Operations at the charity Crimestoppers, said: “As a father of two daughters, and an ex-police officer who dealt with the tragic circumstances of violence against women and girls, I totally understand the impact unwanted sexual behaviour has on victims.

“It’s important that we all understand the issue and take steps to educate ourselves on what is and is not appropriate. Our research shows that a large number of very young girls are being targeted, and therefore we must all ensure we take positive steps to protect them.”

Dr Katherine Allen from the University of Suffolk said: “In a post #MeToo era, these findings are shocking but unsurprising. Our survey underscores that sexual harassment is common, perpetrated across a range of public spaces, and remains highly gendered, disproportionately impacting women and girls and limiting their ability to exercise everyday freedoms.

“Chiming with national and international studies, our research suggests that women and girls are subject to unwanted sexualised behaviours from an early age, and overwhelmingly experience these behaviours as intrusive, uncomfortable and intimidating.”

Survey participant comment: “I think a lot of the time, perpetrators are completely oblivious to how their actions are making the other person feel.

“Being sexually harassed makes me feel genuinely scared for my safety, and scared to anger the person in case they get violent.”

Crimestoppers is a standalone charity that is independent of the police and takes crime information whilst guaranteeing total anonymity.

By never asking for or storing personal details, it encourages people to come forward who might otherwise stay silent. The process means no courts, no witness statements and no comeback.

If you know a work colleague/friend/relative or neighbour who is involved in any criminal aspect of sexual harassment – please tell our charity. 

To pass on crime information completely anonymously, visit our website Crimestoppers-uk.org and fill in the simple and secure anonymous online form. Alternatively, call Crimestoppers’ UK Contact Centre, which is open 24/7, 365 days a year, on freephone 0800 555 111.

Please note: Computer IP addresses are never traced, and no-one will ever know you contacted Crimestoppers. For telephone calls, there is no number display, no 1471 facility and calls have never been traced.

Report calls for Autism Commissioner to hold government to account

A report by National Autistic Society Scotland and Scottish Autism found that 96% of people surveyed support a commissioner to promote and protect the rights of autistic people.

The organisations surveyed 1,215 autistic people, family carers and professionals working with autistic individuals.

The report urges the Scottish Government to move forward on its commitment to establish a Commissioner “sooner rather than later”, with public consultation now delayed until late 2023.

The survey asked respondents to rank priorities for a commissioner; the majority indicated that the commissioner should hold local authorities, service providers and the Scottish Government to account in providing adequate support to autistic people and their families.

Fifty-eight percent of survey respondents indicate that they need mental health support for themselves or for an autistic person they support, and 49% said they need support in education. Yet first person accounts from autistic people and families in the report show that too many are struggling to get the support they desperately need from public services.

Read the report here.

Nicola Cameron, the parent of Alex who is autistic, said: “Our experience has been prolonged, frustrating, and confusing. After six years we are finally getting some clarity on Alex’s support needs.

“But it is upsetting to have lost critical years that could have been used to make his school experience easier. We have been left to navigate the system on our own, learning as we go and funding everything ourselves. And still we have not heard from CAMHS.

“It is clear resources are stretched and children like Alex are being failed by the services that are meant to help them. Support for young autistic people involves different professions and, because each autistic person is individual, the journey cannot ever be linear.

“But it can be easier. We feel that a commissioner for autistic people could help to create a more joined up system that prioritises individuals’ needs, and fights for recognition of the autistic community.”

Rob Holland, Director of the National Autistic Society Scotland said: “The commitment to establish a Commissioner for autistic people and people with a learning disability was an SNP manifesto commitment at the last election, but we’ve only inched forward and now with the delay in the Public Consultation until the end of this year there’s a very real concern that this important work is simply not being prioritised.

“The longer the delay the longer diagnosis waiting lists grow, the longer people go without the care and support they need, the longer people are stuck in hospital, and the longer children wait for support in school.”

Charlene Tait, Deputy Chief Executive of Scottish Autism said: “Every day we encounter individuals and families whose human rights are being breached as a result of a lack of accountability within the system.

 “All too often it feels like the system works against autistic people and their families, when it should be working for them. They need a Commissioner in their corner.

 “We consider that the creation of a Commissioner is a necessity, and we call on the Scottish Government to develop a sense of urgency on this issue.”

New evidence for low carbon alternative to incineration and landfill

Environmental campaigners have welcomed the findings of a report published by Zero Waste Scotland that shows that biostabilisation, a way of managing waste, has significant carbon savings over incineration and landfill.

Biostabilisation is a treatment method for managing waste where organic material is broken down in a controlled environment. This greatly reduces the carbon emissions from the waste. The report shows that each tonne of waste biostabilised emits the equivalent of 12kg of carbon dioxide, which is 20 times lower than sending that same waste to incineration.

Kim Pratt, circular economy campaigner at Friends of the Earth Scotland, said: “We know that reducing and recycling are the most important ways of limiting the climate impact of waste.

“The Zero Waste Scotland report shows biostabilisation is a lower carbon option for managing non-recyclable waste compared to incineration or landfill. It adds to the growing body of evidence that incineration must be rapidly phased out if Scotland is to reduce its impact on the climate crisis. Policy makers must now act on the findings of the report and make sure that biostabilisation is economically viable.”

Shlomo Dowen, national coordinator at the UK Without Incineration Network (UKWIN) added: “Zero Waste Scotland has previously shown that incineration is a high-carbon option, and this new report demonstrates that incineration is far worse for the climate than biostabilisation.

“This makes it clear that there is no justification for building any new incineration capacity in Scotland.

“Instead, what we urgently need is an incineration exit strategy that looks to phase out existing burners as we increasingly reduce, reuse and recycle.”

The  landfill ban prohibits all biodegradable waste going to landfill by 31 December 2025. Earlier this year, the Scottish Government committed to an effective moratorium on new incinerators, recognising their huge environmental and health impacts. Incinerators are responsible for some of the largest sources of climate emissions in Scotland.

The 2012 the Waste (Scotland) Regulations acknowledged there are two potential disposal routes for biodegradable waste once landfill is banned: biostabilisation and incineration. However, the same regulations create an artificial economic barrier to biostabilisation by requiring that biostabilised waste must pay the higher rate of landfill tax, whilst incinerator outputs are exempt.

Minimum Unit Pricing ‘reducing alcohol consumption’

Minister welcomes research which concludes measure has cut sales

Minimum Unit Pricing (MUP) “is achieving one of its key aims” according to Ministers after a new report concluded that it has been effective in cutting alcohol consumption.

Looking at the first three years since introduction, new research by Public Health Scotland and Glasgow University has concluded that the policy is reducing overall sales.

The level of minimum unit pricing is currently under review and a consultation on restrictions on the marketing of alcohol to help drive down hazardous consumption is also underway.

Public Health Minister Maree Todd said: “I welcome this report which shows that minimum unit pricing has been effective in creating a 3% net reduction in total alcohol sales in the first three years of implementation.

“This important conclusion takes account of other factors such as the impact of the pandemic on alcohol sales, seasonal variations, existing trends, household income and comparison with England and Wales where MUP was not in place.   

“Minimum unit pricing is achieving what it set out to do – a reduction in sales overall with a focus on the cheap high-strength alcohol, which is often drunk by people drinking at harmful levels. Further studies on MUP, including a final evaluation report, which is due next year, will examine how MUP has impacted on alcohol harms.  

“Our focus is not only on MUP – last week, we launched a consultation on restrictions on the marketing of alcohol to help drive down hazardous consumption, and we are reviewing Scotland’s Alcohol Brief Interventions Programme which aims to motivate people to cut down on drinking.”

Report highlights impact of MUP

Public Health Scotland (PHS) published a report last week which evaluates the price and range of alcohol products in the Scottish off-trade sector in the 12 months following the implementation of Minimum Unit Pricing of alcohol (MUP).

The research shows that the average price of alcoholic drinks in the off-trade increased in Scotland to a greater extent than was seen in England and Wales over the same period. The increase in average prices during the study period was also greater than the rises seen between the two years in Scotland prior to MUP.

Before the implementation of MUP, supermarkets tended to have lower alcohol pricing than convenience stores. In the first 12 months after the introduction of MUP, prices in supermarkets increased more than those in convenience stores, meaning that both had a similar pricing level.

The greatest increases in price were seen in the types of alcoholic drinks that were priced the lowest relative to their alcohol by volume (ABV) prior to MUP, such as some ciders, perries and supermarket own-brand spirits – all of which tended to be priced below £0.50 per unit prior to MUP being implemented.

The products that increased the least in average price, such as some ready-to-drink beverages, or those that decreased in price, such as some fortified wines in convenience stores, appeared most likely to see increased sales.

Changes were seen in sales across different container sizes, including reductions in the amount sold in larger single-item containers, especially for some ciders and own-brand spirits in containers of 1 litre and over. The amount of beer and cider sold in the largest multipacks also declined, while sales in smaller multipacks increased.

Dr Karl Ferguson, Public Health Intelligence Adviser at Public Health Scotland, said: “In the first 12 months after MUP was implemented, we found that, especially for products that were priced below £0.50 per unit of alcohol prior to MUP, prices went up, the amount sold in larger container sizes went down, and sales also declined.

“We also found that, because of the price increase, even in instances where the volume of sales went down, the value (£) of sales remained fairly constant or increased.”

Most data (price outcomes, container size, multipacks, volume and value sales) were derived from weekly off-trade electronic point of sale data covering May 2016 to April 2019, obtained from market research specialist NielsenIQ.