For getting the scart through it all depends on how deep the cavity is behind the boards, if you really cant get it through using the method that mr-gobby suggested then you may end up chasing it out like you first described.
If you do have to go that route then once you've chased into the blocks and fitted your trunking you can stick the plasterboard that you cut out back o and put a light skim of easy-fill over the top, sand down and re-paper
As for fixings for the screen, the tried and tested way on here is to cut out a square of board behind the screen and replace it with a bit of ply and then fix into that.
If you didnt want to do that then pop down to b&q or the like and get some beefy cavity bolt fixings.
I did this pic for someone ages ago to show how i fitted another members 50" pioneer screen and as far as i know it hasnt fallen down yet...
Fitted like this...
The fixing works like this...
The finished job looked like this...
When all the cables were all in the guy replaced the cut outs with plasterbaord and had it lightly skimmed over and rubbed down for painting!
Hope this helps
Jon