Chamber and committees

There is an extensive programme of work already in progress to support NHS Boards to reduce waiting times for all planned care procedures, including cataract surgeries.

This year, we have allocated more than £110 million to health boards to help tackle the longest waits for procedures and operations and this includes an investment of more than £12 million for ophthalmology.

The Centre for Sustainable Delivery’s (CfSD) National Eyecare Workstream also works with Scottish Government to support optometrists in the care for patients with cataract. In January 2022, we commissioned CfSD to establish the Scottish National Cataract Short Life Working Group to address current challenges in cataract surgery in Scotland.

This multi-professional group co-developed an agreed set of principles for delivering higher volume cataract surgery in operating theatres on a sustainable basis and assist in future proofing cataract services.

This work has led to the publication of Improving the Delivery of Cataract Surgery in Scotland: a Blueprint for Success which can be accessed here: https://www.nhscfsd.co.uk/media/5sofmknr/cataract-surgery-blueprint-2022.pdf.

I recognise that there has been a significant increase in children and adults seeking ADHD assessments across Scotland, and that this is creating challenges for a range of services.

The Scottish Government is working with the National Autism Implementation Team (NAIT) to develop national Adult Neurodevelopmental Pathways, building on the pilots we funded in four NHS Board areas and the subsequent learning and recommendations.

We are also continuing to work with NHS Health Boards, including NHS Ayrshire and Arran, and local authorities to support implementation of the National Neurodevelopmental Specification for Children and Young People. We have recently undertaken a review of the implementation of the Specification and established a new Neurodevelopment Taskforce to drive forward identified recommendations.

In addition to investment through Health Boards, we will also be providing £500,000 additional funding in 2025-26 to improve access to neurodevelopmental support for children and young people, including for ADHD assessments. This is in addition to £250,000 provided in 2024-25, which funded a range of individual projects to improve neurodevelopmental assessment and support for children and young people, including projects that support ADHD diagnosis.

The Scottish Government recognises that long waits can have an impact on health and wellbeing. Waiting well | NHS inform on NHS Inform provides patients with information to support their health and wellbeing while waiting for health and social care services. This includes information on physical and mental health, as well as advice about practical issues like money worries.

We know many people are still waiting too long and this is not good enough. We are determined do more and our Budget will provide a record £21.7 billion for health and social care, with more than £110 million allocated to health boards to help tackle the longest waits for procedures and operations.

The funding has been assigned to specialty areas for the year ahead where it can have the greatest impact against the longest waits. This includes more than £12 million for ophthalmology.

Cataract surgery remains one of the most frequently performed surgical interventions across NHS Scotland. However, our health service has experienced unprecedented pressures over the past few years including the long-term impacts of the pandemic, seasonal and staffing pressures and unprecedented levels of inflation across the public sector. This has inevitably disrupted the NHS’s ability to carry out routine procedures, meaning longer waits for many patients.

The Scottish Government is committed to delivering reductions in waiting times, and has this year allocated an additional £12 million funding to NHS Boards for ophthalmology services.

The Scottish Government has confirmed that the replacement of the Edinburgh eye pavilion is a strategic priority, and the 2025-26 Budget provides the necessary funding to allow the development of the business case.

NHS Lothian has been asked to progress the business case and development of the design and timeline will form part of this work, which will take time. During an update to stakeholders in March, NHS Lothian advised an estimated timeline of 6 years.

It is usual for the business case process, construction and commissioning to take a number of years and there will be greater clarity on timeline once the business case process is complete.

The Minister for Public Health last met with Royal College of Ophthalmologists in July last year.

Scottish Government officials meet the College of Optometrists both bilaterally and as part of other groups/forums as and when required for policy development and implementation purposes. The next scheduled bilateral meeting with the College of Optometrists is on Friday 3 October 2025.

The number of ophthalmology trainees recorded as of July 28, 2025, and from 2015 has been provided in the following table.

I have met with all NHS Boards to discuss long waits across all planned care specialities including ophthalmology.

The Scottish Minsters are committed to the modernisation and improvement of the regulation of burial, cremation, and funeral services. The Burial and Cremation (Scotland) Act 2016 (the 2016 Act) provides for Ministers to make regulations in connection with burial, cremation and inspection; to issue Codes of practice; and to appoint independent Inspectors of burial, cremation and funeral directors.

Work remains ongoing towards full implementation of the Act, and in consultation with a range of stakeholders Ministers have already brought forward a number of regulations. In March of this year the Burial and Cremation (Inspection)(Scotland) Regulations 2025 came into force, providing Inspectors with powers of inspection and enforcement in relation to burial authorities, cremation authorities and funeral directors to ensure that such bodies comply with relevant requirements set out in the Act, the Funeral Director Code of Practice, the Cremation (Scotland) Regulations 2019, the Burial (Applications and Register) (Scotland) Regulations 2024 and the Burial (Management) (Scotland) Regulations 2025.

This inspection and enforcement regime will hold relevant bodies to account for compliance, through inspection against statutory requirements, and will provide clarity for relevant bodies and allow enforcement by Inspectors where non-compliance occurs. In addition, this will improve standards within the funeral sector in Scotland in order to protect the deceased and the public in Scotland.

We currently have a Senior Inspector of Burial, Cremation and Funeral Directors, whose main functions (including powers and duties) are set out in the Burial and Cremation (Scotland) Act 2016 Act (the 2016 Act) and regulations made under that Act. This includes the provision of an annual report detailing how they have exercised their functions as an Inspector.

The Scottish Government’s Cardiovascular Disease (CVD) Risk Factors programme aims to reduce avoidable CVD death by 20% in 20 years.

A key principle of the programme is the approach of proportional universalism, to reduce associated health inequalities and to extend cardiovascular disease prevention efforts to those we know are at highest risk and particularly underserved by existing models of care

Further information on the Scottish CVD Risk Factors Programme can be found at:

National cardiovascular disease (CVD) prevention and risk factors toolkit | Right Decisions

The CVD Risk Factors programme is part of a wider suite of work that sits with the Preventative and Proactive care (PPC) programme and is referenced in the Prevention section of the NHS Scotland Operational Improvement Plan published in March and in Scotland’s Population Health Framework 2025-2035, published in June, in the Equitable Healthcare section.

We will continue to work closely with our stakeholders and third sector organisations to implement positive change for people who experience a stroke.