Chamber and committees

The Scottish Government is committed to ensuring that all people living with gastrointestinal conditions and symptoms in Scotland are able to access the best possible care and support, and benefit from healthcare services that are safe, effective and put people at the centre of their care.

Information and guidance on gastrointestinal conditions and symptoms such as Inflammatory Bowel Disease including crohn’s disease and ulcerative colitis is already widely available to the public via the NHS Inform website: Scottish health information you can trust | NHS inform and we have no plans to commit to a campaign at this time.

Agricultural Officers do not all carry out the same duties and the type of work is not evenly distributed across Scotland. This means a single reply applicable to every Agricultural Officer is not possible.

Resource planning information shows that agricultural wages inspections currently take between 5% to 20% of time for those officers who carry out this duty. Rural payments take between 5% to 60% of an Agricultural Officers time for those officers who carry out this duty.

Women’s Health is a priority for this government which is why Scotland was the first country in the UK to publish a Women’s Health Plan in August 2021.

Women’s health encompasses a wide range of topics and conditions and the areas of focus for the next phase of the Women’s Health Plan are still to be determined.

Timely access to gynaecology services will be a priority, and early discussions indicate pelvic health and optimising future health as potential areas of focus.

We have also started work to bring together an updated evidence base and gather views from women and girls, and from our stakeholders. Future aims and priorities are being developed in collaboration with them and alongside the most up-to-date evidence base.

Scottish Government provide a wide range of training to Agricultural Officers to ensure officers have the suitable skills and knowledge to deliver their inspection duties. This training includes structured learning, job shadowing and the provision of detailed written guidance.

This training does not include modules on trauma-informed interviews and working with interpreters.

There is a requirement for Health Boards to maintain accurate and up to date information on PACS Tier Two requests and their outcomes. The Scottish Government does not hold validated data on the number of PACS applications that Health Boards have granted. This information would need to be requested from Health Boards directly.

Health Boards are required to capture and share data as retrospective “in confidence” summary reports with the Scottish Government on a quarterly basis. The data received by Scottish Government are retained for internal management purposes only and are not formally validated.

Notably, the majority of collated PACS Tier Two requests are for fewer than five medicines; and data for numbers fewer than five are deemed to be patient identifiable and cannot be published.

NHS Education for Scotland provide a range of resources and training programmes for GPs and the current GP curriculum comprehensively covers gastrointestinal issues.

A new primary care cancer education platform – Gateway C – was launched on 30 April 2024 in NHS Scotland, supported by NES. Gateway C provides innovative and tailored information to support earlier cancer diagnosis efforts and enable effective decision-making. This free online platform is accessible to all primary care clinicians including pharmacists, dentists, and optometrists.

We have also funded the Modernising Patient Pathways Programme (MPPP) with a specific workstream continuing to promote improvements in Inflammatory Bowel Disease (IBD) care, which is being taken forward through the MPPP’s National Gastroenterology Speciality Delivery Group (SDG). They have developed a national IBD pathway for NHS Scotland which was published in January 2025: inflammatory-bowel-disease-ibd-pathway.pdf. The Gastroenterology SDG is also developing a lower gastrointestinal pathway which will provide primary care guidance about testing and diagnosis for people with IBD and Coeliac Disease in Scotland.

The Scottish Referral Guidelines (SRG) for Suspected Cancer have also been developed to support primary care clinicians to identify those with symptoms suspicious of cancer and identify those who require urgent assessment by a specialist. A clinical refresh of these guidance is underway to help ensure the right person is on the right pathway at the right time and includes updated guidance for colorectal and Upper GI cancers.

NatureScot is not planning to remove the practical element from the muirburn training. Practical training is an important part of muirburn training and the Scottish Government encourage all practitioners to undertake this as soon as they are able. However, we also recognise that it is possible that everyone who needs to undertake the practical training may not be able to do so before the end of the current muirburn season. This is because of limited training capacity, possible adverse weather and numbers of individuals requiring training.

NatureScot therefore propose to introduce a transitional period during 2025-26 and allow the granting of a licence on the completion of the knowledge-based training, with a requirement for the practitioner to complete the practical element within a specified period. In future years NatureScot will require completion of the practical element before a licence is granted.

The Scottish Government is committed to ensuring that anyone living with arthritis is able to access the best possible care and support. We expect health care professionals and NHS Boards to deliver high quality person-centred care to those living with arthritis in line with best practice guidance. The NICE (National Institute for Health and Care Excellence) clinical guidelines on management of arthritis are available on its website and can be found at: Arthritis | Topic | NICE.

We will work collaboratively with other partners, including the Centre for Sustainable Delivery (CfSD), to ensure there are appropriate pathways for women with arthritis.

I discussed the subject of the HSE improvement notice at a meeting with the SFRS Chair and Chief Officer on 6 March. I received and welcome the reassurances provided that SFRS is committed to addressing the concerns raised through the formation of a working group to ensure robust management of actions planned to meet the requirements of the improvement notice. SFRS is engaging with HSE, local councillors, staff and unions on this subject.

The recently passed Scottish Budget for 2025-26 includes £412.2 million for SFRS, £47m of which is capital funding. In terms of capital funding this is a £4 million increase over 2025-26 which will allow SFRS to continue to invest in better facilities, property, fleet and equipment. Operational decisions on the allocation of resources are a matter for the SFRS board and Chief Officer.

The Scottish Government welcomes the Competition and Markets Authority’s market study on infant formula and follow-on formula. Parents need to be able to make fully informed infant feeding choices. Where a family chooses to formula feed, the cost of essential food for babies should not be out of reach.

Scottish Government will work with UK partners to consider the Competition and Markets Authority’s recommendations, including how they relate to Scotland.