Chamber and committees

Each territorial Health Board across Scotland has agreed performance improvement plans in place, detailing what is being done at local level to drive improvements. The Scottish Government has a sustained focus on the delivery of these plans and meet with Cancer Management Teams in all Health Boards across Scotland frequently, including NHS Grampian, to identify challenges, explore solutions, and share best practice.

This year we have allocated an additional £30 million funding to reduce waiting times across a range of specialities, including diagnostics and cancer. As part of this, NHS Grampian were allocated almost £200,000 for the treatment of skin cancer.

If approved by Parliament, the Scottish Government’s budget for the coming year will invest a record £21.7 billion in Scotland’s health and social care services, including £200 million to reduce waiting lists and improve capacity.

In addition, our National Digital Dermatology Programme, backed by £1.8 million funding, will help to reduce long waits for outpatient dermatology appointments across Scotland’s NHS. This allows for images of skin conditions to be captured in Primary Care and securely transferred to clinicians so diagnoses and follow-up appointments can be arranged. This leads to a better and quicker service for patients – allowing clinicians to see patients in the right place sooner - and could potentially reduce demand for outpatient dermatology appointments by up to 50 per cent.

The Digital Dermatology Programme was launched in November 2024, with patients in Dumfries and Galloway and Greater Glasgow and Clyde the first to benefit from this new pathway, and is due to be deployed to all Health Boards, including NHS Grampian, by Spring 2025.

The Scottish Government Resilience Room (SGORR) provides Scottish Ministers and senior officials with situational awareness, enabling them to make informed strategic decisions on the Scottish Government’s response to civil contingencies emergencies. SGORR provides this situational awareness, using relevant facilities, by supplying written and verbal briefings, organising meetings at official or ministerial level and making connections across and outside the Scottish Government, with SGORR working closely with responders at all levels in Scotland and with the UK Government where relevant to the response.

The Scottish Government Resilience Room (SGORR) takes part in a number of exercises every year to test its response protocols and overall effectiveness, train its staff and ensure a shared understanding of roles and responsibilities with partners. These exercises range from Tier 1 exercises (organised by UK Government and simulating a UK-level response) to SGORR-internal training exercises. The number of exercises SGORR participates in varies from year to year. To date in 2025, SGORR has completed six SGORR training exercises, and is currently planning to participate in a Tier 1 exercise later this year.

SGORR’s information security is guided, like information security in all other parts of Scottish Government, by three key principles: confidentiality (information is classified correctly following government guidance), integrity (information is verified and comes from a reputable source), and availability (it is stored securely on Government systems, can only be accessed by those who have the right to see it, and is only shared where appropriate).

The Scottish Government Resilience Room (SGORR) is the Scottish Government’s central co-ordination mechanism for responding to civil contingencies emergencies. SGORR activates when and for as long as the severity and complexity of an emergency is such that urgent co-ordination, support or strategic direction from or within the Scottish Government is required and cannot be provided effectively through business-as-usual structures or other Scottish Government response mechanisms. Incidents which may meet this threshold include but are not restricted to severe weather events; terrorist attacks; pandemics; significant disruption to the supply of essential services/utilities or large-scale public disorder.

Scottish Ministers are concerned about the use of novel nicotine products such as nicotine pouches and, in particular, their appeal to children and young people.

The Tobacco and Vapes Bill, if passed, will introduce a range of restrictions – for example around age of sale and advertising- applicable to these products, taking on board concerns raised by members previously about novel products becoming more prevalent on the market and their appeal to children and young people.

The purchase of vaping products is already age restricted and it is illegal to sell to, or buy them for, anyone under the age of 18. Trading Officers are using every tool at their disposal - including fixed penalty notices - to ensure retailers are not selling vaping products to under 18s. Border Force and HMRC also have an important role to control the illicit vape trade and we continue to work with them on this.

We are currently the only nation in the UK with a functioning Tobacco and Nicotine Vapour Product Register. The Tobacco and Vaping Framework set out our intention to consider how the register could be improved. A refreshed digital product went live in January 2025. This will ensure that the register is a more effective and efficient tool for enforcement as well as for engagement with retailers on compliance with current and future legislation.

The Scottish Government does not collect data on the audiology workforce.

Responsibility for delivery and commissioning of services lies at a local level - with local authorities, NHS Boards and integrated health and social care partnerships. Operational decisions, including whether there is a need for audiologists, are therefore matters for those bodies to make and should take into account the numbers of patients in their local areas.

The purchase of vaping and tobacco products is age restricted. It is illegal to sell to, or buy them for, anyone under the age of 18.

Our Tobacco and Vaping Framework, launched in 2023, is our roadmap to 2034 and a tobacco free Scotland.

Our Framework is underpinned by a wide range of legislation including legislation to support the Register of Tobacco and Nicotine Vapour Product Retailers. We recently launched a new digital Register platform which will help to ensure accurate data and help Trading Standards with enforcement of current and future regulations.

A key strand of the first implementation plan of the Framework is the work that has taken place across the four nations on creating a smoke free generation and tackling youth vaping, which has led to the introduction of the UK-wide Tobacco and Vapes Bill.

Measures within the Bill include the introduction of a wide definition of a nicotine product, which is designed to cover products currently on the market such as nicotine pouches, as well as any future nicotine products. If passed with the consent of the Scottish Parliament the Bill will make it an offence to sell all nicotine products to under 18’s, stopping the next generation from becoming addicted.

The Tobacco and Vapes Bill, if passed, will also expand both the register and enforcement powers to cover herbal smoking products and nicotine products.

The National Centre for Remote and Rural Health and Care is working with Health Boards and Health and Social Care partnerships to drive improvements in sustainability, and the capability of remote, rural and island primary and community care services, avoiding a one size fits all approach.

Their work includes programmes to enhance the education and training for multi-disciplinary teams working in rural and island areas, as well as evaluation of new ways of delivering improved primary and community care health services in partnership with practitioners, citizens and partner agencies.

The National Centre for Remote and Rural Health and Care has developed a new training programme and supervisory training hub for Rural Advanced Practitioners and is developing a community training hub pilot to increase the amount of training taking place in remote, rural and island primary and community healthcare settings.

Further details on the work of the National Centre can be found here: National Centre for Remote and Rural Health and Care: Information Hub | Turas | Learn

The Fairer Funding pilot consists of grants to the third sector in Scotland totalling £61.7 million in 2025-26 and £63.2 million in 2026-27. The challenging financial position means that the total volume of multi-year funding agreements is balanced against other priorities and our ability to take a measured financial risk within each portfolio area. However, the sums involved are substantial and have been welcomed by the Scottish Council for Voluntary Organisations and by the third sector organisations involved. The Pilot is an important first step to move forward with multi-year funding.

Work is underway to improve our visibility of grants issued by the Scottish Government to the third sector. The previous electronic accounting system did not reliably classify whether or not grant spend is allocated to the third sector. This therefore means that collating grant information remains a manual exercise across all portfolios whilst the reporting framework associated with the new system (Oracle Cloud) is fully developed. Oracle Cloud was adopted in October 2024 and is being used to make payments made to grant recipients. However, for effective analysis, a data set of an entire financial year or more is likely to be required to produce meaningful insights.