The review for specialist interventions for managing chronic non-malignant pain in adults was commissioned by Scottish Government but is being led by the Scottish Health Technologies Group (SHTG), part of Healthcare Improvement Scotland (HIS). HIS and SHTG operate independently and neither the Pain Management Taskforce or the Scottish Government have a role in undertaking the review.

SHTG provides evidence-based advice to NHSScotland on health technologies to support informed decision making that improves health and care for people in Scotland. Its advice is underpinned by Health Technology Assessment (HTA) methodology which is a formal, internationally recognised, systematic and transparent process that considers the best available evidence. This includes clinical effectiveness, safety, cost-effectiveness, and the views of patients, healthcare professionals, and wider system implications.

SHTG have determined that they will make recommendations on the following four questions:

1. Is radiofrequency denervation effective, safe and cost effective for treating chronic non-malignant joint pain in adults?

2. Are injections (spinal axial blocks, sacroiliac joint injections, facet joint injections) with or without steroids effective, safe and cost effective treatment options for adults with chronic non-malignant pain?

3. Are lidocaine intravenous infusions effective, safe and cost effective for treating chronic non-malignant pain in adults?

4. What are patient views and experiences of chronic pain treatment in specialist secondary care settings?

The findings will be published on their website and are currently anticipated to be published on 28 November 2025. You can find more information here: Specialist interventions for managing chronic non-malignant pain in adults | Scottish Health Technologies Group.

The Scottish Government are committed to supporting the role of lived experience on IJBs, to help amplify those voices and improve integration of those insights. We will review the statutory guidance and the approval of integration schemes to ensure the voice of lived experience is heard and to increase accountability. Engaging with service users, unpaid carers, and representatives from the third sector and IJBs will help make the guidance more relevant and responsive to community needs.

The Scottish Government is supportive of innovations developed in Scotland being commercialised in Scotland.

Through Scottish Enterprise we have established the Medical Device Manufacturing Centre(MDMC) which is a pan-Scotland collaboration with five universities (Heriot-Watt, Edinburgh, Glasgow, Dundee and Robert Gordon). This provides Scottish medical device developers and manufacturers with free advice, technical expertise, and facilities essential for companies that are seeking to translate medical device concepts to commercial products. Technology specialists assist companies with the translation of medical device concepts into small-batch prototypes by offering technical expertise, state-of-the-art equipment and access to health informatics and NHS collaboration. Additionally, the MDMC provides support for clinical trial design.

As well as commercialisation, the Scottish Government also wants to see patients in Scotland benefit from Scottish innovations. The Scottish Government fund three NHS Regional Innovation Hubs to facilitate the development of new technologies, products and services. They enhance the NHS's capacity and capability to engage in innovative activities across the triple helix of industry, academia, third sector and the NHS to develop and scale innovative solutions that address the evolving needs of our healthcare system.

Social Security Scotland is committed to delivering services with dignity, fairness and respect for all people, including veterans and service members. This includes activities to advance its equality outcome to improve the service and experiences of diverse clients, including veterans. Progress will be formally reported in the organisation’s Mainstreaming Equality Report in 2027.

There are currently no plans to conduct a review of the 2018 Oral Health Improvement Plan (OHIP).

The OHIP, which was developed in close collaboration with the dental sector, remains a relevant and important cornerstone of NHS dental services policy in Scotland. Significant progress has been made on the commitments from the OHIP since its publication, including through the introduction of payment reform in November 2023.

We are committed to improving the number of NHS dentists across the country, which is why our Operational Improvement Plan sets out a package of actions to improve the NHS dental workforce, supported by new funding in 2025-26.

Within this we will support the dental workforce pipeline through both the immediate expansion of domestic dental student numbers and the development of an innovative new training package to support international dentists in joining the NHS Scotland workforce.

Since launch in 2017, over 92,000 people have now been referred to our world-leading Distress Brief Intervention (DBI) programme. DBI is now live in every Health and Social Care Partnership area across Scotland, providing timely support to those in distress and easing pressures on frontline services.

A breakdown of Distress Brief Intervention (DBI) referrals by NHS Board level area for the financial years 2020-21 to 2024-25 is included in the following table. This data is not held at local authority level.

Table 1 – DBI Level 2 Local Referrals Across Scotland by Health Board for Financial Years 2020-21 to 2024-25

The Scottish Government does not hold information on the number of emergency mental health assessment units available nationally or in each Health Board.

This notwithstanding, we can report that all Health Boards have a 24/7 mental health unscheduled care pathway in place for anyone in need of urgent mental health assessment or urgent referral to local mental health services. These pathways enable local mental health clinicians to receive referrals from the national NHS 24 Mental Health Hub and provide advice and support to frontline services such as Police Scotland and the Scottish Ambulance Service. They also avoid the need to attend the Emergency Department unless that is where the person needs to be cared for.

The Scottish Government publish accredited official statistics annually, which include information on diversions from prosecution and are available on the Scottish Government website. The Scottish Government statistics are not directly comparable to the COPFS figures and the Scottish Government statistics should be preferred for statistical purposes.

COPFS operates a live, operational database to manage reports submitted to Procurators Fiscal by the police and other reporting agencies throughout Scotland. This system is designed to support the operational needs of criminal case processing, rather than for statistical analysis, and the information within it is structured accordingly.

Due to the way that decisions on diversions are recorded on this database, in order to provide an accurate response, a manual check of the relevant cases would be required.

Individuals accused of offences may be reported to COPFS on multiple charges. The table below presents the number of accused persons reported to COPFS where the first substantive marking indicates possible diversion. These figures reflect the number of accused persons, not the number of charges. As it has not been possible to conduct manual checks of this volume of cases, the following table should be taken as indicative.

Diversion is a process by which prosecutors are able to refer a case to social work or other identified agency as a means of addressing the underlying causes of offending when this is deemed the most appropriate course of action in the public interest.

Such intervention can be particularly effective in cases of children’s offending, changing the direction of young lives for the better and is consistent with the obligations on the Crown Office and Procurator Fiscal Service (COPFS) under the United Nations Convention on the Rights of the Child.

In July 2023, the Lord Advocate ordered a review of how prosecutors deal with diversion from prosecution and referral to the Children’s Reporter in cases of serious sexual offences such as rape. The review has concluded and as a result, a new Statement of Prosecution Policy, which focuses on cases involving children, was published.

From 28 April 2025, all decision making in solemn level sexual offences cases involving child accused are made by reference to the terms of the new policy.

The Scottish Government publish accredited official statistics annually, which include information on diversions from prosecution and are available on the Scottish Government website. The Scottish Government statistics are not directly comparable to the COPFS figures and the Scottish Government statistics should be preferred for statistical purposes.

COPFS operates a live, operational database to manage reports submitted to Procurators Fiscal by the police and other reporting agencies throughout Scotland. This system is designed to support the operational needs of criminal case processing, rather than for statistical analysis, and the information within it is structured accordingly.

Due to the way that decisions on diversions are recorded on this database, in order to provide an accurate response to the question regarding rape cases, a manual check of the relevant cases has been undertaken.

Based on the results of those manual checks, the following table has been compiled. It includes numbers of cases in which the accused was offered diversion and following that offer, the diversion was considered completed or is still considered ongoing.

The overall numbers of cases containing an allegation of rape (which have not been checked) are provided as a point of comparison.

There are no devolved elements of the UK Government’s delivery plan on ME/CFS. It covers the population of England only.

We are unable to formally endorse the Plan due to differing healthcare systems and statutory structures.

However, the 2025-26 Scottish Budget includes an additional £4.5 million to deliver new specialist support across the country for long COVID, ME/CFS and other similar conditions. We want this money to have maximum impact and we are working closely and carefully with health boards across Scotland to allocate it as quickly and effectively as possible.

The provision of healthcare services is the responsibility of NHS health boards. In commissioning boards’ plans for this funding we have stressed the importance of ensuring that services are informed by current clinical best practice, such as National Institute for Excellence in Healthcare (NICE) guidelines NG:206 and NG:188– which are available to clinicians across the UK - and that care is delivered in line with the relevant recommendations, wherever applicable.