Chamber and committees

NHS Boards are separate entities with their own local governance and performance management arrangements in place, in line with national guidance, such as the ‘NHS Scotland Blueprint for Good Governance.’ This can be accessed at: www.gov.scot/publications/blueprint-good-governance-nhs-scotland-second-edition/.

There is also an ongoing cycle of routine engagement, scrutiny and support between the Scottish Government and NHS Boards. This helps ensure the latter are delivering on local and national priorities, and are being held to account for the significant public investment in the NHS. This evidence-based approach to monitoring performance and managing risk across the NHS in Scotland is underpinned by the ‘NHS Scotland Support and Intervention Framework’, which consists of five stages in a ladder of escalation that provides a model for support and intervention by the Scottish Government. NHS Boards can be escalated on the Framework as a result of significant and persistent performance issues; informing further scrutiny, support and intervention, as required. Further details can be accessed at: www.gov.scot/publications/nhs-scotland-support-and-intervention-framework/.

The Fraser of Allander Institute said in an article, published on 26 March, that “we'll have to wait until the OBR has been able to look at the whole policy package in aggregate before we understand the full scale of the impact both on the UK and Scotland”.

The Scottish Ministers keep the law that sits within the powers of the Scottish Parliament under review to ensure it is fit for purpose.

The Scottish Law Commission’s aspects of family law project is focusing on a review of the civil remedies available for domestic abuse as part of the 11th Programme of Law Reform. We will consider the outcomes of this work when the Commission’s report is published.

In terms of safe accommodation, local authorities have the legal duty to provide advice and assistance to people who are at risk of homelessness or experiencing homelessness. This includes providing temporary accommodation in the short term if someone has nowhere safe to stay, and permanent accommodation if someone is found unintentionally homeless. Therefore, anyone at risk of homelessness following court proceedings should contact their local authority. They are best placed to provide advice on the housing options available and what further support they can offer.

The Scottish Government routinely analyses data related to the labour market. The link between waiting times and the economy is most frequently viewed through economic inactivity due to ill-health. A 2024 Scottish Parliament Information Centre briefing, for example, examined Annual Population Survey responses alongside Accident and Emergency (A&E) performance in Scotland. They found that the correlation between A&E performance and economic inactivity due to ill health was very low but statistically significant. Similarly, the Office for Budget Responsibility in 2023 found that “the rising NHS waiting list itself is unlikely to have been a significant driver of rising inactivity due to long-term sickness in recent years”.

We are looking closely at how our health system can better support people to stay healthy in work and move back in to work, alongside actions which can be taken by government, employers and individuals.

The Programme for Government sets out action we will take in health to address the challenges faced by those who are economically inactive, and to support those at risk of becoming economically inactive. This includes:

• Creating a single point of access through Healthy Working Lives for employers and workers to access advice and support, with ongoing improvements to the site’s accessibility and navigation.
• Free NHS case management support, available through Working Health Services Scotland, is available to employees and employers, focusing on small to medium size businesses. As of January 2025, within existing budget, we have been able to expand this service to 8am – 8pm Monday to Friday with early indications showing healthy demand for these extended hours (between 80-90% of appt slots filled).
• Continued support for the Healthy Working Lives’ online platform to help employers build mentally healthy workplaces, and delivery of the Mentally Healthy Workplaces network for employers.

We are also developing a new heath and work action plan, with engagement currently taking place cross-government.

Ministers approved recommendations in July 2024 to maximise the effect of existing service provision across fair work and employability, health and local service delivery to reduce the risk of people leaving the labour market due to ill health.

Our evidence review, published September 2024, examines the evidence on supporting those with longer-term conditions and disabilities to remain in work. Its focus is on the upstream prevention of economic inactivity to ensure the protective factors for health that good work provides.

The action plan, due for Summer 2025, will reflect both the priorities of the Programme for Government and the longer-term system changes noted in the forthcoming Population Health Framework and will focus on enabling those wanting to work to enter, thrive and remain in the workforce and to tackle Scotland’s increasing rates of economic inactivity due to ill health.

Recognising reserved powers and our own levers within the Scottish Government, the plan will bring together health, mental health, employability services, social security, business representative organisations, the UK government and other organisations established in the delivery of healthy, safe and fair work.

Local authorities employ education staff and must ensure their schools have policies in place that determine clearly what action should be taken to address challenging behaviour and protect their staff in the workplace. This includes having processes in place to record violent and abusive incidents towards staff including teachers.

Data on school violence and staff assaults is collected at local authority level, where it is primarily used to monitor trends and ensure appropriate support is available for staff and young people. This remains appropriate and we have no plans to collect and publish this data on a quarterly basis.

I have made clear to Parliament on several occasions, including in my statement to Parliament on 29 November 2023, my position on the need for more accurate recording of all incidents of inappropriate, abusive or violent behaviour in our schools, and I continue to encourage all schools to do that. To support schools and education authorities, as part of the Relationships and Behaviour in Schools Action Plan 2024-27, over the coming year we will undertake work to review processes for recording incidents, with a view to streamlining and improving consistency. We will also commission the next wave of the Behaviour in Scottish Schools Research, with fieldwork expected in early 2026.

Exclusion statistics are currently reported biennially. The next data will be published in December 2025 covering 2024-2025. There are currently no plans to change the frequency of this publication.

There have been 35 public bodies established since 2013 which are included below. Further information on their core functions is publicly available on the National Public Bodies Directory: https://www.gov.scot/publications/national-public-bodies-directory/.

The Scottish Public Finance Manual (SPFM) requires that all land or property not needed are declared as surplus and should be disposed of as quickly as possible. The SPFM sets out a number of ways disposals can achieve best value for money and wider public benefit.

As recent examples, Scottish Government officials discussed Knocknagael Farm, Inverness with Highland Council. As part of the local development plan, some land at the farm was zoned for housing which was sold to Knocknagael Ltd via community asset transfer.

Dumfries and Galloway Council is updating its local development plan and have issued a call for sites. Scottish Government officials submitted an application in March 2025 and have suggested that land at Crichton Farm, Dumfries could be zoned for residential development or economic development.

The Scottish Government published analysis of the impact of the Scottish Child Payment (SCP) on Scotland’s labour market in July 2024; Scottish Child Payment and the labour market - gov.scot and concluded it had not negatively affected labour market outcomes at scale in Scotland’s economy, while supporting the families of nearly 330,000 children.

Our analysis shows that typically around 2% of Scottish households in receipt of Universal Credit (UC) with children aged under 16 have low monthly UC awards of less than £100. This suggests very few families experience the high effective marginal tax rates that can be present when low UC awards and therefore SCP are close to being withdrawn due to the earnings of a household.

The Scottish Government continues to assess how SCP is interacting with the labour market. A further evaluation of SCP is due to be published this summer and will include a survey of recipients including questions about how and why SCP has affected their labour market activity.

Our announcement of £900,000 for local authorities to aid training of support staff was made in direct response to the findings of the Behaviour in Scottish Schools Research, which indicated that it is school support staff who have the most challenging experiences in dealing with negative behaviours, and that support staff themselves would welcome more training to support them in their roles.

Allocation and use of the funding was agreed at the meeting of COSLA Leaders on 26 January 2024. Each local authority received a minimum of £10,000 of funding, with the remaining funding distributed on the basis of pupil numbers. A letter was issued to local authorities on 7 February 2024 advising them of their funding allocation, and that this funding was intended to be used as a contribution towards procuring and providing training for the support staff workforce. The funding could be used flexibly by local authorities to meet the needs of their workforce, but it was intended that the funding would support the provision of training for school support staff in aid of improved relationships and behaviour, including: provision of training from external sources, costs associated with provision of training including securing training provision, venue and staff costs, including backfill of posts to allow staff to attend, and other appropriate costs. In line with the current funding arrangement with local authorities, it was a matter for local authorities to decide how best to use their allocated funding to help the support staff in their area.

Public Health Scotland (PHS) publishes statistics on the length of time patients wait to be seen as a new outpatient or admitted for treatment as an inpatient or day case in the Stage of Treatment (SoT) publication. The latest publication release contains data up to quarter ending 31 December 2024.

Table 1 presents the latest available statistics on the total number of attendances and admissions for patients who had waited over a year (52 weeks) as a new outpatient or an inpatient or day case. The following data are presented at NHS Scotland level for all specialties, broken down by calendar year and split by new outpatient and inpatient or day case.

Table 1 – Total number of attendances as a new outpatient and admissions as an inpatient or day case for patients who had waited over a year (52 weeks), NHS Scotland, all specialty level, by calendar year from 2020 to present.