Chamber and committees

The Scottish Government is committed to ensuring that everyone who needs it can access well-coordinated, timely and high-quality palliative care, care around dying and bereavement support regardless of geographical location.

As part of the development of the Scottish Government’s draft strategy, ‘Palliative Care Matters for All’, the Strategy Steering Group and a number of expert working groups carried out surveys to map palliative care delivery across Scotland, including in rural and island communities. This report can be accessed at www.gov.scot/publications/palliative-care-strategy-palliative-care-matters/.

This work has been helpful in providing a clearer picture of the delivery and accessibility of palliative care services and support across Scotland and has helped to inform the actions set out in the draft strategy. The final palliative care strategy is due to published later this year.

The Scottish Government recognises that whilst public health awareness campaigns in relation to alcohol can be helpful to provide additional information to the public, evidence is clear that the most effective method of reducing alcohol consumption is tackling the affordability, availability and attractiveness of alcohol. This is in line with World Health Organization guidance.

The Scottish Government’s Alcohol Framework set out a commitment to engage in a national social marketing campaign to increase public awareness of the UK CMOs’ guidelines on alcohol consumption. The Count 14 materials and unit calculator continue to be hosted to support members of the public to increase awareness of how to calculate units of alcohol and materials continue to be accessible for health boards and Alcohol and Drug Partnerships locally.

An evaluation of the Count 14 campaign found that: “the campaign has made a positive impact on increasing awareness and understanding of the UK CMOs' low-risk drinking guidelines in Scotland.”

The Scottish Government expects all NHS Boards to provide maternity services that are delivered as close to home as practicable and to offer a full range of birth place options within their region. Service planning and delivery is the responsibility of NHS Boards and it is important that these services are safe, sustainable and meet the needs of local populations.

At a national level, we continue to take forward work to address the challenges faced by maternity services in rural and island NHS Board areas. We are improving the delivery of maternity services in rural areas through initiatives such as implementation of The Best Start and the introduction of continuity of carer; the development of community hubs, and the increased use of Near Me, that allows for remote consultations and appointments where appropriate. We particularly recognise the importance of patient transport and this remains a priority for the Scottish Perinatal Network (SPN), with work commencing to develop guidance on Remote & Rural Intrapartum Transfers. In addition, we continue to support work in Grampian to return obstetric maternity services to Dr Gray's Hospital.

The Scottish Government is committed to supporting and enabling people to be more physically active. Mean sedentary time at work is monitored through data gathered from the annual Scottish Health Survey. The Scottish Government work closely with Public Health Scotland, The Physical Activity for Health Research Centre (PAHRC), and other experts to understand the latest research on the negative health impacts of sedentary behaviour.

NHS Boards will allocate funding for local mental health services from the overall funds provided to them by the Scottish Government. Boards have responsibility for working with their partners to ensure local budget decisions deliver local and national priorities, including for mental health.

The 2025-26 draft budget provides record total investment in health and social care services of £21 billion – and includes £16.2 billion for health boards, representing a 3% cash uplift.

NHS Scotland expenditure on mental health is published annually in arrears in the Scottish Health Service Costs book by Public Health Scotland. Latest available data is for 2022-23 and can be found here: https://publichealthscotland.scot/population-health/mental-health/. Data for 2023-24 is expected early in 2025.

The information requested on data held by the Scottish Government on the prevalence of postnatal depression over the past five years is not centrally available.

We are committed to ensuring equitable, coordinated access to mental health provision for women, infants and their families throughout pregnancy and during the postnatal period.

In recognising the distinctive challenges that services in the North of Scotland face in delivering care to the most severely ill women in the perinatal period, we have provided an additional £245,000 funding to develop intensive specialist support for these women, their infants and families.

In addition, we are working with NHS Grampian, Greater Glasgow & Clyde and Lothian to further support regional provision which will enable increased joint working around admissions and support care in remote and rural areas.

Between 2019 and March 2024 the Scottish Government invested £37 million in improvements to mental health services and support for parents, infants and families. As part of the Enhanced Outcomes Mental Health Framework we have allocated £123 million to Health Boards in 2024/25 to improve the quality and delivery of mental health and psychological services for all, including perinatal and infant mental health community services.

I refer the member to the answer to the question S6W-26921 on 29 April 2024. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The Scottish Government has overall responsibility for health and social care support policy in Scotland and has published clear social care standards setting out what people should expect when using health, social care or social work services in Scotland. Whereas it is local authorities and Health and Social Care Partnerships (HSCPs) who have the statutory responsibility to ensure that these standards are upheld and that social care support services are commissioned and available to provide people with the appropriate social care support in the right place and at the right time.

As set out in the Programme for Government 2023-24, the Scottish Government has committed £3,03m in 2023-26 to progressing the National Centre for Remote and Rural Health and Care, which launched in October 2023.

The Centre will focus initially on Primary Care and community services priorities in Phase 1 as an initial proof of concept, with scoping work being carried out during the first 2 years of the Centre to lay the ground for expansion to include the wider rural healthcare workforce and Social Care in due course.

The Scottish Government continues to work closely with partners to support older people on a range of issues related to age equality. This includes delivering actions set out in the Strategic Action Framework, A Fairer Scotland for Older People. We also launched a new £3.8m Social Isolation and Loneliness Fund on 8 March 2023 which funds 53 projects supporting people at risk of social isolation and loneliness.

In relation to your question about initiatives to prevent social isolation in Aberdeenshire, I would refer you the written answer to your question S6W-33671 on 31 January 2025 where this response is covered.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

I wrote to the Economy and Fair Work Committee on 25 June 2024 to confirm that a market testing exercise for Glasgow Prestwick Airport was underway. Scottish Ministers’ longstanding position is that the airport should be returned to the private sector at the appropriate time and opportunity. This must be to an organisation with the commitment and capability to operate businesses directly relevant to GPA.

Any decision to sell GPA must represent value for money for taxpayers and be informed by what is right for the long-term success of the business and its contribution to the local and Scottish economy.

The process is ongoing and I will update Parliament when a significant development has been made.

We will continue to expand NHS Pharmacy First Scotland so that a wider range of health conditions are covered. This will further transfer the care of common clinical conditions to community pharmacy, removing the need for visits to GPs, Out of Hours services or Emergency Departments for everyday self-limiting conditions. In doing so, we will consult NHS24 and health boards to identify the priority conditions the service could cover in all community pharmacies in Scotland.

Through the Pharmacy First Plus element of the service, pharmacists who are qualified independent prescribers (IPs) can already go a step further than standard Pharmacy First, going beyond the approved list of products and the Patient Group Directions (PGDs) in place, to prescribe a wider range of products in response to patients' symptoms and conditions.