Chamber and committees

The Scottish Government is committed to increasing the availability of safe and effective medicines that people in Scotland would benefit from. The Scottish Medicines Consortium (SMC) assesses the clinical and cost effectiveness of newly licensed medicines on a once for Scotland basis and publishes advice for Health Boards to consider. It is expected that Health Board Area & Drug and Therapeutics Committees (ADTCs) will consider making a SMC recommended medicine, or an equivalent, available on their local or regional formulary for routine prescribing within 90 days of SMC advice being published.

Health Boards are expected to apply common principles and processes in the introduction of newly licensed medicines to facilitate consistency of approach to local decision-making. The decision to prescribe a medicine, and which medicine to prescribe, is entirely for the clinician in charge of a person’s care, having considered their clinical condition, their safety, and any relevant clinical guidance.

While the Scottish Government sets the strategic policy for the NHS in Scotland, it is NHS Boards and healthcare professionals locally who have responsibility for both service delivery and ensuring people receive the right care for them, taking into account relevant guidance, local service needs and priorities for investment.

It is therefore for NHS Boards to determine what clinical interventions they offer, while giving regard to the considerations above.

The majority of Scottish health boards participated in the 2022 UK Parkinson’s Audit which measures the quality of Parkinson’s services against international best practice. This includes Patient Reported Experience Measure (PREM) data from people who use Parkinson’s services.

The 2022 Audit showed Scotland outperforming the UK in terms of future care planning, and access to essential professionals such as physiotherapists, occupational therapists and speech and language therapists.

The Scottish Government understand the importance of sport and physical activity for women and girls in Scotland and the positive impact that has on their physical, mental, and social health. Football plays a key role in this because it has a reach into communities like no other sport, and participation levels in women and girls football are at record levels.

The Scottish Government supports the Scottish FA in making football accessible for all and believes in the power of football in bringing communities together. We are also keen to support the SWPL in promoting and improving the elite women’s game to help encourage more women and girls into the sport.

Produced in partnership with UEFA, the Scottish FA’s Accelerate Our Game strategy has been designed to a provide focus to the Scottish FA’s commitment to progress the girls’ and women’s game in Scotland. The strategy aims to harness the power of women’s football by changing perceptions and empowering people to inspire the nation, whilst developing and promoting women’s football for all, enabling current and future generations to enjoy our national game equally.

In addition, the Scottish FA leads three key programmes targeting girl’s football:

• UEFA Disney Playmakers
• KDM Soccer Centres
• SPAR Future Stars Cup Square

Furthermore, sportscotland works in partnership with all 32 local authorities to invest in and support the Active Schools Network. Active Schools aims to provide more and higher quality opportunities to take part in sport and physical activity before school, during lunchtime and after school, and to develop effective pathways between schools and sports clubs in the local community. In the 2022-23 academic year, football was the second most popular activity for girls within the Active Schools programme, with girls and young women making 379,944 visits to Active Schools football sessions.

While the Scottish Government sets the strategic policy for the NHS in Scotland, it is NHS Boards and healthcare professionals locally who have responsibility for both service delivery and ensuring people receive the right care for them, taking into account relevant guidance, local service needs and priorities for investment.

It is therefore for NHS Boards to determine what clinical interventions they offer, while giving regard to the considerations above.

The majority of Scottish health boards participated in the 2022 UK Parkinson’s Audit which measures the quality of Parkinson’s services against international best practice. This includes Patient Reported Experience Measure (PREM) data from people who use Parkinson’s services.

The 2022 Audit showed Scotland outperforming the UK in terms of future care planning, and access to essential professionals such as physiotherapists, occupational therapists and speech and language therapists.

The health and wellbeing of women at work is a key element of the Scottish Government’s approach to Fair Work, including supporting women experiencing symptoms of menopause.

The Scottish Government does not hold data on the number of women who leave the workforce due to experiencing menopause. However, UK research by the Chartered Institute of Personnel and Development - Menopause in the workplace: Employee experiences - published in 2023, that of the over 1,500 women experiencing symptoms of menopause surveyed, 17% were considering leaving due to a lack of support in relation to their symptoms. Also, research from 2022 by the Fawcett Society on Menopause in the workplace in the UK indicated that one in ten women who worked during the menopause left their jobs due to their symptoms.

We are taking action towards supporting those experiencing symptoms of menopause in the workplace - please refer to recently answered question reference S6W-35367 on 12 March 2025 for further information.

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 is committed to improving health and reducing health inequalities, and supporting our more vulnerable communities, which can include our former coalfield communities.

We know that poverty and unemployment are key drivers of ill health and health inequalities. That is why, we continue to support the health of Scotland’s population through a number of measures including:

• allocating around £3 billion a year since 2022-23 to tackle poverty;
• initiatives to promote healthy lifestyles through tobacco control, preventing alcohol related harm, promoting healthy eating and physical activity; and
• the creation of a Population Health Framework to take a preventative approach in which we address health problems at the root as well as build a Scotland in which our places and communities can positively support health and wellbeing.

In addition, we deliver significant investment through a range programmes to support economic growth and regenerate communities, which contribute to addressing underlying poverty by creating jobs and employment opportunities. Our regeneration programmes are delivered through established relationships with local government and communities, focussing investment in areas of priority need including former coalfield communities. These programmes include our Investing in Communities Fund, which is being delivered over 2023-24 to 2025-26 with an annual budget of circa £9m. It is currently supporting 20 projects in coalfield communities investing nearly £3.5 million to date.

The Scottish Government regularly engages with stakeholders including Social Work Scotland, COSLA, the Community Justice Voluntary Sector Forum and Community Justice Scotland, to discuss a range of matters arising in the delivery of justice services. With regard to specific interventions, however, community justice is primarily based on a local model, with local areas providing or commissioning services according to local need, and working in collaboration with relevant health services to ensure that any necessary support and treatment is provided.

Justice organisations are also represented on Alcohol and Drug Partnerships (ADPs) which are funded to work with a range of partners at a strategic, operational and service level. ADPs commission a range of activity which can provide support for those in the justice system, such as referrals to treatment services, harm reduction interventions, alcohol interventions and alcohol use treatment needs screening.

The Scottish Government is currently working on a National Treatment Specification for Alcohol and Drug Treatment in Scotland. This document will be informed by numerous sources including the forthcoming UK Clinical Guidelines for Alcohol Treatment, the recently published Public Health Scotland review into Alcohol Brief Interventions as well as key independent reports such as Scottish Health Action on Alcohol Problems’ (SHAAP) paper on alcohol use disorder in the justice system.

We are also investing an additional £11 million in 2025-26 to support a range of community justice services, including diversion from prosecution, alternatives to remand and community sentencing. This brings our total budget for community justice to £159m, recognising the key role that such services play in our justice system, including in supporting people with alcohol problems or other underlying needs.

The Scottish Government regularly engages with both the Scottish Courts and Tribunals Service (SCTS) and Police Scotland to discuss a range of matters arising in the delivery of justice services.

Specialist or problem solving courts, the establishment of which is ultimately a decision for the judiciary and SCTS, can be an effective way of supporting those with particular needs and positive work is underway in this area.

For example, the Glasgow Alcohol Court opened in 2018 and aims to reduce rates of offending by supporting people who offend with their underlying alcohol issues. Once accepted into the Alcohol Court, participants receive intensive support from their justice social worker and a substance use worker. In 2022, 240 people were accepted into the Alcohol Court.

There are other good practice examples of problem solving courts, including the Pan-Lanarkshire Alcohol and Drugs Problem Solving Court, which secured funding via the CORRA foundation and launched in December 2023.

In terms of court disposals, community payback orders offer a range of potential requirements including a specific alcohol treatment requirement.

Police Scotland, working in partnership with stakeholders, is establishing a working group that will promote best practice and work to drive an increase in referrals from police custody into support for mental health and wellbeing, alcohol and drugs and other relevant services. The new pathway for arrest referrals has now been established, which involved a full review of practices, mapping of services and establishing any gaps in service provision across Scotland. Further work is planned to drive further improvements in the arrest referral service.

The pathways in place across the country for people with problem alcohol use are developed and implemented by local services based on local needs assessments. The services necessary are commissioned on the advice of local Alcohol and Drugs Partnerships. The Scottish Government provides funding for those services and asks ADPs to report on progress against their own local strategies.

The Scottish Government has committed to providing guidance to ADPs through the development of a national Service Specification and follow-up national Standards for Alcohol and Drug treatment. This will be informed by the forthcoming UK Clinical Guidelines for Alcohol Treatment and the recently published Public Health Scotland review into Alcohol Brief Interventions as well as key independent reports such as Scottish Health Action on Alcohol Problems (SHAAP) paper on alcohol use disorder in the justice system.

Delivering high quality endoscopy is a priority of the NHS Scotland clinical and service teams.

The Scottish Government commissioned the National Endoscopy Programme Team, with the Centre for Sustainable Delivery (CfSD), and Scottish Government officials routinely monitor Health Board performance against the eight key diagnostic tests, including upper endoscopy, lower endoscopy, colonoscopy, cystoscopy, which are used for the diagnosis and surveillance of gastrointestinal problems such as ulcerative colitis and intestinal polyps.

The National Endoscopy Programme Team also supports on-site visits to all Boards to identify local issues, offer Boards support to develop Demand, Capacity, Activity and Queue (DCAQ) information/capacity planning, and promote alternatives to traditional endoscopy such as CytoSCOT, where clinically appropriate.

In addition, CfSD’s Gastroenterology Specialty Delivery Group (SDG) is working to develop national pathway recommendations for gastroenterology diseases such as Irritable Bowel Syndrome and Irritable Bowel Disease. These pathways will reduce unwarranted variation by standardising service provision and pathways on a best-of-class and once-for-Scotland basis wherever possible.

Performance data relating to the number of waits for one of eight key diagnostic tests is published by Public Health Scotland (PHS) on a quarterly basis. The latest publication provides data up to 31 December 2024 and is available here: Diagnostic waiting times - Waits for key diagnostic tests 25 February 2025 - NHS waiting times - diagnostics - Publications - Public Health Scotland