Chamber and committees

I note the publication of the Dietary Intake in Scotland’s Children (DISH) report. It is disappointing that the DISH report found that only 8% of children are meeting the recommended Scottish dietary goal for free sugars. The Scottish Government recognises the impact that excess sugar consumption can have on children and young people’s health.

Scottish Government are committed to improving the diets of children and young people. We are continuing to support the roll out of universal Free School Meals, meaning more children can access free nutritious food and drink on each day they attend school.

The Scottish Government funds regional Community Food Networks and the Healthy Living Programme. Both projects support individuals and families to access affordable healthier food options, particularly in lower income areas.

The Scottish Government continues to focus on improving the food environment to support young people to make healthier choices, including future regulation of promotions of foods high in salt, sugar and fat. We also welcome the UK Government's move to introduce legislation to restrict advertising of less healthy food and drink and will be supporting its implementation in Scotland.

There have been no recent discussions with the UK Government regarding upgrades to the A77 trunk road.

The Scottish Government draws on the best available international evidence when developing policy, including considering the effects of public health legislation in other countries such as Ireland.

The Scottish Government is a member of the British-Irish Council Drug and Alcohol Work Sector. The Scottish Government engages with officials from Ireland and the UK nations as part of that Work Sector to discuss policy developments including in relation alcohol harm.

The Scottish Government believes that all women in Scotland should have access to abortion services as part of routine healthcare, and understands that the choice to have a surgical abortion is important. The 2021 Women’s Health Plan sought to achieve the overarching priority that ‘all women will have a choice about how and where they access abortion care’. We intend to build upon this as we move into the next phase of the Women’s Health Plan, and have been doing significant work with NHS Boards and other stakeholders to deliver these commitments.

The Scottish Government continues to work with Health Boards to understand surgical abortion capacity. In late 2024, all territorial Health Boards were asked to complete a survey setting out their surgical abortion availability, along with other information on overall demand for abortion services.

From this survey, it is apparent that bed space can be a contributing factor to limited surgical abortion provision, but is unlikely to be a significant factor. Theatre availability and clinical training are more significant barriers, and the Scottish Government is working with Health Boards and other key stakeholders such as the Royal College of Obstetricians and Gynaecologists to improve training opportunities to increase provision of these services.

The Scottish Government has also raised the importance of access to early surgical abortions with NHS Board Chief Executives. The information gathered through the survey will be presented back to Board Chief Executives in due course, to help inform Boards’ decisions on where surgical abortion provision could be increased.

The SCAD pilot clinic has received 82 referrals with 57 patients seen to date. The remainder of patients currently referred will be seen by the end of July 2025.

An evaluation report will be requested by end of May 2025 to assess impact. The project team have advised that the first year of the pilot demonstrated a change in diagnosis for 20% of patients and 60% were able to have their medication reduced. Referrer and patient feedback is collected after completion of care episodes.

Scottish Government and Food Standards Scotland officials met in January 2025 to discuss possible further action to promote vitamin D supplements during winter months. This included consideration of current ongoing activity, such as the previous FSS winter campaigns as well as additional opportunities for future action to raise awareness of current advice on vitamin D, especially for at risk groups.

Cervical self-sampling is not yet recommended by the UK National Screening Committee (UK NSC), the independent expert advisory group which advises all four UK nations on screening policy, and therefore is not currently offered within the cervical screening programme. However, the UK NSC are currently consulting on whether cervical self-sampling should be offered to under-screened people eligible for cervical screening.

In preparation for a positive UK NSC recommendation, Screening Oversight and Assurance Scotland are re-establishing the self-sampling working group, whose remit will include assessing implementation options in light of new evidence on the effectiveness of different approaches, and ensuring that communications around a potential roll-out are inclusive and supportive.

In the meantime, the Scottish Government and its partners continue to explore alternative interventions that seek to encourage increased uptake of cervical screening, particularly among under- and never-screened populations. We published the Equity in Screening Strategy in July 2023 that outlines a strategic approach to identifying, addressing and removing barriers to participants across the screening pathway, and ensuring that professionals working within screening are knowledgeable of and use effective interventions to reduce these inequalities. To support this, the Equity in Screening Network was also launched in July 2023, allowing individuals that work across screening to share evidence, best practice and learning around screening inequalities.

Finally, as part of the Scottish Government’s work to eliminate cervical cancer, an expert group on cervical screening is exploring the effectiveness of a range of strategies to increase cervical screening uptake, and are currently considering how different media interventions could remove stigma and fear for all participants.

The Scottish Government supports and works closely with Food Standards Scotland, who have previously run national campaigns over winter months to raise awareness of vitamin D and encourage people to take a daily vitamin D supplement to maintain bone and muscle health.

The campaign primarily focuses on online advertising and social media posts. A campaign toolkit has also been developed and shared with a wide range of stakeholders to help support efforts to raise awareness of vitamin D, with graphics, web text, and social media posts available in nine languages (https://www.foodstandards.gov.scot/publications-and-research/publications/vitamin-d-campaign-toolkit).

Information on vitamin D is also available and promoted through a range of resources. Dedicated public advice on vitamin D is available on NHS Inform, including a general information leaflet highlighting the importance of vitamin D, which is available in a range of formats and languages (https://www.nhsinform.scot/healthy-living/food-and-nutrition/eating-well/vitamin-d).

Additional information can be accessed through our Parent Club (https://www.parentclub.scot/articles/eating-well-at-home) and Ready, Steady Baby! (https://www.nhsinform.scot/ready-steady-baby) resources, Food Standards Scotland

(https://www.foodstandards.gov.scot/consumers/healthy-eating/nutrition/vitamins-minerals/vitamin-d) website and

Eat Well, Your Way (https://www.eatwellyourway.scot/what-is-a-healthy-balanced-diet/vitamin-d/).

The Scottish Government believes that all women in Scotland should have access to abortion services, available free from stigma.

In the 2023 Programme for Government, the Scottish Government committed to undertake a review of the law on abortion to ensure that it is first and foremost a healthcare matter. That review is now underway.

As part of the review, the Scottish Government has convened an expert group chaired by Professor Anna Glasier, the Scottish Government’s Women’s Health Champion. The expert group is reviewing the existing law on abortion in Scotland and will produce a report for the Scottish Government this Summer.. If the group considers that the law could be changed for the better, the report will include recommendations for reform.

The Scottish Government will consider the expert group’s report and take into account views of other stakeholders and other relevant considerations too. Any proposals for changes to abortion law would be subject to a public consultation.

Details of the expert group, including minutes of their meetings are published on the Scottish Government website here: Abortion Law Review Expert Group - gov.scot (www.gov.scot).

Addressing inequalities in HPV vaccine uptake and optimising opportunities for young people to receive the vaccine is a priority for the Scottish Government.

Human papillomaviruses (HPV) not only cause cervical cancer but can also cause other diseases including anogenital and head and neck cancers. These are less common but are equally significant for those affected. To increase everyone’s protection against these cancers, the HPV vaccination offer was extended to all young people in 2019, although recent statistics show that boys are still less likely than girls to take up the offer.

Completion of consent forms is required to participate in school vaccination programmes. We therefore welcomed the return of the recent Public Health Scotland (PHS) marketing campaign, “chat.sign.protect”, to raise awareness of vaccines offered in secondary school and encourage an increase in the numbers of parents and young people consenting to vaccination. Coinciding with the distribution of informed consent materials to young people, the campaign aims to increase understanding of why these vaccines are important, the seriousness of the diseases they protect against and encourage parents and carers to take action and sign consent forms to ensure our young people receive the protection offered by immunisation.

The Scottish Government has established an Expert Working Group to recommend how Scotland can eliminate cervical cancer. Actions that come out of this work are likely to support increased uptake of the HPV vaccine by males.

We are working with PHS and territorial Health Boards to consider what further actions can be taken to increase vaccination uptake in boys, support those eligible for vaccination, and to address any inequalities in accessing immunisation services.