Chamber and committees

The Scottish Government recognises the importance of timely access to psychological support, including psychological therapies for bereaved parents. One of the main ways this is provided is through Maternity and Neonatal Psychological Intervention (MNPI) services. For most parents who have suffered a pregnancy loss, bereavement and grief support provided by their Health Board or third sector organisations will meet their needs and they will not require specialist mental health services.

The Scottish Government funds the baby loss charity Sands to develop, and support NHS Boards to implement, the National Bereavement Care Pathway (NBCP) for pregnancy and baby loss in Scotland. The NBCP includes bereavement care for those who have experienced miscarriage and the sudden death of an infant. All 14 NHS Boards now officially signed up to the NBCP have appointed a NBCP Lead and are at different stages of implementation.

Our Delivery Framework for Miscarriage Care in Scotland, published on 6 February 2025, details work that will map out existing mental health services available following a pregnancy and baby loss to ensure that women can access appropriate mental health support, should they require it.

In 2025-26 the Scottish Government provided third sector organisations with £262,747 funding to support women and families who experience a pregnancy or baby loss.

A small number of parents experience more complicated grief and may benefit from engagement with specialist mental health services. If a parent is identified as requiring Maternity and Neonatal Psychological Intervention (MNPI) services in Scotland after the loss of their baby, they would typically be referred by their midwife, GP or other healthcare professional.

Since 2019, our continued investment has resulted in a substantial increase in MNPI services across Scotland. All NHS Boards now provide these services either from a dedicated local team or, for very small Board areas, via pathways to MNPI care in larger Boards that host the maternity hospitals where the patient is receiving inpatient care.

The loss of a baby, no matter at what stage of pregnancy, is a traumatic event that can have a profound impact on families. The Scottish Government is committed to ensuring that families who have experienced a pregnancy or baby loss receive the right information, care and support tailored to their individual circumstances. This includes high quality, sensitive bereavement care and support.

For most parents who have suffered a pregnancy loss, bereavement and grief support provided by their Health Board or third sector organisations will meet their needs and they will not require specialist mental health services.

A small number of parents experience more complicated grief and may benefit from engagement with specialist mental health services. If a parent is identified as requiring Maternity and Neonatal Psychological Intervention (MNPI) services in Scotland after the loss of their baby, they would typically be referred by their midwife, GP or other healthcare professional.

The way in which MNPI services are provided will differ across Boards, depending on population size and birth rate but we expect those who need the services to be able to access them in all areas of Scotland. All NHS Boards now provide these services either from a dedicated local team or, for very small Board areas, via pathways to MNPI care in larger Boards that host the maternity hospitals where the patient is receiving inpatient care.

At the UK Spending Review the Scottish Government received a Barnett share of the net changes to UK departmental budget allocations, which ultimately fed into our total block grant settlement.

Any new or additional spending allocations in 2025-26 associated with this UK policy will be included in the overall budget calculation for the Scottish Government. However, spending changes related to Barnett funding arising from UK policy decisions are not allocated to any specific programme of work in Scotland.

All budget allocation decisions are taken as part of the Scottish Budget process.

In 2023-24 the Scottish Government permanently provided funding for smoking cessation and prevention services to Health Boards as part of the Outcomes Framework funding, which also covered a wider range of outcomes. In 2025-26 territorial Health Boards received an overall funding uplift of 3%.

The Scottish Government recognises the importance of timely access to psychological support, including psychological therapies, for bereaved parents. One of the main ways this is provided is through Maternity and Neonatal Psychological Intervention (MNPI) services. For most parents who have suffered a pregnancy loss, bereavement and grief support provided by their Health Board or third sector organisations will meet their needs and they will not require specialist mental health services.

Mental health is an absolute priority for this Government and ensuring provision of care and support for individuals with mental illness will be considered as part of the ongoing budget process. The Cabinet Secretary for Finance has confirmed that the Scottish Government will publish the 2026-27 Scottish Budget on Tuesday 13 January 2026. The UK Government’s decision to publish its Autumn Budget on 26 November has significantly compressed the Scottish Budget timetable.

Menstrual health, which includes polycystic ovary syndrome, was a priority in the first phase of the Women’s Health Plan.

To support women with symptomspolycystic ovary syndrome of we have;

• improved access to comprehensive information on menstrual symptoms and PCOS through our Women's Health Platform on NHS Inform.
• worked with the Health and Social Care Alliance deliver a series of webinars for women on menstrual health including a session on PCOS.
• published a workplace policy for NHSScotland on menstrual health and menopause, which can be adapted for use in other employment sectors.
• worked with NHS Education for Scotland (NES) to develop eLearning on menstrual health, including PCOS, for those working in primary care.

Menstrual health, including PCOS, will continue to be an important area of focus in the next phase of the Women’s Health Plan.

In 2022-23, 2023-24 and 2024-25 the Scottish Government provided annual funding to Health Boards for smoking cessation and prevention services as part of a wider Outcomes Framework allocation, whereby budget was provided to Health Boards to cover a range of outcomes and individual Health Boards decide how much of this funding to allocate to each outcome.

The value of the Outcomes Framework allocation was £74.1 million (2022-23); £74.1 million (2023-24); and £72.2 million (2024-25).

NHS Inform helps women to access the information they need on a range of issues relating to their health. The Platform includes comprehensive information on polycystic ovary syndrome This includes an animation produced by the University of Edinburgh which provides an explanation of the condition in an easy to understand way including what polycystic ovaries are and their relevance in a diagnosis of PCOS.

To raise awareness of the condition and provide further information to women we worked with the Health and Social Care Alliance to deliver a series of webinars on menstrual health including a webinar on PCOS. This session explored the condition and how it is diagnosed, included information about polycystic ovaries as well as busting some common myths about the condition.

Each September we highlight the condition to the public by lighting our Scottish Government buildings to mark PCOS awareness month and utilise this opportunity to highlight the information available on NHS Inform.

While the Scottish Government’s role is to set the strategic policy for the NHS in Scotland, it is NHS Boards that are responsible for delivering safe, effective, person-centred care at a local level.

To do this effectively, NHS Boards provide a tiered podiatry service, which includes offering support for self-management in order to promote foot health. No single medical condition is automatically deemed to require ongoing general NHS podiatry care and as such podiatry services assess and treat patients based on individual healthcare needs. Whilst routine nail cutting and personal footcare are considered part of daily hygiene, not a clinical service provided by NHS podiatry, advice is available to patients free of charge via their NHS Boards or as part of refreshed footcare guidance published by the Scottish Government in March this year.

The Scottish Government is not aware of any NHS Board that has stopped providing specialist podiatry care for people with diabetes. NHS Scotland’s Podiatry Service assesses and treats patients based on individual healthcare needs rather than specific medical conditions. As such, no medical condition is automatically deemed to require ongoing general NHS podiatry care.