Chamber and committees

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.

The Scottish Government fully recognises the role that alcohol plays as a cause or risk factor for a number of illnesses and health conditions.

• The Scottish Government has taken action to reduce the harms caused by alcohol including the recent increase to the minimum unit price of alcohol from 30 September 2024. The Public Health Scotland (PHS) evaluation of that policy estimated that it had saved hundreds of lives during the period the evaluation reviewed.
• The Scottish Government has maintained a record £112m to Alcohol and Drug Partnerships (ADPs) for a wide range of measures, including alcohol treatment services, to ensure that local services meet the needs of people who experience alcohol and drugs harms.
• The Scottish Government continues to support the online ‘Count 14’ tool which raises awareness of the UK CMO Guidance on alcohol consumption, in addition to providing an online unit calculator. Count 14 materials continue to be used by a range of partners to support public health messaging on alcohol.
• The Scottish Government provides funding for the Fetal Alcohol Spectrum Disorder (FASD) Hub which provides support, training and advice to families, carers and professionals supporting children affected by FASD, the first of its kind in the UK.
• The Scottish Government is also supporting innovation in early detection of liver disease, working in partnership with Alcohol and Drug Partnerships (ADPs) and local Health Boards, building on learning taken from the innovative intelligent Liver Function Testing (iLFT) pilot pioneered by NHS Tayside.

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.

The Softer Landing, Safe Care initiative was introduced in 2021. The programme is part of a coordinated offer that sits alongside the training pathway and is devolved for implementation at local board level. International Medical Graduates (IMGs), like other trainees, feedback their experience through established quality assurance processes such as the Scottish Training Survey. As such, the Scottish Government does not formally assess the initiative, and there are no plans in place at the moment for an evaluation.

The rise in reported number of uterine cancer diagnoses can largely be attributed to an increasing ageing population and is in-line with a long-term trend of increasing number of uterine cancer diagnoses over time. It is encouraging to see that the majority of cases diagnosed in Scotland (64%) were found at the earliest stage (Stage I) where there is a greater chance of positive outcomes.

Obesity is one of the single largest modifiable risk factors for uterine cancer. We have published our Diet and Healthy Weight Delivery Plan setting out ambitious and wide-ranging actions to deliver our vision of a Scotland where everyone eats well and has a healthy weight, reducing their cancer risk.

Our most recent Detect Cancer Earlier campaign – Be The Early Bird – first launched on March 2023, aiming to reduce fear of cancer and empower those with possible symptoms to act early. Following successful independent evaluation, the campaign re-ran in September 2023 and August 2024 to prompt health-seeking behaviour.

In parallel, a Detect Cancer Earlier roadshow visited communities across Scotland in March and September 2024 to reinforce key messages, with further activity planned for March 2025.

We continue to work with NHS Scotland to ensure that the NHS Inform website provides cancer information that best meets patient needs, including symptoms and treatments for uterine cancer.

The Scottish Government remains committed to expanding the national thrombectomy service, and ensuring access to this treatment is as equitable as possible.

Through the National Thrombectomy Programme Board, and Thrombectomy Advisory Group, work is being undertaken to drive expansion of the thrombectomy service.

Planning is ongoing to establish how the £16 million funding announced in the Scottish budget, once scrutinised by the Scottish Parliament, will be best used to maximise the number of patients able to benefit from thrombectomy.

The release of common pheasant and red-legged partridge is permitted under sub-section 14 (2A) of the Wildlife and Countryside Act 1981 in Scotland. Currently the Scottish Government and NatureScot have no evidence that the release of non-native gamebirds are impacting on native wildlife through habitat degradation or predation. If there is evidence that non-native gamebirds are causing an impact, the Scottish Government will consider any evidence and take any action required.

The Scottish Government monitors the risk in wild and kept birds carefully and implements disease control measures such as restrictions, conditions or prohibitions in the pheasant sector as well as other sectors of commercial and non-commercial poultry industry, following changes in risk, in accordance with the legislation already in place.

Under the Avian Influenza and Influenza of Avian Origin in Mammals (Scotland) Order 2006, during an outbreak of highly pathogenic avian influenza or low pathogenic avian influenza the release of game birds is prohibited where a Protection, Surveillance Zone or a Restricted Zone is in place.

Further to this, NatureScot regulates the release of gamebirds on Sites of Special Scientific Interest (SSSI) and European Sites using powers under the Nature Conservation (Scotland) Act 2004. Where release of gamebirds may adversely affect the natural features of a SSSI, the owners or the occupiers of the site must apply for consent. NatureScot can give consent with or without conditions, refuse, modify or withdraw a consent as appropriate.

Where there are no other means to protect the natural features of specific areas of land from damage, Scottish Ministers can issue a Nature Conservation Order. Nature Conservation Orders can apply to land within or contiguous with a SSSI or European Site, or other land that Scottish Ministers deem of special interest for its natural features.