Chamber and committees

While we have not specifically assessed the psychosocial impact of living with fluctuating conditions such as Crohn’s disease and ulcerative colitis, the Scottish Government is committed to ensuring people with long-term conditions receive safe, effective, person-centred care, including appropriate psychosocial support. NHS Boards are expected to follow best practice in delivering this care.

We are currently developing a Long Term Conditions Framework to inform future approaches to prevention, diagnosis and care, including mental health and wellbeing support.

We are also considering the message of Crohn's and Colitis Awareness Week 2025 and will reflect this in future planning.

The Scottish Government does not envisage that there will be any discernible impact on patients resulting from changes to Part IX of the UK Drug Tariff. The Scottish Government uses the UK Drug Tariff to populate medical device listings and pricing, which are then organised into different parts of the Scottish Drug Tariff. There will be no change to availability of existing medical devices available to be prescribed to patients in NHS Scotland.

The Scottish Government welcomes the theme of Crohn's and Colitis Awareness Week 2025, How it feels, and values the work of charities like Crohn’s and Colitis UK in highlighting the challenges of managing often invisible symptoms.

We are committed to a person-centred approach across all health and care services, including those supporting people with inflammatory bowel disease. Our policy focuses on understanding individual needs and enabling outcomes that matter to people, helping them live well on their terms. We are currently developing a new Long Term Conditions Framework, shaped by lived experience engagement.

Every area of government which is or may be affected by the Supreme Court judgment is reviewing policies, guidance and legislation. This action is co-ordinated by the Working Group on the Supreme Court Judgment, convened by the Permanent Secretary, to ensure a cross-government approach and understanding is taken to this complex area of work.

The Scottish Government is taking a range of actions to strengthen value-based standards in health and social care procurement, with a particular emphasis on whole-life costs across integration authorities, local authorities and NHS Scotland.

Central to this work is the NHS Scotland Value Based Health and Care Action Plan, which sets out the national approach to embedding value-based principles, including the use of realistic medicine to ensure treatments and services deliver the best outcomes relative to cost. The plan outlines the strategic aims, governance structures and improvement processes required to support the transition to value-based care as part of Scotland’s 2030 vision.

In parallel, the Delivering Value Based Health Care: A Vision for Scotland document highlights the contribution procurement can make in achieving these aims. It includes a case study on National Procurement’s role in the Care Home Continence Improvement Project, demonstrating how whole-life cost analysis and value-based decision-making can improve outcomes while delivering better long-term value.

To underpin this, the NHS Scotland Procurement Strategy requires all regulated procurements to consider total cost of ownership - covering acquisition, use, maintenance and end-of-life disposal - while aligning with national priorities such as net-zero, circular economy principles, ethical sourcing and community benefit requirements. The strategy promotes collaborative frameworks, digital tools for transparency, and strengthened governance to support consistent, value-driven procurement practice across the system.

Through these policies, guidance frameworks and practical programmes, the Scottish Government is ensuring that procurement decisions across health and social care increasingly focus on whole-life value, improved outcomes and long-term sustainability.

The Scottish Government does not regard it as appropriate to engage in public comment in respect of live court proceedings.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

The SPS Policy for the Management of Transgender People in Custody protects the rights and welfare of transgender people living in Scotland’s prisons in a way which promotes the safety of all people in custody.

When placing a transgender person within our estate, we adopt an individualised approach to ensure the safety of everyone in our care by assessing and managing identified known risk.

There is a total of 21 transgender people in custody representing 0.3% of the total prison population. As a public body we must uphold our statutory obligation to ensure everyone in our care has their personal information protected. Given these small numbers, we are unable to provide any further disaggregation of this data due to potential risk of identification of individuals.

SPS also aim to publish prison numbers and relevant data on a quarterly basis, the last of which can be found here.

The First Minister was approached by members of For Women Scotland while attending an International Women’s Day event on Saturday 8 March 2025. In conversation, it was proposed by a representative of For Women Scotland that a meeting take place with the First Minister after the UK Supreme Court had reached a decision in For Women Scotland Ltd v The Scottish Ministers. The Supreme Court published its judgment on 16 April and I, as the Cabinet Secretary with portfolio responsibility for equality, and the Minister for Equalities, met For Women Scotland on 22 May 2025.

No meeting has taken place between the First Minister and For Women Scotland since then, and we would not consider a meeting to be appropriate due to the live legal proceedings between For Women Scotland and the Scottish Ministers.

The Scottish Government has been taking forward the detailed work that is necessary as a consequence of the ruling. Since the judgment, we have:

• Engaged with Health Boards on the requirement to implement the Supreme Court judgment in line with their own legal advice. On 30 September, the Director of Health Workforce wrote to Health Boards to reinforce the importance of complying with the law, and the Supreme Court judgment implemented. Application of the law following the Supreme Court ruling remains a matter for Boards, in accordance with their own legal advice.
• Published revised Supporting Transgender Pupils in Schools Guidance, while recognising that the EHRC are also reviewing Technical Guidance for schools;
• Advanced joint work with Police Scotland, with a public consultation on the Stop and Search Code of Practice scheduled before the end of this year.
• There have been no changes to prisons guidance.

We have also:

• Updated our guidance for the Gender Representation on Public Boards (Scotland) Act 2018.
• Amended the public appointments recruitment process for public bodies subject to the Act, now collating and using biological sex at birth data to apply the Act.
• Moved to an interim Trans and Non-Binary Inclusion Policy, removing a line regarding facilities use, while we develop new policy and guidance in consultation with trade unions.
• Conducted an initial review of facilities across the SG estate with a more detailed review now underway to ensure our provision meets the needs of staff and legal requirements.

The Scottish Government does not regard it as appropriate to engage in public comment in respect of live court proceedings.