Chamber and committees

There is no data available on the use of dual-energy X-ray absorptiometry scans (DEXA) for the diagnosis of obesity in NHS Scotland.

While DEXA scans provide detailed body composition analysis, they are not routinely recommended for obesity diagnosis in clinical practice.

The National Institute for Health and Care Excellence (NICE) recommends using BMI as a practical measure of obesity. However, BMI is not a direct measure of central adiposity – the accumulation of fat around the abdominal area. BMI can overestimate and underestimate the presence of excess body fat.

In adults with a BMI below 35, measuring waist-to-height ratio and BMI, gives a better estimate of body fat. These measurements help to assess and predict health risks.

The National Fertility Group, (formerly the National Infertility Group) held meetings in the current parliamentary session on the following dates:

1 June 2021

24 February 2022

10 August 2022

22 March 2023

22 August 2023

23 November 2023

29 April 2024

17 September 2024

27 February 2025

Whilst evidence shows that people feel more able to talk openly about their mental health, we know there is more work to do in tackling stigma and discrimination in relation to complex, severe, and enduring mental illness and we all have a role to play.

This work remains a key priority for the Scottish Government, which is why our Mental Health and Wellbeing Strategy sets out a vision for a Scotland, free from stigma, discrimination and inequality. This is also reflected across our strategy Delivery Plan, Suicide Prevention Strategy, Self-Harm Strategy and Mental Health Workforce Action Plan.

Key actions include:

• Providing £5 million funding over 5 years since 2021 to See Me as our key delivery partner on tackling mental health stigma and discrimination to work with a range of other partners to drive forward anti-stigma and discrimination action.
• Investing £66 million since 2021 in our Communities Mental Health and Wellbeing Fund for Adults, which includes a focus on supporting those with mental illness. We are also working with the National Rural Mental Health Forum and SAMH’s The Changing Room: Extra Time programme to reduce stigma and discrimination, including in disadvantaged areas.
• Working nationally to raise awareness and reduce mental health stigma through our Mind to Mind, Parent Club Young Scot and Aye Feel campaigns and resources for adults and young people.
• Working in partnership with Public Health Scotland and See Me to support employers to tackle mental health stigma and discrimination in the workplace and to promote mentally healthy workplaces.

When setting access criteria, the National Fertility Group take cognisance of safety, capacity and outcomes and in particular looks to the National Institute for Health and Care Excellence guideline CG156 Overview | Fertility problems: assessment and treatment | Guidance | NICE. This guideline sets out that female BMI should be in the range of 19 to 30 before commencing assisted reproduction. Female BMI outside this range is likely to reduce the success of assisted reproduction procedures.

The group have no current plans to review BMI related access criteria for NHS IVF treatment.

Access Criteria for NHS IVF treatment in Scotland is set at a national level within the National Fertility Group. The group brings together experts in the field and makes recommendations to Scottish Ministers. Whilst the group has been modelling future access for single people, it has no current plans to review access criteria. A copy of NHS IVF Treatment access criteria can be found here Access-Criteria-NHS-IVF-Treatment-Scotland.

With regard to farmed fish escapes, I refer the member to the answer to question S6W-37451 on 16 May 2025 regarding escapes. 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.

Regarding mortality, in correspondence dated 13 March 2025 to the Rural Affairs and Islands Committee (RAIC), I committed to analysing data to understand how sites with persistent high mortality manifest, if mortality incidents are related and are indicative of insufficient mitigating action by the producer. I will provide an update on this to the RAIC later this year.

I refer the member to the answer to question S6W-37570 on 16 May 2025. 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.

All regulators of aquaculture in Scotland have a duty to consider biodiversity. Additionally, National Planning Framework 4 introduces requirements for fish farm developers to consider biodiversity enhancement within development proposals as far as is possible.

The Scottish Government’s Vision for sustainable aquaculture - gov.scot sets out a number of outcomes to be realised, including collaboration between the aquaculture sector and other stakeholders to protect and restore biodiversity in the freshwater and marine environments.

The scottish-biodiversity-delivery-plan-20242030.pdf contains specific actions focused on the protection and recovery of salmon and other migratory fish populations, such as implementation of the Scottish Environment Protection Agency sea lice risk assessment framework, and work through our Wild Salmon Strategy and accompanying Implementation Plan to improve habitats in the marine and freshwater environments which are crucial to sustaining and recovering the wild salmon population.

I refer the member to the answer to question S6W-34490 on 18 February 2025:

Based on the latest published Criminal Proceedings data (available to 2022-23), since January 2014, there have been no prosecutions under section 40(1) of the Regulatory Reform (Scotland) Act 2014 (where this was the main crime).

The Criminal Proceedings in Scotland bulletin (2023-24) is scheduled for publication in autumn 2025.

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

Private sector investment in energy and infrastructure projects will be critical to realise a just transition at Grangemouth. That is why our final Just Transition Plan will seek to instruct and mobilise wider support from investors and developers, centred around the clear opportunities present at Grangemouth.

The Scottish Government welcomes the publication of Project Willow and its recommendations which set out a transformative future for parts of the Grangemouth cluster, if the public and private sectors work together.

To support this, Scottish Enterprise and the UK Office for Investment have established an “Investor Taskforce” to identify and attract investors with an interest in progressing the Project Willow proposals. I would encourage any interested investor to engage with Scottish Enterprise in the first instance to explore how any opportunity could be progressed.