Chamber and committees

Our Budget provides a record £21.7 billion for health and social care.

As part of planned care funding for 2025-26 we have provided over £10.5 million to territorial health boards across Scotland, including NHS Lothian, to support endoscopy activity and reduce waiting lists.

Patients continue to be seen based on their clinical urgency, for example, those referred with an urgent suspicion of cancer continue to be prioritised for scope-based diagnostic tests.

To specifically support scope based diagnostics we published an Endoscopy and Urology Diagnostic Recovery and Renewal Plan backed by £70 million. The plan focuses on key areas such as: Balancing Demand and Capacity; Workforce Training and Development; Infrastructure; and Innovation and Redesign.

Universities are autonomous institutions with responsibility for their own strategic and operational decision making. The Scottish Government regularly engages with the Scottish Funding Council on a range of matters, including on the funding of institutions, and has engaged with the University of Edinburgh directly in recent weeks. There has been no ask of the Scottish Government or Scottish Funding Council regarding additional financial support from the University.

The Scottish Government fully appreciates the financial sustainability challenges being faced by many universities due to a range of factors, including inflation, the impact of UK Government immigration policies on international student recruitment, and the increase to employers’ National Insurance Contributions.

Since 1 April 2024 local authorities have had discretionary powers to apply a Council Tax premium of up to 100% on second homes.

Council Tax is a local tax, and it is for individual councils to determine the appropriate balance of housing in their areas based on local needs. The Regulations give Councils greater fiscal empowerment, in the spirit of the Verity House Agreement. They enable Councils the discretion to charge Second Homes anywhere between a 50% discount, and up to a 100% premium. It is for Councils to take decisions about the tax treatment of second homes, including where exclusions may apply.

The Scottish Government is committed to monitoring the impact of the premium and will consider their effects as more data becomes available. The first set of data reflecting the implementation of the premium was collected in September 2024. This data indicated a 10% decrease (2,455 properties) in the number of second homes compared to the previous year. This decline may be related to the introduction of the 100% Council Tax premium on second homes. The Scottish Government will continue to monitor the impact of the Council Tax premium.

I would also note that the Council Tax system includes exemptions for certain circumstances. This includes an exemption for properties that are difficult to let, which applies specifically to properties that are inherently hard to let due to their physical relationship with another dwelling. Further, there is an exemption for properties that cannot legally be lived in because it is prohibited by law. It is for the local authority to assess whether the conditions are met for these exemptions to apply.

In August, we published our action plan on relationships and behaviour in schools, jointly with COSLA. This includes a specific action on empowering staff through provision of relevant professional learning to support relationships and behaviour approaches and practice and to respond to emerging trends in behaviour.

Education Scotland offers a wide range of professional learning to support the prevention of distressed and distressing behaviour. This includes professional learning on relationships, emotional regulation, de-escalation, expectations and consequences, restorative approaches and trauma.

As set out in the Relationships and Behaviour in Schools Action Plan 2024-27 Progress Report, published in March 2025, Education Scotland has delivered in-person professional learning to probation teachers on Being Restorative and on Expectations and Consequences.

Local authorities have responsibly for the delivery of education, which includes ensuring all employees receive adequate training.

In line with the Scottish Government’s policy, Scottish Enterprise does not provide support for the manufacture of munitions.

The responsibility for issuing export licenses sits with the UK Government.

In line with the Scottish Government’s policy, Scottish Enterprise does not provide support for the manufacture of munitions.

The responsibility for issuing export licenses sits with the UK Government.

The Scottish Government is clear that all nurse agency workers should be accessed via the relevant national procurement framework operated by NHS National Services Scotland unless in exceptional circumstances. This approach supports efforts by NHS Scotland Boards to ensure that all engagements involving nurse agency workers represent value for money and contribute towards the delivery of high quality patient care.

With regards to the engagement of medical agency workers, our recently concluded Medical Locum Task and Finish Group considered the experience of NHS England in adopting price caps and concluded that such a step was unlikely to aid efforts to ensure best value in respect of such engagements. Instead, all NHS Scotland Boards are asked to operate robust governance processes in respect of decisions concerning the engagement of medical agency workers, ensuring that such workers are only used as a measure of last resort. Where this is the case, steps should be taken to ensure best value is secured in relation to such engagements, including through the development of clear exit strategies where possible.

The statutory responsibility for delivering, commissioning and providing appropriate social care services at a local level lies with local authorities and Health and Social Care Partnerships taking account of local population needs. However the Scottish Government understands the growing concerns about the challenges around the availability of social care services, particularly in rural areas, and is committed to developing a sustainable health and social care system that ensures people get the right care, at the right time, in the right place.

That is why the 2025-26 budget includes over £15 billion for the Local Government Settlement and almost £2.2 billion for social care and integration – exceeding our commitment to increase funding by 25% by almost £350 million. At £21.7 billion, the overall financial envelope for Health and Social Care also reached record levels.

Furthermore in the Programme for Government 2025 to 2026, we have committed to ensuring that social care workers, who are delivering direct care in commissioned services, continue to be paid at least the Real Living Wage.

We do however recognise the considerable current financial pressures facing the care home and wider social care sectors. These pressures have been significantly compounded by decisions taken by the UK Government, such as the increase in employers National Insurance contributions (eNICs) and changes to the social care visa system and salary threshold levels.

The Scottish Government and COSLA continue to press the UK Government to fund the impacts of these changes on Scottish public services in full; this includes the vital services provided on behalf of local authorities by social care providers in the private and third sectors.

The Scottish Government is undertaking a programme of work to understand and respond to these pressures facing the sector. This includes a new social care Financial Viability Response Group, which has met weekly since February 2025 and comprises sector representatives such as Scottish Care, Coalition of Care and Support Providers in Scotland (CCPS), Care Inspectorate and local leaders.

As well as this I, alongside the COSLA Health and Social Care Spokesperson, jointly host a monthly roundtable meeting with sector partners to consider the potential impacts of the eNICs and financial viability pressures on the social care sector.

That work is ongoing, but the Scottish Government is committed to working closely with partners to continue to identify the pro-active steps that can be taken to mitigate these impacts, protect services and support the people in receipt of care.

The statutory responsibility for delivering, commissioning and providing appropriate social care services at a local level lies with local authorities and Health and Social Care Partnerships taking account of local population needs. However the Scottish Government understands the growing concerns about the challenges around the availability of social care services, particularly in rural areas, and is committed to developing a sustainable health and social care system that ensures people get the right care, at the right time, in the right place.

That is why the 2025-26 budget includes over £15 billion for the Local Government Settlement and almost £2.2 billion for social care and integration – exceeding our commitment to increase funding by 25% by almost £350 million. At £21.7 billion, the overall financial envelope for Health and Social Care also reached record levels.

Furthermore in the Programme for Government 2025 to 2026, we have committed to ensuring that social care workers, who are delivering direct care in commissioned services, continue to be paid at least the Real Living Wage.

We do however recognise the considerable current financial pressures facing the care home and wider social care sectors. These pressures have been significantly compounded by decisions taken by the UK Government, such as the increase in employers National Insurance contributions (eNICs) and changes to the social care visa system and salary threshold levels.

The Scottish Government and COSLA continue to press the UK Government to fund the impacts of these changes on Scottish public services in full; this includes the vital services provided on behalf of local authorities by social care providers in the private and third sectors.

The Scottish Government is undertaking a programme of work to understand and respond to these pressures facing the sector. This includes a new social care Financial Viability Response Group, which has met weekly since February 2025 and comprises sector representatives such as Scottish Care, Coalition of Care and Support Providers in Scotland (CCPS), Care Inspectorate and local leaders.

As well as this I, alongside the COSLA Health and Social Care Spokesperson, jointly host a monthly roundtable meeting with sector partners to consider the potential impacts of the eNICs and financial viability pressures on the social care sector.

That work is ongoing, but the Scottish Government is committed to working closely with partners to continue to identify the pro-active steps that can be taken to mitigate these impacts, protect services and support the people in receipt of care.

The statutory responsibility for delivering, commissioning and providing appropriate social care services at a local level lies with local authorities and Health and Social Care Partnerships taking account of local population needs. However the Scottish Government understands the growing concerns about the challenges around the availability of social care services, particularly in rural areas, and is committed to developing a sustainable health and social care system that ensures people get the right care, at the right time, in the right place.

That is why the 2025-26 budget includes over £15 billion for the Local Government Settlement and almost £2.2 billion for social care and integration – exceeding our commitment to increase funding by 25% by almost £350 million. At £21.7 billion, the overall financial envelope for Health and Social Care also reached record levels.

Furthermore in the Programme for Government 2025 to 2026, we have committed to ensuring that social care workers, who are delivering direct care in commissioned services, continue to be paid at least the Real Living Wage.

We do however recognise the considerable current financial pressures facing the care home and wider social care sectors. These pressures have been significantly compounded by decisions taken by the UK Government, such as the increase in employers National Insurance contributions (eNICs) and changes to the social care visa system and salary threshold levels.

The Scottish Government and COSLA continue to press the UK Government to fund the impacts of these changes on Scottish public services in full; this includes the vital services provided on behalf of local authorities by social care providers in the private and third sectors.

The Scottish Government is undertaking a programme of work to understand and respond to these pressures facing the sector. This includes a new social care Financial Viability Response Group, which has met weekly since February 2025 and comprises sector representatives such as Scottish Care, Coalition of Care and Support Providers in Scotland (CCPS), Care Inspectorate and local leaders.

As well as this I, alongside the COSLA Health and Social Care Spokesperson, jointly host a monthly roundtable meeting with sector partners to consider the potential impacts of the eNICs and financial viability pressures on the social care sector.

That work is ongoing, but the Scottish Government is committed to working closely with partners to continue to identify the pro-active steps that can be taken to mitigate these impacts, protect services and support the people in receipt of care.