Chamber and committees

We have assessed the strong evidence that the earlier the stage cancer is diagnosed the better the outcomes are for those affected, irrespective of age, cancer type, race or any other protected characteristic.

This has informed our Earlier Cancer Diagnosis vision as part of the Cancer Strategy for Scotland 2023-2033 and initial three-year Action Plan for Scotland 2023 – 2026. The vision is to reduce later stage disease by 18 percentage points in 10 years’ time (2033), making clear our ambition to reduce inequalities in access to cancer care and improving outcomes for anyone diagnosed with cancer.

The Scottish Government recognises the importance of early diagnosis of cancer or serious illness and would expect any patient presenting with potential symptoms to be assessed as quickly as possible.

The Scottish Referral Guidelines (SRG) for Suspected Cancer support primary care clinicians to identify those with symptoms suspicious of cancer and identify those who require urgent assessment by a specialist.

A clinical review of SRGs has been completed with updated guidance published on 6 August 2025. These include a nationally agreed non-specific symptoms referral criteria for the first time to support primary care to ensure that the right people are on the right pathway at the right time.

A new primary care cancer education platform – Gateway C – was launched in 2024 in NHS Scotland, funded by the Detect Cancer Earlier (DCE) Programme and supported by NHS Education for Scotland (NES).

Gateway C provides innovative and tailored information to support earlier cancer diagnosis efforts and enable effective decision-making. This free online platform is accessible to all primary care clinicians including pharmacists, dentists, and optometrists.

Further to this, we have continued to invest in our Rapid Cancer Diagnostic Services. They provide primary care with access to a new fast-track diagnostic pathway for people with non-specific symptoms suspicious of cancer, such as weight loss and fatigue. We opened another service in NHS Forth Valley in 2025, bringing our national total to six.

The Scottish Government does not know at this juncture what the rolling out of Jess’s Rule will require in terms of implementation either by GPs or NHS England. We will be in a position to consider the benefits of the rule when we know more.

However, the Scottish Government understands that the RCGP learning resource which supports “Jess’s Rule” is available to GPs who are members in Scotland as well as in England. We would encourage GPs to make use of this resource.

The Scottish Government recognises the importance of early diagnosis of cancer or serious illness and would expect any patient presenting with potential symptoms to be assessed as quickly as possible.

The Scottish Referral Guidelines (SRG) for Suspected Cancer support primary care clinicians to identify those with symptoms suspicious of cancer and identify those who require urgent assessment by a specialist.

A clinical review of SRGs has been completed with updated guidance published on 6 August 2025.

The Scottish Government does not know at this juncture, what the rolling out of Jess’s Rule will require in terms of implementation either by GPs or NHS England or what the impact will be for patients. We will monitor the implementation by NHS England.

The First Minister met the President of the United States in the Oval Office of the White House on 9 September 2025. They discussed a variety of issues including the Scotch Whisky industry. The conversation included the President sharing his views on the Open Championship golf tournament.

Local authorities are entirely separate entities from the Scottish Government and their powers are set out in statute. It is up to each local authority to manage its own day to day business. The Scottish Government does not have a role in the operations of councils, including decisions to instruct external legal counsel. The Scottish Government expects all councils to have robust internal procedures in place to manage conflicts of interest and to ensure decisions are taken in a transparent and accountable manner.

Public bodies, including local authorities, are expected to comply with all relevant procurement legislative requirements. Public bodies are responsible for deciding their actions in individual cases.

In addition to following organisation-specific guidance, the Scottish Procurement Policy Handbook provides guidance on the rules and policies that apply to the procurement activities of public bodies in Scotland. Additional and more specific guidance and e-learning is available to public bodies in various forms such as via the Procurement Journey website, Sustainable Procurement Tools and various Scottish Procurement Policy Notes.

The Scottish Government reviews its guidance on an ongoing basis to ensure necessary and helpful updates are made as appropriate.

Local authorities are entirely separate entities from the Scottish Government and it is the responsibility of each local authority to manage its day-to-day business, including meeting statutory obligations in relation to procurement processes.

The rules public bodies, including local authorities, must comply with in relation to procurement in Scotland are set out in the Procurement Reform (Scotland) Act 2014, the Procurement (Scotland) Regulations 2016, the Public Contracts (Scotland) Regulations 2015, the Utilities Contracts (Scotland) Regulations 2016 and the Concession Contracts (Scotland) Regulations 2016. Parties which have suffered, or risk suffering, loss as a result of an alleged failure to comply with the procurement legislation may bring action under that legislation in the courts.

Local authorities are autonomous corporate bodies, accountable to their electorates, and they are responsible for managing their own procurement processes in line with statutory duties and national procurement regulations. As such, I am not aware of any such discussions.

The Public Contracts (Scotland) Regulations 2015 provide for parties which have suffered, or risk suffering, loss as a result of an alleged failure to comply with any duty in those regulations to bring action under that legislation in the courts.

The Scottish Government is not responsible for ensuring local authorities’ compliance with legal obligations.