Chamber and committees

Delivery of the health and social care app for Scotland is being taken forward by NHS Education Scotland (NES) as part of the wider Digital Front Door programme. The majority of costs to date have been on mobilising the team required and developing the Outline Business Case. NHS NES staff have participated in the Civtech Challenge, which has allowed NES to understand what is required to develop the app in a way that integrates into Scottish Government plans to digitise postal communications. More information about this can be found at: https://www.civtech.scot/civtech-9-challenge-8-secure-individualised-and-effective-communications-channel.

The Scottish Government is committed to increasing the availability of safe and effective medicines that people in Scotland would benefit from. The Scottish Medicines Consortium (SMC) assesses the clinical and cost effectiveness of newly licensed medicines on a once for Scotland basis and publishes advice for Health Boards to consider. It is expected that Health Board Area & Drug and Therapeutics Committees (ADTCs) will consider making a SMC recommended medicine, or an equivalent, available on their local or regional formulary for routine prescribing within 90 days of SMC advice being published.

Health Boards are expected to apply common principles and processes in the introduction of newly licensed medicines to facilitate consistency of approach to local decision-making. The decision to prescribe a medicine, and which medicine to prescribe, is entirely for the clinician in charge of a person’s care, having considered their clinical condition, their safety, and any relevant clinical guidance.

While the Scottish Government sets the strategic policy for the NHS in Scotland, it is NHS Boards and healthcare professionals locally who have responsibility for both service delivery and ensuring people receive the right care for them, taking into account relevant guidance, local service needs and priorities for investment.

It is therefore for NHS Boards to determine what clinical interventions they offer, while giving regard to the considerations above.

The majority of Scottish health boards participated in the 2022 UK Parkinson’s Audit which measures the quality of Parkinson’s services against international best practice. This includes Patient Reported Experience Measure (PREM) data from people who use Parkinson’s services.

The 2022 Audit showed Scotland outperforming the UK in terms of future care planning, and access to essential professionals such as physiotherapists, occupational therapists and speech and language therapists.

The Scottish Government has commissioned Healthcare Improvement Scotland to develop a set of maternity standards, designed to drive improvements in care at a local level and support consistency of service design and delivery across Scotland. This process has started, and we expect the standards to be completed in late 2025.

In addition, we welcomed the announcement from Healthcare Improvement Scotland in 2024 that they would initiate inspections of maternity services as part of the Safe Care Inspection process. These inspections started in late January 2025.

Our Best Start programme described a range of measures to improve care, the vast majority of which are now in place. We continue to work closely with NHS Boards, clinical leaders, the third sector and national partners to share learning, respond to emerging evidence and identify opportunities for continuous improvement at the national level.

Section 6 of the United Nations Convention on the Rights of the Child (Incorporation) (Scotland) Act 2024 makes it unlawful for a public authority to act, or to fail to act, in a way that is incompatible with the UNCRC requirements. The section 6 compatibility duty in that Act applies when a public authority is delivering functions conferred by or under an Act of the Scottish Parliament or common law. All of the free standing provisions in the Housing (Scotland) Bill and those provisions that amend Acts of the Scottish Parliament will be in scope for this compatibility duty. This includes protections for tenants and provisions to help prevent homelessness.

There are some provisions on homelessness that are conferred by Acts of the UK Parliament. As housing is devolved to the Scottish Parliament, it would be possible to bring these provisions into the scope of the section 6 compatibility duty by re-enacting them in Acts of the Scottish Parliament. (The same is true of all devolved measures that are conferred by Acts of the UK Parliament.) However, that would be a time-consuming task that would have a significant impact on the Scottish Parliament’s law-making capacity.

Our hope is that, through engagement with the UK Government, there may be a more straightforward way of extending the reach of the compatibility duty in the UNCRC Act (and other future human rights protections), which would not require the re-enactment of individual Acts of the UK Parliament. Next steps are being considered.

The Women’s Health Plan sets out that healthcare for women should be holistic, inclusive, respectful, centred around the individual and responsive to their needs and choices.

In 2023, we carried out research on ‘Women's experiences of discrimination and the impact on health ’ so that we can better understand the lived experience of women and girls in Scotland and the discrimination they have experienced when seeking healthcare.

Through the Women’s Health Platform on NHS Inform we have created resources that can be used by women and girls and healthcare professionals to support shared decision making and a patient centred approach. This includes symptom questionnaires on menopause and menstrual health and clinical tools such as the Endometriosis Care Pathway and the Heavy Menstrual Bleeding Pathway to support informed discussions and provide better understanding of the next steps on a healthcare journey.

We have also funded the development of educational resources to support health professionals to learn more about menstrual health, endometriosis and menopause, the symptoms and treatment options.

The Scottish Government understand the importance of sport and physical activity for women and girls in Scotland and the positive impact that has on their physical, mental, and social health. Football plays a key role in this because it has a reach into communities like no other sport, and participation levels in women and girls football are at record levels.

The Scottish Government supports the Scottish FA in making football accessible for all and believes in the power of football in bringing communities together. We are also keen to support the SWPL in promoting and improving the elite women’s game to help encourage more women and girls into the sport.

Produced in partnership with UEFA, the Scottish FA’s Accelerate Our Game strategy has been designed to a provide focus to the Scottish FA’s commitment to progress the girls’ and women’s game in Scotland. The strategy aims to harness the power of women’s football by changing perceptions and empowering people to inspire the nation, whilst developing and promoting women’s football for all, enabling current and future generations to enjoy our national game equally.

In addition, the Scottish FA leads three key programmes targeting girl’s football:

• UEFA Disney Playmakers
• KDM Soccer Centres
• SPAR Future Stars Cup Square

Furthermore, sportscotland works in partnership with all 32 local authorities to invest in and support the Active Schools Network. Active Schools aims to provide more and higher quality opportunities to take part in sport and physical activity before school, during lunchtime and after school, and to develop effective pathways between schools and sports clubs in the local community. In the 2022-23 academic year, football was the second most popular activity for girls within the Active Schools programme, with girls and young women making 379,944 visits to Active Schools football sessions.

The Scottish Government is taking wide-ranging action to support low income families and to help those in temporary accommodation to live dignified lives.

As part of over £3 billion of investment to tackle poverty and the cost of living for families in 2025-26, we have committed £644 million in our package of benefits and payments only available in Scotland. Among these, the Scottish Child Payment is forecast to be supporting the families of around 333,000 children. We are also continuing to invest around £1 billion a year to provide 1,140 hours of funded early learning and childcare to all three and four year olds and eligible two year olds, helping children to get the best start in life and parents to work and earn more, and supporting families through free bus travel for all under 22s, and free school meal provision for all children in primaries 1 to 5.

We have committed to strengthening the support available to families by further expanding free school meal provision, investing to enable the expansion of breakfast clubs across Scotland, and by developing the systems needed to scrap the impact of the two-child cap by April 2026.

In 2025-26, the Scottish Government will allocate at least £15.8 million for the provision of free income maximisation support, welfare and debt advice, an increase on our allocation for these services in 2024-25.

Scottish Government modelling, published on 27 March 2025, showed that on average, households with children in the poorest 10% of households are estimated to be £2,600 a year better off in 2025-26 as result of Scottish Government policies, with this value projected to grow to an average of £3,700 a year by 2029-30.

A household offered temporary accommodation can be asked to pay a reasonable charge for any accommodation provided directly by the local authority, or a reasonable amount for accommodation supplied by another provider but paid for by the local authority. In deciding what is reasonable, the local authority should take account of the household’s earnings and what the household can afford to pay.

If the household has no income or a low income, the local authority must help the applicant apply for Housing Benefit to help cover the cost of temporary accommodation.

We recognise that there are other costs households may face when living in temporary accommodation, including travel, energy and household equipment costs.

The Scottish Government funds local authorities to administer and disburse the Scottish Welfare Fund. The fund provides emergency support and a lifeline to people in need, through crisis grants to help meet immediate short-term needs arising from exceptional circumstances and community care grants to help eligible people establish or maintain a settled home.

We fully acknowledge that a cancer diagnosis will be a difficult time. That is why Social Security Scotland continues to prioritise decision-making, with the last nine months of official statistics for Child Disability Payment showing Social Security Scotland has made decisions on new applications almost twice as fast as in the previous financial year.

To date Child Disability Payment has paid out over £1 billion to families with disabled children. 74% of people surveyed in the Social Security Scotland Client Survey: 2023-24 gave a high rating for how much their payment(s) had helped make a difference to their life and helped them pay for what they needed.

There is a dedicated application route for terminally ill children and young people, with previously published data showing that applications are processed in an average of three working days.

Total known direct costs were £7,792.64 including VAT. This covered publishing costs for the main report and the supporting evidence paper - A Review of Antisocial Behaviour in Scotland - Data Survey and Literature Review; travel expenses of any members/officers who claimed for in-person attendance at meetings and fact-finding visits to two local authority areas; and teas/coffees for meetings.

Members provided their services free of charge with costs - other than travel expenses, which were met by the Scottish Government - being assumed within their own organisation’s budgets. There were no meeting venue costs as these were held hybrid in Scottish Government buildings or members’ sites. Refreshments were also provided by the respective hosts for these meetings. Most engagement meetings, with stakeholders, were hybrid so incurred no direct expense.

We do not hold any other known direct costs or estimates. The group was supported by a secretariat - generally two Scottish Government officials - whose time costs were contained within existing budgets. One member did require printed copies of meeting papers - contained within a central budget. The Scottish Community Safety Network held two online engagement sessions and costs of these were met from within their existing Scottish Government grant.