Chamber and committees

The Scottish Government wants all children and young people to attain the highest standard of health and wellbeing possible, but we know some patients are waiting too long and we’re determined to do more and our Budget will provide a record £21.7 billion for health and social care.

We recognise that the current levels of paediatric tooth extractions in hospital are too high - our aim is to reduce the number of children requiring referral as much as possible.

We continue to invest in our flagship preventative programme Childsmile, which provides oral health interventions for all children in Scotland, as well as targeted measures for children from the most vulnerable backgrounds.

The Programme has supported significant improvements in child oral health in Scotland and a narrowing in child oral health inequality over the longer term.

The 2024 National Dental Inspection Programme results show the gap between P1 children with no obvious tooth decay, living in the most and least deprived areas, is at its lowest on record – decreasing from 32.2 percentage points in 2010 to 23.5 percentage points in 2024.

These figures also show three quarters of Primary 1 children have no obvious decay – this is up from 45% in 2003.

There is no update at the moment on progress. The Scottish Government will be writing to the Office of the Secretary of State for Scotland very soon with details of what should be covered in the Order. Officials will keep people interested in the Order updated.

While we work with NHS Health Boards through planning to make best use of existing NHS resources and capacity, we will continue to consider use of the private sector in a structured and prioritised manner. However, it is for local NHS health boards to determine how they use the private sector and to agree any contractual arrangements.

The Scottish Children’s Reporter Administration (SCRA) publishes annual statistics on referrals. Data on referrals going back to 2003-2004 is available on the SCRA website here: Online Statistical Dashboard - SCRA.

If this is not sufficient for your purposes, and you require data going back further, requests for this information can be directed to SCRA.

COPFS understands the impact that the loss of a loved one can have on bereaved families.

The Procurator Fiscal will investigate every death reported to us thoroughly and independently to establish what happened and consider whether criminal proceedings or a Fatal Accident Inquiry (FAI) would be appropriate.

It is a strength of the Scottish system, which reflects a common European model, that death investigations are undertaken by a public prosecutor. That investigation may, depending on the circumstances, disclose a basis for criminal proceedings.

More than 13,000 deaths are reported to COPFS each year. In 2024-25, 98% of deaths where no investigation was required were closed within 6 weeks and 71% where further investigation was required were concluded within 12 weeks.

COPFS has significantly reformed its processes in recent years to improve the quality of death investigations and reduce the time taken to investigate deaths and bring FAIs to court. We are committed to identifying further improvements that can be made. A Death Investigations Improvement Board has been established to oversee all ongoing pieces of work and new proposals to achieve greater public confidence, improve the service delivered to bereaved relatives and reduce the journey time for concluding investigations.

While there is no statutory requirement, the decision on whether an applicant should have further assessment is a decision for the local authority to make. Blue badge administrators may use desk-based screening tools to inform decisions and identify which applicants should be referred to regulated health care professionals.

Transport Scotland considers it good practice for local authorities to refer applicants for an independent mobility assessment, if that is required to make a clear and robust decision on eligibility.

COPFS rely on pathology providers as the medical experts to determine the nature and extent of the examination required to establish a cause of death.

COPFS would support any proposals where evidence is provided that a particular approach would fully meet the requirements of our investigation in a timely and cost-effective manner, whilst reducing distress to families from the post mortem examination process.

The potential further use of CT scanners has formed part of regular discussions with the current pathology providers. From May 2025, Glasgow University Pathology and NHS Greater Glasgow & Clyde Health Board will undertake a service development pilot to investigate the potential benefits of incorporating CT scanning in Procurator Fiscal-instructed post mortem examinations taking place at the Queen Elizabeth University Hospital Mortuary in Glasgow. The findings of the pilot will be considered by COPFS as part of its future planning.

Direct award of public contracts is only possible in strictly limited circumstances under public procurement rules.

The CHFS3 decision was subject to a due diligence process which concluded there was no financial, operational or legal impediment to implementing a Teckal-compliant direct award.

Shipbuilding is a competitive global market and a designated sensitive sector under the UK Subsidy Control Act. For SVRP, it was assessed that a substantial subsidy would have been required to support direct award of the Phase 1 contract to Fergusons, which we did not consider would be capable of being justified. Given no clear path to subsidy control compliance and the risks of legal challenge, Ministers concluded that directly awarding the Phase 1 contract would have been likely to lead to the worst of both worlds - a delay in adding new ferries to the network and the yard ultimately not securing any work from the programme.

The Criminal Injuries Compensation Scheme outlines the basis on which victims of violent crime will be compensated. For those who are direct victims of violent crime the scheme is open to police officers as it is to everyone. The scheme also compensates those injured indirectly through for example apprehending an offender where the Criminal Injuries Compensation Authority are satisfied that the person was taking an exceptional and justified risk. The CICA considers each case on its own facts and will assess the case based on the information available. Some applications will by necessity take longer to decide.

The Scottish Government regularly meet with the CICA and performance is discussed. The majority of applications are decided by the Criminal Injuries Compensation Authority within 12 months.

The pay deal recognises the vital role of NHS staff in the delivery of the health service as well as fully considering affordability and value for money.

NHS Boards have been provided with a 3% budget uplift for 2025-26 which will help support implementation of pay deals, with budget assumptions based around the multi-year public sector pay policy framework. Whilst the pay uplift will result in additional costs for 2025-26 and beyond, this will be managed through the Health & Social Care portfolio and delivery of board operational plans including taking forward efficiencies and reform activity.

Future year budget allocations are yet to be agreed by the Scottish Parliament and will be considered in line with affordability and sustainability across the health budget.