Chamber and committees

We recognise the challenges facing Scotland’s health and social care system. That is why we have already taken significant steps to set out clear, short and longer term actions to improve access to treatment, shift the balance of care, harness digital innovation, and strengthen prevention.

We recently published the, Foreword - NHS Scotland operational improvement plan - gov.scot the Scotland's Population Health Framework - gov.scot and the Health and Social Care Service Renewal Framework - gov.scot in which we outline our shared vision for reforming and renewing health and social care services to ensure they are more sustainable, preventative, and equitable.

We remain committed to engaging with leaders across health and social care, including clinical leaders, to design and deliver the change needed in our NHS.

With regard to charging for services, the Scottish Government’s policy could not be clearer: our National Health Service must be maintained on its founding principles – publicly owned, publicly operated, and free at the point of need. As we have previously said, the provision of health services must always be based on the individual needs of a patient.

Scottish Government committed to a Four Day Working Week pilot in the public sector to explore the wellbeing and productivity benefits that a shorter working week could bring. No additional funding was allocated to either Accountancy in Bankruptcy or South of Scotland Enterprise to deliver the pilot in their organisations.

The pilot was delivered in partnership with The Autonomy Institute who published their evaluation report on 27 August. The report can be accessed here - Four day working week pilot - Public sector pay - gov.scot.

The Penrose Inquiry’s report, published on 25 March 2015, contained a single recommendation, which was that the Scottish Government take all reasonable steps to offer a hepatitis C virus (HCV) test to everyone in Scotland who had a blood transfusion before September 1991 and who has not been tested for HCV. The Scottish Government accepted this recommendation and in response a Short-Life Working Group (SLWG), involving key stakeholders such as the Scottish National Blood Transfusion Service, was established by Health Protection Scotland. The SLWG progress report was published on 2 September 2016, setting out the range of work undertaken by the SLWG.

The Scottish Government accepted the recommendation of the SLWG that there should be an awareness raising campaign to encourage people who had (or are likely to have had) a blood transfusion prior to 1991, and who have not already been tested for hepatitis C, to come forward for testing. A targeted awareness raising campaign to encourage such individuals to be tested was launched in October 2016 and an evaluation of the campaign, as recommended by the SLWG, was completed by Health Protection Scotland in 2018. The SLWG also recommended that a Chief Medical Officer letter should be sent to all clinicians in Scotland to remind them of certain risk factors and clinical indicators for HCV infection and making them aware of the recent advances in therapy and thus the benefits of HCV testing. The Chief Medical Officer accordingly wrote to all clinicians in Scotland on 20 September 2016, following up a previous letter issued just after the publication of the Penrose report on 27 March 2015. The Penrose Inquiry’s recommendation has therefore been fully implemented.

Specific data on school-based family income advisors, is not held centrally.

The Scottish Government has invested £1.75 billion in the Scottish Attainment Challenge over the past decade, including over £1billion in Pupil Equity Funding, empowering headteachers to take the best approaches that suit the needs of their pupils and families. This funding is supporting significant numbers of additional staff, like family income advisors, to help close the poverty-related attainment gap.

Across the country we continue to trust and empower Scotland's headteachers to use this extra funding to support their pupils - whether through extra support staff, family link workers or family income advisors. As highlighted in the pupil_equity_funding_report_2025_.pdf, published in May 2025, we know that the majority of the funding supports staff with roles specifically designed to help children and young people impacted by poverty. This includes up to 3,000 additional staff - almost 700 of whom are teachers - with the remainder in roles such as family link workers, pupil support assistants, education psychologists, speech and language therapists and family income advisors.

The Scottish Government also continues to support free income maximisation, welfare and debt advice services with £16.9 million invested in 2025-26, a significant increase on the £12.3 million invested in 2022-23, helping support families get the support they are entitled to.

Significant Adverse Event Reviews are conducted at a local level within each NHS Health Board and the learning and improvement actions that are identified as part of that review process are considered within the Health Board to reduce the risk of the same event recuring in the future. When relevant this will include actions to ensure that findings inform related professional development or training plans and delivery. The Scottish Government is clear that this learning should be shared nationally to enable other Health Boards consider if their processes can be improved as a result.

The Scottish Government has funded the Joint Commission for Safety, Openness and Learning – delivered by NHS Education for Scotland (NES) – which has developed Compassionate Communication Skills training to support staff in having difficult conversations after adverse events, reinforcing a commitment to learning and patient-centred care. NES has developed professional development and training resources, such as Human Factors/Ergonomics (Safety Science for Patient Safety), which can be accessed by all NHS Scotland staff.

Work is underway to support health boards to share learning from SAERs locally and nationally, to make them more accessible to healthcare professionals. In February this year Healthcare Improvement Scotland (HIS) published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland. The revised framework includes an updated shareable learning template, which NHS Health Boards should complete following a Significant Adverse Event Review (SAER). These summaries, which will support local and national learning, will be published on an online community of practice for NHS staff which HIS will launch soon. It is the responsibility of health boards to share learning within their organisations and to ensure that relevant staff groups are aware of changes to policies and processes as a result of learning and improvement actions.

The purpose of a Significant Adverse Event Review (SAER) is to find out what happened, how it happened and why, and identify learning to reduce the risk of the same event happening again. Due to the nature to SAER reports, they often contain personal and clinical information. The Scottish Government does not require NHS Health Boards to publish SAER reports; however, they should always be shared with the individual concerned, or their family in the event of a death. Following the updated publication by Healthcare Improvement Scotland in February this year of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland, work is underway to support NHS Health Boards to share learning from SAERs locally and across Health Boards, to make the learning more accessible to healthcare professionals.

Significant Adverse Event Reviews (SAERs) are conducted at a local level within each NHS Health Board. NHS Boards are required to notify Healthcare Improvement Scotland on a monthly basis of the number of SAERs that have been commissioned, including the event type and specialty. HIS recently reviewed and published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland in February this year. This provides templates to support NHS Health Boards to consistently report and learn from SAERs. The Scottish Government does not monitor NHS Boards responses to SAERs.

The Promise Scotland provides secretariat support for The Oversight Board. This involves governance, administration and communications support, and managing the expenses for members. Fee claims and expenses are processed by The Promise Scotland.

No guidance has been issued by the Scottish Government to a) schools and b) education authorities regarding peer massage programmes or other massage in schools programmes.