Chamber and committees

Progress towards eliminating hepatitis C (HCV) in Scotland is monitored by Public Health Scotland (PHS). PHS’s latest HCV surveillance report, published in January 2025, described progress as “hugely encouraging”. The number of deaths and cases of severe disease reduced by over 65% between 2015 and 2022, with the vast majority of those diagnosed (89%) having cleared their infection through treatment (exceeding the World Health Organization’s target of 80%).

However, the latest report only includes data up to 2023/24, so it is too early to say conclusively whether every indictor for HCV elimination has been reached. Work continues across key sectors to ensure we achieve and sustain elimination. I will provide a further update to Parliament once we have a fuller picture of our position and next steps post-March 2025.

Cervical self-sampling is not yet recommended by the UK National Screening Committee (UK NSC), the independent expert advisory group which advises all four UK nations on screening policy, and therefore is not currently offered within the cervical screening programme. However, the UK NSC are currently consulting on whether cervical self-sampling should be offered to under-screened people eligible for cervical screening.

In preparation for a positive UK NSC recommendation, Screening Oversight and Assurance Scotland are re-establishing the self-sampling working group, whose remit will include assessing implementation options in light of new evidence on the effectiveness of different approaches, and ensuring that communications around a potential roll-out are inclusive and supportive.

In the meantime, the Scottish Government and its partners continue to explore alternative interventions that seek to encourage increased uptake of cervical screening, particularly among under- and never-screened populations. We published the Equity in Screening Strategy in July 2023 that outlines a strategic approach to identifying, addressing and removing barriers to participants across the screening pathway, and ensuring that professionals working within screening are knowledgeable of and use effective interventions to reduce these inequalities. To support this, the Equity in Screening Network was also launched in July 2023, allowing individuals that work across screening to share evidence, best practice and learning around screening inequalities.

Finally, as part of the Scottish Government’s work to eliminate cervical cancer, an expert group on cervical screening is exploring the effectiveness of a range of strategies to increase cervical screening uptake, and are currently considering how different media interventions could remove stigma and fear for all participants.

Addressing inequalities in HPV vaccine uptake and optimising opportunities for young people to receive the vaccine is a priority for the Scottish Government.

Human papillomaviruses (HPV) not only cause cervical cancer but can also cause other diseases including anogenital and head and neck cancers. These are less common but are equally significant for those affected. To increase everyone’s protection against these cancers, the HPV vaccination offer was extended to all young people in 2019, although recent statistics show that boys are still less likely than girls to take up the offer.

Completion of consent forms is required to participate in school vaccination programmes. We therefore welcomed the return of the recent Public Health Scotland (PHS) marketing campaign, “chat.sign.protect”, to raise awareness of vaccines offered in secondary school and encourage an increase in the numbers of parents and young people consenting to vaccination. Coinciding with the distribution of informed consent materials to young people, the campaign aims to increase understanding of why these vaccines are important, the seriousness of the diseases they protect against and encourage parents and carers to take action and sign consent forms to ensure our young people receive the protection offered by immunisation.

The Scottish Government has established an Expert Working Group to recommend how Scotland can eliminate cervical cancer. Actions that come out of this work are likely to support increased uptake of the HPV vaccine by males.

We are working with PHS and territorial Health Boards to consider what further actions can be taken to increase vaccination uptake in boys, support those eligible for vaccination, and to address any inequalities in accessing immunisation services.

The Scottish Government fully recognises the role that alcohol plays as a cause or risk factor for a number of illnesses and health conditions.

• The Scottish Government has taken action to reduce the harms caused by alcohol including the recent increase to the minimum unit price of alcohol from 30 September 2024. The Public Health Scotland (PHS) evaluation of that policy estimated that it had saved hundreds of lives during the period the evaluation reviewed.
• The Scottish Government has maintained a record £112m to Alcohol and Drug Partnerships (ADPs) for a wide range of measures, including alcohol treatment services, to ensure that local services meet the needs of people who experience alcohol and drugs harms.
• The Scottish Government continues to support the online ‘Count 14’ tool which raises awareness of the UK CMO Guidance on alcohol consumption, in addition to providing an online unit calculator. Count 14 materials continue to be used by a range of partners to support public health messaging on alcohol.
• The Scottish Government provides funding for the Fetal Alcohol Spectrum Disorder (FASD) Hub which provides support, training and advice to families, carers and professionals supporting children affected by FASD, the first of its kind in the UK.
• The Scottish Government is also supporting innovation in early detection of liver disease, working in partnership with Alcohol and Drug Partnerships (ADPs) and local Health Boards, building on learning taken from the innovative intelligent Liver Function Testing (iLFT) pilot pioneered by NHS Tayside.

The latest data published on the Scottish Government Justice Analytical Services Criminal Disposals Dashboard, shows that during the last past 12 months (January 2024 to December 2024), 1,067 people were convicted of at least one offence under the Domestic Abuse (Scotland) Act 2018.

Of those 1,067 people, 46 were convicted for domestic abuse offences under different case references in previous years (from the implementation of the Act to December 2023). Of those 46 people:

41 were convicted for domestic abuse crimes under one different case.

4 were convicted for domestic abuse crimes under two different cases.

1 was convicted for domestic abuse crimes under four different cases.

The SCAD pilot clinic has received 82 referrals with 57 patients seen to date. The remainder of patients currently referred will be seen by the end of July 2025.

An evaluation report will be requested by end of May 2025 to assess impact. The project team have advised that the first year of the pilot demonstrated a change in diagnosis for 20% of patients and 60% were able to have their medication reduced. Referrer and patient feedback is collected after completion of care episodes.

Scottish Government and Food Standards Scotland officials met in January 2025 to discuss possible further action to promote vitamin D supplements during winter months. This included consideration of current ongoing activity, such as the previous FSS winter campaigns as well as additional opportunities for future action to raise awareness of current advice on vitamin D, especially for at risk groups.

The Scottish Government supports and works closely with Food Standards Scotland, who have previously run national campaigns over winter months to raise awareness of vitamin D and encourage people to take a daily vitamin D supplement to maintain bone and muscle health.

The campaign primarily focuses on online advertising and social media posts. A campaign toolkit has also been developed and shared with a wide range of stakeholders to help support efforts to raise awareness of vitamin D, with graphics, web text, and social media posts available in nine languages (https://www.foodstandards.gov.scot/publications-and-research/publications/vitamin-d-campaign-toolkit).

Information on vitamin D is also available and promoted through a range of resources. Dedicated public advice on vitamin D is available on NHS Inform, including a general information leaflet highlighting the importance of vitamin D, which is available in a range of formats and languages (https://www.nhsinform.scot/healthy-living/food-and-nutrition/eating-well/vitamin-d).

Additional information can be accessed through our Parent Club (https://www.parentclub.scot/articles/eating-well-at-home) and Ready, Steady Baby! (https://www.nhsinform.scot/ready-steady-baby) resources, Food Standards Scotland

(https://www.foodstandards.gov.scot/consumers/healthy-eating/nutrition/vitamins-minerals/vitamin-d) website and

Eat Well, Your Way (https://www.eatwellyourway.scot/what-is-a-healthy-balanced-diet/vitamin-d/).