Chamber and committees

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 information requested could only be obtained at disproportionate cost.

The regulations for the Emergency Early Release process conducted in June-July 2024 included an exclusion for any individual serving a sentence for a conviction for domestic abuse (or aggravation), or where a previous unspent conviction for such an offence had led to a custodial sentence.

Prison Governors also had the power to veto the emergency early release of an otherwise eligible prisoner, where their early release would have presented a risk to a specific person, or group. The Scottish Prison Service consulted with Police Scotland and Justice and Children and Families Social Work, to request any risk relevant information regarding each individual, to inform any veto decision.

There is currently a moratorium on new apprenticeships in Scotland while work is ongoing with the Scottish Government’s post-school education and skills reform programme.

However, one of the key recommendations of the Allied Health Profession (AHP) Education and Workforce Review is to develop earn as you learn routes, which may in the future include apprenticeships. We are currently working closely with partners including Higher Education Institutions, Health Boards, Further Education and the Scottish Funding Council to progress this issue.

Progress has already been made to tackle workforce shortages in podiatry through the creation of a collaborative earn as you learn route at Glasgow Caledonian University. Health Boards are able to identify and send employees to train to become a podiatrist whilst remaining in the workforce and receiving full employee benefits of their local Board area.

Furthermore, the Scottish Government is currently collaborating with the Scottish Qualifications Authority (SQA) and wider stakeholders on the development of Next Generation HNC for AHP subjects. This work is providing the opportunity to take forward initial developments across three AHP professions and potentially offers a first step towards a recognised earn and learn progression route. It is currently in its early stages of development.

This information is not held by Scottish Government.

The National Dental Inspection Programme (NDIP) is a key function of the Public Dental Service, delivery of which is the responsibility of Health Boards.

From the financial years 2020-21 to 2023-24, Scottish Government provided funding to Public Dental Services via Health Board allocations, however this did not specify funding for NDIP. From the financial year 2024-25, this funding has been baselined in to the overall Health Board allocation and is not separately identifiable.

The most recent surveillance report from Public Health Scotland indicates that the number of people tested for hepatitis C (HCV) antibody in Scotland in 2023 had surpassed pre-pandemic levels in almost all settings. Nonetheless, detecting more infections is a priority and we are focused on testing and treating more people, wherever they are, as we continue to push towards elimination of the virus.

Current work includes ensuring that opt-out testing is optimised in drug services and prisons, and considering the results of a recent Scottish Government-funded prison-based Hepatitis Intense Test and Treat (HITT) initiative in NHS Lothian. We are also reviewing the outcomes of opt-out blood borne virus testing pilots in Scottish emergency departments to determine whether further roll-out of this model would be effective.

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.

The Scottish Government does not currently have any formal arrangements with industry partners to identify undiagnosed individuals living with hepatitis C. However we are aware of local community testing initiatives that have been developed and delivered with industry, such as the STEP C Free project in Forth Valley and work with the Hepatitis C Trust in Glasgow. We are happy to encourage innovative evidence-based approaches and support dissemination of learning from such initiatives through forums such as the Scottish Health Protection Network groups and our ongoing Sexual Health and Blood Borne Virus local area visits.

a) The Scottish Government’s Counter Fraud Toolkit within the Counter Fraud Framework contains a range of processes for assessing risks associated with fraud and corruption in all areas of public sector spending. These are aligned with the UK Government's Counter Fraud Standards and international best practice on the effective prevention of public sector fraud and corruption.

b) The Scottish Public Finance Manual (SPFM) contains the requirements for assessing and responding to the risk of corruption in all areas of public finance and infrastructure spending. Where the risk of fraud or corruption of any kind is identified, the SPFM requires that appropriate measures are put in place to prevent these risks.