Chamber and committees

The Scottish Government has supported the development of The Endometriosis Care Pathway for NHS Scotland which aims to support healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms. All NHS Boards should be taking steps to implement the pathway.

To support health care professionals to improve their knowledge and understanding of endometriosis NHS Education for Scotland (NES) has been commissioned to create a bespoke training package and framework focussed on menopause and menstrual health, which includes endometriosis, for healthcare professionals in Primary Care.

The Scottish Government has also worked with NHS Education for Scotland to deliver an endometriosis masterclass for health care professionals across Scotland on diagnosis, treatment and current research into endometriosis.

Additionally, through the NHS Inform Women’s Health Platform, we have made a range of information on endometriosis available to women online. This has included the Endometriosis UK Pain and Symptom Diary as well as access to a self-help tool on periods and mental wellbeing.

A menstrual health symptom questionnaire has also been developed by NHS Education for Scotland and is available through the TURAS platform for healthcare professionals to share with women. It will also be available for women to access directly via the NHS Inform Women’s Health Platform shortly.

We have no plans to establish a national advice helpline for people with endometriosis.

Through the NHS Inform Women’s Health Platform, we have made a range of information on endometriosis available to women online.

This includes signposting to peer support groups and organisations such as Endometriosis UK who operate a free, confidential helpline run by trained volunteers who have a personal experience of endometriosis.

There are also national helplines including 111, Breathing Space and The Samaritans for anyone who is struggling and needs someone to talk to.

Through the NHS Inform Women’s Health Platform, we have made information on a range of health topics available to women online and in one place. Connections have been made throughout the platform with content on menstrual health symptoms, like heavy menstrual bleeding, linking to more information on possible causes, such as endometriosis, helping to raise awareness of the condition and supporting women to access the information they need when they need it.

As of December 2024 there have been:

• Almost 65,000 users on the life sections
• Over 986,000 views on the Periods pages
• Just under 3.2 million views on the Menopause pages

More information about the Women’s Health Platform can be found in the Women’s Health Plan Final Report.

All health professionals should consider the mental health and wellbeing needs of their patient as part of their care and a support.

The Endometriosis Care Pathway for NHS Scotland aims to support healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms. This includes advising practitioners to assess women’s individual support needs, taking into account their symptoms, priorities, desire for fertility, aspects of daily living, work and study, cultural background, and their physical, psychosexual and emotional needs.

Through the NHS Inform Women’s Health Platform, we have made a range of information on endometriosis available to women online.

This includes signposting to peer support groups and organisations such as Endometriosis UK who operate a free, confidential helpline run by trained volunteers who have a personal experience of endometriosis.

The platform also hosts a range of content on mental health with several self-help guides to help people manage their mental wellbeing including a menstrual health and mental wellbeing self help guide and another to support those living with chronic pain. There is also signposting to national helplines including 111, Breathing Space and The Samaritans for anyone who is struggling and needs someone to talk to.

We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care.

Following the advice of the Joint Committee on Vaccination and Immunisation (JCVI), which provides advice on immunisation to all four UK nations, for winter 2024, COVID-19 vaccination is being offered to the following groups in Scotland:

Residents in care homes for older adults

All adults aged 65 years and over

Individuals aged 6 months and over who are in a clinical at risk group (as defined in tables 3 and 4 in the COVID-19 chapter of the Green Book), including pregnant women

Frontline Health & Social Care Workers

Staff in care homes for older adults

The key change in eligibility this winter, compared to winter 2023, is that unpaid carers and household contacts of the immunosuppressed are no longer eligible for COVID-19 vaccination this winter, as per the advice of the JCVI.

The JCVI noted that they no longer advise COVID-19 vaccination for frontline health and social care workers and staff in care homes for older adults, but advised that health and social care service providers may wish to consider vaccination as an occupational health programme.

The Scottish Government made the decision to continue the offer of COVID-19 vaccination to frontline health and social care workers, and staff in care homes for older adults for winter 2024. We will begin to assess the need for any future offer for these two groups in early 2025.

All retailers selling alcohol that despatches from a location in Scotland, including those selling online, are required to hold a licence to sell alcohol and must comply with the Minimum Unit Pricing (MUP) requirements as a condition of licence.

The Scottish Government set out in its final Business and Regulatory Impact Assessment (BRIA) an assessment of the effects of MUP on Scottish businesses, including in relation to cross-border and online sales.

The Scottish Government continues to engage with business and industry, and a range of other key stakeholders, following the price increase and continuation of MUP from 30 September. As a developing market the Scottish Government continues to keep the effect and impact of online sales of alcohol under review.

As policy implementation and delivery is carried out primarily within health boards, the total budget figures for policy implementation are not centrally held.

The Scottish Government’s published budgets for the last five years, including details of planned spending, are available online.

Scottish Budget: 2024 to 2025 - gov.scot (www.gov.scot)

Scottish Budget: 2023 to 2024 - gov.scot (www.gov.scot)

Scottish Budget 2022 to 2023 - gov.scot (www.gov.scot)

Scottish Budget 2021 to 2022 - gov.scot (www.gov.scot)

Scottish Budget 2020-2021 - gov.scot (www.gov.scot)

We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care.

Through the Women’s Health Plan we have developed the Women’s Health Platform on NHS Inform which includes an endometriosis page with consistent, reliable and accessible information, including a lived experience film, empowering women to make informed decisions about their health. This includes information on endometriosis and fertility.

The endometriosis care pathway for NHS Scotland aims to support healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms and ensures that healthcare professionals are considering the impact of endometriosis on a woman’s fertility.

Our ambition is for a Scotland where health outcomes are equitable across the population so that all women enjoy the best possible health – throughout their lives. That is why endometriosis is one of the key priorities in the Women’s Health Plan and will continue to be so.

Information about the progress to date against each of the priorities in the Women’s Health Plan can be found in the Women’s Health Plan Final Report.

In March 2023 we delivered an engagement campaign in partnership with Young Scot to increase young people’s awareness of endometriosis. The campaign is aimed at those aged 11 to 25 in Scotland. The campaign includes information about endometriosis symptoms, provides information about available support and provides information on how to support a young person in the process of diagnosis or who may have endometriosis.