Chamber and committees

I have today published a new, strengthened Scottish Ministerial Code which sets the very highest standards of propriety and integrity.

The changes I have introduced mark the most fundamental developments to the Code since the introduction of Independent Advisers in 2008.

The Code has been restructured into three distinct sections: Ministers' Standards of Conduct; Ministers' Interests; and Ministers and the Procedures of Government. This brings ethical standards and public service values to the forefront, while ensuring that they are supported by the governing rules and procedures that underpin guidance to Ministers.

My 2024 edition of the Code provides an enhanced role for my Independent Advisers on the Code, who can now:

• Launch investigations into alleged breaches without a referral from me;
• Provide me with advice on the appropriate sanctions for a confirmed breach of the Code;
• Recommend to me improvements to strengthen the Code at any time; and
• Play a role in reviewing the processes in place to support Ministers to avoid any conflicts of interest between their private interests and their public duties.

I announced the appointment of my three new Independent Advisers on the Ministerial Code on 6 December and I have published their Terms of Reference alongside my new Code for the first time. These Terms of Reference set out the detail of my Advisers strengthened role and the process of independent scrutiny and advice they can provide to me.

My new Code has been updated throughout to support the highest standards of transparency, integrity, accountability and honesty. For example, the Seven Principles of Public Life have been brought into the body of the Code and updates have been made to ensure that the Code reflects existing rules, guidance and procedure on the use of corporate communication channels and on Ministerial travel and engagements.

The Infected Blood Inquiry’s report of 20 May 2024 set out a range of important recommendations that seek to protect patient safety and ensure a similar tragedy can never happen again. As the First Minister made clear in his statement to the Scottish Parliament on 21 May, the Scottish Government is committed to learning lessons from what went wrong and the terrible impact it has had on so many infected blood victims in Scotland and their families. The Scottish Government has established an Oversight and Assurance Group involving patient representatives and from the NHS in Scotland, to ensure progress in taking forward the Inquiry’s recommendations.

A UK Government report (https://www.gov.uk/government/publications/government-response-to-the-infected-blood-inquiry/government-response-to-the-infected-blood-inquiry-html) provides an update on progress so far in implementing the recommendations. This includes updates on the approach being taken in Scotland, along with information on progress being made on recommendations being taken forward at UK level, such as on the provision of compensation to infected blood victims. In line with the Inquiry’s recommendation 12, the Scottish Government expects to provide a further detailed response to each of the Inquiry’s recommendations next year, within one year of the publication of the Inquiry’s final report.

In Scotland, a number of steps are already being taken and further work is being done in the coming months to ensure further progress. In particular:

• The Scottish Government and the Scottish Infected Blood Support Scheme have ensured that additional interim compensation has been paid to infected hepatitis C and HIV victims in Scotland and that estates of many of those who sadly died are now able to claim interim payments of £100,000;
• The Chief Medical Officer has asked all NHS Boards and GP practices to offer hepatitis C testing to anyone who has had a blood transfusion prior to 1996 if they have not already been tested. This is to ensure any individuals who may have been infected but not yet diagnosed can be offered treatment and support as quickly as possible;
• The Scottish Government is working with campaigners and relevant local authorities to identify a suitable location for a memorial to infected blood victims.

This is a matter for SEPA. The information requested is not held centrally.

This information is not held centrally. NHS Boards and Health and Social Care Partnerships are the experts on their communities and are responsible for providing services that meet local needs. This may include providing services in-house or, where appropriate, through robust referral pathways to non-specialist services.

Following publication of the recent HIV Outcomes Beyond the Virus report, officials will work with the HIV Transmission Elimination Delivery Implementation Group and the Scottish Health Protection Network’s HIV Clinical Leads Group to consider its recommendations and ensure that psychological support for adults living with HIV meets the high standards we would expect.

The Scottish Government is also providing NHS Education for Scotland with around £30 million in 2024-25 to deliver multidisciplinary education, training and workforce expansion for staff supporting adult and children’s mental health and psychological wellbeing.

The review of the Preparing Scotland guidance has been completed by officials within Civil Contingencies Division in early 2024 as initially planned. Due to a number of competing demands on the time of responder agencies, and a range of other consultations and requests for participation in working groups etc, the draft document has not yet been circulated for consultation and approval. This decision has also been influenced by the fact that the existing guidance is still current, valid and fit for purpose and therefore there is no immediate disadvantage or danger in postponing the circulation in favour of other work. It is expected to consult on the refreshed guidance by summer 2025.

Scotland will take part in the Trends in International Mathematics and Science Study (TIMSS) at two grade levels - P5 and S2 - and we have confirmed our participation with the International Association for the Evaluation of Educational Achievement, which administers the study. Procurement of a provider to deliver the assessments in Scotland is currently underway. The field trial is planned for 2026, with the main study to follow in 2027.

Special care dentistry is predominantly carried out by the Public Dental Service (PDS). The PDS are NHS Board-run services and therefore the responsibility of the health boards.

The Scottish Government undertook engagement with stakeholders on issues relating to non-core and discretionary support, including support for part-time students following the response to the recommendations of the Independent Review of Student Support. Further work in this area, including the launch of a public consultation, was unable to continue due to the reprioritisation of resources to deal with issues related to Brexit and then the response to the Covid-19 Pandemic.

As a Government, we recognised the importance in continuing this work and as a result, the Post-school education, research and skills - initial priorities set out the commitment to undertake a review of student support for part-time students. This commitment was also incorporated in the 2023-24 Programme for Government.

We are in the process of considering the best way to engage with the sector to ensure that the relevant views of key stakeholders and students are captured. All issues impacting on part-time students will be given careful consideration as part of this Review. As an initial step, we have opened up living cost support to disabled students who are studying full-time distance learning courses and who are unable to study campus based courses because of their disability.

The Scottish Government is working to ensure children and young people learn about a variety of substances including alcohol, medicines, drugs, tobacco and solvents as part of Curriculum for Excellence. Our aim is by educating children and young people about substance use and the impact it can have on their life and health, this will prevent them making unhealthy choices. Education alone will not turn the tide of substance use but it is an important strand within a broad range of measures across the community, designed to tackle this issue.

The Scottish Government remains committed to progressing work on protecting children and young people from exposure to alcohol advertising, including commissioning Public Health Scotland to carry out a review of the evidence for restrictions on alcohol marketing. The findings from the Health Behaviour in School-aged Children Survey (2024) is encouraging as it showed that levels of drunkenness in school-aged children (15 year-olds) in Scotland have steadily declined and are now at their lowest in 32 years.

The Scottish Government is firmly committed to reducing deaths by suicide, whether this is by intentional self-poisoning or any other method.

Our 10 year suicide prevention strategy and action plan - published jointly with CoSLA - aims to tackle the root causes of suicide – and has a clear focus on people at higher risk of suicide, including those affected by substance use.

We are continuing to deliver the National Mission which aims to reduce drug deaths and includes specific work to improve the interaction between mental health and addiction recovery services.

We are also prioritising suicide prevention training for staff working in the substance use sector to increase their confidence and skills in supporting people at risk of suicide.

We recognise that intentional self-poisoning can be a form of self-harm, and in some cases this can increase the risk of suicide. We have provided funding to Penumbra since 2022 to deliver a bespoke Scotland-wide self-harm support service.