Chamber and committees

Following an assessment by a healthcare worker, the NHS will provide the necessary equipment to support the clinical needs of a patient free of charge. This includes the provision of a wheelchair. Seating is also provided to individuals free of charge following an assessment. For those living in a care home (residential and nursing), it is the responsibility of the care home to purchase and provide seating to their residents.

However, should an individual choose to purchase other forms of equipment which is not available on the NHS or not assessed by the healthcare worker as required for their needs, they may be able to do so by using their Self-Directed Support (SDS) budget, if the equipment clearly meets an identified personal outcome in their support plan.

Another option is support via Adult Disability Payment. The key intent of Adult Disability Payment is to provide individuals with payments to help mitigate the costs they incur because of a disability or long-term condition. This means individuals can use it to pay for things such as care, access to community resources, transport, social activities, and any other goods or services of their choosing, including aids or equipment.

All long waits are regrettable, and we continue to work with Health Boards, including NHS Western Isles, to drive improvements in waiting times.

Public Health Scotland publishes data on NHS Waiting Times across NHS Scotland quarterly. This can be accessed using the following link: Stage of treatment waiting times - Inpatients, day cases and new outpatients quarter ending 30 June 2024 - NHS waiting times - stage of treatment - Publications - Public Health Scotland. The data for NHS Western Isles show:

Inpatient/Day-Case:

Ongoing waits: 371

Over 52 weeks: 1

Over 78 weeks: 0

New Outpatient Appointment:

Ongoing waits: 1,518

Over 52 weeks: 14

Over 78 weeks: 2

I understand from NHS Western Isles that 70% of Inpatient/Day-Case patients are currently listed within 12 weeks. However, a small number of patients are waiting longer due to medical unavailability or due to the timetable for visiting services.

NHS Western Isles expect to clear the majority of their backlog for New Outpatients in November 2024.

Following a clinical assessment, the NHS will always provide the necessary equipment to support the healthcare needs of a patient. This includes the provision of a wheelchair.

However, should an individual choose to purchase a wheelchair which is not available on the NHS, they may be able do so using their Directed Support (SDS) budget, if the wheelchair clearly meets an identified personal outcome in their support plan.

Another option is support via Adult Disability Payment. The key intent of Adult Disability Payment is to provide individuals with payments to help mitigate the costs they incur as a result of a disability or long-term condition. This means individuals can use it to pay for things such as care, access to community resources, transport, social activities, and any other goods or services of their choosing, including aids or equipment.

Scottish Government are taking forward a range of actions across five key outcomes: giving children the best start in life; creating a healthier food environment; better access to weight management services; leadership and reducing health inequalities.

This includes our continued support for convenience stores to increase the accessibility of fruit and vegetables in more deprived areas, supporting businesses to reformulate their products to make them healthier, and maintaining funding to community food networks, to enable them to increase access to affordable, healthier food to their communities and to promote the health benefits of nutrition and physical activity.

Specifically, regarding children, we have updated the Nutritional Requirements for Food and Drink in Schools (Scotland) Regulations, strengthening the provision of balanced and nutritious food to children.

Our Scottish Milk and Healthy Snack Scheme promotes good nutrition to support healthy physical and brain development through the provision of healthy drinks and snacks in the earliest years. We have continued provision of free vitamin D to children under three, and pregnant and breastfeeding women.

Over the last 6 years, in addition to the core funding provided to Boards to support maternal and infant nutrition, we have invested more than £10 million to promote, protect and support breastfeeding to help give children the best possible start in life. Breastfeeding rates at 6-8 weeks are now at 47%. Infant feeding statistics - Financial year 2022 to 2023 - Infant feeding statistics - Publications - Public Health Scotland the highest they have been since records began.

Our aim to halve childhood obesity by 2030 and significantly reduce diet related health inequalities is deliberately ambitious.

A recent study completed by Nesta Counting the cost of obesity in Scotland | Nesta calculated that, on average across all children living with obesity within the 2-to-15-year age range, a sustained reduction of 65 kcal per day – the equivalent of one digestive biscuit – would achieve the desired reduction in obesity from 16.4% (2019 Scottish Health Survey figure) to 7% by 2030.

This represents a reduction of 3.0% in the daily calorie consumption of the average child living with obesity in Scotland.

However, it is important to note that 65 kcal per day is the weighted average of a range of estimates that vary by children’s age and sex, from 19 kcal per day to 142 kcal per day. In practice, a 65 kcal-per-day reduction in excess calories would be excessive for a two-year-old child, but insufficient for a 15-year-old living with obesity.

This suggests the ambition is feasible, even if challenging and we remain committed to achieving this aim.

The Scottish Government does not recommend active dieting and weight loss interventions in pregnancy.

There is strong evidence that breastfeeding is one of the most important things that a mother can do to give her baby the best nutritional start in life and can also be a means of preventing obesity among infants and young children.

The Scottish Government is committed to supporting women to breastfeeding and have demonstrated this by providing additional investment of more than £10m for breastfeeding support services over the past six years, in addition to our core funding to Boards to improve maternal and infant nutrition.

Health Boards deliver weight management services in line with Public Health Scotland Standards Weight Management Standards. These standards were introduced in 2019 and aim to ensure a fair and equal approach to the treatment of overweight and obesity for children, young people and adults across weight management services in Scotland.

Health boards delivering weight management interventions work to ensure that programmes are tailored to the specific needs of their local populations by conducting robust needs assessments, consulting with local communities and frontline staff, and addressing barriers related to equality, diversity, and inclusion. This includes conducting Equality Impact Assessment to continuously improve service accessibility and effectiveness.

The public consultation on the detail of proposed regulations to restrict promotions of food and drink high in fat, sugar or salt closed on 21 May 2024. The consultation paper sought views on proposals for the implementation and enforcement of regulations.

Independent analysis of the consultation responses is underway. The feedback received will be used as part of the policy decision-making process, alongside a range of other available information and evidence to help ensure the regulations are proportionate and effective.

Legislation to restrict promotions is part of a wide range of action, set out in our Diet and Healthy Weight Delivery Plan, to improve diet and help create a food environment which better supports healthier choices.

This includes, amongst other things, ongoing support for the Healthy Living and Reformulation for Health Programmes, both of which are helping to increase the availability of healthier options. We are also working with Public Health Scotland and Food Standard Scotland to implement our Out of Home Action Plan.

Scottish Government officials last met Obesity Action Scotland on the 22 October 2024.

At the meeting childhood obesity was discussed as part of their on-going work to support the Diet and Healthy Weight Action Plan.

No One Left Behind is our national approach to devolved employability services in Scotland. This approach sees a move away from nationally contracted provision to a model which empowers Local Employability Partnerships to lead the design and delivery of services in each Local Authority area.

Local Employability Partnerships work with employers, educational institutions and organisations to ensure that participants enter a positive destination which is right for them, at that time. As well as employment; education, training and volunteering are seen as positive destinations for participants, allowing for the development of skills in preparation to enter the labour market.

Between April 2019 and June 2024, 30,280 female participants started receiving No One Left Behind support (45% of all participants). Female participants account for the majority of participants in the 25 to 34 age group (56%), the 35 to 49 age group (59%), and the parental cohort (72% of all parents). Additionally, 30% of all female participants entered employment (8,935), 13% entered full time or higher education or training (4,063) and 15% gained a qualification (4,423).

We ensure that information and advice on the benefits that flexible working and other fair work practices bring to protected groups and employers are promoted regularly. For example, a recent Fair Work social media campaign covered those benefits including that diverse and inclusive workplaces are more creative, innovative and better at problem-solving.

The Scottish Government provides the overall guidance to NHS Boards for patient travel expenses reimbursement. Health Boards are responsible for developing and applying their own policies, including reimbursement rates, ensuring patient care and safety. Health Boards therefore have the discretion to provide financial support for any travel to treatment centres where deemed to be an extension of treatment and clinically necessary.

Scottish Government expects Health Boards to support patients to identify and access support available, taking account of individual circumstances and ensuring that patient care is at the centre of all decisions.