Chamber and committees

The Scottish Government currently has no plans to make any code of practice (COP) for children’s food menus mandatory.

The COP is one of 11 key principles set out in the Eating Out, Eating Well (publichealthscotland.scot), currently being developed by Public Health Scotland (PHS) and Food Standards Scotland. The development of the Framework meets a key commitment set out in the Scottish Government’s 2021. Diet and healthy weight: out of home action plan - gov.scot (www.gov.scot)

The COP currently contains 7 actions detailed in published pilot guidance Code of practice for children’s menus: principles, actions, and top tips (publichealthscotland.scot) .Taken together with the rest of the Framework, these are designed to guide and support food businesses in providing healthier options for families with young children when eating out.

PHS has just concluded a pilot of the new Framework, including the COP, so its details are still subject to change. We are expecting it to be published in 2025.

The Scottish Government is committed to support Health and Social Care Partnerships and their local services deliver on our National Mission to save and improve lives affected by problem drug use. This includes the implementation of harm reduction initiatives including needle and syringe programmes and improved access to opioid substitution therapy (OST).

Our broad principle is that if providing safe equipment to a person is likely to reduce the risk of harm to themselves or others, there should be no question of that provision. We continue to provide direction and funding to local areas to implement the Medication-Assisted Treatment (MAT) standards, and Standard 4 in particular states that everyone at risk, including those who inject drugs, should be able to access a wide range of harm reduction services – for example, needles and syringes, injecting risk assessments, wound care and naloxone.

Services across Scotland have developed flexible and targeted approaches to supplying Injecting Equipment Provision (IEP) by introducing more mobile and more flexible approaches (such as IEP vans) that actively go out to areas where they know people will use them.

The Medication Assisted Treatment (MAT) Standards, published on 31 May 2021 aim to improve access, choice and support to OST and to a range of linked support such as primary care, mental health treatment and advocacy for other services. Public Health Scotland reports annually on how local areas are achieving this. Its Benchmarking Reports are published each June and these include details of how access to OST and access to drug harm reduction measures are improving in local areas.

The Scottish Government welcomed the 2023 Scottish Animal Welfare Commission (SAWC) report on handheld remote-controlled training devices that use static pulse as the stimulus. We are currently awaiting a further report from SAWC on a wider range of aversive dog training tools, including other types of electronic training collars. We will consider all their findings carefully as part of our ongoing commitment to improve and enhance animal welfare.

As reported in the Scottish Health Survey Supporting documents - The Scottish Health Survey 2022 – volume 1: main report - gov.scot (www.gov.scot) there has already been a significant decline in children’s consumption of non-diet soft drinks once a day or more, from 38% in 2008-2009 to 16% in 2017-2018, and to 5% in 2021-2022.

The Scottish Government recognises that there is much that still needs to be done to further reduce children’s sugary soft drinks consumption, especially in low-income areas. We continue to support the UK Government’s Soft Drink Industry Levy, recognising the positive impact this has made in reducing sugary soft drinks consumption and incentivising industry reformulation.

The Scottish Government is delivering a range of initiatives to further improve the access and affordability of healthier food and drink options, helping children, especially those in deprived areas, to develop healthier nutritional habits that will last them a lifetime. This includes continued support of the Healthy Living Programme, the Nutritional Requirements for Food and Drink in Schools (Scotland) Regulations and the Scottish Milk and Healthy Snack Scheme(SMHSS) Milk and Healthy Snack Scheme - Maternal and child health - gov.scot (www.gov.scot)

Effective approaches to preventing childhood obesity are focused on population-level measures, and therefore it is important that we can track progress on child healthy weight across our communities.

The universal health visiting pathway includes growth assessment of all children at several points across early childhood and supports interventions that promote healthy growth.

Public Health Scotland and Scottish Directors of Public Health established a short life working group, including expertise from local boards and PHS, to consider the Primary 1 BMI surveillance https://publichealthscotland.scot/population-health/early-years-and-young-people/child-health-data-and-intelligence/child-weight-and-growth/routine-health-review/ model and to catalyse work to improve P1 measurement data usability and coverage.

Robust data is really important not only to exhibit the effectiveness of our policies but to inform continuous improvement. We welcome Public Health Scotland and the wider public health system’s continued support on the range of data that underpins our policies.

The first national Good Food Nation Plan represents a fresh approach to food policy and it embeds long-term strategic transformation into decision making at both the national and local levels. The consultation draft of the national Plan set out the six overarching Good Food Nation Outcomes to achieve our ambitions for Scotland’s food system. Draft Outcomes 1 and 3 set out the high-level aspirations in relation to health and diet related inequalities:

Outcome 1 - Everyone in Scotland eats well with reliable access to safe, nutritious, affordable, sustainable, and age and culturally appropriate food.

Outcome 3 - Scotland’s food system encourages a physically and mentally healthy population, leading to a reduction in diet-related conditions.

These Outcomes will be updated and refined based on the consultation responses received before the draft Plan is laid before Parliament in 2025.

Scottish Ministers will need to have regard to the national Good Food Nation Plan when carrying out specified functions in relation to food ensuring a clear, consistent and coherent approach to food policy across policy areas and ministerial portfolios. This approach ensures connections are made between policy areas so that complex issues such as child obesity and diet-related inequalities will be considered in the context of wider food system challenges. As part of this joined up approach the Ministerial Working Group on Food supports cross-Government work to drive progress across portfolios on issues relating to food policy.

The Scottish Government supports NHS Scotland‘s Health Boards implement a standardised approach to weight management services.

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.

The Scottish Government is working with Boards to reduce any unnecessary variation, this includes working to develop once for Scotland approaches to weight management and adoption of evidence-based weight management interventions such as Counterweight Plus Type 2 Diabetes Remission.

Public Health Scotland are undertaking an evaluation of the implementation and impact of the Standards for weight management services with recommendations to inform local action and national policy direction.

The consultation on the draft national Good Food Nation Plan sets out the indicators and other measures that will be used to measure progress towards achieving the six Outcomes set out in the Plan. This included extending the Scottish Government’s existing target to halve childhood obesity by 2030 to read: “To aim to halve childhood obesity by 2030 and significantly reduce associated diet-related inequalities”.

The Scottish Government is undertaking work to develop further indicators of progress towards meeting the Outcomes. This work will take account of the responses received to the consultation which suggested indicators that might be used.

Once the final version of the Plan is published there is a legislative requirement to report on the progress towards achieving the Outcomes set out in the national Good Food Nation Plan every two years and to review and, if necessary, revise the Plan within five years.