That the Parliament welcomes the publication of the Scottish Fiscal Commission (SFC) 2025 Fiscal Sustainability Report, which was published on 22 April 2025; notes with concern that the report indicates the potential for growing fiscal pressures over the next 50 years, largely due to the combination of Scotland’s ageing population and increasingly poor public health driving up health spending; understands from the research that health spending, which is already the largest area of spending within the Scottish Budget, is projected to grow from 34% of devolved public spending in 2029-30 to 47% by 2074-75; notes the analysis indicating that, as a result of demographic change, the Scottish Budget will face a significant challenge within the next 20 years unless action is taken soon to address rising levels of preventable illness, including long-term chronic conditions; further notes the view that, without any intervention, the worst case scenario set out by the SFC would leave a future Scottish administration being forced to choose between cuts to the health service or sacrificing other public services to sustain health spending; considers that helping people across Scotland, including in the South Scotland region, to live longer, healthier lives can reduce growth in healthcare costs as the population ages; notes the belief that this can be achieved through the delivery of a robust, preventative health agenda, integrated across multiple policy portfolios, that promotes inclusion, physical activity and good nutrition; further notes the view that it is essential for the Scottish Government to set out how it proposes to address the issues identified in the 2025 Fiscal Sustainability Report, in particular the specific steps that it will take to address the forecast gap resulting from poor public health, and notes the belief that politicians from across the political spectrum must have a shared commitment to improving public health if that goal is to be achieved.
Supported by:
Jeremy Balfour, Miles Briggs, Sharon Dowey, Tim Eagle, Russell Findlay, Meghan Gallacher, Dr Pam Gosal MBE, Craig Hoy, Stephen Kerr, Douglas Lumsden, Ben Macpherson, Roz McCall, Douglas Ross, Graham Simpson, Alexander Stewart, Annie Wells, Tess White