Chamber and committees

The First Minister and myself have had – and continue to have – positive discussions with the UK Government on devolved benefits and wider Scottish Government priorities, including where needed the provision of relevant data to support policy development and delivery.

I wrote to the Secretary of State for Work and Pensions on 16 December to set out specific data sharing requirements in relation to mitigation of the two-child cap. While no formal response has yet been received, Scottish Government and Department for Work and Pensions (DWP) officials are holding ongoing productive discussions.

More widely, we already receive necessary data from the DWP to make payments to eligible people in Scotland for Scottish Child Payment, Best Start Grant and other benefits and to support the ongoing benefit delivery. Other data, including in relation to the number of households in Scotland impacted by reserved benefits and universal credit claimants in Scotland, is publicly available from the DWP.

The Endometriosis Care Pathway for NHS Scotland supports healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms.

The pathway is clear and advises healthcare professionals to suspect endometriosis in women who present with one or more symptom (including in young women aged 16 and under).

Clinicians are advised to assess women’s individual information and support needs and take into account their circumstances, symptoms, priorities, desire for fertility, aspects of daily living, work and study, cultural background, and their physical, psychosexual and emotional needs.

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 launched an e-learning module on menstrual health available on Turas Learn. It is open access to anyone working in NHS Scotland and in particular aimed at those working in primary care.

Further training resources have also been provided through the Women’s Health Masterclass on endometriosis which provided information on diagnosis, treatment and current research on endometriosis, raising awareness of the Pathway with attendees. The resources from this event are also available on Turas Learn.

Additionally, we are have funded the Royal College of General Practitioners (RCGP) to develop new training resources on endometriosis for members, which will be available in the coming months.

Between 2018 and December 2022 the Scottish Government provided a £1.1m ‘Smart Pay Grant Fund’, matched with European Regional Development Fund investment, to provide all small to medium bus operators in Scotland access to funds to improve ticketing equipment on board buses to accept contactless payment. This was enabled on over 900 buses across Scotland to mean that around 98% of buses now have this convenient payment method for passengers.

Data regarding post-diagnosis referral to fertility services is not held by the Scottish Government.

As set out in the Endometriosis Care Pathway for NHS Scotland, clinicians should consider women’s individual needs in order to determine treatment, for example symptoms, aspects of daily living and whether fertility is a priority for that individual. The Pathway notes that discussions regarding fertility should happen in the first presentation and that management and long-term impact including fertility should be discussed during initial assessment.

Bus services in Scotland were deregulated by the then Conservative UK Government under the Transport Act of 1985 and are mostly provided by private operators.

Our commitment to bus travel includes the investment of almost £465 million to support concessionary bus travel and to help ensure our bus operators can continue to provide access to affordable transport in the de-regulated market across all of Scotland. The Network Support Grant is aimed at keeping bus networks more extensive and fares lower than would otherwise be the case. This fund is paid on a per kilometre basis which favours longer distance routes more common in rural areas.

The Scottish Government has overall responsibility for health and social care support policy in Scotland and has published clear social care standards setting out what people should expect when using health, social care or social work services in Scotland. Whereas it is local authorities and Health and Social Care Partnerships (HSCPs) who have the statutory responsibility to ensure that these standards are upheld and that social care support services are commissioned and available to provide people with the appropriate social care support in the right place and at the right time.

As set out in the Programme for Government 2023-24, the Scottish Government has committed £3,03m in 2023-26 to progressing the National Centre for Remote and Rural Health and Care, which launched in October 2023.

The Centre will focus initially on Primary Care and community services priorities in Phase 1 as an initial proof of concept, with scoping work being carried out during the first 2 years of the Centre to lay the ground for expansion to include the wider rural healthcare workforce and Social Care in due course.

The Scottish Government continues to work closely with partners to support older people on a range of issues related to age equality. This includes delivering actions set out in the Strategic Action Framework, A Fairer Scotland for Older People. We also launched a new £3.8m Social Isolation and Loneliness Fund on 8 March 2023 which funds 53 projects supporting people at risk of social isolation and loneliness.

In relation to your question about initiatives to prevent social isolation in Aberdeenshire, I would refer you the written answer to your question S6W-33671 on 31 January 2025 where this response is covered.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

The following provides details of marketing activity that has run over the preceding five years, to address chronic diseases. Chronic disease is defined in the Scottish Health Survey as any physical illness or mental illness expected to last a year or more. Messaging has not been tailored to target rural communities specifically, however where possible media platforms and channels have been selected and partnerships have been utilised to reach rural communities.

Crohn’s and Colitis

A Crohn’s and Colitis public information campaign ran in March 2023 via stakeholder and community engagement. The campaign aimed to increase awareness of the symptoms of Crohn’s and Colitis, and signpost to trustworthy information to empower and enable the public to seek advice from a healthcare professional.

Community engagement included the distribution of posters to 1,256 community pharmacies, 908 general practices, 256 leisure/community centres and 32 library hubs (for onward distribution to community libraries) throughout Scotland. This included rural areas, the Highlands and Islands.

Campaign resources including a toolkit were sent to over 300 stakeholders, which included Local Authorities and NHS Health Boards.

Women’s Heart Health

To help improve awareness and signs of heart disease and communicate ways of lowering risk, a public information campaign was developed to coincide with national heart month in February 2023 and was activated through community and stakeholder engagement.

Resources highlighted a key stat:istic “heart disease is killing 10 women a day in Scotland” and signposted to NHS Inform for more information on symptoms and actions to take to lower risks.

The campaign was aimed specifically at women and was delivered via community engagement and included the distribution of posters to 1,256 community pharmacies, 908 general practices, 256 leisure/community centres and 32 library hubs (for onward distribution to community libraries) throughout Scotland, this included rural areas, the Highlands and Islands.

A campaign toolkit was also sent digitally to a comprehensive stakeholder list which included Local Authorities and NHS Health Boards.

Cancer

Between April 2020 to date, a number of campaigns have run to support earlier detection of cancer, including Lung cancer, Cervical screening and Detect Cancer Early campaigns. Local press and radio packages were purchased as part of a Scotland wide media plan, to reach rural communities. Press titles included the Ellon Times, Buchan Observer, Berwickshire Advertiser, Ayrshire Post, The Hawick Paper, Banffshire Herald, John 'Groat Journal and radio stations included Radio Borders, Moray Firth Radio, Northsound, Westsound and Tay Radio.

A new burst of the Detect Cancer Early campaign will run in March and includes community radio in a number of rural locations that network radio does not reach, including Argyll FM, Caithness FM, Radio Skye, Radio Wester Ross, Radio Nevis (Fort William) and Shetlands (SIBC). Also included is a content partnership with local publications such as Ellon Times, Buchan Observer, East Fife Mail, Berwickshire Advertiser and Ayrshire Post and Field activity in locations that are more accessible for those living more rurally such as Elgin, Fort William and Stranraer.

Dementia Stigma

The Rethink Dementia campaign launched on 4 September 2024 and ran for 6 weeks in paid-for media. A number of Local Press Titles were purchased as part of the campaign, including:

Community Scotland Zone Newspaper

South Annandale Series

South Ayr Advertiser

South Berwickshire News

South Border Telegraph

South Cumnock Chronicle and Muirkirk Advertiser

South Dumfries Courier

South Eskdale & Lidderdale Advertiser

South Galloway Gazette

South Lanark and Carluke Gazette

South Peeblesshire News

South Southern Reporter

South Stranraer & Wigtown Free Press

South The Hawick Paper

North Angus County Press

North Banffshire Advertiser

North Banffshire Herald

North Banffshire Journal

North The Buchie & Inverurie Herald/ Ellon Times/ Fraserburgh Herald

North Caithness Courier

North Campbeltown Courier & Argyllshire Advertiser

North Deeside & Donside Piper and Herald

North Forres Gazette

North Helensburgh Advertiser

North Highland News Group

North Huntly Express

North Inverness Courier (Fri & Tues)

North Isle of Bute News

North John O'Groat Journal

North Mearns Leader/ Kincardineshire Observer

North Northern Scot

North Northern Times

North Oban Times and West Highland Times

North Ross-shire Journal

North Shetland Times

North Stornoway Gazette

North Strathspey and Badenoch Herald

North The Orcadian - Orkney

North West Highland Free Press

The Rethink Dementia campaign also utilised pharmacies, libraries, GP practices, community centres and sports centres, providing these settings with campaign assets across Scotland including rural communities.

It remains the ambition of the Scottish Government to deliver a National Low Vision Service. This would deliver a range of services to people with visual impairment including both the provision of assistive technology and support for the use of technology already openly available (e.g. applications available for download/use on a smartphone/tablet). The Scottish Government is unable to take this forward at the present time due to financial constraints.

It is for Integration Joint Boards (IJBs) to govern, plan and resource adult palliative care in their areas, using the delegated budgets under their control, to meet the needs of their local populations.

Evidence gathered to support the development of the draft palliative care strategy shows that, for people living and dying at home, general practitioners (GPs) and district nurses have important and valued roles providing ongoing relationships, care of the whole person and family, broad expertise and coordination of care. These relationships are particularly important in rural and island communities. The actions set out in the draft palliative care strategy seeks to support IJBs ensure equitable access to palliative care in their areas.

The Scottish Government works in partnership across Health and Social Care organisations to ensure a consistent strategic approach to improving the vital digital and data skills for continuing staff development and service transformation. The provision of specific training for managing and accessing digital medical records in accordance with the Health & Social Care Records Management Code Of Practice that can be found at https://www.gov.scot/publications/records-management-code-practice-health-social-care/is the responsibility for NHS Boards as employers.