Chamber and committees

Scottish Government notes this report with interest and is fully aware that the risk of liver disease is increased by the impact of harmful alcohol use and obesity.

This is why we are determined to do all we can to reduce alcohol-related harm, one of the most pressing public health challenges that we face in Scotland. We take a whole population approach to tackling such harm, in line with the World Health Organisation’s focus on affordability, availability and attractiveness of alcohol.

Our Alcohol Framework 2018 contains 20 actions to tackle alcohol-related harm. One of the key actions was the implementation of Minimum Unit Pricing (MUP) in May 2018. Since then, we have seen a reduction of 3% in total alcohol sales, with a focus on the cheap high-strength alcohol which is often drunk by people drinking at harmful levels. Recent research by Public Health Scotland has found that MUP has been found to save more than 150 lives a year and 411 fewer hospital admissions. It’s also encouraging to see that this research has highlighted that the policy is having an effect in Scotland’s most deprived areas – which experience higher death rates and levels of harms from problem alcohol.

We also want everyone in Scotland to eat well and have a healthy weight to help reduce the impact of a range of diet-related ill health conditions, including liver disease. We continue to implement the wide-ranging actions set out in our 2018 Diet and Healthy Weight Delivery Plan to address this challenge. This includes our commitment to restrict less healthy food promotions and improve the availability of healthier options when eating out, as outlined in our Out Of Home Action Plan.

Scottish Government through its national Centre for Sustainable Delivery (CfSD) has formed a Specialty Delivery Group for Liver Disease with the first meeting on 6th November 2024. Early Detection is one of the pathways being prioritised.

The Early Detection Pathway has already been passed through the first Gateway in the CfSD delivery pathway. The challenges are around how individual boards can implement this before the National Laboratory Information Management System.

There has been progress in developing the Early Detection pathways in individual health boards using the technology as currently available while others are using the Referral Advice to Primary Care with increased use of the FIB-4 and Fibroscan with advice for Lifestyle changes and repeat investigation as required.

The Public Health Scotland evaluation of MUP found some evidence of cross-border purchasing, but its extent was observed to be minimal. The evaluation also found online sales to be relatively minor at a population level.

Public Health Scotland holds alcohol retail sales data for both the on-trade and off-trade, which includes all electronic point of sale data for the main supermarkets and a representative sample of smaller retailers and independent stores. Detailed information on cross-border online alcohol sales is not available and such information is likely to be commercially confidential and would require businesses to supply this on a voluntary basis.

The Scottish Government has no current plans to make any changes to the collection of online alcohol sales data.

The Scottish Government, through the Licensing (Scotland) Act 2005, provides the overarching legal framework within which alcohol can be sold and supplied in Scotland. The 2005 Act makes provision for the licensing of premises in Scotland where alcohol is sold online and despatched from Scottish premises. Minimum unit pricing does not apply to alcohol sales which are despatched from outside Scotland directly to a buyer within Scotland.

The Scottish Government is aware of concerns raised about cross-border online alcohol sales in Scotland.

Officials have engaged with industry and business stakeholders, including the Scottish Grocers Federation and alcohol licensing stakeholders, on these matters to better understand these concerns. Additionally, through Scottish Enterprise, my officials have sought direct engagement with online retailers.

We will continue to engage with all relevant stakeholders to keep the potential impact of this developing market under review and to better understand the interaction between devolved and reserved matters in this area.

The Scottish Government is not aware of any actions to investigate the reported number of people exposed to diethystilbesterol (also known as DES or stilbesterol).

The regulation for the licensing, safety and efficacy of medicines is reserved to the UK Government and is the responsibility of the Medicines and Healthcare products Regulatory Agency (MHRA).

As a priority, the Scottish Government is working with Health Boards and other key stakeholders to ensure that all patients can access abortion services up to the legal gestational limit within Scotland. A new Task and Finish Group is now being set up by the NHS Scotland Planning and Delivery Board to agree the best way to implement a service(s) for patients seeking an abortion between 20-24 weeks.

The Task and Finish Group will recommend to the Planning and Delivery Board the best option(s) for that service. As part of this work, they will consider whether any service(s) provided should offer surgical or medical abortions.

The Scottish Government is also taking forward work to improve surgical abortion provision across Scotland and remains committed to providing funding to support staff training to allow Health Boards to provide later stage abortions.

I refer the member to the answer to question S6W-33295 on 28 January 2025. 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.

HESA published 2023-24 student data in March 2025 with the data available from the same link referenced in the answer for S6W-33295:

https://www.hesa.ac.uk/data-and-analysis/students/table-59

The NHS in Scotland holds data on the prescribing of diethylstilbestrol (otherwise known as DES or stilbestrol) in both primary care and secondary care.

Data on primary care usage of medicines is published and available on the Public Health Scotland website Show all releases - Publications - Public Health Scotland. Data on secondary usage is not routinely published.

Scottish Government Marine Directorate has two main fora for fishing industry engagement on inshore fisheries such as lobster. The first is the Regional Inshore Fisheries Group (RIFG) network which has existed in its current form since 2016. This network gives inshore fishers a strong voice in matters which affect them, while providing an environment for co-management of fisheries improvement projects. The second is our Fisheries Management and Conservation (FMAC) Group, this group and associated sub-groups provide a national platform for marine stakeholders to feed into strategic fisheries management discussions.

There is regular engagement with fishing industry stakeholders to discuss a variety of fisheries management issues, including technical measures such as the minimum landing size of lobster. For example, engagement through these two fora helped inform the introduction of interim measures for improvement of crab and lobster fisheries from May 2024 in response to stock assessment advice indicating that these fisheries were under pressure in the majority of areas. We expect this close engagement to continue as we develop our Inshore Fisheries Management Improvement (IFMI) Programme during 2025 and 2026.

Details of meetings conducted by the RIFG network as well as the FMAC Inshore Subgroup are hosted on the RIFG website at www.rifg.scot.

Provision of medical first aid at a major sporting event is the event organisers’ responsibility which, in this instance, is the Glasgow 2026 Organising Company.

The Scottish Government continues to work closely with event organisers to ensure that Scottish Ambulance Service, NHS Boards and Public Health Scotland are appropriately engaged in planning groups for major sporting events.

Public sector health colleagues work meticulously with the event organisers and any procured private first aid and ambulance services to ensure adequate first aid and health care is provided to event participants, workforce and spectators, in line with guidance and requirements as set out in the Green and Purple Guides.

The Green Guide, or ‘Guide to Safety at Sports Grounds’, provides guidance on safety at sports grounds for stadium operators and event organisers. The Purple Guide is aimed at event organisers who are responsible for managing health and safety and at events in more general terms.

Scottish Government continues to work closely with the UK Government on the development of Statutory Guidance that will support the Terrorism (Protection of Premises) Act, which received royal assent on 3 April 2025. We continue to encourage and signpost stakeholders to both the Protect UK and Gov.UK websites for information and updates on the legislation.

The Scottish Government continues to work closely with event organisers to ensure that Scottish Ambulance Service, NHS Boards and Public Health Scotland are appropriately engaged in planning groups for major sporting events. Public sector health colleagues work meticulously with the event organisers and any procured private first aid and ambulance services to ensure adequate first aid and health care is provided to event participants, workforce and spectators, in line with the guidance and requirements set out in the Green and Purple Guides.

The Green Guide, or ‘Guide to Safety at Sports Grounds’, provides guidance on safety at sports grounds for stadium operators and event organisers. The Purple Guide is aimed at event organisers who are responsible for managing health and safety and at events in more general terms.