Chamber and committees

It is for NHS Boards to make decisions and progress on the delivery of services locally, including consideration of delivering the asks proposed at the Scottish Stoma Forum in October 2023. Positive progress shared with the Scottish Government includes: agreeing that the role of a stoma forum should reflect local needs; the range of nursing support available for stoma patients is now more expansive; stoma care is included as part of the Registered Nurse core curriculum; patients can request a review of their care from their local stoma care team at any time, meaning that a formal offer of an annual review should not be required in most cases.

The Scottish Government have no plans to review the criteria for trunk roads. The extents of trunk road network was last considered in 2008 by the first Strategic Transport Projects Review with no changes noted.

The second Strategic Transport Projects Review, published in 2022, considered local roads to be “out of scope” unless they provided direct access to a major port or airport; linked to a nationally significant National Planning Framework 4 (NPF4) development site; or where a local road intersected a trunk road where bus priority or active travel measures where proposed. None of these criteria applied to the A890.

While the Scottish Government sets the strategic policy for the NHS in Scotland, it is NHS Boards and healthcare professionals locally who have responsibility for both service delivery and ensuring people receive the right care for them, taking into account relevant guidance, local service needs and priorities for investment.

It is therefore for NHS Boards to determine what clinical interventions they offer, while giving regard to the considerations above.

The majority of Scottish health boards participated in the 2022 UK Parkinson’s Audit which measures the quality of Parkinson’s services against international best practice. This includes Patient Reported Experience Measure (PREM) data from people who use Parkinson’s services.

The 2022 Audit showed Scotland outperforming the UK in terms of future care planning, and access to essential professionals such as physiotherapists, occupational therapists and speech and language therapists.

The Scottish Government is taking wide-ranging action to support low income families and to help those in temporary accommodation to live dignified lives.

As part of over £3 billion of investment to tackle poverty and the cost of living for families in 2025-26, we have committed £644 million in our package of benefits and payments only available in Scotland. Among these, the Scottish Child Payment is forecast to be supporting the families of around 333,000 children. We are also continuing to invest around £1 billion a year to provide 1,140 hours of funded early learning and childcare to all three and four year olds and eligible two year olds, helping children to get the best start in life and parents to work and earn more, and supporting families through free bus travel for all under 22s, and free school meal provision for all children in primaries 1 to 5.

We have committed to strengthening the support available to families by further expanding free school meal provision, investing to enable the expansion of breakfast clubs across Scotland, and by developing the systems needed to scrap the impact of the two-child cap by April 2026.

In 2025-26, the Scottish Government will allocate at least £15.8 million for the provision of free income maximisation support, welfare and debt advice, an increase on our allocation for these services in 2024-25.

Scottish Government modelling, published on 27 March 2025, showed that on average, households with children in the poorest 10% of households are estimated to be £2,600 a year better off in 2025-26 as result of Scottish Government policies, with this value projected to grow to an average of £3,700 a year by 2029-30.

A household offered temporary accommodation can be asked to pay a reasonable charge for any accommodation provided directly by the local authority, or a reasonable amount for accommodation supplied by another provider but paid for by the local authority. In deciding what is reasonable, the local authority should take account of the household’s earnings and what the household can afford to pay.

If the household has no income or a low income, the local authority must help the applicant apply for Housing Benefit to help cover the cost of temporary accommodation.

We recognise that there are other costs households may face when living in temporary accommodation, including travel, energy and household equipment costs.

The Scottish Government funds local authorities to administer and disburse the Scottish Welfare Fund. The fund provides emergency support and a lifeline to people in need, through crisis grants to help meet immediate short-term needs arising from exceptional circumstances and community care grants to help eligible people establish or maintain a settled home.

Delivery of the health and social care app for Scotland is being taken forward by NHS Education Scotland (NES) as part of the wider Digital Front Door programme. The majority of costs to date have been on mobilising the team required and developing the Outline Business Case. NHS NES staff have participated in the Civtech Challenge, which has allowed NES to understand what is required to develop the app in a way that integrates into Scottish Government plans to digitise postal communications. More information about this can be found at: https://www.civtech.scot/civtech-9-challenge-8-secure-individualised-and-effective-communications-channel.

For disability benefit applications, Social Security Scotland requires one piece of supporting evidence on an individual’s condition or disability to understand the impact their condition has on their daily life.

Applicants can request Social Security Scotland collects supporting evidence on their behalf. While gathering this information can take time, it allows for robust decision-making.

Social Security Scotland works with Local Authorities, Health Boards and GP practices across the country to make it faster and easier for them to send supporting information. Social Security Scotland also encourages people to provide supporting information which they may not realise they have, such as prescription lists, medical reports, and social care assessments.

The Adult and Child Disability Payment application forms also invite clients to tell Social Security Scotland about any supporting information to allow their application to be processed more efficiently. Supporting Information can be uploaded digitally or sent to Social Security Scotland in the post.

Social Security Scotland has a dedicated application route for terminally ill children and young people, and anyone in Scotland diagnosed with a terminal illness by their healthcare professional can apply for disability benefits under Special Rules for Terminal Illness.

Social Security Scotland has reduced processing times for disability benefits, with latest statistics showing decisions on new applications have been made faster than the previous financial year. Latest statistics can be found at: Social Security Scotland - Statistics.

We fully recognise that this is a challenging time for families. Importantly, no-one needs a formal diagnosis to apply for Child or Adult Disability Payment; decisions about eligibility are based on the individual’s level of needs, rather than a diagnosis.

Once a decision is made the award will commence from the date of application where the conditions of entitlement were met at this point.

We urge anyone applying on behalf of a terminally ill child to use our fast-tracked route so that they and their family can access the maximum level of financial support they are entitled to – quickly and with dignity.

The Scottish Government does not publish local authority level data for the items requested.

Scottish Government does, however, publish related data on language learning and teaching at a national level. The table below provides a summary of data from the biennial 1+2 languages survey, summarising provision of language teaching for the first additional language (known as “L2”) and the second additional language (known as “L3”) in 2019, 2021 and 2023.

The Scottish Government has commissioned Healthcare Improvement Scotland to develop a set of maternity standards, designed to drive improvements in care at a local level and support consistency of service design and delivery across Scotland. This process has started, and we expect the standards to be completed in late 2025.

In addition, we welcomed the announcement from Healthcare Improvement Scotland in 2024 that they would initiate inspections of maternity services as part of the Safe Care Inspection process. These inspections started in late January 2025.

Our Best Start programme described a range of measures to improve care, the vast majority of which are now in place. We continue to work closely with NHS Boards, clinical leaders, the third sector and national partners to share learning, respond to emerging evidence and identify opportunities for continuous improvement at the national level.

The Scottish Government is committed to improving connectivity in rural areas and are considering alternative models of public transport delivery.

The second Strategic Transport Projects Review recommends that pilot schemes, involving demand responsive transport and Mobility as a Service (MaaS) draw on innovative solutions, international best practice, and smart technologies. Following the successful completion and evaluation of our £2 million MaaS Investment Fund - of which the evaluation report can be found on the Transport Scotland website. Transport Scotland continues to work with MaaS Scotland and the Regional Transport Partnerships (RTPs) to build on this work to develop innovative, digital data driven solutions to provide better access to flexible transport options.

The 2025-26 Scottish Budget includes £188.7 million for a range of active and sustainable travel measures to make it easier for people to walk, wheel or cycle on everyday journeys and access resilient and efficient bus services. Funding of £167,000 is being provided in 2024-25 to enable CTA Scotland to provide support for community transport groups that already exist, renew those that have lapsed and support the formation of others where there are currently none.

There are Scottish Government funds available which Regional Transport Partnerships (RTPs) and Local Authorities can use to tailor their approach to sustainable travel provision in rural areas. These include the People and Place Programme and the Bus Infrastructure Fund. Through the Transport (Scotland) Act 2019, we have given local authorities powers on partnership working, franchising and to run their own bus services. We want all local transport authorities to be able to improve all of the bus services within their areas.