Chamber and committees

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.

In August 2024, I published refreshed guidance to schools on the use of mobile phones, as part of the joint action plan to respond to the Behaviour in Scottish Schools Research.

This guidance was developed in collaboration with the Scottish Advisory Group on Relationships and Behaviour in Schools (SAGRABIS). All members of SAGRABIS were involved in discussions about the content of the guidance and agreed to its publication. Members of SAGRABIS include School Leaders Scotland (SLS), the Educational Institute of Scotland (EIS), NASUWT, Scottish Secondary Teachers Association (SSTA), the Association of Head Teachers and Deputes in Scotland (AHDS), and UNISON. Other members of SAGRABIS include COSLA, the Association of Directors of Education (ADES), the Scottish Council of Deans of Education (SCDE), the Association of Scottish Principal Educational Psychologists (ASPEP), parents’ representatives and respectme.

We fully acknowledge that a cancer diagnosis will be a difficult time. That is why Social Security Scotland continues to prioritise decision-making, with the last nine months of official statistics for Child Disability Payment showing Social Security Scotland has made decisions on new applications almost twice as fast as in the previous financial year.

To date Child Disability Payment has paid out over £1 billion to families with disabled children. 74% of people surveyed in the Social Security Scotland Client Survey: 2023-24 gave a high rating for how much their payment(s) had helped make a difference to their life and helped them pay for what they needed.

There is a dedicated application route for terminally ill children and young people, with previously published data showing that applications are processed in an average of three working days.

The Scottish Medicines Consortium (SMC) appraises newly licensed medicines for clinical and cost-effectiveness to help Health Boards determine whether a medicine should be accepted for routine use within the NHS in Scotland. Following the appraisal process, the SMC publishes advice for Health Boards in Scotland to consider. The SMC does not issue tailored guidance for specific medicines.

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.

Social Security Scotland continues to review and improve how people access its service, including how the organisation communicates with applicants and clients.

The application forms for Adult and Child Disability Payment were designed and developed in consultation with stakeholders to ensure the values of dignity, fairness and respect were embedded throughout.

The application forms allow clients, and their representatives, to tell the organisation how they would prefer to be contacted. It also asks specific questions to help Social Security Scotland understand and respond to any additional accessibility needs.

Through client feedback surveys and panels, clients have told Social Security Scotland they would like choice in how they are contacted. With the client, or their representative’s permission, Social Security Scotland will automatically acknowledge receipt of an application form and provide updates via text and/or email as the application proceeds through the key stages.

The latest Client Survey shows the majority of Adult and Child Disability Payment respondents said their experience of applying for disability benefits was “very good” or “good”. The full survey results can be found at: Social Security Scotland - Client Survey 2023-2024

In 2024-25, we allocated over £450,000 to gynaecology from our £30 million targeted investment in planned care, delivering around 3,500 additional new outpatient appointments.

The 2025-26 Budget will provide a record £21.7 billion for Health & Social Care, including a commitment to provide £200 million to help reduce waiting times and improve capacity, and gynaecology is being targeted as a key priority area for additional funding.

Our Women’s Health Champion, Professor Anna Glasier, and I have been meeting with clinicians to better understand the challenges that currently exist within gynaecology services, to discuss innovative solutions, and to reiterate our commitment that timely access to gynaecology services is a key priority area for the Scottish Government and for the next phase of the Women’s Health Plan.

Furthermore, the Scottish Government commissioned Centre for Sustainable Delivery (CfSD) has developed a strong clinically-led Specialty Delivery Groups (SDG) for Gynaecology, which promotes multidisciplinary team working and supports local adoption of service improvement programmes. This group has supported several new and innovative pathway developments, many of which are now being successfully scaled up across Scotland, including Active Clinical Referral Triage (ACRT) and Patient Initiated Review (PIR).