Chamber and committees

Within the policies we set, NHS Boards have responsibility for the design and delivery of services to meet the needs of their local populations and deliver safe, high-quality care. NHS Boards may commission local reviews of services to support them in the design and delivery of safe, sustainable services which best meet the needs of their local populations and geographies.

If Scottish Ministers have concerns about local services they would discuss these with the Board as they are responsible for local service delivery, following which Ministers may decide to commission an independent review. There are no set criteria for such decisions as it will depend on the circumstances of the issues under consideration and the most appropriate response.

Healthcare Improvement Scotland (HIS) undertakes independent inspections of obstetric maternity units in Scotland through its Maternity Inspection programme. The inspection programme launched in January 2025 and details of the inspection methodology are made publicly available on the HIS website, along with inspection reports and NHS Board improvement plans. Crucially, HIS maintains independence in its scrutiny activity, including in its inspection programme. HIS takes decisions around inspection activity using a risk-based, proportionate and data- and intelligence-led approach.

Links:

https://www.healthcareimprovementscotland.scot/inspections-reviews-and-regulation/safe-delivery-of-care-in-maternity-units-inspection-programme/

https://www.healthcareimprovementscotland.scot/inspections-reviews-and-regulation/inspections-of-nhs-hospitals-and-services/hospital-and-services-inspection-reports/

The draft Scottish Statutory Instrument which seeks to add sex as a characteristic to the Hate Crime and Public Order (Scotland) Act 2021 ("the 2021 Act") is subject to super affirmative process and is therefore subject to consultation. Stakeholders, including women’s aid services and intersectional advocacy organisations, were notified of the publication of the draft SSI and the launch of the consultation. They were encouraged to both actively participate in the consultation process and to disseminate the details of the draft SSI and consultation within their wider networks to broaden the scope of outreach.

We will utilise the feedback received via responses to the consultation to inform the final policy of the SSI. Similarly, if the final SSI is passed by Parliament, we will engage with all organisations with on matters relating to implementation prior to the SSI coming into effect.

There is no power contained in the 2021 Act for the Scottish Ministers to publish statutory guidance.

Following the UK National Screening Committee’s recommendation for a targeted lung cancer screening program, the Scottish Government established a Scottish Expert Advisory Group for lung screening to provide advice on the scoping, implementation, establishment and delivery of a targeted lung cancer screening programme within Scotland. The group concluded that it would take 7-10 years for a full programme to be implemented due to the complexities of establishing a screening programme of this size. These complexities were recognised by the UK NSC.

As a first step in implementing a national programme, the Scottish Government is funding a lung screening pilot which is anticipated to begin in 2027. The pilot will invite eligible individuals in areas experiencing the highest levels of socio-economic deprivation, as evidence shows that they are at higher risk of lung cancer, and have poorer outcomes. It will allow the NHS to test potential delivery models and understand the impact on existing services, and it will provide valuable evidence regarding the best strategies to address screening inequalities.

The Scottish Government remains committed to ensuring that Scotland’s prison estate is safe, secure, and fit for purpose. In 2025-26, the Scottish Prison Service (SPS) was allocated £355m of capital funding to enable them to progress the major projects HMP Highland and HMP Glasgow, as well as wider estate maintenance.

HMP Highland, which will replace HMP Inverness, is expected to be completed in 2026. HMP Glasgow, which will replace HMP Barlinnie, is expected to be completed by 2028. The wider maintenance programme encompasses a range of activities aimed at ensuring the continued safety, functionality, and efficiency of the physical estate, including asset replacement, building fabric maintenance, surveys and condition assessments and compliance and safety works, with varying time-scales for delivery.

Future capital funding for the Scottish Prison Service is being considered as part of the annual budget process and the Scottish Spending Review, due to be published alongside the 2026-27 Scottish Budget.

The Scottish Government’s commitment to tackling retail crime was reaffirmed in our Programme for Government, which makes clear our strong support for Police Scotland’s robust approach in addressing this issue.

The Scottish Government has commenced work on the 2026-27 Budget and the Scottish Spending Review in order to set out our spending plans to 2029-30.

Policing is a priority for the Scottish Government, as demonstrated by investing more than £14.6 billion in policing since the creation of Police Scotland in 2013.

The clinical guideline NG188 on managing the long-term effects of COVID-19 in all healthcare settings has been developed jointly by the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Care Excellence (NICE) and the Royal College of General Practitioners (RCGP). SIGN is editorially independent from Healthcare Improvement Scotland (HIS) and the Scottish Government. The decision to create, update or replace any SIGN guideline is not made by Scottish Government, it is made independently by the Evidence Directorate Work Programme Committee in Healthcare Improvement Scotland (HIS).

Scotland’s national health information service NHS inform contains information on common signs and symptoms associated with long COVID, when to seek further advice from a healthcare professional and testimony from people affected by long COVID about the impact it has had on their daily lives. The information was updated in November 2023 following user research with people living with long COVID. The information will be kept under review to ensure alignment with any future changes to clinical guidelines.

The Scottish Government is represented on the Strategic Oversight and Programme Board of the National Strategic Network for the Long-Term Effects of COVID-19. The Strategic Oversight and Programme Board provides oversight of the workplan and programme outcomes of the Strategic Network.

On 23 December 2024 the Network published an evaluation the University of Leeds was commissioned to undertake of patient outcomes in those accessing NHS long COVID clinical services in Scotland. Analysis showed patients reported that they got somewhat better in symptoms and abilities over the first six months. Despite improvements, many reported that they still had major health issues compared to before having COVID.

The report notes that long COVID can be a fluctuating condition, meaning there is not necessarily a linear trend of improvement or deterioration in the symptom burden, functional disability, and overall health of patients. Therefore, care needs to be taken in drawing any conclusions from changes in patient reported outcome measure scores, particularly when over a short space of time. The full report is accessible at https://www.nn.nhs.scot/longcovid/2024/12/23/elaros-data-report/

The Scottish Government recognises the increasing impact of water scarcity on producers and is implementing Scotland’s National Water Scarcity Plan with SEPA and Scottish Water to support those affected.

Scotland has seen several areas reach Significant Scarcity this year. SEPA is working closely with affected abstractors, the National Farmers Union Scotland, Scotch Whisky Association, and others to minimise impacts on producers where possible.

Research through our Strategic Research Programme is modelling future drought risks and Scotland’s Centre of Expertise for Waters (CREW) is conducting a project to produce guidance for farmers to increase their resilience to water scarcity.

Support for producers is also available through the Agri-Environment Climate Scheme, which funds water-efficient infrastructure like irrigation lagoons. Resilience remains central to our climate strategy, and we continue to encourage responsible water use across all sectors.

Scotland’s hills are inherently dangerous with treacherous with changeable conditions, and too many lives are lost unnecessarily each year.

Mountaineering Scotland and Scottish Mountain Rescue’s #ThinkWINTER campaign provides useful information, updates, and tips, shared across social media platforms and websites, as well as a series of winter skills talks.

The Scottish Government are committed to supporting safety in the mountains and are currently working with sportscotland, the Mountain Safety Group and partners, to provide safe opportunities to enjoy the outdoors and reap the physical and mental health benefits of being active in nature.

There were no Fixed Penalty Notices (FPNs) issued under the Marine Scotland Act 2010 in the past five years. FPNs were issued under Nature Conservation Orders which are enabled by the 2010 Act.

The number of FPNs issued under Nature Conservation Orders were 2019 X3, 2020 X1, 2021 X1, 2022 X0, 2023 X1, 2024 X0. All vessels were UK vessels because the Marine Scotland Act and associated orders apply to Territorial and Inshore waters where generally only UK vessels are permitted to fish.