Chamber and committees

Smoking is the most significant cause of preventable cancer in Scotland (18%). By 2034, we aim to be living in a Tobacco-Free Scotland, reducing smoking rates to below 5%.

To help achieve this, the Scottish Government launched the “Quit Your Way” stop smoking service campaign, which ran for 5 weeks between February and March 2024. An assessment of the campaign found that visits to the Quit Your Way Scotland NHS Inform page increased by 100% and numbers of people visiting the local help to stop smoking page increased up to 2297% compared to the 5 weeks prior. Requests for support to stop smoking via NHS Inform, where we make clear the link between smoking and cancer, doubled compared to the same period in 2023.

Figures published by Public Health Scotland on 17 December 2024 show that over the past year more people have accessed the NHS smoking cessation service, 30,314, a 12.4% increase from 2022-23 (26,963).

We will publish the independent analysis report of the consultation responses in early 2025, as well as next steps for the regulation of HFSS food and drink promotions.

Timely access to gynaecology services will remain a priority as we continue to develop our Women’s Health Plan

The Budget we set out on 4 December 2024 will throw the weight of the government behind performance improvements with almost £200 million to reduce waiting lists and help support reduction of delayed discharge. By March 2026, we expect no one to be waiting longer than 12 months for a new outpatient, inpatient treatment or day case treatment.

We have already invested £30 million to reduce waiting lists that built up throughout the pandemic. This funding is being targeted at a series of national and local plans to reduce backlogs by maximising the use of local and national resources across Scotland. As part of this, we have allocated additional funding to Gynaecology services which we expect to deliver around 3,500 new outpatient appointments.

NHS Scotland’s Centre for Sustainable Delivery (CfSD) is also playing a central role in identifying new ways to increase capacity, and to respond to demand through service innovation and redesign. CfSD programmes have developed strong clinically-led Specialty Delivery Groups (SDG), including one for Gynaecology, which promote multidisciplinary team working, and support local adoption of service improvement programmes.

Our actions will further enable NHS Scotland to maximise capacity, build greater resilience and deliver reductions in the number of patients who have waited too long for treatment.

I refer the member to the answer to question S6W-31859 on 11 December 2024. 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 Scottish Government’s role is to set the strategic policy for the NHS in Scotland. NHS boards have responsibility for deciding how to deliver services locally based on the needs of the people in their area. Detail on whether osteopathic services are offered to patients would have to be requested from NHS Boards.

The Scottish Government recognises that funding will be required to support Boards to make the transition to a reformed maternity and neonatal service. We are continuing to provide transitional funding to Boards, as we have done for NHS GGC and NHS Lothian since 2019, with additional support for NHS Grampian now being included. This funding is focused on supporting Boards through the transition process.

We have been working with the regional implementation leads on development of plans for implementation to include a business case (or equivalent operational financial plan) with costs, with the expectation that a phased transition to the new model will begin in the new year.

To date, we have provided over £30 million of funding to NHS Boards to support implementation of the Best Start recommendations, and we are currently looking at future funding for maternity services in the next financial year.

The Best Start emphasises parents as key partners in caring for their baby and aims to keep mothers and babies, and families together as much as possible in the crucial early weeks, with services designed around them.

The Scottish Government remains committed to the new model of care and its aim to minimise the separation of families, and to support parents with babies in neonatal care.

We have a number of measures already in place to support families:

• Development of Transitional Care beds within maternity units so that babies with moderate additional care needs can be cared for alongside their mothers in a postnatal ward with neonatal support;
• Providing accommodation for parents to stay on or near neonatal units;
• Roll out of the Young Patients Family Fund (formerly the Neonatal Expenses Fund) to support families with the costs of travel, accommodation and food whilst their baby is in neonatal care;

and

• Repatriating babies to their local neonatal units as soon as clinically possible;
• Development of neonatal community care so that babies can get home quicker with neonatal community support.

NHS boards are committed to involve parents in decision making and providing care for their baby; to provide funding support and accommodation for parents to stay on or near the unit, facilities within the unit to encourage kangaroo skin to skin care, early support for breastfeeding and to develop clear information for parents.

The Best Start (2017) recommended all neonatal facilities should provide emergency overnight accommodation on the unit for parents, with accommodation available nearby for parents of less critically ill babies. Boards are expected to include provision for this in their planning.

We also provide support to all families with babies in neonatal care to cover the costs of food, travel and accommodation as part of our Young Patients Family Fund.

Hospitals with the neonatal intensive care units have accommodation for families on site, and this will be offered to families in the first instance. If hospital accommodation is not available, the Health Board will usually be able to book and pay for nearby accommodation for families in advance.

The endometriosis care pathway for NHS Scotland aims to support healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms. The pathway ensures that healthcare professionals are considering women’s need for and access to pain management. All NHS Boards should be taking steps to implement the pathway.

Through the Women’s Health Plan we have developed the Women’s Health Platform on NHS Inform which includes an endometriosis page with consistent, reliable and accessible information, including a lived experience film, empowering women to make informed decisions about their health.

To increase the information available to women, we funded Endometriosis UK to produce a booklet and two webinars on treatments and self-management tips for managing endometriosis pain.

More information is available in the Women’s Health Plan Final Report.

We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care. Endometriosis will continue to be a priority as we develop the next phase of our Women’s Health Plan.

This data is not routinely collected however, the Report “Dismissed, ignored and belittled - The long road to endometriosis diagnosis in the UK” published by Endometriosis UK in March 2024 states that a survey of 4,371 people who have received a diagnosis of endometriosis shows ...52% had visited A&E at least once. 26% of respondents visited A&E 3 or more times with symptoms prior to diagnosis.

Our ambition is for a Scotland where health outcomes are equitable across the population so that all women enjoy the best possible health – throughout their lives. That is why endometriosis is one of the key priorities in the Women’s Health Plan and will continue to be so.

Information about the progress to date against each of the priorities in the Women’s Health Plan can be found in the Women’s Health Plan Final Report.