Chamber and committees

The Scottish Government is committed to support Health and Social Care Partnerships and their local services deliver on our National Mission to save and improve lives affected by problem drug use. This includes the implementation of harm reduction initiatives including needle and syringe programmes and improved access to opioid substitution therapy (OST).

Our broad principle is that if providing safe equipment to a person is likely to reduce the risk of harm to themselves or others, there should be no question of that provision. We continue to provide direction and funding to local areas to implement the Medication-Assisted Treatment (MAT) standards, and Standard 4 in particular states that everyone at risk, including those who inject drugs, should be able to access a wide range of harm reduction services – for example, needles and syringes, injecting risk assessments, wound care and naloxone.

Services across Scotland have developed flexible and targeted approaches to supplying Injecting Equipment Provision (IEP) by introducing more mobile and more flexible approaches (such as IEP vans) that actively go out to areas where they know people will use them.

The Medication Assisted Treatment (MAT) Standards, published on 31 May 2021 aim to improve access, choice and support to OST and to a range of linked support such as primary care, mental health treatment and advocacy for other services. Public Health Scotland reports annually on how local areas are achieving this. Its Benchmarking Reports are published each June and these include details of how access to OST and access to drug harm reduction measures are improving in local areas.

The Scottish Government welcomed the 2023 Scottish Animal Welfare Commission (SAWC) report on handheld remote-controlled training devices that use static pulse as the stimulus. We are currently awaiting a further report from SAWC on a wider range of aversive dog training tools, including other types of electronic training collars. We will consider all their findings carefully as part of our ongoing commitment to improve and enhance animal welfare.

This government is committed to ensuring everyone in Scotland has reliable access to safe, nutritious, affordable, sustainable, and age and culturally appropriate food.

The Good Food Nation (Scotland) Act 2022 provided the framework for our future food strategy, to build an environment where people from every walk of life take pride and pleasure in, and benefit from, the food they produce, buy, cook, serve, and eat each day. It places duties on Scottish Ministers, local authorities and health boards to produce plans of their policies in relation to food and set out what they will do to make those plans real.

The Ministerial Working Group on Food will provide cross-Government leadership to co-ordinate action on food relevant to achieving a Good Food Nation. Members will work collectively to drive progress across portfolios by providing strategic direction, tackling complex issues and sharing best practice.

To help create a food environment which better supports healthier choices, we are committed to legislation to restrict promotions of food high in fat, sugar or salt at the point of purchase. This is when people make their decisions about what and how much to buy and to consume, for themselves as well as for their families.

Over the last seven years we have invested in the Healthy Living Programme (HLP) and the Reformulation for Health Programme. The HLP helps convenience stores offer healthier choices. More than two-thirds of the 2,300 strong HLP membership serves the most deprived areas of the country and ensures access to affordable, healthier food and drink in those communities.

The Reformulation Programme helps smaller businesses reformulate common products to make them healthier. This is playing an important role in improving dietary health by removing hundreds of millions of calories from Scottish food and drink products sold across the country, including deprived areas.

Scottish Government officials have been undertaking scoping work with a variety of stakeholders including healthcare professionals (representatives from British College of Aesthetic Medicine and British Association of Cosmetic Nurses), hair and beauty industry representatives, Environmental Health Officers, and Healthcare Improvement Scotland.

This scoping work is informing the development of a consultation that will seek the views of the public on the specific details to ensure that proportionate, robust, flexible and future-proofed further regulation is introduced. This new public consultation will be published by the end of the year.

According to the 2022 Scottish Health Survey, 23% of children who live in most deprived areas are at risk of obesity, compared with 15% in the least deprived. Addressing the risk of obesity and its associated health conditions is therefore a key priority for the Scottish Government in reducing health inequalities for those on lower incomes.

We have provided core funding of £8.25 million to health boards to continue to deliver adult, children and young people’s weight management services in 2024-25.

Our aim to halve childhood obesity by 2030 and significantly reduce diet related health inequalities is deliberately ambitious. A Whole Systems Approach to childhood obesity remains the strongest evidence-based route to improving levels of healthy weight in children.

However, dealing only with the consequences of poor diet and higher weight is not enough. We also need to address the underlying causes. This includes ending poverty, supporting fair wages, and improving our physical and social environments. Since 2022-23, we continue to allocate around £3bn a year to policies which tackle poverty and protect people as far as possible during the ongoing cost of living crisis.

With particular reference to child poverty, our Scottish Child Payment provides £26.70 per eligible child per week – support that is only available in Scotland.

Scottish Government have long advocated for restrictions on the broadcast advertising of less healthy food and drink before 9pm. We welcome the announcement that the UK Government intend to introduce these restrictions next year. We continue to work with the UK Government to further understand the implications of this policy and its implementation for Scotland.

As set out in our 2018 Diet and Healthy Weight Delivery plan, we remain committed to developing proposals to strengthen outdoor advertising restrictions for food that is high in fat, salt or sugar.

The Scottish Government supports NHS Scotland‘s Health Boards implement a standardised approach to Child Healthy Weight programmes through funding for Tier 2 and Tier 3 pathways as part of the delivery of Scotland’s Diet and Healthy Weight Plan

Health Boards deliver weight management services in line with Public Health Scotland Standards Weight Management Standards. These standards were introduced in 2019 and aim to ensure a fair and equal approach to the treatment of overweight and obesity for children, young people and adults across weight management services in Scotland.

Health boards delivering weight management interventions work to ensure that programmes are tailored to the specific needs of their local populations by conducting robust needs assessments, consulting with local communities and frontline staff, and addressing barriers related to equality, diversity, and inclusion. This includes conducting Equality Impact Assessment to continuously improve service accessibility and effectiveness.

All Health Boards provide data via Public Health Scotland on their weight management service’s performance and outcomes. This data is published regularly.

Public Health Scotland are undertaking an evaluation of the implementation and impact of the Standards for weight management services with recommendations to inform local action and national policy direction.

The Scottish Government do not hold any data on the number of children that currently have at least one parent or parental figure with a drug addiction, nor do we collect data that could make an informed assessment of this or provide a proxy.

As reported in the Scottish Health Survey Supporting documents - The Scottish Health Survey 2022 – volume 1: main report - gov.scot (www.gov.scot) there has already been a significant decline in children’s consumption of non-diet soft drinks once a day or more, from 38% in 2008-2009 to 16% in 2017-2018, and to 5% in 2021-2022.

The Scottish Government recognises that there is much that still needs to be done to further reduce children’s sugary soft drinks consumption, especially in low-income areas. We continue to support the UK Government’s Soft Drink Industry Levy, recognising the positive impact this has made in reducing sugary soft drinks consumption and incentivising industry reformulation.

The Scottish Government is delivering a range of initiatives to further improve the access and affordability of healthier food and drink options, helping children, especially those in deprived areas, to develop healthier nutritional habits that will last them a lifetime. This includes continued support of the Healthy Living Programme, the Nutritional Requirements for Food and Drink in Schools (Scotland) Regulations and the Scottish Milk and Healthy Snack Scheme(SMHSS) Milk and Healthy Snack Scheme - Maternal and child health - gov.scot (www.gov.scot)

Effective approaches to preventing childhood obesity are focused on population-level measures, and therefore it is important that we can track progress on child healthy weight across our communities.

The universal health visiting pathway includes growth assessment of all children at several points across early childhood and supports interventions that promote healthy growth.

Public Health Scotland and Scottish Directors of Public Health established a short life working group, including expertise from local boards and PHS, to consider the Primary 1 BMI surveillance https://publichealthscotland.scot/population-health/early-years-and-young-people/child-health-data-and-intelligence/child-weight-and-growth/routine-health-review/ model and to catalyse work to improve P1 measurement data usability and coverage.

Robust data is really important not only to exhibit the effectiveness of our policies but to inform continuous improvement. We welcome Public Health Scotland and the wider public health system’s continued support on the range of data that underpins our policies.