Chamber and committees

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.

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.

There are a number of factors that impact on how long it takes Social Security Scotland to make a decision on disability benefit applications, including the time taken to gather the supporting information required to make a decision on an application.

Social Security Scotland continues to work with Local Authorities, Health Boards and GP practices across the country to make it faster and easier for them to send supporting information, and is seeing improvements.

The last nine months of official statistics for Child Disability Payment shows Social Security Scotland has made decisions on new applications almost twice as fast as in the previous financial year. The latest official statistics publication can be found at: Social Security Scotland - Child Disability Payment: high level statistics to 31 December 2024.

The latest Adult Disability Payment official statistics publication shows Social Security Scotland has made faster decisions on applications over the last year, with average processing times decreasing significantly in the last ten months, when compared to the previous financial year. Latest Adult Disability Payment statistics can be found at: Social Security Scotland - Adult Disability Payment statistics to 31 January 2025

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. Published data shows that applications under the Special Rules for Terminal Illness are currently processed within three working days for Child Disability Payment and two working days for Adult Disability Payment.

Section 6 of the United Nations Convention on the Rights of the Child (Incorporation) (Scotland) Act 2024 makes it unlawful for a public authority to act, or to fail to act, in a way that is incompatible with the UNCRC requirements. The section 6 compatibility duty in that Act applies when a public authority is delivering functions conferred by or under an Act of the Scottish Parliament or common law. All of the free standing provisions in the Housing (Scotland) Bill and those provisions that amend Acts of the Scottish Parliament will be in scope for this compatibility duty. This includes protections for tenants and provisions to help prevent homelessness.

There are some provisions on homelessness that are conferred by Acts of the UK Parliament. As housing is devolved to the Scottish Parliament, it would be possible to bring these provisions into the scope of the section 6 compatibility duty by re-enacting them in Acts of the Scottish Parliament. (The same is true of all devolved measures that are conferred by Acts of the UK Parliament.) However, that would be a time-consuming task that would have a significant impact on the Scottish Parliament’s law-making capacity.

Our hope is that, through engagement with the UK Government, there may be a more straightforward way of extending the reach of the compatibility duty in the UNCRC Act (and other future human rights protections), which would not require the re-enactment of individual Acts of the UK Parliament. Next steps are being considered.

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 Women’s Health Plan sets out that healthcare for women should be holistic, inclusive, respectful, centred around the individual and responsive to their needs and choices.

In 2023, we carried out research on ‘Women's experiences of discrimination and the impact on health ’ so that we can better understand the lived experience of women and girls in Scotland and the discrimination they have experienced when seeking healthcare.

Through the Women’s Health Platform on NHS Inform we have created resources that can be used by women and girls and healthcare professionals to support shared decision making and a patient centred approach. This includes symptom questionnaires on menopause and menstrual health and clinical tools such as the Endometriosis Care Pathway and the Heavy Menstrual Bleeding Pathway to support informed discussions and provide better understanding of the next steps on a healthcare journey.

We have also funded the development of educational resources to support health professionals to learn more about menstrual health, endometriosis and menopause, the symptoms and treatment options.

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 provides the policies, frameworks and resources for high quality health care in Scotland. However, it is for each NHS board to decide how best to deliver those services to meet the needs of the population to ensure they can provide safe, effective care for their patients, and this includes stoma care provision.

The results of the information gathering exercise on stoma care were presented at Scottish Executive Nurse Directors’ meetings on 5 July and 22 November 2024, informing NHS Boards of overall findings. It is for NHS Boards to deliver services locally. The Scottish Government does not plan to publish this information publicly but will share with the Scottish Stoma Forum Group by April 2025.