We recognise the importance of support for individuals on release from custody. While we are not currently pursuing a pilot on post-custody outreach, we are improving support for these individuals by introducing a new national voluntary throughcare service, Upside, which offers one-to-one support for men and women leaving short sentences and periods of remand. This service, which launched on
1 April 2025, will assist people with the immediate challenges they face post-custody, including accessing housing, healthcare and social security, while also linking them to the wider support services they may require, such as mental health or substance use services.

In addition to this, through the Getting It Right For Everyone (GIRFE) model, we are supporting Health Boards to provide a package of care and support in a joined-up, holistic manner across various services and agencies. This will also support people with their needs on release from prison.

Extensive work is ongoing to improve coordination of public services as part of our commitment to public service reform. We will support all areas to follow the Getting It Right for Everyone model of person-centred services (GIRFE). This model brings the person, their families, carers and all service providers together to devise a package of care and support in a joined-up, holistic manner across various services and agencies to achieve the best outcomes for individuals. In December 2024 we published the GIRFE toolkit and Health Boards are now required to set out how they will embed the GIRFE principles and toolkit in NHS Annual Delivery Plans for the organisation and delivery of their services. In addition, we are establishing the new National Care Service Advisory Board to improve social care, social work and community health services.

More specifically to support individuals with complex co-occurring mental health and substance use issues we commissioned Healthcare Improvement Scotland (HIS) to create a gold-standard protocol that sets out how these services should work together, which has now been published. HIS are now working to support areas across the country to develop and implement their own protocols. We are also supporting Mental Health Officers (MHOs), who assess and support individuals with mental health conditions and are pivotal to integrated health and social care services. Actions underway include undertaking workforce planning initiatives to address shortfall in MHOs, developing a pilot exercise to reduce administrative burden, and developing a scheme to harness the potential of AI powered tools to support reporting and reduce associated workloads.

The Scottish Government expects Health Boards to offer patients a clinically appropriate abortion method. The 2022 Healthcare Improvement Scotland (HIS) Sexual Health Standards set out that patients should have access to information on both medical and surgical abortion to enable them to make an informed choice of abortion method. The Scottish Government’s 2021 Women’s Health Plan had an aim that ‘all women will have a choice about how and where they access abortion care’.

While most Health Boards can offer surgical abortions to a certain gestation, the Scottish Government is working with the Scottish Abortion Care Providers network, the Faculty of Sexual and Reproductive Health and the Royal College of Obstetricians and Gynaecologists to improve access for clinicians to surgical abortion training at all gestations. The Scottish Government has also committed to pay for training for any clinician who wishes to provide later stage abortions.

The Women’s Health Champion has been discussing with Health Board Chief Executives issues around contraception and abortion, including ensuring access to early surgical abortion. The Scottish Government will soon be presenting information gathered from Health Boards to Chief Executives to help inform discussions about where surgical abortion provision could be increased.

In recognition of financial pressures, our 2025-26 budget includes record levels of investment - over £21.7 billion for Health and Social Care and over £15 billion for the Local Government Settlement.

While the Scottish Government has overall responsibility for health and social care policy in Scotland, it is for Health and Social Care Partnerships to ensure that support services are in place to provide people with the appropriate support in the right place and at the right time. Decisions on how best to deliver services to local communities, including funding for services like the Notre Dame Centre, are ultimately for local partners to make.

However, these decisions should be made in consultation with people who use those services and in full awareness of the impact on them and on other services who may be asked to provide support in their place.

I would therefore encourage all partners to work together to find solutions that not only address financial pressures but put the needs of local people, particularly those who are most vulnerable, at the centre.

The Medication-Assisted Treatment (MAT) Standards set out what people should expect from substance use services. MAT Standard 3 sets out that people at high risk of drug-related harm should be proactively identified and offered support, while MAT Standard 9 sets out that all people with co-occurring drug use and mental health issues should receive mental health care. Implementation of the MAT Standards is supported by multi-year funding of £10.3 million per year over the life of the Parliament.

Scottish Ministers have not made representation to the UK Government on this issue as the regulation for the licensing, safety and efficacy of medicines is reserved to the UK Government and is the responsibility of the Medicines and Healthcare products Regulatory Agency (MHRA).

Scottish Government notes this report with interest and is fully aware that the risk of liver disease is increased by the impact of harmful alcohol use and obesity.

This is why we are determined to do all we can to reduce alcohol-related harm, one of the most pressing public health challenges that we face in Scotland. We take a whole population approach to tackling such harm, in line with the World Health Organisation’s focus on affordability, availability and attractiveness of alcohol.

Our Alcohol Framework 2018 contains 20 actions to tackle alcohol-related harm. One of the key actions was the implementation of Minimum Unit Pricing (MUP) in May 2018. Since then, we have seen a reduction of 3% in total alcohol sales, with a focus on the cheap high-strength alcohol which is often drunk by people drinking at harmful levels. Recent research by Public Health Scotland has found that MUP has been found to save more than 150 lives a year and 411 fewer hospital admissions. It’s also encouraging to see that this research has highlighted that the policy is having an effect in Scotland’s most deprived areas – which experience higher death rates and levels of harms from problem alcohol.

We also want everyone in Scotland to eat well and have a healthy weight to help reduce the impact of a range of diet-related ill health conditions, including liver disease. We continue to implement the wide-ranging actions set out in our 2018 Diet and Healthy Weight Delivery Plan to address this challenge. This includes our commitment to restrict less healthy food promotions and improve the availability of healthier options when eating out, as outlined in our Out Of Home Action Plan.

Scottish Government through its national Centre for Sustainable Delivery (CfSD) has formed a Specialty Delivery Group for Liver Disease with the first meeting on 6th November 2024. Early Detection is one of the pathways being prioritised.

The Early Detection Pathway has already been passed through the first Gateway in the CfSD delivery pathway. The challenges are around how individual boards can implement this before the National Laboratory Information Management System.

There has been progress in developing the Early Detection pathways in individual health boards using the technology as currently available while others are using the Referral Advice to Primary Care with increased use of the FIB-4 and Fibroscan with advice for Lifestyle changes and repeat investigation as required.

The Scottish Government want all children and young people to get the support that they need to reach their full learning potential, no matter their circumstances. As such we highly value the work of Forces Children Scotland in advocating for children and young people from service families across the country.

The Scottish Government will continue to meet regularly with Forces Children Scotland to discuss our shared interests in supporting service children. The Minister for Children and Young People met with Forces Children Scotland on 18 September 2024. Forces Children Scotland are a member of the Scottish Armed Forces Education Support Group, which is chaired by a Scottish Government Official and meets quarterly. We are currently funding Forces Children Scotland through the Scottish Veterans Fund to support their Future Transitions project. In addition, the Minister for Veterans is meeting with the Armed Forces Families Federations on 6 May.

Unfortunately the Minister for Veterans was unable to attend the Forces Children's Rights Charter Roundtable on 25 April due to a pre-existing diary commitment.

I refer the member to the answer to the question S6W-36341 on 22 April 2025. 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 recognises the concerns of students, parents of students and staff affected by the proposed cuts to Animal Care provision and appreciates that this is a very worrying time for everyone at the Scotland's Rural College's (SRUC)Elmwood Campus.