Chamber and committees

The Public Contracts (Scotland) Regulations 2015, Utilities Contracts (Scotland) Regulations 2016 and Concession Contracts (Scotland) Regulations 2016 will continue to apply to the award of contracts by devolved Scottish contracting authorities.

Regulations made under section 115 of the Procurement Act 2023 will set out the procedures to be followed when a contracting authority awards a contract under procurement arrangements put in place under the other jurisdiction’s regime.

The Scottish Government is committed to increasing the availability of medicines that patients in Scotland need.

A national headache pathway was launched in October 2023 by the Centre for Sustainable Delivery at NHS Golden Jubilee. This is to aid clinicians in the diagnosis and management of headache disorders, including migraine, and offers guidance on management of conditions.

Through the Neurological Care & Support Framework, the Scottish Government awarded £221,176 in total to the Migraine Trust across 2022-24, to work with community, primary and secondary care pharmacists In NHS Grampian to help people with migraine manage their symptoms and treatments more effectively.

Through the success of this project, a further seven NHS Boards are working towards adopting this model of care in future.

In Scotland, the Scottish Medicines Consortium (SMC) appraises the clinical and cost-effectiveness of newly licensed medicines, following receipt of a submission from the manufacturer. Where the SMC accepts a medicine, or accepts it with restrictions or on an interim basis, there is an expectation that NHS Boards will consider the medicine and make it (or its equivalent) available. This is considered by each NHS Boards’ Area Drug and Therapeutics Committee.

NHS Boards are expected to reach a decision within 90 days of being informed of the SMC advice, which provides time to consider any issues associated with the implementation of the medicine, such as changes to the care pathway and staff training. Boards should publish their decision on their website within 14 days of the decision.

The SMC appraisal is undertaken independently of Scottish Ministers and is based on the clinical and cost-effectiveness of the medicine at a population level.

The Scottish Government does not hold this information.

a) A national headache pathway was launched in October 2023 by the Centre for Sustainable Delivery at NHS Golden Jubilee. This pathway aids clinicians, including GPs, in the diagnosis and management of headache disorders, including migraine. The pathway specifically includes guidance for the treatment of migraine in primary care.

b) Through the Neurological Care & Support Framework, the Scottish Government provided £221,176 in total to the Migraine Trust across 2022-24, to work with community, primary and secondary care pharmacists to help people with migraine manage their symptoms and treatments more effectively. The work has been undertaken in NHS Grampian, and is being expanded into further NHS Boards who are working towards adopting this model of care.

Through this work an eLearning programme and resource page has been developed on NHS Education for Scotland’s platform TURAS. This comprises a suite of training materials available for all pharmacists and pharmacy teams to access.

Scottish Government’s Fair Work policy sets out actions to promote fair and inclusive workplaces across Scotland. Becoming a 'fair work employer' includes creating a healthy and safe environment where individuals' wellbeing is actively supported.

Scottish Government supports employers to do this via several interventions, including:

• Providing occupational health support for employers via Health Scotland's Healthy Working Lives website and Working Health Services Scotland. Access to occupational health can help enable early intervention and personalised support where required.
• Promoting flexible and hybrid working by providing over £1.1 million in funding through Fair Work and Social Innovation Partnership budgets. Flexible working practices can help people to manage their condition without dropping out of the workplace and incurring a loss of income.

Those who experience a substantial and long-term impact on their lives due to migraine have a right under the Equality Act 2010 to have their employer make reasonable adjustments in the workplace.

The Pain Management Task Force oversees the implementation of the Framework for Pain Management Service Delivery in Scotland. Discussions at the Task Force are centred around delivery of the actions in the Implementation Plan rather than condition specific issues. While there have been no specific discussions on migraine-related issues at the Task Force, many of the actions in the Plan discussed at each Task Force meeting will benefit people with migraine, such as updated quality prescribing guidelines and the creation of a chronic pain Knowledge Hub, a resource available to all NHS Scotland staff and third sector organisations to deepen their understanding of chronic pain.

Widespread stakeholder participation is essential if we are to successfully develop a new National Marine Plan for Scotland that helps deliver our statutory targets, supports sustainable economic growth and protects our marine environment. We remain committed to our vision for engaging stakeholders throughout the development of NMP2 and we want everyone who uses, relies on or has an interest in Scotland's seas to have the opportunity to contribute when considering Scotland’s marine space.

In developing the NMP2, we are adopting a blue economy approach - considering our marine economy, local communities, and the environment altogether. The timeline for the development of the plan has been designed to allow for sufficient opportunity for meaningful engagement with stakeholders throughout the process. A public consultation on the NMP2 Planning Position Statement will take place in late 2024 allowing stakeholders to submit their views. A further public consultation for the NMP2 Draft Plan will take place in late 2025.

The timeline also allows for the NMP2 team to host events dedicated to cross-sector discussion and collaboration. Our first National Marine Planning Forum took place on 15 June 2023, providing an opportunity for everyone with an interest in the plan to input into its development at an early stage and discuss the key themes to be addressed in the plan. A further NMP2 forum will be held in winter 2024 specifically designed to bring together stakeholders and promote cooperation between sectors. The forum will facilitate discussions between stakeholders pertinent to the cross-sector issues that exist in the marine environment and give stakeholders the opportunity to collaborate and devise solutions to these issues that can influence NMP2. The NMP2 team will actively seek this feedback at the forum with the intention of integrating it into future policy development from NMP2.

A Steering Group has been established to provide advice on the statutory assessments and Sustainability Appraisal for NMP2, which are used to understand potential impacts on marine sectors and the marine environment from the proposals in the plan. The Steering Group is formed of stakeholders from various sectors who regularly meet with NMP2 officials to advise on the development of the statutory assessment and Sustainability Appraisal.

The Scottish Government’s Marine Directorate will be sharing draft outputs, as noted in our revised Statement of Public Participation and Stakeholder Engagement Strategy, as they become available so we can collaboratively develop the plan with communities as part of our commitment to considering the Just Transition principles in the marine planning process.

By including a staged approach to our engagement for NMP2, and by speaking to people who use or rely on Scotland’s seas, the Marine Directorate can take time to better understand their needs and use these experiences and knowledge to create a new plan that works well for the people of Scotland.

This engagement has included the first National Marine Planning Forum and sector-based workshops, with future engagement planned around the consultation on the NMP2’s forthcoming Planning Position Statement (PPS) and draft plan.

We want all people with epilepsy to be able to access the best possible care and support. Since October 2020 we have committed almost £650,000 towards projects which specifically improve the health and wellbeing of people with epilepsy.

In 2022-23 Scottish Government funded Epilepsy Scotland to work with NHS Lothian in piloting mental health screening and intervention for people with epilepsy.

We are working hard to improve support for those whose mental health is affected by long term physical health conditions, such as epilepsy, and in 2023 published a new Mental Health and Wellbeing Strategy jointly with COSLA, which incorporates a focus on wellbeing and prevention.

One of the Strategy’s priorities is that “People with mental health conditions, including those with co-existing health conditions, experience improved quality and length of life, free from stigma and discrimination.”

Our Communities Mental Health and Wellbeing Fund for Adults has been a key development on prevention and early intervention in recent years, addressing a number of mental health and wellbeing concerns. It has a focus on at risk groups including those with a long-term health condition or disability.

The Procurement Act 2023 does not generally legislate for the procurement activities of devolved Scottish authorities, and there is no provision within the Act for the Scottish Government to simply adopt it, though the Scottish Ministers will use the powers conferred on them by the Act appropriately, for example to implement international agreements, or to set out provision in relation to cross-border procurement.

The Scottish Government has already taken significant steps to reform public procurement practice in Scotland. The Procurement Reform (Scotland) Act 2014 already requires contracting authorities in Scotland to consider the economic, social and environmental wellbeing impact on their area of procurement activity, increases transparency by requiring contracts to be advertised on one single advertising portal, requires authorities to set out anticipated contracts over the next two years in an annual procurement report and requires authorities to consider community benefits in major contracts.

This was achieved in a way which was consistent with EU law. It remains the view of the Scottish Government that Scotland is best served by aligning with EU law where it is practical and sensible to do so.