Chamber and committees

Decisions on clinical pathways are not for the Scottish Government. These decisions are for clinicians, based on the best evidence available, through the appropriate clinical governance structures.

On 18 April, in a joint statement, NHS Greater Glasgow and Clyde and NHS Lothian confirmed that both Boards have paused any new prescription of puberty-supressing hormones and cross-sex hormones for young people as a treatment option for gender dysphoria.

The small number of patients directly impacted by this change, and their families, were notified in advance of this statement. It is right that they were the first to hear about it, sensitively and from the services caring for them, before a public statement was made.

In the context of specialist provision of gender identity healthcare to children and young people, since publication of its Strategic Action Framework for Gender Identity Service improvement in December 2021, the Scottish Government has maintained an extensive dialogue with NHS Health Boards in Scotland on how to collectively work to improve healthcare provision in this sphere.

On 18 April, in a joint statement, NHS Greater Glasgow and Clyde and NHS Lothian confirmed that both Boards have paused any new prescription of puberty-supressing hormones and cross-sex hormones for young people as a treatment option for gender dysphoria.

The small number of patients directly impacted by this change, and their families, were notified in advance of this statement. It is right that they were the first to hear about it, sensitively and from the services caring for them, before a public statement was made.

Parliamentary business is a matter for the Scottish Parliament’s Parliamentary Bureau and the Parliament itself.

The information that has been requested is not held centrally by the Scottish Government.

As part of our work to develop a sustainable healthcare workforce, we continue to look for opportunities to increase levels of student attraction to healthcare professions. Careers in NHS Scotland are promoted on the NHS Education Scotland (NES) NHS careers website, designed to promote opportunities to school leavers, those in education and those looking to change careers. This site can be accessed at NHSScotland Careers

Additionally, NES are leading on the AHP Careers National Working Group. The group have developed materials for a national career service including a ‘workshop toolkit’ for careers advisors and teachers.

Following the completion of the Allied Health Professions (AHP) Education and Workforce Policy Review, an advisory group has been established. NES are represented on this group and will work in conjunction with the Scottish Government, and wider stakeholders, to oversee the effective implementation of the recommendations.

The group held its second meeting on 4 March 2024 and will consider the timescales required to meet the overarching aims at its future meetings, scheduled in June and October 2024.

The Scottish Government considers youth work within the school environment to be incredibly valuable.

An independent review of Community Learning and Development (CLD), was launched in December 2023 and is expected to conclude in June 2024. This review aims to assess the impact of CLD on learners across Scotland which will provide valuable insights for the delivery of CLD in a reformed education system.

The primary funders of locally based advice services are local authorities and it is for them to decide how best to target resources to meet local needs. Scottish Government do not, therefore hold information on the number of money advisers employed within the most deprived communities. The Improvement Service publishes a report annually on local authority spend on money advice services. The latest report can be accessed using the following link: https://www.improvementservice.org.uk/products-and-services/performance-management-and-benchmarking/common-advice-performance-management-framework/2022-23-report

In 2023-24, the Scottish Government invested more than £12.5 million in free welfare, debt and income maximisation services. Our funding approach is intended to maximise household incomes, tackle problem debt and to reduce poverty. Whilst the majority of our funding is allocated to organisations with a national reach, our investment also supports a range of other initiatives such as the Welfare Advice and Health Partnerships, which has enabled welfare rights advisors to be integrated in up to 180 GP practices across Scotland, with 150 of these targeted in the most deprived communities and 30 in remote, rural and island settings, and the Advice in Accessible Settings programme that supports 24 local partnerships to deliver advice in community, education and health settings.

Healthcare Improvement Scotland (HIS) is the health body which undertakes assessments and reviews of the quality of care throughout Scotland, however third sector organisations are not captured by their current inspections of NHS services. Health Boards might arrange for treatment to be provided for patients by non-NHS Scotland providers in exceptional circumstances for clinical reasons however the responsibility for consultation, diagnosis and treatment of patients fully remains with the originating Health Board.

Independent Healthcare is regulated by HIS which consists of independent hospitals, private psychiatric hospitals, independent clinics and also voluntary hospices; some of which are commissioned to provide NHS services.

The Scottish Government takes an evidence-based approach to tackling child poverty by ensuring that plans are underpinned by evidence and that we carefully monitor progress. The evaluation strategy summarises the approach which is split across three key areas:

(1) Careful monitoring of the four child poverty targets(relative poverty, absolute poverty, low income and material deprivation, and persistent poverty).

(2) Examination of the three drivers of poverty via the child poverty measurement framework (income from employment, cost of living, and income from social security and benefits in-kind) and

(3) monitoring impact of key interventions on child poverty.

The hyperlinks to all key documents mentioned above are included in the background note.

We have established a £10 million long COVID Support Fund, which aims to support NHS Boards to increase the capacity of existing services providing support to people with long COVID, develop these into more clearly defined pathways and to provide a more co-ordinated experience for those accessing support.

We have also commissioned NHS National Services Scotland to establish a National Strategic Network for long COVID. This brings together representatives from NHS Boards across Scotland to provide a forum for the exchange of learning and best practice in delivering supporting and services for people with long COVID.

In May 2023 we published an analysis of survey responses from NHS Scotland Boards on their arrangements for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) care. This is accessible at https://www.gov.scot/publications/myalgic-encephalomyelitis-chronic-fatigue-syndrome-cfs-services-scotland-findings-analysis-surveys-issued-nhs-boards-autumn-2022/ . The report highlights examples noted by NHS Boards of where practice developments relating to ME/CFS and long COVID respectively may have mutually supportive benefits for patient care, and the management of other long term conditions which share common symptoms.