A programme of work to address recommendations of the Independent Review of Audiology Services in Scotland has now concluded and each of the 55 recommendations updated.

A final report was produced outlining the rationale behind the actions taken and confirming the timelines for taking forward the remaining actions through other programmes of work. The final report is available and the all-ears.nhs.scot website.

National oversight of audiology services is via the Scottish Government’s Strategic Planning Board. Responsibility for ongoing monitoring of the implementation of the Independent Review of Audiology Services in Scotland report lies primarily with NHS Boards themselves via their Audiology Local Action Plans.

The Scottish Government has commissioned NHS Education for Scotland (NES) to undertake work which maps the skills and competencies required at each level of practice for all disciplines within the healthcare science profession, including audiology as a clinical priority area.

A Redefining our Workforce document is under development which sets out work on redefining of the scientific workforce in Scotland (including audiologists) and will support development of educational courses in the future. This is in its final stage of publication and will be published this Autumn.

This sits hand in hand with activity which will enable us to be able to map our scientific workforce in NHS Scotland more accurately, strengthening capacity, training and recruitment pipelines for audiologists, and supporting better workforce planning for the future.

From 2014 data on Audiology waits formed part of the 18 weeks referral to treatment waiting time data Public Health Scotland (PHS) publication. In March this year, PHS communicated that as part of their ongoing work to ensure their suite of statistical publications meets user needs, they decided to pause the 18 weeks RTT national data collection, analysis and publication. The 18th March 2025 publication was the last planned publication. It is important to note that PHS will continue to publish comprehensive statistics on waiting times which will help demonstrate the impact of the additional funding to reduce waiting times. By pausing the 18 week RTT statistics, PHS will be able to shift resources towards developing statistics on the number of 8 key diagnostic tests carried out per quarter. This change in focus is needed for the public to understand how we are progressing with our commitment for 150,000 extra appointments, diagnostics and treatment in 2025-26.

Given the importance of audiology, as part of the Scottish Government’s implementation of the Service Renewal Framework consideration is being given as to how to strengthen visibility and accountability on audiology waiting times to ensure planning of services reflects actual need and supports equitable access. This has been prioritised as part of the first year work programme of SRF implementation.

The right to demonstrate and protest are fundamental human rights which the Scottish Government is committed to upholding. Those simply going about their business should be able to do so without the fear of any form of abusive behaviour. Where such behaviour occurs it should be reported to the police to allow them to take action.

The Scottish Government fully supports Police Scotland to take appropriate and proportionate action to safeguard public safety including at protests. Police Scotland has powers to tackle any behaviour which is antisocial or criminal, as well as public order powers to impose directions or conditions on, or disperse, public assemblies where this is deemed necessary.

The Scottish Government does not currently have plans to establish a national framework for shared care. However, we are engaging with the Royal College of GPs (Scotland) to understand the current issues around shared care agreements for patients with ADHD.

Officials have also written to all health boards seeking clarification on what neurodevelopmental assessment and support they currently have in place for adults, this included a question on local protocol for patients with a private diagnosis. We are currently collating and considering this information.

The Scottish Government acknowledges that work is needed to improve the quality of data on neurodevelopmental support and services, including a better understanding of current levels of need and the level of support people currently receive.

We are working with Health Boards and local authorities to improve our understanding of available data, and how this could be used to support improvements for adults, children and families.

I refer the Member to the answer to question S6W-40018 on 8 September 2025, which outlines work that the Scottish Government is doing with all Health Boards, including NHS Lanarkshire. 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 is providing further funding of £500,000 this year to improve neurodevelopmental assessment and support for children and young people, and their families.

Further, our Autistic Adult Support Fund provides £1 million of funding per year to organisations that support autistic adults both pre- and post-diagnosis. As autism and ADHD often co-occur, adults with ADHD have benefitted and will continue to benefit from this support. A recent independent evaluation of the Fund showed that 72% of individuals and 71% of families supported via the Fund reported improved wellbeing as a result.

The Scottish Government published the Transition Care Plan (TCP) Guidance in 2018, describing the standards required in the planning of good transitions for children and young people moving to adult services. This guidance is underpinned by a rights based approach and ensures the young person is involved in discussions about their care.

The National Neurodevelopmental Specification notes that the guidance should be used to ensure that transitions between children and young people’s services and other services are robust and that, wherever possible, services work together with the young person and families/carers to plan in advance for transition.

Given the short amount of time left in this Parliamentary session, there is insufficient time for a Misogyny Bill to be finalised and introduced. This is a complex area of policy and law, and it would be necessary that any Bill which brought misogyny into criminal law contained clear and unambiguous provisions in regard to the circumstances in which they apply. This would include the policy implications of the recent Supreme Court judgment.

We want new legal protections for women and girls to be in place, and the hate crime model presents an opportunity to do so. On Thursday, 28 August 2025, we laid in draft an SSI to add the characteristic of sex to the Hate Crime and Public Order (Scotland) Act 2021. If passed, it will make it an offence for a person to stir up hatred against women and girls, and where an offender is motivated by, or demonstrates, malice and ill-will towards women and girls in committing a criminal offence, that offence will be aggravated by prejudice relating to the characteristic of sex.

Further, we continue to take forward a range of actions in schools to address gender based violence and sexual harassment. Our Mentors in Violence Prevention (MVP) Scotland Programme is working to tackle gender stereotyping and attitudes that condone violence against women and girls, and addresses a range of behaviours including name-calling, sexting, controlling behaviour and harassment. We have also published a national framework for schools to help tackle sexual harassment and gender-based violence. Rape Crisis Scotland also provide a national sexual violence prevention programme to local authority secondary schools across Scotland. The programme aims to provide consistency in approaches to the prevention of sexual violence and contributes to Equally Safe (our strategy to prevent and eradicate violence against women and girls). Since the programme started in 2016, it has reached over 48,000 pupils.

The Scottish Government funds the National Autism Implementation Team (NAIT), which is currently supporting NHS Boards to develop, enhance and redesign existing local adult neurodevelopmental services. We continue scope the work required to improve Adult Neurodevelopmental Pathways nationally, understanding that a stepped care model is needed to reduce waiting times for adult neurodevelopmental assessments and ensure a consistent approach to them across Scotland.

We continue to fund NHS Education for Scotland and NAIT to deliver professional learning on neurodevelopmental conditions. Training is offered at informed, enhanced, specialist, and expert levels, with strong uptake across all tiers.