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.

I refer the member to the answer to question S6W-34345 on 28 February 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 2025-26 Budget will provide a record £21.7 billion for Health and Social Care, including almost £200 million to reduce waiting lists and improve flow through hospitals. Gynaecology will be targeted as a key priority area for additional funding.

We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care.

Endometriosis is one of the key priorities in the Women’s Health Plan and will continue to be so. Timely access to gynaecology services will also be a priority as we continue to develop the next phase of our Women’s Health Plan, which we aim to publish in 2025.

Temporary Traffic Regulation Orders (TTROs) formed part of the general TRO process review that was carried out in 2021. This review indicated that local authorities were content with the TTRO process already in place.

However, Transport Scotland continues to monitor the feedback from local authorities and other stakeholders to ensure that the system remains responsive and meets the needs of communities and road users.

Significant planning work has been undertaken for the Marine Fund Scotland (MFS) for 2025-26 and we hope to be able to confirm arrangements shortly. Potential applicants should provide their details to MFS@gov.scot if they wish to be added to the mailing list.

The Scottish Government reviewed the effectiveness of the Traffic Regulation Order (TRO) process in 2021, engaging with key stakeholders including all local authorities. The review found that, overall, local authorities were satisfied with the system but highlighted areas for improvement, particularly in relation to Experimental Traffic Regulation Orders (ETROs) and Redetermination Orders.

As a result of this assessment, legislative changes were introduced to streamline ETROs, enabling implementation with 7 days’ notice and a 6-month consultation period. Guidance was also issued to clarify that Redetermination Orders may not be required where a TRO sufficiently regulates access.

In addition, Transport Scotland is considering further work to support the digitisation of TROs, with a view to improving accessibility and administrative efficiency.

I refer the member to the answer to the question S6W-36412 on 29 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

Official labour market statistics do not include data on reasons why individuals are unemployed. However, there is data available on reasons why individuals are economically inactive and not participating in the labour market.

The latest ONS Annual Population Survey (APS) statistics for 16 to 24 year olds for January to December 2024, published on 16 April 2025, show an estimated 12.7% of economically inactive 16 to 24 year olds in Scotland gave their reason for being inactive as “long-term sick or disabled”.

The Scottish Government has published analysis on the link between economic inactivity and ill health. On 24 September 2024 an evidence review indicated an increase in physical and mental health conditions in inactive people since 2018, with rising numbers of young people citing mental health concerns as a reason for being economically inactive (Economic inactivity in Scotland: supporting those with longer-term health conditions and disabilities to remain economically active - gov.scot). Previous analysis published on 30 August 2023 identified physical and mental ill-health as possible barriers that prevent young people from entering the labour market (Economic inactivity of young people aged 16-24: Definition, reasons and potential future focus - gov.scot).

The Scottish Government reviewed the Traffic Regulation Order (TRO) process in 2021, working with key stakeholders. The review concluded that, while the process is generally effective, improvements could be made, particularly in relation to Experimental Traffic Regulation Orders (ETROs) and Redetermination Orders.

In response, legislative changes were introduced to streamline ETROs and clarify the use of Redetermination Orders. Transport Scotland is also considering further work, including the digitisation of TROs, to support greater accessibility and efficiency.

There are no current plans for a further formal review, but we continue to monitor feedback from local authorities and stakeholders to assess whether additional changes are needed.

Scottish Government officials and Ministers are in continuous dialogue with the UK Government about USA tariff barriers and we support all efforts to find mutually beneficial resolutions that are in the interests of Scotland. We have been clear that we need to see bold and decisive action from the UK Government that reflects the uncertainty that is being felt by business and families at this time.

We are also working closely with the UK Government’s Department for Business and Trade on its programme of Trade and Economic Cooperation with individual US States, to reduce trade barriers and advance trade and investment opportunities for the UK and Scotland.