The Scottish Government is committed to implementing further regulation of independent healthcare, through a phased approach to ensure that Healthcare Improvement Scotland (HIS) has the capacity and appropriate staff in place to regulate the independent sector effectively.

The Scottish Government plans to engage with HIS and other relevant stakeholders during 2025-26 to ensure the proportionate scope of regulation of the private ambulance and the first aid sector. We anticipate completing the engagement with stakeholders prior to the Scottish parliamentary elections in 2026.

Once scoping is complete, a public consultation will be brought forward detailing proposals for regulation of the sector.

Procurement legislation requires public bodies to treat suppliers equally and without discrimination irrespective of size when buying goods, services and works.

Through the Procurement Reform (Scotland) Act 2014, we introduced a legal requirement for public bodies to consider and act on opportunities to facilitate the involvement of small or medium-sized enterprises (‘SMEs’), third sector organisations and supported businesses in the procurement process, and also to advertise regulated contract opportunities openly and transparently on Public Contracts Scotland, helping SMEs to identify opportunities in the supply chain.

We continue to focus on making it easier for SMEs to participate in public supply chains, including publishing an SME and Third Sector Procurement Action Plan in 2024 as part of our New Deal for Business.

We continue to test, challenge and inform procurement approaches through industry engagement, such as round tables with SMEs, to underpin continuous improvement.

The ‘annual report on procurement activity in Scotland 2022 to 2023’ (our most recently published report) shows that 61 pence in every pound of known procurement spend in Scotland went to an SME, and that, of the 18,079 suppliers awarded contracts through Public Contracts Scotland, SMEs received 77% of these contracts.

The commitment to develop a national pipeline of investment propositions is led by myself, working across portfolios and with public sector delivery partners.

The national pipeline contains information on a range of investment propositions or projects, all of which are at different stages of development.

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.

As this is an operational matter for Scottish Enterprise, I have asked its Chief Executive, Adrian Gillespie to respond to you directly.

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.

Officials from the Scottish Government last met with colleagues from the Office of the Public Guardian in relation to powers of attorney on 3 October 2023. This was to discuss recommendations from the Scottish Mental Health Law Review.

The £1.8m Digital Dermatology programme referenced within the NHS Scotland Operational Improvement Plan (OIP) is designed to reduce the number of patients who require a dermatology outpatient appointment through the creation of a digital triage system enabled through image capture within primary care.

The digital dermatology programme is now available in all 14 territorial health boards and is accessible to over 50% of GP practices across NHS Scotland. As referenced in the OIP, we continue to work towards full roll out to all GPs across Scotland by the end of Spring 2025.

For patients, evidence suggests that this will allow around 50% to be returned to the GP with advice or reassurance, without having an in-person appointment with a consultant. Some patients are also likely to be fast-tracked to further diagnostics or treatment based on assessment at this digital triage stage.

The Scottish Government commissioned National Elective Coordination Unit’s (NECU) work is complementing the national Digital Dermatology programme by focusing on high-volume patient validation within an accelerated timeline, as well as developing robust digital infrastructure for image capture and clinical triage, and ensuring a well-structured workforce model for governance and clinical safety.

The Scottish Government has worked with NECU to establish comprehensive governance arrangements and a workforce framework that promotes collaborative efforts across NHS Boards. This has enabled the onboarding of 18 dermatology consultants and the creation of digital infrastructure to support clinical workflows.

NECU’s dermatology campaign has already engaged four Health Boards – including NHS Greater Glasgow & Clyde, NHS Grampian, NHS Ayrshire & Arran and NHS Highland - addressing the needs of patients waiting over 52 weeks and ensuring patient requirements are correctly recorded. As we progress, our goal is to continue leveraging these innovations to improve patient outcomes and streamline dermatological care delivery.

Following the debate in Parliament on 26 February on Scottish Enterprise Funding to Arms Companies, a Parliamentary motion was passed calling on Scottish Enterprise to “review its human rights due diligence checks to ensure that they take account of where products’ end use is, and that they fully comply with legal obligations under the Export Control Act 2002 and international law”.

In line with the motion, Scottish Enterprise immediately began work on its review. The Scottish Government continues to stay in close contact with Scottish Enterprise on this work, and I will update Parliament and wider stakeholders once the review has concluded.