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The Scottish Government instructed NHS Territorial Health Boards to outline their governance, reporting and management processes through a Local Assurance Framework in 2024, as well as, requiring the inclusion of audiology in their 2025-26 Annual Delivery Plans.

Decisions regarding accessibility policy and planning of this nature are made by individual Health Boards based on local priorities and needs. Boards are expected to assess the impact of their policies and functions on people with protected characteristics and equality groups in line with statutory requirements.

Scottish Government is committed to ensuring that anyone diagnosed with cancer has access to a range of services throughout their cancer pathway. We are aware that individuals’ support needs change and evolve during this time.

The Scottish Cancer Network (SCN) has developed National Clinical Management Pathway (CMP) for adult neuro-oncology. This sets out an optimal treatment and support pathway for adults diagnosed with a brain tumour from diagnosis to end of life care.

The CMP outlines a consensus of clinical best practice, and includes information on a range of treatment and supportive care support following a diagnosis. This, ensures that everyone diagnosed with and living with a brain tumour have access the best possible care and support.

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.

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

The Scottish Cancer Network (SCN) has developed a Clinical Management Pathway on adult neuro-oncology. It sets out the delivery of a Scotland-wide approach to optimal treatment options throughout the patient journey, from diagnosis through to follow-up or end of life care.

The neuro-oncology pathway provides a clinical consensus to delivering the optimal treatment and support options to individuals diagnosed with and living with brain cancer, regardless of individual or geographical variation. It also signposts resources and support services to live well with a brain tumour, take control and find practical help that meets their specific needs.

I also refer the member to the answer to question S6W-39990 on 4 September 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.

Scottish Audiology Heads of Service have recently initiated an in house peer review process and are continuing to see positive results from this. As part of Improving Quality in Physiological Services (IQIPS) benchmarking, a mapping exercise is currently underway which includes the consideration of national peer review for audiology services.

An executive lead group for audiology has been reestablished, with representation from each NHS Territorial Health Board to consider the outputs and next steps of this work, which will conclude within the current financial year.

The Scottish Government expects NHS Boards to meet the needs of couples who are eligible for NHS fertility treatment and require donor gametes (eggs and sperm) for that treatment. We have always been clear that couples who are eligible for NHS fertility treatment should not pay for any aspect of their treatment, and this includes the purchase and use of donor gametes.

The Scottish Government welcomes the findings from the General Medical Council Report, and we will ensure any concerns raised are fully considered and addressed.

The Scottish Government meets regularly with Boards and Healthcare Improvement Scotland to discuss what actions can be taken to continue to build on the programmes of work already in place to improve the quality and safety of care delivered to patients in Scotland and to ensure a co-ordinated and holistic approach. These programmes and legislation include;

• The Scottish Patient Safety Programme, underpinned by the Essentials of Safe Care, which is currently being refreshed for re-launch in October 2025.
• Safe Delivery of Care Inspections, which were expanded in January 2025 to include inspection of maternity services.
• A National Framework for Reviewing and Learning from Adverse Events in NHS Scotland, updated in February 2025, which provides a system-wide approach for identifying, reviewing, and learning from events.
• The Health and Care (Staffing) (Scotland), which came into force on 1 April 2024, puts systems and processes in place to enable real-time assessment of staffing.
• The Scottish National Audit Programme recently commissioned new audits which aim to improve service provision and patient outcomes

In addition, the Scottish Government introduced legislation for a Patient Safety Commissioner for Scotland. Scotland’s first Patient Safety Commissioner, Karen Titchener, took up her post on 1 September.

A Quality and Safety Sub-group of the NHS Scotland Executive Group, chaired by Dr John Harden, Scottish Government National Clinical Lead for Quality and Safety, meets regularly to review data and reports from across the system, including the above programmes, to support improvement in the quality, safety and outcomes of care provided by NHS Scotland.

As part of Improving Quality in Physiological Services (IQIPS) benchmarking, a mapping exercise is currently underway which includes the consideration of national KPI reporting for audiology services.

An executive lead group for audiology has been reestablished, with representation from each NHS Territorial Health Board to consider the outputs and next steps of this work, which will conclude within the current financial year.

The Scottish Government does not hold the information you have requested as Public Health Scotland does not collect this data.

The Scottish Government has committed funding to all territorial Health Boards to undertake Improving Quality in Physiological Services (IQIPS) benchmarking throughout the current financial year.

An executive lead group for audiology has been reestablished, with representation from each NHS Territorial Health Board to consider the outputs and next steps of this work, which will conclude within the current financial year.