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Scotland’s Baby Box is a universal demand led programme and the cost for the programme fluctuates according to Scotland’s birth rates. The specific cost of the items contained within the Baby Box and the box itself are subject to commercial sensitivity of the contract the Scottish Government has with its managing agent APS (Scotland) Group.

The total cost of an individual Baby Box which includes contents and all logistics is provided in the following table.

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.

In line with agreed governance structures processes, all NHS Territorial Health Boards have established Local Improvement Plans for 2023-24 and were instructed by Scottish Government 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.

It would be for NHS Lanarkshire to make the decision to publish these plans.

The Scottish Government recognises and values the crucial role of Allied Health Professionals (AHPs) in delivering preventative care, early intervention, and rehabilitation across Scotland. To support AHPs in balancing the demands of system pressures with service delivery, the Government invests in workforce development, provides access to professional guidance and resources, and promotes collaborative, multidisciplinary working. AHPs are also supported in maintaining their own wellbeing to sustain high-quality care.

Scottish Government knows that the earlier cancer is diagnosed the easier it is to treat, and even cure. Diagnosing brain cancer can be challenging as symptoms are wide-ranging and often vague.

We continue to have a focus on the less survivable cancers, including brain tumours, and improving their outcomes and this vision is part of our Cancer Strategy for Scotland 2023-2033 along with an initial three year Cancer Action Plan for Scotland 2023 – 2026.

The Detect Cancer Early (DCE) Programme initially launched in 2012, takes a whole-systems approach to early detection and encompasses primary care, diagnostics, public education, data, innovation and screening.

A new primary care cancer education platform - Gateway C, launched in 2024, is a free online platform providing innovative and tailored information to support earlier cancer diagnosis efforts and enable effective decision-making.

The Scottish Referral Guidelines (SRGs) for Suspected Cancer support primary care clinicians to identify those with symptoms suspicious of cancer and identify those who require urgent assessment by a specialist. For the first time, the guidelines includes an update to the guidance for urgent referral for suspected brain tumours, to help ensure the right person is on the right pathway at the right time.

A new National Headache Pathway has also been published by the Centre for Sustainable Delivery. This pathway, based on presentation at General Practice, clearly lists red flag symptoms that indicate the need for urgent and/or emergency assessment to exclude a secondary cause, such as a brain tumour.

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.

I refer the member to the answer to question S6W-39938 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.

The Scottish Government is clear that patients should not pay for any part of their NHS treatment, and NHS patients are not permitted to use purchased donor eggs for NHS treatment. However, NHS treatment should not be withdrawn from patients who purchase their own donor eggs for use in future private treatment. If a patient is unhappy with the care they have received, they should contact their NHS Board who have responsibility for delivering services.

As part of our strategic approach to healthcare science, the Scottish Government is actively undertaking work to ensure healthcare science professions, including audiology, are included as part of wider work on reform and renewal of NHS Scotland.

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.

Scottish Government recognises that diagnosing brain cancer can be challenging as symptoms are wide-ranging and often vague.

Through our Cancer strategy 2023 to 2033 - gov.scot and initial three year Cancer action plan 2023 to 2026 - gov.scot published in June 2023, a new Earlier Cancer Diagnosis Vision was developed. This vision aims to reduce later stage disease by 18 percentage points in 10 years’ time, with a focus on reducing the health inequalities gap, including for those with brain tumours.

Actions and resources to aid this vision include the Get Checked Early and NHS Inform websites, which highlight the possible symptoms of brain tumours, encouraging individuals to contact their General Practice for early detection and referrals.

In August 2025, Scottish Government published the updated Scottish Referral Guidelines for Urgent Suspicion of Cancer. These guidelines support primary care clinicians to identify those with symptoms suspicious of cancer and identify those who require urgent assessment by a specialist and for the first time, the guideline includes an update to the guidance for urgent referral for suspected brain tumours

Other resources to support primary care also include:

• Gateway C, a new primary care cancer education platform launched in April 2024. Gateway C provides tailored information to support earlier cancer diagnosis and enable effective decision-making. This platform is accessible to all primary care clinicians and includes a brain tumour course specifically aimed at assisting the effective assessment and management of patients with a potential brain tumour.
• A new National Headache Pathway published by the Centre for Sustainable Delivery. This pathway, based on presentation at General Practice, clearly lists red flag symptoms that indicate the need for urgent and/or emergency assessment to exclude a secondary cause, such as a brain tumour.

I refer the member to the answer to question S6W-39938 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.