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We recognise the impact of technology in helping children and young people manage their type 1 diabetes. This is why we have invested over £50 million in diabetes technology since 2016, prioritising access for children and young people.

The funding we are providing ensures that every child or young person in Scotland with Type 1 diabetes who wants to use a hybrid closed loop system can access one. As of September 2025, 77% of under-18s with Type 1 diabetes have access, and every child or young person should have received at least a referral. This paediatric focus helps prevent complications early and get the most out of this life changing technology.

The Scottish Government Executive Committee, settled on implementing 40% in-person working over a working month, for staff in core directorates. This target was settled on following an internal review of evidence from a number of sources. The aim is to spend 40% of contracted hours working in-person with colleagues and/or stakeholders or other settings from 27 October 2025. The 40% target is averaged over a four-week period and is a target not a mandate.

The Scottish Government has no current plans to publish a national audit of diagnostic pathways for paediatric diabetes.

Diagnosis of diabetes in children is a clinical responsibility and is carried out in line with national clinical guidance. Current NICE guidance recommends that any child displaying symptoms of type 1 diabetes is referred immediately to paediatric diabetes services for assessment and diagnosis.

Scotland has a system-level approach to quality improvement in diabetes care. Rather than relying on standing national audits, this approach is based on a single national clinical information system in the form of SCI-Diabetes, annual national reporting through the Scottish Diabetes Survey, and improvement led through Managed Clinical Networks with national oversight provided by the Scottish Diabetes Group. This model embeds data collection within routine clinical care and supports continuous improvement and local accountability.

Quality improvement activity, including review of diagnostic practice and local pathway effectiveness, is best led by NHS Boards and clinicians who are responsible for service delivery and can take account of local population need and service challenges.

The Scottish Government continues to work with the Scottish Diabetes Group and Managed Clinical Networks to support early diagnosis, consistent application of clinical guidance, and reduction of avoidable harm, through education, data-driven improvement and national oversight.

The Scottish Government recognises the importance of ensuring that parents and carers receive clear and consistent information about symptoms that may indicate type 1 diabetes in children.

Responsibility for providing advice and discussing symptoms lies with clinicians, who are expected to follow established clinical guidance and ensure families receive accurate information tailored to individual circumstances. We encourage parents and carers to urgently contact their GP if their child is displaying symptoms of diabetes, as they are best placed to provide specific advice and support.

To support this, we fund and promote a range of trusted resources:

• NHS Inform, Scotland’s national health information service, provides accurate and up-to-date information on identifying, treating and managing diabetes. The diabetes pages were reviewed by clinicians in 2025 and updated where appropriate.
• My Diabetes My Way, Scotland’s interactive self-management platform, offers NHS-accredited eLearning resources and personalised tools to help families understand diabetes care.
• DigiBete, a digital tool designed for children and young people which provides age-appropriate educational videos, milestone-based learning modules, and practical tools in multiple languages.

We also work closely with Diabetes Scotland and other third-sector partners to promote awareness and peer support, ensuring families have access to practical advice alongside clinical guidance.

Through the Scottish Diabetes Group and its subgroups, we continue to deliver the commitments set out in the Diabetes Improvement Plan, including improving knowledge and confidence in primary care teams to ensure consistent messaging across Scotland.

Since October 2025, there have been no formal complaints raised with HR by staff regarding the hybrid working arrangements.

The Scottish Government fully supports driver education as an alternative to prosecution where appropriate, understanding how these courses can positively influence behaviour and align with our long-term goal of reducing the number of people killed or seriously injured on Scotland’s roads. It’s important to note that we are not only looking to bring in speed awareness courses but a full suite of courses aimed at lower-level offences where the aim is behaviour change rather than punishment.

We have undertaken an in-depth review of all of the leading studies in this area. For example a three year evaluation, previously published by DfT, found that course participation reduced the likelihood of reoffending within six months by up to 23%. It further highlighted that the course was more effective in reducing speed reoffending than the penalty points and fines typically associated with fixed penalty notices for eligible drivers. This positive impact appeared to persist for up to three years following participation. Although a direct link to a reduction in road traffic collisions was not established, it was determined that the speed awareness courses contributed to reduced reoffending rates, and it is reasonable to anticipate that course participation encourages safer driving behaviours, indirectly lowering future collision risks.

Additionally, in 2023, the Transport Research Laboratory conducted an evaluation of the majority of National Driver Offending Retraining Scheme (NDORS) courses, which found that overall the courses are having a positive impact on the various behaviours they target.

Migration is vital for supporting sustainable communities, economies and public services in Scotland. Refugees are free to move within the UK and may do so for a variety of reasons including for work, study, family or community connections. Scotland is a diverse, multi-cultural society and it is important that all Scotland’s people are able to access the public services they need. Asylum and immigration are reserved to the UK Government, and we will continue to call for adequate resources to be provided to local authorities, particularly where increased asylum decision making places an additional burden on local services.

The Cabinet Secretary for Social Justice met with the Minister for Border Security and Asylum on 15 December where she raised the pressure that was being placed on certain local authorities in Scotland, especially Glasgow City Council, as a result of increased asylum decision making.

Everyone in Scotland has a right to support when they are experiencing homelessness and temporary accommodation if they need it in the short-term. Those assessed as unintentionally homeless should be offered a permanent home. We welcome efforts by the UK Government to clear the significant asylum backlog, but this must be properly planned and coordinated with adequate support and funding provided to support newly recognised refugees.

The recommendations for the new neonatal model of care are underpinned by strong clinical evidence that population outcomes for the most premature and sickest babies are improved by delivery and care in units looking after a critical mass of these babies.

The change in service delivery will bring Scotland in line with established practice across the rest of the UK and indeed the way neonatal care is delivered across the Western world.

This evidence has since strengthened with the publication in 2021 of the British Association for Perinatal Medicine (BAPM) ) Optimal Arrangements for Neonatal Intensive Care Units in the UK (2021) | British Association of Perinatal Medicine which sets out optimal arrangements for neonatal intensive care and is the recognised optimal model for neonatal intensive care in the UK.

A review of evidence was also carried out by Dr Anna Gavine, Dr Steve MacGillivray and Prof Mary Renfrew of the University of Dundee - Maternity and neonatal services: efficient evidence review. The evidence showed that outcomes for very low birth weight babies (VLBW) are better when they are delivered and treated in NICUs with full support services, experienced staff, and a critical mass of activity.

In November 2023, I asked the Deputy Chief Medical Officer, Marion Bain, to review the evidence, the options appraisal report and the post COVID review.

Marion Bain confirmed the process was robust and took account of the available evidence, relevant clinical advice and confirmed that her investigations produced no concerns about the process, or the validity of the conclusions reached.

She also noted that it involved clinical experts from both within Scotland and beyond, and that the process was informed by and considered existing guidance from well-respected clinical organisations.

I refer the member to the answer to question S6W-42711 on 7 January 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.