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The Scottish Government supports NHS Scotland‘s Health Boards implement a standardised approach to weight management services.

Health Boards deliver weight management services in line with Public Health Scotland Standards Weight Management Standards. These standards were introduced in 2019 and aim to ensure a fair and equal approach to the treatment of overweight and obesity for children, young people and adults across weight management services in Scotland.

The Scottish Government is working with Boards to reduce any unnecessary variation, this includes working to develop once for Scotland approaches to weight management and adoption of evidence-based weight management interventions such as Counterweight Plus Type 2 Diabetes Remission.

Public Health Scotland are undertaking an evaluation of the implementation and impact of the Standards for weight management services with recommendations to inform local action and national policy direction.

The consultation on the draft national Good Food Nation Plan sets out the indicators and other measures that will be used to measure progress towards achieving the six Outcomes set out in the Plan. This included extending the Scottish Government’s existing target to halve childhood obesity by 2030 to read: “To aim to halve childhood obesity by 2030 and significantly reduce associated diet-related inequalities”.

The Scottish Government is undertaking work to develop further indicators of progress towards meeting the Outcomes. This work will take account of the responses received to the consultation which suggested indicators that might be used.

Once the final version of the Plan is published there is a legislative requirement to report on the progress towards achieving the Outcomes set out in the national Good Food Nation Plan every two years and to review and, if necessary, revise the Plan within five years.

Scottish Government have long advocated for restrictions on the broadcast advertising of less healthy food and drink before 9pm. We welcome the announcement that the UK Government intend to introduce these restrictions next year. We continue to work with the UK Government to further understand the implications of this policy and its implementation for Scotland.

As set out in our 2018 Diet and Healthy Weight Delivery plan, we remain committed to developing proposals to strengthen outdoor advertising restrictions for food that is high in fat, salt or sugar.

This government is committed to ensuring everyone in Scotland has reliable access to safe, nutritious, affordable, sustainable, and age and culturally appropriate food.

The Good Food Nation (Scotland) Act 2022 provided the framework for our future food strategy, to build an environment where people from every walk of life take pride and pleasure in, and benefit from, the food they produce, buy, cook, serve, and eat each day. It places duties on Scottish Ministers, local authorities and health boards to produce plans of their policies in relation to food and set out what they will do to make those plans real.

The Ministerial Working Group on Food will provide cross-Government leadership to co-ordinate action on food relevant to achieving a Good Food Nation. Members will work collectively to drive progress across portfolios by providing strategic direction, tackling complex issues and sharing best practice.

To help create a food environment which better supports healthier choices, we are committed to legislation to restrict promotions of food high in fat, sugar or salt at the point of purchase. This is when people make their decisions about what and how much to buy and to consume, for themselves as well as for their families.

Over the last seven years we have invested in the Healthy Living Programme (HLP) and the Reformulation for Health Programme. The HLP helps convenience stores offer healthier choices. More than two-thirds of the 2,300 strong HLP membership serves the most deprived areas of the country and ensures access to affordable, healthier food and drink in those communities.

The Reformulation Programme helps smaller businesses reformulate common products to make them healthier. This is playing an important role in improving dietary health by removing hundreds of millions of calories from Scottish food and drink products sold across the country, including deprived areas.

The Scottish Government supports NHS Scotland‘s Health Boards implement a standardised approach to Child Healthy Weight programmes through funding for Tier 2 and Tier 3 pathways as part of the delivery of Scotland’s Diet and Healthy Weight Plan

Health Boards deliver weight management services in line with Public Health Scotland Standards Weight Management Standards. These standards were introduced in 2019 and aim to ensure a fair and equal approach to the treatment of overweight and obesity for children, young people and adults across weight management services in Scotland.

Health boards delivering weight management interventions work to ensure that programmes are tailored to the specific needs of their local populations by conducting robust needs assessments, consulting with local communities and frontline staff, and addressing barriers related to equality, diversity, and inclusion. This includes conducting Equality Impact Assessment to continuously improve service accessibility and effectiveness.

All Health Boards provide data via Public Health Scotland on their weight management service’s performance and outcomes. This data is published regularly.

Public Health Scotland are undertaking an evaluation of the implementation and impact of the Standards for weight management services with recommendations to inform local action and national policy direction.

The first national Good Food Nation Plan represents a fresh approach to food policy and it embeds long-term strategic transformation into decision making at both the national and local levels. The consultation draft of the national Plan set out the six overarching Good Food Nation Outcomes to achieve our ambitions for Scotland’s food system. Draft Outcomes 1 and 3 set out the high-level aspirations in relation to health and diet related inequalities:

Outcome 1 - Everyone in Scotland eats well with reliable access to safe, nutritious, affordable, sustainable, and age and culturally appropriate food.

Outcome 3 - Scotland’s food system encourages a physically and mentally healthy population, leading to a reduction in diet-related conditions.

These Outcomes will be updated and refined based on the consultation responses received before the draft Plan is laid before Parliament in 2025.

Scottish Ministers will need to have regard to the national Good Food Nation Plan when carrying out specified functions in relation to food ensuring a clear, consistent and coherent approach to food policy across policy areas and ministerial portfolios. This approach ensures connections are made between policy areas so that complex issues such as child obesity and diet-related inequalities will be considered in the context of wider food system challenges. As part of this joined up approach the Ministerial Working Group on Food supports cross-Government work to drive progress across portfolios on issues relating to food policy.

As reported in the Scottish Health Survey Supporting documents - The Scottish Health Survey 2022 – volume 1: main report - gov.scot (www.gov.scot) there has already been a significant decline in children’s consumption of non-diet soft drinks once a day or more, from 38% in 2008-2009 to 16% in 2017-2018, and to 5% in 2021-2022.

The Scottish Government recognises that there is much that still needs to be done to further reduce children’s sugary soft drinks consumption, especially in low-income areas. We continue to support the UK Government’s Soft Drink Industry Levy, recognising the positive impact this has made in reducing sugary soft drinks consumption and incentivising industry reformulation.

The Scottish Government is delivering a range of initiatives to further improve the access and affordability of healthier food and drink options, helping children, especially those in deprived areas, to develop healthier nutritional habits that will last them a lifetime. This includes continued support of the Healthy Living Programme, the Nutritional Requirements for Food and Drink in Schools (Scotland) Regulations and the Scottish Milk and Healthy Snack Scheme(SMHSS) Milk and Healthy Snack Scheme - Maternal and child health - gov.scot (www.gov.scot)

Effective approaches to preventing childhood obesity are focused on population-level measures, and therefore it is important that we can track progress on child healthy weight across our communities.

The universal health visiting pathway includes growth assessment of all children at several points across early childhood and supports interventions that promote healthy growth.

Public Health Scotland and Scottish Directors of Public Health established a short life working group, including expertise from local boards and PHS, to consider the Primary 1 BMI surveillance https://publichealthscotland.scot/population-health/early-years-and-young-people/child-health-data-and-intelligence/child-weight-and-growth/routine-health-review/ model and to catalyse work to improve P1 measurement data usability and coverage.

Robust data is really important not only to exhibit the effectiveness of our policies but to inform continuous improvement. We welcome Public Health Scotland and the wider public health system’s continued support on the range of data that underpins our policies.

On 30 October I chaired the Road Safety Strategic Partnership Board. This meeting involved a range of operational partners, including Police Scotland and local authorities, to discuss measures aimed at enhancing road safety and progressing towards achieving our vision for Scotland, including the north east, to have the best road safety performance in the world by 2030.

I have not met with Transport Scotland to discuss road improvements to the Toll of Birness junction specifically.

On 30 October I chaired the Road Safety Strategic Partnership Board. This meeting involved a range of operational partners, including Police Scotland and local authority representatives, to discuss measures aimed at enhancing road safety and progressing towards achieving our vision for Scotland, including the north east, to have the best road safety performance in the world by 2030.

Road safety remains of paramount importance to the Scottish Government. Transport Scotland assesses the safety performance of the trunk road network on an annual basis using a robust, evidence-based approach ensuing that funding can be prioritised to those locations that support effective delivery of the Scottish Government’s 2030 casualty reduction targets.