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The FLS audit has been commissioned to drive improvements and support clinical decision-making in effectively evaluating gaps in osteoporosis care. This will reduce health inequalities for the people of Scotland, especially for those most at risk of fractures.

Public Health Scotland (PHS) is responsible for delivering and implementing the Fracture Liaison Service (FLS) audit. While they identified some initial recruitment-related delays, these have been addressed and completed.

PHS do not anticipate any further impact following this initial delay and progress is continuing at pace, on track and within the guidance set out by Scottish National Audit Programme (SNAP).

Public Health Scotland (PHS) is responsible for implementing and delivering the Fracture Liaison Service (FLS) audit. They are working with NHS Boards across Scotland, to provide the necessary support as they develop the audit in line with Scottish National Audit Programme (SNAP) governance.

Scottish Government expects that everyone with a long-term condition to be able to access the care and support they need to be able to live well. As such, we expect that all NHS Boards have monitoring procedures in place to manage the performance and effectiveness of their services.

Public Health Scotland (PHS), is responsible for implementing and delivering the Fracture Liaison Service (FLS) audit. While they identified some initial recruitment-related delays, these have been addressed and completed.

Scottish Government is satisfied that the FLS audit is on track as expected, and within the guidance set out by Scottish National Audit Programme (SNAP).

More details on the SNAP guidance and governance process can be found here - Scottish National Audit Programme (SNAP).

We are engaging a range of stakeholders and women and girls with lived experience in the development of Scotland’s first equality strategy for women and girls.

The strategy will be co-designed with the First Minister’s National Advisory Council for Women and Girls (NACWG) and the Empowering Women Panel (EWP). The NACWG was established in 2017 to give advice to government on what needs to happen to tackle gender inequality in Scotland. The EWP was started in 2023 and is a group of 20 diverse women and girls from all parts of the country and all backgrounds who don’t normally have the chance to influence policy.

We are engaging widely and the first phase is ongoing, this will include:

• Inviting over 50 organisations to engage with the women and girls they work with to share their views on the development of the strategy.
• Two roundtables hosted by the NACWG with gender equality stakeholders and wider equality stakeholders to seek their expertise on the strategy.
• A round table with members of the Senior Leaders Forum to understand how the strategy can support public leaders to work collaboratively to deliver further progress in equality for women and girls.
• Individual meetings with stakeholders with key roles in the delivery of the strategy such as COSLA.
• A workshop with groups that hold gender critical views to ensure that we hear a breadth of views.
• Peer led research from the EWP seeking the views of diverse women on the development of the strategy.

The views and expertise from these meetings will be considered by the Scottish Government, NACWG and EWP and used to develop the content for the first phase of the strategy. There will be further opportunities to influence the strategy in phase two of its development due to commence later this year.

We are working with all health boards to develop a whole-system NHS infrastructure plan. This will reflect on needs across Scotland and support the continued safe operation of existing facilities, as well as the determination of longer term investment priorities. The National Treatment Centre (NTC) programme is currently paused and the development of the NTC Ayrshire and Arran remains under review at the current time; no assessment has made on the impact of the delay in the delivery of a centre at Carrick Glen.

We are working with all health boards to develop a whole-system NHS infrastructure plan and we meet regularly with NHS Ayrshire and Arran and other NHS Boards, to discuss the development of the plan. The infrastructure plan will reflect on needs across Scotland and support the continued safe operation of existing facilities, as well as the determination of longer term investment priorities.

Whilst the Scottish Government has overall responsibility for national social care policy in Scotland, it is for Local Authorities and Integrated Joint Boards to ensure that social care support services are in place to provide people with the appropriate support in the right place and at the right time.

The Scottish Government budget for 2025-26 sets out almost £2.2 billion investment in social care and integration, of which approximately £950 million enables adult social care workers in the third and private sectors to be paid at least the Real Living Wage. This currently stands at £12.60 per hour, a rate that came into effect from April 2025. This is above the £12.21 National Living Wage rate for workers aged 21 and over, set by the UK Government. The Real Living Wage rate is independently set by the Living Wage Foundation and is currently the only UK wage rate based on the actual cost of living to allow workers to meet their everyday needs.

Since 2021, the Scottish Government has provided funding to the MyJobScotland recruitment portal, enabling all social care providers to advertise vacancies at no cost. We have also funded NHS Education for Scotland (NES) to work with the SSSC to develop a new National Induction Framework, launched in May this year which supports high quality standardised induction training for social care staff.

Through the actions in our Women’s Health Plan there is now a Women’s Health Platform on NHS Inform, to help women find the information they need on a range of issues relating to their health, including conditions like PMDD.

The Health and Social Care Alliance Scotland (the ALLIANCE) has also delivered a series of women’s health webinars, with accompanying resources, which included a session on PMS and PMDD, PMS resource pack - Health and Social Care Alliance Scotland.

We have taken steps to raise awareness and support better understanding of PMDD among healthcare professionals by commissioning NHS Education for Scotland (NES) to create a bespoke training package and framework on menstrual health, which includes PMDD, for general practice and others working in Primary Care, which is available on TURAS, the education platform for NHS Scotland.

We remain committed to our ambition is that women and girls enjoy the best possible health, throughout their lives as we develop the second phase of the Women’s Health Plan with the aim of publishing by the end of this year.

The Scottish Government does not hold data on the impact of training for healthcare professionals on women and girls with a diagnosis of PMDD.

NHS Education for Scotland (NES) published an eLearning module for healthcare professionals on Menstrual Health in September 2024. The module is available on TURAS, the education platform for NHS Scotland. To date, 211 learners have completed the resource with 59% of those completing the module evaluation. A further 728 learners are in progress.

Specific impact data for the section on premenstrual dysphoric disorder(PMDD) is not available. Initial evaluation data of the module as a whole suggests increased empathy and compassion, as well as practitioners reporting plans to change their communication and consultation styles because of the learning.

The Scottish Government has a long-standing commitment to support social care workers rates of pay. For the 2025-26 financial year, the Scottish Government are investing £125 million to enable adult social care workers, delivering direct care in the third and private sectors, to be paid at least the Real Living Wage. This takes the estimated total investment to deliver this policy up to £950 million this financial year.

This policy is to enable the Real Living Wage to be paid to these workers as a minimum, and employers and commissioners have the locus to set rates in excess of this where local circumstances allow.

In addition, the Scottish Government is committed to establish voluntary sectoral bargaining arrangements for the commissioned adult social care sector in Scotland and we have been working with stakeholder partners, through the Fair Work in Social Care Group, to progress this. We have also been engaging with the UK Government on their Employment Rights Bill, which we hope will extend the scope for the option of a regulatory Social Care Negotiating Body, and associated Fair Pay Agreements, to Scotland.

Once developed and introduced, sectoral bargaining arrangements will encourage improvements in pay, and terms and conditions for the social care workforce.

We know that there are a number of factors which can compound the relationship between work and poverty, including in sectors such as social care. That is why we are taking action to tackle child poverty and make a real difference to families. On average, households with children in the poorest 10% of households are estimated to be £2,600 a year better off in 2025-26 as a result of Scottish Government policies like the Scottish Child Payment. This value is projected to grow to an average of £3,700 a year by 2029-30.

We are also taking decisive action to end the impact of the two-child limit in Scotland. Subject to Parliamentary approval of the necessary legislation, the new Two Child Limit Payment will open for applications on 2 March 2026, with payments beginning as soon as possible thereafter. Worth up to more than £3,500 a year for each eligible child, these payments will make a significant difference to larger families who are currently denied support, and Scottish Government modelling published in March estimates this will result in 20,000 fewer children living in relative poverty in 2026-27.

While the Joseph Rowntree Foundation predict child poverty will rise in other parts of the UK by 2029, they highlight that policies such as our Scottish Child Payment, and our commitment to mitigate the two-child limit, are behind Scotland bucking the trend.