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The Scottish Government’s national guidance on Alcohol Brief Interventions (ABI) was last published in 2018. It includes advice on training as well as advice for carrying out and recording ABI in justice settings.

In response to the national review of ABI we will be working on updating this guidance and working with Public Health Scotland on refreshing and updating related advice as part of our new approach to alcohol care and support.

The Scottish Government is engaging widely on the creation of a new approach to care and support for people impacted by alcohol. That new approach will include plans for a national specification setting out the interventions required to reduce harm as well as improved standards for implementing those. Standards for alcohol care and support in the justice system are the same as standards in the community.

The Scottish Government has oversight groups in place to help provide national and local leadership with a clear steer on the services which need to be in place in all settings.

The Scottish Government’s national guidance on Alcohol Brief Interventions (ABI) was last published in 2018.

In response to the national review of ABI we will be working with Public Health Scotland on refreshing and updating guidance and training advice as part of our new approach to alcohol care and support.

I refer the member to the answer to question S6W-38617 on 17 June 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.

Both the Health and Social Care Service Renewal Framework (SRF) and the Population Health Framework (PHF) place prevention and early intervention at their core. The actions in the PHF – promoting healthy eating, investing in sport and active living, and work to reduce the harms of smoking – will support the prevention of cardiovascular (circulatory) disease.

The SRF includes a focus on early detection to support intervention and treatment to reduce the level of harm. For example, our CVD Risk Factors programme seeks to improve the identification and management of key risk factors (obesity, smoking, high blood sugar, blood pressure or cholesterol). As part of this programme, we will support 100,000 patients, who may be at risk of cardiovascular disease, with extra GP appointments by March next year.

Preventative measures, such as those detailed above, should help to address cardiovascular mortality and morbidity, including hospital admissions.

Scottish Government do not hold this data. Health Boards who have a Fracture Liaison Service in place will be able to provide this information.

The Projecting Future Demand for Health and Care Services in Scotland (2024-2034) report forecasts a continued rise in unplanned acute inpatient hospital admissions. Public Health Scotland (PHS) emphasises that this trend is not fixed and can be influenced through strategic investment, service redesign, and addressing the wider determinants of health.

The Scottish Government acknowledges the projected increase, particularly in admissions related to respiratory conditions, and is taking action. We recently published the NHS Scotland Operational Improvement Plan, the Scotland's Population Health Framework and the Health and Social Care Service Renewal Framework in which we outline our shared, long-term vision for reforming and renewing health and social care services to ensure they are more sustainable, preventative, and equitable. A new Long Term Conditions (LTC) Framework is under development. This framework aims to ensure equitable and sustainable access to the services that all people with long term conditions need while allowing for targeted action on condition-specific care and support where appropriate.

In March 2020, Scotland implemented human papillomavirus (HPV) testing as the primary cervical screening test, and increased the routine screening interval from every three years to every five. Both changes followed UK National Screening Committee (UK NSC) recommendations, which were based on strong evidence that HPV causes almost all cases of cervical cancer and typically takes years or decades to do so.

The change was accompanied by guidance to explain the increased interval, and we have continued to reiterate this as part of on-going work to raise awareness of the importance of cervical screening. Considerable efforts have also continued to improve the information available for those invited for cervical screening, which includes revision of invitation letters and information leaflets and updates of NHS inform.

To date, there is no evidence that the changes made to the English programme have given rise to increased concerns in Scotland. We will, however, keep this situation under review, and consider if additional work is needed to ensure the benefits of Scotland’s cervical screening programme are communicated clearly.

It remains important that anyone who has concerns about possible symptoms of cervical cancer discusses them with their GP, even if they have not yet received an invitation for their next cervical screening appointment. In addition, anyone between the ages of 25 and 64 who did not attend their last screening appointment can ask to be screened, no matter how long ago they were last invited.

Healthcare Improvement Scotland (HIS) recently reviewed and published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland in February this year. This provides updated templates to support NHS Health Boards to consistently report and learn from Significant Adverse Event Reviews (SAER). Work is ongoing by HIS to standardise the terminology and definitions for recording SAERs.

Scottish Government officials meet with Healthcare Improvement Scotland on a regular basis to discuss the ongoing work surrounding adverse events. The most recent meeting took place on Monday 21 July.