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We expect to provide hybrid closed loop systems to at least 2500 people in the financial year 2025-2026. This builds on the more than 2100 people who received a hybrid closed loop system in 2024-2025.

The approach of this programme allows boards to manage their own financial allocation, but we expect children and young people to be prioritised, including those newly diagnosed across the year. This means it is not possible to provide an exact breakdown between adults and children but reporting across the year will allow us to track this nationally.

However, any child or young person living with Type 1 diabetes in Scotland should now have had, at minimum, a referral to receive a closed loop system.

The Scottish Government is committed to expanding access to diabetes technology. Since 2016, we have invested almost £30 million to support expansion. Last year, we established a national programme aiming to provide over 2000 more people with access to hybrid closed loop technology.

We are pleased to confirm that further funding has been secured for this year and we will continue to expand access to a significant number of people.

Progress made last year means that most children and young people will now have access to Closed Loop Systems(CLS). Funding this year will support a significant number of adults, plus any under 18s that have recently been diagnosed and wish to use a CLS.

The scope of the digital dermatology pathway is for new referrals from primary care into secondary care dermatology services. The Scottish Government’s NHS Operational Improvement plan has set out that no one is waiting longer than a year new outpatient appointments and committed an additional £100 million in 2025-26 to target long waits for procedures that include diagnostic tests, resulting in an extra 150,000 appointments. The Scottish Government has been working closely with NHS health boards to target this investment and coordinate effective delivery to identify and address their own waiting lists.

The £1.8m Digital Dermatology programme referenced within the NHS Scotland Operational Improvement Plan (OIP) is designed to reduce the number of patients who require a dermatology outpatient appointment through the creation of a digital triage system enabled through image capture within primary care.

The digital dermatology programme is now available in all 14 territorial health boards and is accessible to over 50% of GP practices across NHS Scotland. As referenced in the OIP, we continue to work towards full roll out to all GPs across Scotland by the end of Spring 2025.

For patients, evidence suggests that this will allow around 50% to be returned to the GP with advice or reassurance, without having an in-person appointment with a consultant. Some patients are also likely to be fast-tracked to further diagnostics or treatment based on assessment at this digital triage stage.

The Scottish Government commissioned National Elective Coordination Unit’s (NECU) work is complementing the national Digital Dermatology programme by focusing on high-volume patient validation within an accelerated timeline, as well as developing robust digital infrastructure for image capture and clinical triage, and ensuring a well-structured workforce model for governance and clinical safety.

The Scottish Government has worked with NECU to establish comprehensive governance arrangements and a workforce framework that promotes collaborative efforts across NHS Boards. This has enabled the onboarding of 18 dermatology consultants and the creation of digital infrastructure to support clinical workflows.

NECU’s dermatology campaign has already engaged four Health Boards – including NHS Greater Glasgow & Clyde, NHS Grampian, NHS Ayrshire & Arran and NHS Highland - addressing the needs of patients waiting over 52 weeks and ensuring patient requirements are correctly recorded. As we progress, our goal is to continue leveraging these innovations to improve patient outcomes and streamline dermatological care delivery.

We expect Health Boards to write to patients when the patient is added to a waiting list for treatment to provide an estimation of their treatment date. In circumstances in which this cannot be provided, Boards are expected to signpost patients to an online platform where the patient can access further information about the waiting time for their agreed treatment in the responsible Health Board.

The revised Waiting Times Guidance, published in December 2023, includes a standard package of communications that all Health Boards should be providing. This ensures that patients are provided with clear communications throughout their care journey setting out what they should expect and their responsibilities while they are waiting for their appointment, test or treatment.

The guidance also makes clear that communications can be in any form that the patient has consented to, including via telephone, electronically or by post. It is important that patients are asked to confirm their needs at the beginning of their journey and their preferred format when receiving communication from the Health Board.

I recently wrote to the Secretary of State for Energy Security and Net Zero regarding the introduction of consumer standards for heat networks. I sought assurance about the use of pre-payment meters, recommending that their installation is banned where householders are identified as vulnerable, and that affordable repayment plans are offered as a prior step.

Implementation of the Great Britain wide consumer protection regime is progressing. Consumer Advocacy and Advice functions and a new Consumer Redress scheme started on 1 April 2025. Consumer Scotland is the new statutory advocacy body for heat network consumers in Scotland. Heat network consumers are now able to access direct support through Advice Direct Scotland either via Energy Advice | Energy Advice | energyadvice.scot or through the helpline (0808 196 8660). The Energy Ombudsman also started its statutory role in providing a dispute resolution service across Great Britain.

New heat networks consumer protection regulations across Great Britain will give Ofgem powers to investigate and intervene where prices appear to be disproportionate or unfair. Further detail of the forthcoming regulation can be found on Ofgem’s website: Heat networks | Ofgem.

Scottish Government officials regularly engage with their UK Government counterparts about consumer regulations, pricing and technical standards on heat networks and other energy policy.

The 2025-26 Budget balances the requirement to address immediate pressures and recovery of the system whilst driving forward our long-term reform and prevention agendas, providing increased investment for NHS Boards, alongside continued focus to improve population health and outcomes through investment in quality community services, vaccination and screening.?

We continue to support delivery of priorities relating to prevention and early intervention by investing almost £2.2 billion for social care and integration, an additional £1.2 billion compared to 2021-22 spend.

The 2025-26 budget also includes over £2.2 billion for primary care to improve preventative care in the community, supporting the development of multidisciplinary teams in general practice, sustaining NHS dental care through enhanced fees and continuing free eye examinations.