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The Scottish Government has not undertaken an analysis on the financial impact of stroke on Scotland’s health and social care services in the next ten years.

Research suggests that, on average, every patient treated with a thrombectomy procedure could save the NHS £47,000 over five years, due to the reduction in length of hospital stays and a reduced need for social care input. This economic benefit is in addition to the significant improvements in outcome and quality of life for patients.

We have already invested over £39 million in the thrombectomy service and remain committed to expansion of the service and maximising access to thrombectomies.

The Scottish Government has no plans to change the Human Tissue (Scotland) Act 2006 (the 2006 Act) and believes that the Act sufficiently addresses consent and the handling of tissue in relation to post-mortem examinations.

The Human Tissue Act 2004 applies in its entirety in England, Wales and Northern Ireland. It allows for tissues/samples to be returned to the next of kin, whereas under the 2006 Act in Scotland these become part of the medical record. The 2006 Act includes a schedule for disposal of medical records in Scotland.

The current situation in Scotland is that where a post-mortem is instructed by the Crown Office and Procurator Fiscal Service (COPFS) as part of an investigation into a death, consent is not required and some samples may be retained for future evidentiary purposes. COPFS endeavour to inform the family in advance of such steps. Where a post-mortem is not part of a COPFS investigation into a death, for example where the death occurs in a hospital, consent is always required for the post-mortem from the next-of-kin or the deceased themselves in advance.

The Citizen Participation and Public Petitions Committee is currently considering the petition PE1911 – Review of Human Tissue (Scotland) Act 2006 as it relates to post-mortems. The petition calls on the Scottish Parliament to urge the Scottish Government to review the Human Tissue (Scotland) Act 2006 and relevant guidance to ensure that all post-mortems can be carried out only with the permission of the next of kin, do not routinely remove brains, and offer tissue samples to the next of kin as a matter of course.

On 8 August 2024, the Committee wrote to the Minister for Public Health and Women’s Health seeking views on the petition and asking about pathology services in Scotland. The Minister responded to the Committee on 19 September 2024, taking into account views from the Office of the Chief Medical Officer (CMO) and COPFS. The Minister noted that the Scottish Government had responded to the Committee’s call for a review of the 2006 Act, in particular regarding tissue sample handling, in the submissions of 15 November 2021 and 5 January 2022. The position has not changed, as it is essential that COPFS are able to undertake independent investigations into a cause of death, without which the death cannot be registered.

Scottish Government officials continue to work with COPFS and other partners to consider how current and future forensic pathology services may be improved.

The Scottish Government remains committed to implementing a high quality and clinically safe thrombectomy service. We have invested £39 million to date on expanding access to thrombectomy. While we continue to face significant financial challenges, we are committed to further expanding the service, ensuring access is as equitable as possible.

Whilst the Scottish Government cannot currently provide a timeline for expanding the service, Scottish Government officials and NHS planners have been asked to work at pace on developing a plan for the next steps for service expansion.

We have provided funding for thrombectomy nurse posts in spoke sites with high rates of ischaemic stroke, including NHS Borders, and this will support maximising access to thrombectomy across Scotland.

Procurement of a national artificial intelligence imaging tool is underway and, once implemented, this will help delivery of the service by improving detection of patients with strokes suitable for thrombectomy.

Spending on additional support for learning by local authorities reached a record high of over £1 billion in 2023-24. The latest finalised local government statistics show that Scottish Borders spent £13.912 million on additional support for learning last year.

Local government will receive an additional £28 million of investment from 2025-2026 to help improve outcomes from all children and young people with Additional Support Needs (ASN) through an enhanced offer of support to develop the ASL education workforce.

The Allocation for Scottish Borders Council was £0.554m

The allocation of the £28m investment to individual authorities is based on pupil numbers, as agreed through the standard CoSLA Settlement & Distribution Group process, agreed by Leaders.

Local authorities are supported in fulfilling their duties under the 2004 Act through the statutory code of practice on additional support for learning.

In instances where parents/carers are concerned that education authorities may not be fulfilling their duties under the Education (Additional Support for Learning) (Scotland) Act 2004, there are a range of dispute resolution mechanisms available under the 2004 Act. These include mediation, independent adjudication, and referral to the Additional Support Needs Tribunal.

Under section 70 of the Education (Scotland) Act 1980 any interested party can make a reference to the Scottish Ministers that a responsible body (the managers of a school or education establishment, an education authority or other persons) has failed to discharge a duty imposed on them by or for the purposes of any enactment relating to education.

Spending on additional support for learning by local authorities reached a record high of over £1bn in 2023-24

We have continued to invest £15m per year since 2019-20 and provide over £11m of funding, to directly support pupils with complex additional support needs and services to children and families.

The 2025-26 budget sets out a further £29m of additional investment, specifically for ASN for local and national programmes to support the recruitment and retention of the ASN workforce.

We are also providing £186.5m to councils this year to restore teacher numbers to 2023 levels and maximise the number of teaching posts available.

Scottish Government and COSLA work in partnership on additional support needs through the Additional Support for Learning Project Board. The new Education and Childcare Assurance Board provides a further opportunity for jointly agreeing priorities and joint working in this context.

The Scottish Government is not aware of any recent review by Scottish Borders Council of its additional needs assistant allocation process for secondary schools.

Local authorities retain the statutory responsibility for the delivery of education in Scotland. Decisions around the delivery of additional needs support and the minimum levels of staff to meet local level needs are matters for education authorities.

We have 17,046 pupil support assistants in Scotland – the second highest level on record and an increase of nearly 1,800 since 2020. This is a direct result of our continued investment of £15m each year to help them respond to the individual needs of children and young people and maintains our record levels of investment in these staff.

Funding is provided to Local Authorities by means of a block grant to allow them to allocate the total financial resources available to them, on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

It is the responsibility of individual local authorities to manage their own budgets and to allocate the total financial resources available to them, including on additional support needs.

Scottish Government and COSLA work in partnership on additional support needs through the Additional Support for Learning Project Board. The new Education and Childcare Assurance Board provides a further opportunity for jointly agreeing priorities and joint working in this context.