- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Tuesday, 27 January 2026
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Current Status:
Answered by Tom Arthur on 5 February 2026
To ask the Scottish Government what national guidance applies to the delivery of annual health checks for adults with learning disabilities, and whether these checks are expected to be offered within GP practices as standard, with home visits provided as a reasonable adjustment where required.
Answer
Scottish Government issued National Directions in 2023 for Learning Disability Annual Health Checks which detail the legal duties of Health Boards with regard to annual health checks as well as practical guidance on delivery. Annual health checks for people with learning disabilities (Scotland) directions 2023.
In Scotland, annual health checks are not required to be delivered via primary care. £2 million funding is provided per annum to Health Boards to offer LD health checks with flexibility in their chosen delivery mechanisms. The majority of LD annual health checks are being delivered via a nurse led model and the remainder via a hybrid model, which in some cases includes a Local Enhanced Service agreement with GP practices.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Tuesday, 27 January 2026
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Current Status:
Answered by Tom Arthur on 5 February 2026
To ask the Scottish Government what its position is on whether home-based annual health checks for adults with learning disabilities are an adjustment of choice, or the default model of delivery, and how equity of access to GP practices is ensured in this regard.
Answer
A pre-questionnaire filled in by the person with a learning disability and/or their family or supportive carer provides the opportunity to request any reasonable adjustments required, including any preference for the location of their health check.
If the preference is for a home visit, delivery teams should contact individuals to make arrangements or suggest an alternative location that better suits the person’s needs.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Tuesday, 27 January 2026
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Current Status:
Answered by Tom Arthur on 5 February 2026
To ask the Scottish Government how GP practices are expected to support routine monitoring, such as blood tests, for adults with Down syndrome, and whether requiring families to request tests individually aligns with the intent of any national guidance.
Answer
Any tests or follow up required as a result of the annual health check will be actioned or arranged by the practitioner carrying out the health check. Families are not required to request tests individually as part of the Health Check. Out with the annual health check, any concerns regarding the health of a person with Down’s Syndrome should be highlighted with their GP in the usual way.
We have worked closely with partners to develop information and support in relation to annual health checks. Down’s Syndrome Scotland has created a number of resources to support the delivery of annual health checks, including a resource for professionals about the specific health needs of people with Down’s Syndrome:
https://www.yumpu.com/en/document/read/68763674/annual-health-checks-professionals-information
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Tuesday, 27 January 2026
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Current Status:
Answered by Tom Arthur on 5 February 2026
To ask the Scottish Government what steps are taken to ensure consistent implementation of annual health checks for adults with learning disabilities across NHS boards and GP practices.
Answer
The National Directions, stipulate that:
- Annual health checks must be delivered by a registered nurse or medical practitioner;
- Health Boards must use the Scottish Health Check for Adults with Learning Disabilities paperwork as included in the Directions;
- Health Boards must provide an annual report on delivery to ministers (or when requested).
The National Implementation Group provides support to delivery teams ensuring there is regular communication with Boards around implementation. The Scottish Government also discusses annual health checks with NHS Boards as part of their wider engagement around delivery and performance.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Tuesday, 27 January 2026
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Current Status:
Answered by Tom Arthur on 5 February 2026
To ask the Scottish Government what guidance exists for GP practices in relation to making reasonable adjustments under equality legislation to support adults with learning disabilities to attend GP premises, including allowing other NHS services, such as learning disability nursing teams, to use practice facilities where appropriate.
Answer
The Scottish Government expects all GP practices to comply with the requirements of the Equality Act 2010. It is the responsibility of individual organisations and businesses to ensure they take appropriate advice and put in place any measures necessary to meet their legal obligations.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Tuesday, 27 January 2026
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Current Status:
Answered by Tom Arthur on 5 February 2026
To ask the Scottish Government whether routine annual thyroid stimulating hormone (TSH) testing is recommended for adults with Down syndrome as part of annual health checks, regardless of whether the individual is currently prescribed thyroid medication.
Answer
Practitioners carrying out the annual health check are asked to action any blood tests that are needed and specifically advised to check on Thyroid Function Tests (TFTs) if the person has Down’s Syndrome. The health check also recommends that TFT screening is annual for people with Down’s Syndrome.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Tuesday, 20 January 2026
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Current Status:
Answered by Richard Lochhead on 28 January 2026
To ask the Scottish Government what updates have been made since 2021 to its (a) AI and (b) Digital Health and Care Strategy.
Answer
a) The Scottish Government will publish its new AI Strategy in March 2026. Building on the 2021 AI Strategy, it will outline the Scottish Government’s approach to harnessing the economic opportunities of AI.
As set out in its Programme for Government, the Scottish Government will also launch AI Scotland, a national transformation programme driven by collaboration between business, academia, government, and public agencies to help ensure that Scotland maximises the potential economic and social benefits of AI.
b) The Scottish Government has produced annual delivery plans for the Digital Health and Care Strategy following its publication in 2021. The delivery plans provide an update on progress and developments of projects and programmes to meet our vision and ambition for digital in health and social care. You can find the latest delivery plan on Gov.scot: https://www.gov.scot/publications/care-digital-age-delivery-plan-2025-2026/.
The Scottish Government also produces annual updates for the Data Strategy for Health and Social Care Since the original publication in 2023. These updates provide the latest developments of the Data Strategy. You can find the latest update on Gov.scot: Health and social care - data strategy: 2025 update - progress and priorities - gov.scot
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Tuesday, 20 January 2026
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Current Status:
Answered by Richard Lochhead on 28 January 2026
To ask the Scottish Government by what date in 2026 it will the publish its renewed AI Strategy, and whether this will include a health-specific plan for AI in public health and the NHS.
Answer
The Scottish Government will publish a new AI Strategy in March 2026. Building on the 2021 AI Strategy, it will outline the Scottish Government’s approach to harnessing the economic opportunities of AI.
Through the Service Renewal Framework, the Scottish Government and COSLA have committed to developing a framework for the safe, efficient and ethical application of AI across health and social care. This is expected to be published in March 2026 and will set out key requirements across the policy and regulatory landscape, define organisational AI readiness and establish a shared AI lifecycle model to support consistent, accountable decision-making across the system.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Monday, 26 January 2026
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Current Status:
Taken in the Chamber on 29 January 2026
Question to be taken in Chamber.
Answer
Taken in the Chamber on 29 January 2026
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Monday, 12 January 2026
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Current Status:
Answered by Jenny Gilruth on 26 January 2026
To ask the Scottish Government what provisions currently exist in the Scottish curriculum to teach children about musculoskeletal conditions and how to prevent them through physical activity.
Answer
I refer the member to the answer to question S6W-42968 on 26 January 2026. 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