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We recognise the challenges facing Scotland’s health and social care system. That is why we have already taken significant steps to set out clear, short and longer term actions to improve access to treatment, shift the balance of care, harness digital innovation, and strengthen prevention.

We recently published the, Foreword - NHS Scotland operational improvement plan - gov.scot the Scotland's Population Health Framework - gov.scot and the Health and Social Care Service Renewal Framework - gov.scot in which we outline our shared vision for reforming and renewing health and social care services to ensure they are more sustainable, preventative, and equitable.

We remain committed to engaging with leaders across health and social care, including clinical leaders, to design and deliver the change needed in our NHS.

With regard to charging for services, the Scottish Government’s policy could not be clearer: our National Health Service must be maintained on its founding principles – publicly owned, publicly operated, and free at the point of need. As we have previously said, the provision of health services must always be based on the individual needs of a patient.

Scottish Government committed to a Four Day Working Week pilot in the public sector to explore the wellbeing and productivity benefits that a shorter working week could bring. No additional funding was allocated to either Accountancy in Bankruptcy or South of Scotland Enterprise to deliver the pilot in their organisations.

The pilot was delivered in partnership with The Autonomy Institute who published their evaluation report on 27 August. The report can be accessed here - Four day working week pilot - Public sector pay - gov.scot.

The Penrose Inquiry’s report, published on 25 March 2015, contained a single recommendation, which was that the Scottish Government take all reasonable steps to offer a hepatitis C virus (HCV) test to everyone in Scotland who had a blood transfusion before September 1991 and who has not been tested for HCV. The Scottish Government accepted this recommendation and in response a Short-Life Working Group (SLWG), involving key stakeholders such as the Scottish National Blood Transfusion Service, was established by Health Protection Scotland. The SLWG progress report was published on 2 September 2016, setting out the range of work undertaken by the SLWG.

The Scottish Government accepted the recommendation of the SLWG that there should be an awareness raising campaign to encourage people who had (or are likely to have had) a blood transfusion prior to 1991, and who have not already been tested for hepatitis C, to come forward for testing. A targeted awareness raising campaign to encourage such individuals to be tested was launched in October 2016 and an evaluation of the campaign, as recommended by the SLWG, was completed by Health Protection Scotland in 2018. The SLWG also recommended that a Chief Medical Officer letter should be sent to all clinicians in Scotland to remind them of certain risk factors and clinical indicators for HCV infection and making them aware of the recent advances in therapy and thus the benefits of HCV testing. The Chief Medical Officer accordingly wrote to all clinicians in Scotland on 20 September 2016, following up a previous letter issued just after the publication of the Penrose report on 27 March 2015. The Penrose Inquiry’s recommendation has therefore been fully implemented.

The Scottish Fire and Rescue Service (SFRS) has 456 rescue pump appliances in operation. 211 of these are more than 15 years old, however all SFRS appliances are properly maintained to ensure they remain fully operational, and the oldest vehicles are placed in locations where they will be least used.

No guidance has been issued by the Scottish Government to a) schools and b) education authorities regarding peer massage programmes or other massage in schools programmes.

The Promise Scotland provides secretariat support for The Oversight Board. This involves governance, administration and communications support, and managing the expenses for members. Fee claims and expenses are processed by The Promise Scotland.

I met with members of The Oversight Board for The Promise on Tuesday 4th February 2025. I also attended the Parliamentary reception on 27th February, organised by The Oversight Board and attended by their members, to celebrate publication of the Third Report by The Oversight Board.

NHS Research Scotland holds a record of the number of clinical studies that Health Boards participate in each year. These data are held from 2014 to present and indicate a range of study numbers from 1464 to 1711 over this time period.

Noting that clinical studies can be carried out across multiple Health Boards at the same time, Table 1 reports the total number of unique clinical studies per year, and Table 2 reports the number of clinical studies per Health Board per year.

As previously committed to, the Scottish Government’s consultation on the updating of the School Premises (General Requirements and Standards) (Scotland) Regulations 1967 will commence before the end of this year; the revised regulations will be introduced thereafter.

The specific information - the number of hours NHS staff have spent on trainee research as part of protected development working time - requested is not gathered or held centrally by Scottish Government. This is a matter for the individual Health Boards.

The Scottish Government is committed to supporting NHS Scotland staff development and career progression. As part of the 2023-24 pay deal, Agenda for Change staff have reaffirmed rights to Protected Learning Time (PLT), ensuring access to essential training - including statutory, mandatory, and profession-specific learning - within working hours. Health Boards are expected to support this through consistent policies, including study leave where appropriate. A national PLT Implementation Group is leading work to ensure all NHS staff have equitable access to high-quality learning opportunities, regardless of role or location.