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The Scottish Government is committed to improving life expectancy and tackling health inequalities across Scotland. The recently published Population Health Framework, a joint publication by the Scottish Government and COSLA, highlights that the circumstances and environments in which people are born, grow up, live, work and age – known as the building blocks of health – are the most influential factors shaping health outcomes.

The Framework’s supporting evidence paper notes that Scotland has experienced a decline in healthy life expectancy – the number of years people can expect to live in good health – alongside a stalling of improvements in mortality rates after decades of steady progress. These trends are associated with several major factors: the UK Government’s austerity policies during the 2010s, Brexit, the COVID-19 pandemic, and the ongoing cost-of-living crisis. Together, these influences have weakened the building blocks of health, widened existing inequalities, and exacerbated Scotland’s longstanding disparities in income, wealth, and power.

In response, the Population Health Framework sets out a whole-system cross-government and cross-sector approach centred on prevention. This approach builds on existing Scottish Government actions, including initiatives on diet and healthy weight, and efforts to tackle child poverty. Through this approach, the Scottish Government aims to raise overall life expectancy while closing the gap between the most deprived 20% of communities and the national average by 2035.

The Scottish Government has taken a stepwise approach to the expansion of the national thrombectomy service, investing over £51 million to date. The total costs of delivering a national 24/7 thrombectomy service are yet to be established, however Scottish Government officials and NHS planners have been asked to work at pace on developing a plan for the next steps for service expansion.

Our position is unchanged on waiting times – by March 2026 no one will wait more than 12 months for a new outpatient appointment or inpatient/daycase treatment.

We are investing more than £110 million this year to cut waits, and we expect to see the full impact of our targeted funding in the coming months. This targeted funding is expected to deliver more than 213,000 additional procedures and appointments this year.

Our plan is clearly working with a record number of hip and knee operations last year and the highest level of operations performed in July since February 2020.

The purpose of a Significant Adverse Event Review (SAER) is to find out what happened, how it happened and why, and identify learning to reduce the risk of the same event happening again. Due to the nature to SAER reports, they often contain personal and clinical information. The Scottish Government does not require NHS Health Boards to publish SAER reports; however, they should always be shared with the individual concerned, or their family in the event of a death. Following the updated publication by Healthcare Improvement Scotland in February this year of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland, work is underway to support NHS Health Boards to share learning from SAERs locally and across Health Boards, to make the learning more accessible to healthcare professionals.

Specific data on school-based family income advisors, is not held centrally.

The Scottish Government has invested £1.75 billion in the Scottish Attainment Challenge over the past decade, including over £1billion in Pupil Equity Funding, empowering headteachers to take the best approaches that suit the needs of their pupils and families. This funding is supporting significant numbers of additional staff, like family income advisors, to help close the poverty-related attainment gap.

Across the country we continue to trust and empower Scotland's headteachers to use this extra funding to support their pupils - whether through extra support staff, family link workers or family income advisors. As highlighted in the pupil_equity_funding_report_2025_.pdf, published in May 2025, we know that the majority of the funding supports staff with roles specifically designed to help children and young people impacted by poverty. This includes up to 3,000 additional staff - almost 700 of whom are teachers - with the remainder in roles such as family link workers, pupil support assistants, education psychologists, speech and language therapists and family income advisors.

The Scottish Government also continues to support free income maximisation, welfare and debt advice services with £16.9 million invested in 2025-26, a significant increase on the £12.3 million invested in 2022-23, helping support families get the support they are entitled to.

Work is underway to support health boards to share learning from SAERs locally and nationally, to make them more accessible to healthcare professionals. In February this year Healthcare Improvement Scotland (HIS) published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland. The revised framework includes an updated shareable learning template, which NHS Health Boards should complete following a Significant Adverse Event Review (SAER). These summaries, which will support local and national learning, will be published on an online community of practice for NHS staff which HIS will launch soon. It is the responsibility of health boards to share learning within their organisations and to ensure that relevant staff groups are aware of changes to policies and processes as a result of learning and improvement actions.

Significant Adverse Event Reviews (SAERs) are conducted at a local level within each NHS Health Board. NHS Boards are required to notify Healthcare Improvement Scotland on a monthly basis of the number of SAERs that have been commissioned, including the event type and specialty. HIS recently reviewed and published an updated version of A national framework for reviewing and learning from adverse events in NHS Scotland: February 2025 – Healthcare Improvement Scotland in February this year. This provides templates to support NHS Health Boards to consistently report and learn from SAERs. The Scottish Government does not monitor NHS Boards responses to SAERs.

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.