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I recognise that there has been a significant increase in children and adults seeking ADHD assessments across Scotland, and that this is creating challenges for a range of services.

The Scottish Government is working with the National Autism Implementation Team (NAIT) to develop national Adult Neurodevelopmental Pathways, building on the pilots we funded in four NHS Board areas and the subsequent learning and recommendations.

We are also continuing to work with NHS Health Boards, including NHS Ayrshire and Arran, and local authorities to support implementation of the National Neurodevelopmental Specification for Children and Young People. We have recently undertaken a review of the implementation of the Specification and established a new Neurodevelopment Taskforce to drive forward identified recommendations.

In addition to investment through Health Boards, we will also be providing £500,000 additional funding in 2025-26 to improve access to neurodevelopmental support for children and young people, including for ADHD assessments. This is in addition to £250,000 provided in 2024-25, which funded a range of individual projects to improve neurodevelopmental assessment and support for children and young people, including projects that support ADHD diagnosis.

The Minister for Public Health last met with Royal College of Ophthalmologists in July last year.

Scottish Government officials meet the College of Optometrists both bilaterally and as part of other groups/forums as and when required for policy development and implementation purposes. The next scheduled bilateral meeting with the College of Optometrists is on Friday 3 October 2025.

I refer the member to the answer to question S6W-39413 on 6 August 2025. 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.

The Scottish Government does not currently have any plans to publish national service standards for ADHD assessment, treatment and support.

The National Neurodevelopmental Specification: Principles and Standards of Care for Children and Young People sets out the seven standards for all services to support children and young people with neurodevelopmental support needs, including ADHD.

The Specification takes a needs-based approach to providing neurodevelopmental support. It is underpinned by principles of GIRFEC and intended to be delivered by all children’s services partners through a multi-agency approach.

The Scottish Government does not currently have any plans to publish a national ADHD strategy.

However, the Learning Disabilities, Autism and Neurodivergence (LDAN) Bill consulted on proposals to introduce a National Strategy for Learning Disabilities and Neurodivergence, supported by local strategies and/or local delivery plans and underpinned by Statutory Guidance. Proposals also included requirements for regular reviews of both national and local strategies, the involvement of lived experience in the development of these strategies and an accountability mechanism to measure effectiveness of strategies.

We have been committed to taking a human rights-based approach to this legislation. This means that the consultation was fully co-designed with people with lived experience via the Lived Experience Advisory Panel (LEAP).

The public consultation closed on 21 April 2024 and received nearly 900 responses during the four months that it was open. This demonstrates the relevance and importance of this legislation for the people of Scotland.

The Scottish Government is continuing work to develop the proposals for the LDAN Bill, and is committed to publishing draft provisions. As before, we will work in partnership with the LEAP members whose support has been invaluable, and the LEAP will be at the heart of our process. In addition, we will meet with individual organisations with an interest whenever that is helpful.

The Scottish Government does not hold this information centrally.

However, we acknowledge that work is needed to improve the quality of data on neurodevelopmental support and services, including a better understanding of current levels of need and the level of support people currently receive.

We are working with Health Boards and local authorities to improve our understanding of the available data, and how this could be used to support improvements for adults, children and families.

The number of ophthalmology trainees recorded as of July 28, 2025, and from 2015 has been provided in the following table.

Public Health Scotland provide quarterly updates of immunisation uptake rates for children in Scotland. The most recent release was published on 24 June 2025 and provides uptake statistics for all childhood vaccines, including: the measles, mumps and rubella (MMR) vaccine; the 6 in 1 vaccine (which protects against whooping cough, polio, tetanus, haemophilus influenzae type B and hepatitis B); and the meningitis B vaccine. The report can be found at the following link: Childhood immunisation statistics Scotland - quarter and year ending 31 March 2025 - Childhood immunisation statistics Scotland - Publications - Public Health Scotland

Quarterly childhood immunisation rates across Scotland remain high, reflecting both the hard work and commitment of our colleagues in the NHS and the recognition of the benefits of vaccination.

However, the Scottish Government is aware that there are decreases in uptake compared with previous years, a trend which has been observed globally. We are working with Public Health Scotland and Health Boards to increase vaccination uptake, address health inequalities and support those eligible for vaccination.

Scottish Government officials continue to work closely with colleagues across the four UK nations to ensure cooperation and, where appropriate, alignment on vaccination policy, but we have received no specific information from the UK Government regarding measles deaths in England.

While Childhood immunisation rates in Scotland remain high, we are working with Public Health Scotland and the NHS to increase vaccination uptake in communities across the country. Measles is a highly infectious disease and can lead to serious and potentially life-threatening complications. The MMR vaccine is safe, and it is vital that all those eligible receive both doses of the vaccination, especially because of the current global threat of measles to international and domestic travellers.

The Scottish Government urges parents and carers to take their children to be vaccinated when invited to do so to enable them to be protected against serious disease, including measles, meningitis and pertussis.

The Scottish Government recognises the cumulative impacts of economic shocks including COVID-19 and the subsequent cost-of-living crisis have worsened health inequalities, and understands the impact that debt and money worries can have on mental health and wellbeing across the population.

Improving health and reducing health inequalities across Scotland remains a clear ambition for the Scottish Government. It is progressing a range of work to support the health and wellbeing of people across Scotland, with a focus on supporting groups most at risk of poorer health, including women and those facing socio-economic disadvantage.

In recognition of the continued pressure on household budgets, the Scottish Government will maintain investment of over £3 billion in 2025–26 to support policies focused on tackling poverty and alleviating the rising cost of living.

The Scottish Government’s Population Health Framework, published in June, sets out a refreshed, cross-government and cross-sector approach to improving population health and tackling health inequalities, with a strong emphasis on prevention. The Framework outlines actions across the whole system to improve socio-economic conditions through improving workforce participation, strengthening financial security and increasing local economic resilience.