Seòmar agus comataidhean

I refer the member to the answer to the question S6W-36341 on 22 April 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

GPs are responsible for providing patients with appropriate care whether they have been treated on the NHS or privately. This may include medication, depending on an individual patient’s need. GPs are not obliged to follow the recommendations of a private provider, but should always provide care based on their own judgement if patients are in need.

The Scottish Government funds the National Autism Implementation Team (NAIT), which published guidance on Prescribing ADHD medication to adults following private sector diagnosis in Scotland in April 2022. The guidance was drafted in consultation with practising Psychiatrists, the Royal Colleges of Psychiatry and General Practice and individuals with ADHD.

The guidance highlights that shared care arrangements may be put in place between private and NHS providers. For such arrangements to work properly, everyone involved must communicate effectively. Recommendations from specialists for ongoing prescribing on the NHS need to be made at an NHS consultation with an NHS specialist.

Some NHS Boards may have shared care policies, but it remains at the clinical discretion of each individual GP to decide the best course of action for their patients.

Screening policy in Scotland is based on recommendations from the UK National Screening Committee (UK NSC), an expert advisory group which advises the UK nations on all aspects of screening. The UK NSC reviewed the starting age for cervical screening in 2013 and recommended it should be increased from 20 to 25. The Scottish cervical screening programme therefore offers routine screening to women and people with a cervix who are aged between 25 and 64.

Since 2008, the HPV vaccination has also been offered to women under 25, which provides immunity to the virus that causes the majority of cases of cervical cancer. No cervical cancers have been found in those vaccinated in Scotland.

Nonetheless, in August 2021, the then Minister for Public Health and Women’s Health, Maree Todd, wrote to the UK NSC to ask them to keep the merits of lowering the age for cervical screening under review. To date, the evidence continues to support cervical screening beginning at the age of 25; a study found that for every 100,000 women invited for screening from the age of 20, an extra 8,000 women would need further investigation and 3,000 more would have unnecessary and potentially harmful treatment.

Scotland’s first International Education Strategy (IES), published in February last year, highlighted the positive impact that international students make to our colleges and sets out the actions that the Scottish Government will take with both colleges and universities, to promote Scotland as a study destination and to attract and diversity our international student population.

In 2024-25, we launched the Come to Study: Find Scotland campaign aimed at attracting prospective international students to institutions across the breadth of the country. We will continue to work with partners to enhance our marketing and promotional efforts in the year ahead.

We have worked closely with Colleges Scotland in the development of the Scottish Education Exchange Programme. To date, 8 colleges (11 projects) have benefited from SEEP funding which has enabled the delivery of projects that are helping build international partnerships across the globe.

Furthermore, the Scottish Government has appointed a new Trade Envoy for International Education who will promote Scotland’s colleges and universities to international students and organisations across the world.

The Medication-Assisted Treatment (MAT) Standards set out what people should expect from substance use services. MAT Standard 3 sets out that people at high risk of drug-related harm should be proactively identified and offered support, while MAT Standard 9 sets out that all people with co-occurring drug use and mental health issues should receive mental health care. Implementation of the MAT Standards is supported by multi-year funding of £10.3 million per year over the life of the Parliament. Implementation of the MAT Standards is assessed by Public Health Scotland (PHS) via annual Benchmarking Reports.

I refer the member to the answer to the question S6W-36412 on 29 April 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

Scottish Government notes this report with interest and is fully aware that the risk of liver disease is increased by the impact of harmful alcohol use and obesity.

This is why we are determined to do all we can to reduce alcohol-related harm, one of the most pressing public health challenges that we face in Scotland. We take a whole population approach to tackling such harm, in line with the World Health Organisation’s focus on affordability, availability and attractiveness of alcohol.

Our Alcohol Framework 2018 contains 20 actions to tackle alcohol-related harm. One of the key actions was the implementation of Minimum Unit Pricing (MUP) in May 2018. Since then, we have seen a reduction of 3% in total alcohol sales,with a focus on the cheap high-strength alcohol which is often drunk by people drinking at harmful levels. Recent research by Public Health Scotland has found that MUP has been found to save more than 150 lives a year and 411 fewer hospital admissions. It’s also encouraging to see that this research has highlighted that the policy is having an effect in Scotland’s most deprived areas – which experience higher death rates and levels of harms from problem alcohol.

We also want everyone in Scotland to eat well and have a healthy weight to help reduce the impact of a range of diet-related ill health conditions, including liver disease. We continue to implement the wide-ranging actions set out in our 2018 Diet and Healthy Weight Delivery Plan to address this challenge. This includes our commitment to restrict less healthy food promotions and improve the availability of healthier options when eating out, as outlined in our Out Of Home Action Plan.

Scottish Government through its national Centre for Sustainable Delivery (CfSD) has formed a Specialty Delivery Group for Liver Disease with the first meeting on 6th November 2024. Early Detection is one of the pathways being prioritised.

The Early Detection Pathway has already been passed through the first Gateway in the CfSD delivery pathway. The challenges are around how individual boards can implement this before the National Laboratory Information Management System.

There has been progress in developing the Early Detection pathways in individual health boards using the technology as currently available while others are using the Referral Advice to Primary Care with increased use of the FIB-4 and Fibroscan with advice for Lifestyle changes and repeat investigation as required.

Golf is important to Scotland’s economy, culture and reputation. We have more than 550 golf courses, host world-renowned events and enjoy the benefits from a thriving golf tourism sector.

Golf events and golf tourism bring significant economic benefits to Scotland.

The economic value of golf tourism for the Scottish economy is approximately £300 million per annum, around 5000 jobs and approximately £150 million in GVA.

Scotland’s portfolio of golf events, including The R&A’s major championships and our annual national Opens, help maintain our worldwide reputation as the ‘Home of Golf’.

In 2024, Scotland successfully delivered an exceptional summer of golf, hosting five high-profile tournaments across the men’s and women’s games, headlined by the 152nd Open at Royal Troon. All five events were supported by Scottish Government funding.

Independent research from Sheffield Hallam University’s Sport Industry Research Centre found that last year’s Open at Royal Troon generated an estimated £87.3 million in total economic impact – new money entering the economy – for Scotland.

The figures for Royal Troon bring the total economic benefit generated by the ten stagings of The Open in Scotland since 2005 to £1.36 billion.

The 2024 Genesis Scottish Open reported £19.2 million in economic impact for Scotland.

In addition to direct economic benefits, Scotland’s golf events also bring wider benefits, including supporting charitable causes, engaging communities and young people, increasing participation in sport and general wellbeing, and advocating for policy priorities such as environmental issues.

Provision of medical first aid at a major sporting event is the event organisers’ responsibility which, in this instance, is the Glasgow 2026 Organising Company.

The Scottish Government continues to work closely with event organisers to ensure that Scottish Ambulance Service, NHS Boards and Public Health Scotland are appropriately engaged in planning groups for major sporting events.

Public sector health colleagues work meticulously with the event organisers and any procured private first aid and ambulance services to ensure adequate first aid and health care is provided to event participants, workforce and spectators, in line with guidance and requirements as set out in the Green and Purple Guides.

The Green Guide, or ‘Guide to Safety at Sports Grounds’, provides guidance on safety at sports grounds for stadium operators and event organisers. The Purple Guide is aimed at event organisers who are responsible for managing health and safety and at events in more general terms.

NHS Boards have duties under the Carers Act to involve unpaid carers in decision making and planning the return from hospital of the person they care for (or will care for). More specifically, the Core Mental Health Quality Standards state that a person’s support network should be involved in their care if they wish. Progress on implementing the standards is measured by Healthcare Improvement Scotland.

To support Boards in discharging these duties we have funded NHS Education for Scotland (NES) to develop three training modules for the health and social care workforce to help them identify, include and support unpaid carers including young carers. In 2025 and 2026 NES will promote and support the use of these training resources across the health and social care workforce. We are also funding NES to develop carer awareness training for staff in mental health services.