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The mental health and wellbeing of children and young people is a top priority for the Scottish Government. We are committed to improving support for children and young people’s mental health, in order to ensure early intervention and prevention of suicide.

We do not take a prescriptive approach to the education curriculum in Scotland. The curriculum is not statutory and therefore it is for individual schools and local authorities to decide which approaches they use to help them deliver relevant and engaging learning.

Schools are encouraged to develop the curriculum to suit their local context and meet the needs of children and young people, this can include delivering learning on suicide prevention. It is good practice for schools to consult with children and young people and respond to their views appropriately, to ensure this meets the needs of all children and young people in the school or educational setting.

Education Scotland's National Improvement Hub contains resources and learning for school staff to support young people in relation to self-harm and suicide. In addition, in June 2021, we published an online professional learning resource aimed at school staff to support young people’s mental health and wellbeing. The resource includes a section on suicide.

Alcohol duty is reserved to the UK Government. The Scottish Government would strongly recommend that the UK Government considers public health as part of any review to alcohol duty.

The Scottish Government believes that the stronger the beverage, the higher the duty should be, as it is the alcohol that causes the harms and stronger alcoholic drinks allow for faster consumption of alcohol. This is in line with the rationale behind our world leading minimum unit pricing policy which targets high strength, low-cost alcohol.

Our Alcohol Framework sets out our priorities for preventing alcohol-related harm. We take a whole population approach to tackling alcohol-related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.

There has been no specific assessment by the Scottish Government of the additional cost of living pressures experienced by residents in Edinburgh. However, in November 2022 the Scottish Government published a report: ‘The Cost of Living Crisis in Scotland: Analytical Report’ which drew together analysis to provide an overview of emerging evidence on the cost of living crisis. Although the report didn’t specifically look at the impact on Edinburgh residents it did identify, at a national level, those low income households who will be most negatively affected by the cost of living crisis.

The Scottish Government is continuing to monitor the cost of living crisis closely and has announced a number of measures to support households, including residents in Edinburgh. This includes introducing emergency legislation to put in place a rent freeze, increasing the Scottish Child Payment (SCP) and doubling both the Fuel Insecurity Fund and the December 2022 SCP Bridging Payment.

Alcohol duty is reserved to the UK Government. The Scottish Government would strongly recommend that the UK Government considers public health as part of any review to alcohol duty.

We have made no assessment of the impact of the six-month freeze on alcohol duty on alcohol harm in Scotland. We remain committed to reducing alcohol related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.

Alcohol duty is reserved to the UK Government. The Scottish Government would strongly recommend that the UK Government considers public health as part of any review to alcohol duty.

We have made no assessment of the impact of the six-month freeze on alcohol duty on alcohol harm in Scotland. We remain committed to reducing alcohol related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.

The health and wellbeing of children and young people is a top priority for the Scottish Government.

We do not take a prescriptive approach to the education curriculum in Scotland. The curriculum is not statutory and therefore it is for individual schools and local authorities to decide which approaches they use to help them deliver relevant and engaging learning.

The curriculum already provides opportunities for teachers to deliver learning and teaching on bereavement and loss. One of the health and wellbeing “experiences and outcomes” ensures that young people are learning skills and strategies which will support them in challenging times, particularly in relation to change and loss.

In addition, Education Scotland's National Improvement Hub contains resources for schools to support them in delivering learning and teaching on bereavement issues.

Through Reset and Rebuild - sexual health and blood borne virus services: recovery plan, published in August 2021, the Scottish Government provided an additional £0.5m of funding to assist sexual health and blood borne virus services to begin recovery from the covid-19 pandemic.

Amongst the numerous projects funded through the Recovery Plan was the SHARE project launched by HIV Scotland, further details of which can be found here:

https://www.hiv.scot/stories/share-study-launch .

In addition, the Scottish Government has supported the Conundrum project, which was designed to understand factors shaping young people’s experiences of contraception, and provided insight into how young people’s access to condoms and contraception was disrupted during the early months of the COVID-19 pandemic. Details of the project can be found here: University of Glasgow - Schools - School of Health & Wellbeing - News - CONUNDRUM project .

Understanding the impact of the pandemic will require on-going support, and it is expected that the next iteration of the Sexual Health and Blood Borne Viruses Framework, which will be published this year, will continue this work.

The NHS in Scotland has a strong track record of delivering innovative sexual health and blood borne virus services.

For example, in 2017, Scotland was one of the first countries in the world to introduce an HIV Pre-Exposure Prophylaxis service - offering free preventative medication to those deemed at highest risk of acquiring HIV.

To ensure we build on this progress, in December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward.

The Scottish Government has also committed to improving testing for sexual health and blood borne viruses, to ensure more people can receive the treatment they need. We have funded a home-testing HIV pilot project run by HIV Scotland to help evaluate the viability of this approach and its scope to increase parity of access in remote and rural areas. We have also provided over £0.5m for the development of a “once for Scotland” approach to STI home testing. This was rolled out in NHS Lothian in December, and work is underway to explore further roll-out. This service allows people to request a test online and perform home self-sampling, while providing clinicians with comprehensive, real-time data.

We recognise that the development of new models of service and treatment is an ongoing, iterative process. The Scottish Government will continue to support this, including through development of the next Sexual Health and Blood Borne Viruses Framework.

This information is not held centrally by the Scottish Government. However, information regarding PrEP uptake is published by Public Health Scotland and can be found here: https://publichealthscotland.scot/publications/hiv-in-scotland/hiv-in-scotland-update-to-31-december-2021/ .

There are a number of ways that good practice, clinical updates and learning on women’s health are shared across primary care. Examples of this include:

• Regular women’s health update days for primary care held at both board and national level.
• Regular training and updates for a range of women’s services, including perinatal care, smear taking, long acting contraception insertion and removal, and the menopause.
• Working with pharmacy colleagues on ensuring up-to-date and relevant prescribing information is available.
• Primary care engagement through local interface groups in developing local pathways and protocols for women’s health.
• Dissemination of updated guidelines on women’s health from areas such as SIGN, NICE and Royal Colleges through local distribution networks, signposting to new, relevant publications such as the Women’s Health Plan.
• Supporting shared learning around good practice through initiatives such as funding for first 5 GPs to attend local, problem-based small learning groups.

Additionally, locally and nationally driven learning through innovative practice is shared via primary and secondary care networks. Examples of this include:

• Increasing cervical screening uptake through using enhanced engagement techniques targeting opportunistic and vulnerable groups.
• Learning from recent trials of group education and group consultations on menopause at general practice level.
• The National Menopause Specialist Network, where examples of innovative practice across primary and secondary care are regularly shared.

Sharing good practice will be an ongoing piece of work throughout the lifetime of the Women’s Health Plan.