Seòmar agus comataidhean

The Scottish Government recognises the particular impact of food price inflation on low-income households in Scotland who are already grappling with cost-of-living pressures and are disproportionately affected by rising food prices. That is why the 2025-26 budget continues to allocate over £3 billion a year to policies which tackle poverty and the cost of living, including offering free school meals to all pupils in P1 to 5 and in special schools, saving families taking those meals around £450 per year per child. The Scottish Government is investing around £6.9 billion in our social security system this year, almost £1.3 billion more than the UK Government gives to the Scottish Government for Social Security. This includes investment of £649 million in our package of benefits and payments only available in Scotland. All action putting more money in people’s pockets to be able to afford the essentials, including food.

There are a range of global and domestic factors driving food price inflation and whilst the Scottish Government is seeking to support households and local food suppliers in Scotland, there are a number of challenges that lie specifically with the UK Government. Indeed, the Bank of England cite factors such as regulatory changes and rising labour costs, which have been exacerbated by the UK Government’s increase to Employer National Insurance Contributions in autumn last year, as creating an additional financial burden on businesses, households, and the public sector. While many of the levers to address these challenges lie with the UK Government and could be managed more effectively in an independent Scotland, the Scottish Government remains committed in the meantime to using the powers available to us to support people across our nation with the cost of living pressures.

While the Scottish Government’s role is to set the strategic policy for the NHS in Scotland, it is NHS Boards that are responsible for delivering safe, effective, person-centred care at a local level.

To do this effectively, NHS Boards provide a tiered podiatry service, which includes offering support for self-management in order to promote foot health. No single medical condition is automatically deemed to require ongoing general NHS podiatry care and as such podiatry services assess and treat patients based on individual healthcare needs. Whilst routine nail cutting and personal footcare are considered part of daily hygiene, not a clinical service provided by NHS podiatry, advice is available to patients free of charge via their NHS Boards or as part of refreshed footcare guidance published by the Scottish Government in March this year.

Scottish Borders Council is leading on this business case work on behalf of the Borderlands Inclusive Growth Deal Partners. The inception phase has started but the detailed scope has yet to be finalised.

The Scottish Government is not aware of any NHS Board that has stopped providing specialist podiatry care for people with diabetes. NHS Scotland’s Podiatry Service assesses and treats patients based on individual healthcare needs rather than specific medical conditions. As such, no medical condition is automatically deemed to require ongoing general NHS podiatry care.

The Scottish Government does not know at this juncture, what the rolling out of Jess’s Rule will require in terms of implementation either by GPs or NHS England. We will be in a position to consider the benefits of the rule when we know more.

However, the Scottish Government understands that the RCGP learning resource which supports “Jess’s Rule” is available to GPs who are members in Scotland as well as in England. We would encourage GPs to make use of this resource.

The Scottish Government are listening carefully to the views of Scotland’s GPs. Negotiations are ongoing with the BMA around further investment to support general practice.

This investment will build on the new £15 million investment this financial year to support workforce retention and recruitment, build service capacity and support the day to day running of GP services.

GP services should be delivered – equitably, sensitively, reasonably and appropriately, making the most effective use of resources and systems currently available.

The 18 weeks Referral to Treatment (RTT) standard is one of a number of targets set by the Scottish Government for access to hospital services.

Nationally, MyCare.scot will enable users to: login securely using a unique digital identity; access demographic, medication and allergy information; and use the national service finder to identify local health and care support from April 2026.

Scottish Government commissioned NHS Education Scotland (NES) as a lead partner for the delivery of the Digital Front Door (DFD) Programme, including MyCare.scot, and NES are engaging with a range of stakeholders in the development of MyCare.scot and DFD. That engagement includes working in partnership with COSLA to support national implementation. Ongoing and future work will include NES and Scottish Government engaging with integration joint boards, health and social care partnerships and Local Authorities.

I refer the member to the answer to question S6W-40976 on 14 October 2025. NHS Education Scotland (NES) who have been commissioned by Scottish Government as a lead partner for MyCare.scot, are engaging with a range of stakeholders. I can confirm this also includes NES’ ongoing facilitation of collaborative workshops with key attendees including the social work sector.

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.