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We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care. Endometriosis will continue to be a priority as we develop the next phase of our Women’s Health Plan.

The Chief Scientist Office’s project and fellowship funding schemes continue to welcome applications from across the clinical spectrum, including in Endometriosis.

This funding source is well known across the women’s health research community. Applications looking at the diagnosis, treatment and management of Endometriosis are welcomed and (in common with all other applications) go through CSO’s rigorous independent expert review process to allow funding decisions to be made.

We have recently increased the number of research funding programmes run by the National Institute for Health and Care Research (NIHR) open to researchers in Scotland from 4 to 9 Scottish Researchers to be able to access further NIHR research funding – Chief Scientist Officeand have worked to ensure researchers across Scotland are aware of these opportunities. Most of these programmes are open to research across the clinical spectrum, including in Endometriosis.

CSO continues to fund the NHS Research Scotland Reproductive Health and Childbirth Network which supports the delivery of a number of Endometriosis-related clinical studies across the NHS hereStudy Portfolio | NHS Research Scotland | NHS Research Scotland.

As stated in question S6W-32172 more information on women’s health data can be found in the recently published data landscape review. It sets out a range of publicly available data on the health of women in Scotland and highlights where there are gaps which need to be addressed. This is just the start of our work to improve women’s health data. Further work will be undertaken to explore the data sources and gaps in more detail.

The Endometriosis Care Pathway for NHS Scotland supports healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms.

While there is no specific routine screening for Endometriosis, the pathway is clear and advises healthcare professionals to suspect endometriosis in women who present with one or more symptom (including in young women aged 16 and under).

Clinicians are advised to assess women’s individual information and support needs and take into account their circumstances, symptoms, priorities, priority for fertility, aspects of daily living, work and study, cultural background, and their physical, psychosexual and emotional needs.

All NHS Boards should be taking steps to implement the pathway.

The Scottish Government continues to support community pharmacies, including rural pharmacies, by delivering the largest ever increase to funding two years in a row. This has delivered a total of £422 million in guaranteed funding for community pharmacies across Scotland in this financial year.

In addition, there is a Guaranteed Minimum Target Income for essential small pharmacies, most of which are rural, and a pharmaceutical needs weighting payment which acknowledges both demographics and deprivation- associated with a patient’s postcode. Both of these measures help support rural pharmacies by ensuring they are not disadvantaged because of their location.

When community pharmacies close or transfer ownership this is a business decision taken by the community pharmacy owner. The Scottish Government has not undertaken an impact assessment on closures. Health Boards are the bodies responsible for ensuring that there is adequate provision of NHS pharmaceutical services within their area.

Information about the progress to date against each of the priorities in the Women’s Health Plan can be found in the Women’s Health Plan Final Report.

As we move into the next phase of the Women’s Health Plan, we will consider how best to monitor and evaluate progress over time, which includes engagement with women who have lived experience of endometriosis.

As set out in the Women’s Health Plan, we know that there is a lack of data on women’s health – including endometriosis. Improving data has been one of the key priorities of the first phase of the women’s health plan, to understand the data that are available, the gaps and how we might address them.

The recently published data landscape review sets out a range of publicly available data on the health of women in Scotland and highlights where there are gaps which need to be addressed, including endometriosis. This is just the start of our work to improve women’s health data. Further work will be undertaken to explore the data sources and gaps in more detail.

Through the actions set out in our Women’s Health Plan we have taken steps to support both women and health professionals to learn more about endometriosis, the symptoms and treatment options to support earlier identification and minimise time to diagnosis.

The NHS Inform endometriosis page acknowledges the importance of emotional support and provides links to local peer-to-peer support groups.

There are also national helplines including 111, Breathing Space and The Samaritans.

In addition, we have also funded Endometriosis UK to produce a booklet and two webinars on self-management tips for managing endometriosis pain.

Endometriosis UK also operate a free, confidential helpline run by trained volunteers who have a personal experience of endometriosis. Endometriosis UK have also expanded their helpline provision by launching a new nurse-led helpline on 28 January 2025

Endometriosis is one of the key priorities in the Women’s Health Plan and will continue to be so. We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care.

The Scottish Government is providing investment of over £19.5 billion for health and social care in 2024-25 and supporting delivery of the specific actions relating to women’s health as we continue to drive forward the implementation of the Plan.

The Scottish Government provides this baseline funding to NHS Boards, to best meet the healthcare needs of their population, including for women with endometriosis.

Endometriosis is one of the key priorities in the Women’s Health Plan and will continue to be so. Through the implementation of the Women’s Health Plan we have established Women’s Health Lead Network with a Lead in every NHS Board. The Network enables the Leads to identify both common and local challenges and exchange ideas on innovation and best practice, along with discussions on progress to implement the Women’s Health Plan priorities at local level.

NHS 24 use qualitative and quantitative data to evaluate, review and optimise NHS inform content. This includes, for example:

• analysis of user activity on their website
• user feedback
• user research
• user testing
• partner and community engagement feedback
• 111 call trends

NHS 24 conduct regular audits and reviews to ensure accuracy, relevance and clarity of content.

This information is not collected. Collation of this information would require the gathering of personal data.

It is vitally important that all information on NHS Inform, including any linked websites, is open and accessible. All of the linked websites on NHS inform must be free to access without a need to login or register to ensure there are no barriers to access.

As this is an operational matter, I have asked Scottish Water and the Scottish Environmental Protection Agency (SEPA) to reply. Their responses are as follows:

a)

Not all spills from Combined Sewer Overflows (CSOs) are sewage spillages – CSOs are an integral part of the sewer network, designed to spill during heavy rainfall to prevent sewage backing up and flooding homes and businesses. Normally, what is spilled is wastewater which has been highly diluted by rain water - the toilet sewage element is less than 1% of the total volume.

Considering locations where Scottish Water is required to report annually to SEPA and where it has a long-term record of overflow events, there has been no recent increase in event frequency or in total event duration. In 2024, Scottish Water was able to publish some further overflow event information for other locations where it has reliable data. However, Scottish Water does not have long-term trend information at these locations.

The publication of information for additional locations has the effect of increasing the number of overflow events / duration for locations in the Firth of Clyde. As Scottish Water has deployed more Event Duration Monitors (EDMs) over the whole country, it expects that the total number of overflow events and durations included in the published dataset will increase.

b)

The SEPA responds to public and Scottish Water notifications of pollution from sewage and carries out a programme of inspections of sewer networks and sewage treatment sites. SEPA is not aware of an escalation in incidences of polluting sewage spillages into the Firth of Clyde. However, where sewer overflows are causing a water quality impact, SEPA works with Scottish Water through River Basin Management Planning to prioritise investment.

Up until six years ago the River Clyde was in the worst category for water quality and was classified as Bad by SEPA. Between 2010 and 2021, £610 million was invested by Scottish Water in wastewater assets bringing significant water quality improvements. The Clyde is now moving up classification and is into Good in a number of aspects. Aquatic species are returning to the waters, which supports a much more diverse aquatic life such as fish and birds with Atlantic Salmon returning.

We are continuing work to improve the data we have on women’s health so that we can better understand the health of women and girls in Scotland – including endometriosis.

Information on women’s health data in Scotland can be found in the recently published Women’s Health Plan Data Landscape Review. It sets out the range of publicly available data on the health of women in Scotland and highlights where there appear to be gaps. Further work will be undertaken to explore data sources and gaps in more detail.

The endometriosis care pathway for NHS Scotland aims to support healthcare professionals to provide holistic and timely care for those with endometriosis and endometriosis-like symptoms. All NHS Boards should be taking steps to implement the pathway.

As set out in the Pathway, clinicians should consider women’s individual needs in order to determine treatment for example symptoms, aspects of daily living and whether fertility is a priority for that individual.