Our Women’s Health Plan includes a commitment to improve information and public awareness of heart disease symptoms and risks for women.

Throughout February 2023 we delivered an awareness campaign related to this action. Outreach posters were placed in 1,000 pharmacies and 1,600 organisations (such as GPs and community centres).

Posters included a link to the NHS Inform Women’s Heart Health page . The page notes that the symptoms of a heart attack can vary person to person, though both women and men may experience some common symptoms.

We are grateful to Heart Research UK for their continued work to prevent, treat and cure heart disease in Scotland.

We recognise the scale and impact of heart disease in Scotland and have set out our strategic direction to address this in our Heart Disease Action Plan (2021).

The plan outlines a collaborative approach and acknowledges the important role of the third sector in minimising preventable heart disease and ensuring that everyone with suspected heart disease has timely and equitable access to diagnosis treatment and care.

The Scottish Government is committed to ensuring our children and young people have access to healthy and nutritious food when at school. The Scottish Government ensure that all food and drink served in education authority and grant aided schools, including free and paid for school meals, meet these high standards through the Nutritional Requirements for food and drink in schools (Scotland) Regulations 2020. The Regulations are based on scientific evidence and dietary advice and designed to ensure children and young people can access an appropriate amount of energy and key nutrients as part of their school day to support their healthy growth and development.

The Regulations require 2 full portions of vegetables and 1 full portion of fruit to be served as part of a primary school lunch and a secondary school analysed lunch, building on the previous standards which required a variety of fruit and vegetables to be on offer but did not specify a required portion size. In addition, portions of fruit and vegetables must be made available in any place within school premises where food is provided at other times of the school day for example morning break provision or tuckshops. Compliance with the Regulations is monitored by Education Scotland Health and Nutrition Inspectors as part of their annual inspection programme.

As set out in our Programme for Government, we will continue to work with local authorities to ensure that school meals meet the highest standards of nutrition, recognising that this is vital to our children’s effective learning.

The Scottish Government is currently working with Local Authorities on the roll out of the next phase of Free School Meal expansion therefore ensuring more of our children and young people are provided the opportunity to benefit from healthy and nutritious meals.

Food and nutrition is an integral part of our national educational curriculum set out in the health and wellbeing experiences and outcomes detailed in Curriculum for Excellence. This will help to ensure that children and young people are provided with the knowledge, skills and experience they need to make positive dietary choices, including why it is important to consume plenty of fruit and vegetables as part of a balanced and nutritious school lunch.

The decision on whether to appoint a local women’s champion or advocate sits with local authority areas. As such, the government does not hold a list of champions or advocates. The government is, however, fully committed to working with local authority areas to ensure that we take, when appropriate, a gendered response to substance use. That is why we have committed more than £5.5 million to establish two houses, run by Aberlour, which are designed to support women and their children through recovery. In addition, we are providing more than £6 million to establish a training and social enterprise based residential rehabilitation programme at River Garden Auchincruive which will have a separate unit to support women through recovery.

The launch of our National Mission on Drugs in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way. Many of the milestones are being delivered through the National Mission and others are being picked up as part of more recent Government commitments.

The Scottish Government is working closely with key stakeholders, including Education Scotland, to review and revise resources available for substance use education to ensure they are in line with best practice. This is part of wider work to provide schools with the right resources and support, through implementation of the Personal and Social Education Review, to address the issues facing children and young people today.

Completion of this work will support delivery of the recommendation from, where relevant, the Rights, Respect and Recovery Action Plan 2019-2021 as well as the similar recommendation from Drugs Death Task Force.

The Scottish Government will not work with the alcohol industry on provision of education in schools. Our wider approach to joint work with the industry will be based on the principles of the World Health Organization (WHO) Global Strategy to reduce the harmful use of alcohol, which recognises industry’s role as developers, producers, distributors, marketers and sellers of alcohol products.

Instead, the Scottish Government is committed to taking forward substance use education work in our schools through Curriculum for Excellence. Children and young people learn about a variety of substances including alcohol, medicines, drugs, tobacco and solvents. They will explore the impact risk taking behaviour has on life choices and health.

The launch of our National Mission on Drugs in January 2021 has meant that some of the commitments set out in the Rights, Respect, Recovery Strategy and the action plan for it, refreshed in December 2020, are being delivered in a different way. Many of the milestones are being delivered through the National Mission and others are being picked up as part of more recent Government commitments.

The Medication Assisted Treatment standards published on 31 May 2021 and are a set of standards aimed at providing a framework to ensure that MAT is sufficiently safe, effective, acceptable, accessible and person-centred to enable people to benefit from treatment for as long as they need it.

The standards are evidence based and were developed through extensive consultation with multiagency partners that deliver care, and, with the individuals, families and communities with experience of problematic drug use.

The Scottish Government has committed to full and sustained implementation of MAT standards 1-10 in community and justice settings by April 2026. To help local areas achieve this, the MAT Implementation Support Team (MIST), based within Public Health Scotland (PHS) is supporting the roll out of the standards ensuring local areas have systems, protocols and procedures in place to be able to continuously improve services based on evidence.

In order to demonstrate implementation of the MAT standards, local areas provide process, numerical and experiential evidence to MIST which helps to inform an annual National Benchmarking Report, published by PHS. Process evidence includes formularies, clinical guidelines, care pathways, standard operating procedures, policies and other supporting documentation.

The National Benchmarking Report for 2022/2023, published in July 2023 reported that the 29 ADP areas assessed against each of the 10 MAT standards, 66% (96/145) of MAT standards 1–5 were fully implemented and 88% (127/145) of MAT standard 6–10 were partially implemented.

At present, we have no plans to establish and evaluate tests of change for alcohol treatment in the justice system.

The Scottish Prison Service is currently refreshing its Alcohol and Drug Recovery Strategy, this will ensure alcohol intervention and support are included in any recovery pathway planning across our establishments. It is anticipated that the strategy will be published later this year.

We are also supporting the UK Government on reviewing and updating clinical guidelines for alcohol treatment. The guidance will look to introduce new approaches to treatment and will apply to a broad range of settings including justice settings. The guidelines are expected to be published for consultation this year.

Following finalisation of the alcohol treatment guidelines, Scottish Government will review and use these to ensure that our justice systems are providing consistent and good care to those with problematic alcohol use.