Programme for Government 2026-2031
Patients will receive better care, with shorter waits, as a result of the most significant structural reform of our NHS in the devolution era, First Minister John Swinney announced yesterday, as he unveiled a major modernisation programme of Scotland’s public services.
Setting out his Programme for Government, the First Minister pledged that all the actions of his government would be focused on delivering lasting improvements to people’s lives as he presented a package of measures to help with the cost-of-living crisis.
The First Minister said the Scottish Government would also continue to drive improvements in the priority areas of eradicating child poverty, growing the economy, investing in public services and tackling the climate emergency as he outlined work to reduce NHS waiting times and action to tackle violence against women and girls.
Key announcements include:
- Replacing the current 14 territorial health boards with two strategic health boards which – alongside other measures – will free up more time and capacity for treatment
- Delivering a national breakfast club for all primary schools from August 2027 and, by 2031, providing childcare support 52 weeks a year for children from nine months old to the end of primary school
- Tackling poverty by increasing the Scottish Child Payment to £40 per week for eligible babies under 1 during 2027-28
- Investing £205 million in winter heating payments for pensioners, families with disabled children and struggling households
- Recognising that hostility to women and girls is a serious societal problem by defining misogyny as a distinct form of prejudice and abuse
- Expanding the £2 bus fare cap beyond the Highlands and Islands to the Strathclyde Partnership for Transport area from Monday 7 September followed by a national roll-out by the end of this Parliament
- Improving public services by removing unnecessary duplication and overlap, getting resources more directly to the frontline services
- Over the next three months, with partners, reach a clear shared direction on substantial reform to local governance, including social care
- Bringing the national environment public bodies into a single overarching body to make environmental interventions more impactful
- Supporting better jobs and higher incomes by making Scotland a better place to invest and do business
First Minister John Swinney said: “This ambitious Programme for Government has radical and widespread public service reform at its heart to deliver real, lasting improvements to people’s lives.
“By rewiring a system of services designed for the last century, we will simplify and reshape organisations on which everyone relies and ensure every pound of investment achieves maximum impact.
“As we do so, we will build on the most generous cost of living package anywhere in the UK while continuing to tackle inequality, poverty and division.
“This is a Programme for Government to deliver a fairer, healthier and more prosperous nation.”
The First Minister also stated that Scotland would only reach its full potential by becoming an independent nation.
“We will give the leadership for Scotland to decide her own future and advance our belief that Scotland will be better off with Independence.”
Programme for Government 2026 to 2031 – gov.scot
The First Minister also confirmed Scottish Government plans to introduce nine Bills over the course of 2026-27:
- Budget Bill
- Buildings (Heating and Energy Performance) and Heat Networks (Scotland) Bill
- Council Tax (Scotland) Bill
- Damages (Scotland) Bill
- Food Prices (Scotland) Bill
- Football Banning Orders (Scotland) Bill
- Legal Aid (Scotland) Bill
- Misogyny (Criminal Law) (Scotland Bill
- Public Service Renewal (Scotland) Bill
REACTION:
Peter Kelly of Scotland’s Poverty Alliance commented: “It was good to hear a promise to eradicate child poverty – and we welcome the further development of the Whole Family Wellbeing approach.
“However, we know that secure, adequate incomes are the bedrock of efforts to eradicate poverty. That means progressively increasing the Scottish Child Payment to £55 a week by the end of this Parliament.
Without that scale of change, it’s hard to see how the First Minister will keep that promise to Scotland’s children.”
COSLA President, Councillor Shona Morrison, has responded to Scottish Government’s Programme for Government announcement: “Today’s Programme for Government is a significant statement of the Scottish Government’s priorities, and we will take time to consider its detail carefully.
“There are important implications for local government and council services, particularly the proposed NHS reforms and what they will mean for the future delivery of social care.
“Over the coming days, COSLA will engage closely with our member councils and with Scottish Ministers to ensure these proposals are focused on what is best for communities across Scotland and respect the democratic legitimacy of local government.
“Public services work best when decisions are taken as close to communities as possible. We look forward to meaningful engagement with the Scottish Government and believe that the dialogue on the future of local governance must be carried forward with councils and COSLA as the collective voice of local government.”
Jonathan Carr-West, Chief Executive, Local Government Information Unit (LGIU), said: “While we welcome the focus on reforming the public sector to make it work better for citizens, LGIU is concerned that two concurrent, three-month consultations on the restructuring of local government and the reform of social care mean the views and expertise of the local government sector will not be adequately represented.
“Local government reorganisation is a serious undertaking. And it will be impossible to achieve without an agenda to save local government finances, which is conspicuously absent from this Programme.
“The Scottish Government should enter this endeavour with the expectation that it will be hard, and that making a success of it will be impossible without buy-in from across the sector and clear aims about what the desired outcomes are.
“The same is true with social care. The last major social care reform attempt was the introduction of the National Care Service, the structural part of which failed in part because of limited engagement with local government.
“We appreciate the Government’s newfound urgency to tackle both the social care crisis and empower the regional and local tiers of government, but it is hard to see how a three-month sprint to round off decades-old debates will ensure that all relevant voices are heard.”
In response to the Programme for Government, Mary Glasgow, Chief Executive of Children First said: “We are delighted that our calls for whole family support, investment in a national Bairns Hoose programme, a public health approach to online harm and a greater emphasis on prevention have been included in today’s Programme for Government.
“Prevention is rightly at the heart of the Scottish Government’s ambitions, but it’s been the goal for more than 15 years. The gap between policy intent and the reality of children’s lives has never been wider. The First Minister will understand why people are impatient for change.
“It is disappointing that the specific, funded commitments needed to put Scotland back on track to meet its child poverty targets have not been included. We do not need further reviews or consultations – the next budget must deliver the action and investment children and families need.
“Children First share the Scottish Government’s aim for every child to live free from poverty, safe from harm and for children’s rights to be protected at every stage.
“We look forward to working alongside the Scottish Government and hope that local government, partners and communities will make the same commitment, because it will take everybody to close the gap between what Scotland says and what Scotland does.”
Billy Alexander, Associate Director for the Stroke Association in Scotland, said: “We welcome today’s commitment from First Minister, to ensure every stroke patient in Scotland who needs a thrombectomy gets one – regardless of the time or day. Whilst long overdue, this way could herald a genuine turning point for stroke care in Scotland.
“Thrombectomy is a lifechanging treatment that can mean the difference between someone returning to an independent life or living with significant long-term disability. Yet, all too often, the time or place someone has their stroke can determine whether they receive it.
“The test now will be implementation. We need a clear, sustainable, robustly funded, and time-bound plan that delivers equitable access to thrombectomy around the clock and across the country.
“That same level of ambition is also needed to drive wider improvements across stroke care, from the point of emergency and treatment through to rehabilitation and long-term recovery. Only then will every stroke survivor in Scotland be properly supported to live well after stroke.”
Debbie Horne, Scotland Policy and Public Affairs Manager of older people’s charity Independent Age, said: “We welcome the Scottish Government’s commitment to tackling the cost of living crisis.
“At Independent Age, we hear every day from older people being squeezed by rising costs. Action is urgently required to support the 130,000 pensioners currently in poverty in Scotland.
“We know that too often the social security system fails to reach the older people who need it most, with hundreds of millions of pounds going unpaid every year. Commitments today to maximise the take-up of social security payments hold real potential to boost incomes for older people in financial hardship and we look forward to working with the Scottish Government to progress this welcome and vital work.
“Today’s announcement that the Heat in Buildings Bill will be introduced and the commitment to ongoing winter heating support for pensioners is also very important. Our research has shown that almost 4 in 5 older people on a low income have cut back on heating, so it’s clear that measures to improve the energy efficiency of homes and support older people with energy costs is urgently needed.
“Despite these positive steps, to meaningfully tackle the range of issues facing the one in eight older people in Scotland who live in poverty, we need sustained strategic action to boost incomes and reduce costs through a national pensioner poverty strategy. In a wealthy and fair society, both the Scottish and UK Governments must do more to make sure every older person can live well.”
The British Dental Association Scotland has expressed its profound scepticism that plans for wholesale reform of Scotland’s health boards represents a silver bullet and has called for forensic scrutiny from MSPs.
Today First Minister John Swinney told the Scottish Parliament that “to ensure more joined-up delivery, to improve access to care and to reduce inequality for some patients” the fourteen current health boards would be reduced to two. While the professional body is wholly supportive of these objectives, following publication of the Programme for Government it is unclear how any of them will be achieved via these proposals.
The BDA will be addressing the Health, Care and Sport Committee this week, stressing the risk of unintended consequences.
BDA Scotland Director Charlotte Waite said: “It is a truth universally acknowledged that top-down reorganisations of the NHS rarely deliver the goods for taxpayers, patients, or practitioners.
“These plans need to be subjected to forensic scrutiny. They only thing we can be sure of at this stage is unintended consequences.”