Sustained progress in clearing waiting times in Scotland

New outpatient waits over 52 weeks reduce for fifth month in a row

New figures show long waits have fallen for the fifth month in a row with significant progress reported by health boards across a number of specialties.

Latest data from Public Health Scotland shows, between April 2025 and October 2025, new outpatient waits of over a year reduced by 17.9% and that these waits reduced for five consecutive months. In the same time period, the total over 52 week waiting list size for new inpatient/daycase procedures also reduced by 26.1%.

On a visit to Gartnavel General Hospital in NHS Greater Glasgow and Clyde, Health Secretary Neil Gray welcomed the progress, saying: “These figures show we are turning a corner in our efforts to reduce the backlog caused by the pandemic and our plan is working – long waits are reducing and we are treating patients more quickly.

“We are seeing downward trends across nearly all waiting list indicators and this is testament to the tireless work of our NHS staff – I thank them for their outstanding efforts.

“The First Minister put health at the very heart of this year’s budget and we are seeing the tangible impact of our additional targeted investment of £135.5 million. Outpatient waits over a year are down 17.9% and inpatient/daycase waits over a year have reduced by 26.1% – this is the first time we have seen this level of sustained improvement since the pandemic.

“Thousands more appointments, operations and procedures are being delivered this year and we are determined to continue to build on this momentum, ensuring people receive the treatment they need as soon as possible.

“I was pleased to meet the Gartnavel ophthalmology team and hear about their progress – since April 2025 new outpatient waits for ophthalmology are down by 72.6% across NHS GGC and we have a 53% decrease in new inpatient/daycase waits for orthopaedics – reducing the over 52 week waiting list in Scotland by 6.3%.”

Between April 2025 and October 2025 health boards reporting significant reductions in new outpatient waits, including:

• a 72.2% decrease in Ear, Nose & Throat waits at NHS Ayshire & Arran
• a 74.1% reduction in Gynaecology waits and a 60.6% drop in Orthopaedic waits at NHS GGC
• a 23.9% decrease in Ophthalmology waits at NHS Lothian
• a 80.6% reduction in Neurology waits at NHS Highland.

Between April 2025 and October 2025, health boards reported reductions in inpatient/daycase waits, including:

• a 52.98% reduction in Orthopaedic waits and a 54.66% drop in General Surgery waits at NHS GGC
• a 60.86% decrease in General Surgery waits at NHS Lothian
• a 29.59% reduction in Urology waits at NHS Tayside.

The new statistics also show increased levels of patients being seen and treated in shorter periods. In October 2025, 58.3% (14,235) of inpatient/daycases were seen within 12 weeks – up compared to 55.5% in March 2025. For new outpatients waits, 61.9% (72,698) were completed in 12 weeks or less compared to 60.8% in March 2025.

For ongoing waits – at the end of October 2025, 42.8% (234,414) of new outpatient waits had been waiting less than 12 weeks, an increase from 41.4% at the end of March 25. For inpatient/daycase waits, 36.9% (57,468) had been waiting less than 12 weeks, an increase from 34.6 % in March.

Brain tumour patients and bereaved families call on Scottish Government to increase innovation investment and access to clinical trials 

Brain tumour patients and family members who have lost loved ones gathered at the Scottish Brain Tumour Research Centre of Excellence, a game-changing collaboration with Beatson Cancer Charity, in Edinburgh to learn more about the world-class research taking place there and call on the Scottish Government to increase investment in and widen access to clinical trials.  

This urgent call comes ahead of the Scottish Parliament Cross Party Group (CPG) on Brain Tumours meeting today (Tuesday 25 November), convened by Brain Tumour Research. Attendees, including Convener Beatrice Wishart MSP and MSP Finlay Carson, will hear about the latest clinical innovations in the field, and about inequitable access to genomic testing. 

Whole genome sequencing (WGS) of brain tumour tissue reveals powerful information about the underlying biology driving tumour growth and helps to inform what drugs could be used to target specific cancer-causing pathways. This information unlocks access to clinical trials based on cancer biology rather than location in the body. Without it, the pool of trials that patients can be part of shrinks.  

In Scotland, WGS is not routinely offered through the NHS and access is largely limited to research studies. The lack of routine testing means patients are not accessing treatment options based on the biology of their individual tumour when needed. It also means that patients won’t be eligible for more personalised treatments such as immunotherapy that may become available in the coming years.  

Among the families calling for more action is Nadia Majid, from Airdrie, who lost her four-year-old son Rayhan to a brain tumour. On 13 December 2017, an MRI scan revealed that little Rayhan had a high-grade medulloblastoma brain tumour.  

Two days later, Rayhan underwent a 10-hour operation. Surgeons removed most of the tumour, but not all, as it was touching his brainstem. Despite three further surgeries and six weeks of radiotherapy, Rayhan tragically died just four months after diagnosis, shortly after starting chemotherapy.   

“You think that with medicine today, there would be effective treatments and even a cure,” Nadia said. “But shockingly, brain tumours kill more children and adults under the age of 40 than any other cancer.

“Added to this, just 1% of the national spend on cancer research has been allocated to this devastating disease since records began in 2002. It shouldn’t be left to charities to fund research.

“We can’t allow Scottish families to be left behind in the search for more effective, kinder treatments and ultimately a cure.”

Brain Tumour Research Patron Theo Burrell will join supporters at the CPG this week. Theo is supporting our active campaigning on the need for greater access to, and patient-led uptake in clinical trials.  

Theo Burrell, Brain Tumour Research Patron and glioblastoma patient, said: “Being diagnosed with a brain tumour is devastating enough, without finding out that patients in Scotland are being left behind in the hunt for new treatments due to a lack of routine testing.

“I am working with Brain Tumour Research – the Secretariat of the Brain Tumours Cross Party Group in the Scottish Parliament – to make it clear to the Scottish Government that 100% of brain tumour patients should be offered genome sequencing. The technology is there – let’s use it to stop this injustice.” 

Two thirds of Scottish hospices making cuts within the next year

New figures from Hospice UK reveal that two thirds of Scottish hospices either have already made cuts or are planning to make cuts within the next year. 

Hospice UK says this reflects severe and unsustainable financial pressures across the hospice sector in Scotland at a time when demand for palliative care is at an all-time high. Hospices have had to make redundancies to both clinical and back-office staff, cut beds and reduce vital community services.

They are struggling to keep pace with rising costs, leaving people at risk of missing out on vital care at the end of life. 

Helen Malo, Senior Policy and Public Affairs Manager for Scotland at Hospice UK said: “Hospices are an essential part of Scotland’s health and care system, easing pressure on the NHS by helping people stay out of hospital and receive expert care in their own communities. These are the services that should be growing to meet rising demand. 

“But years of underfunding have left them stretched to breaking point, with many now being forced to cut services at a time when they’re needed more than ever. Without urgent action, more families will face the end of life without the expert care and compassion they deserve.” 

The figures come as MPs debate amendments to the assisted dying bill today (Tuesday 25 November) including Jackie Baillie’s amendments to assess and mitigate the impact of the Bill on palliative care and create a code of practice for palliative care providers.

These amendments are vital to support hospices and the palliative care sector to be robustly prepared should the Bill become law and to ensure assisted dying is not introduced at the expense of existing palliative and end of life care services. 

Helen Malo said: “Hospice UK has no collective view on whether the law should change on assisted dying, yet we feel it would be a moral and practical failure if a single person in future felt compelled to seek an assisted death due to a lack of available palliative care. Every person in Scotland should be able to access high-quality care and support at the end of life, wherever they live.” 

With the Scottish Budget approaching, Hospice UK is urging the Scottish Government to include dedicated funding for hospices in the 2026/27 budget to protect vital care and support. 

Looking ahead to the Holyrood elections, we’re also calling on the next Scottish Government to make palliative and hospice care a national priority and commit to a long-term plan to reform and invest in palliative and end of life care. 

Jackie Stone, CEO, St Columba’s Hospice Care, said: “Demand for hospice care is rising year after year, yet the funding we rely on continues to fall behind. Hospices are being asked to deliver more complex care for more people, but with resources that are already stretched to breaking point. That gap is simply not sustainable. 

 “Hospice care is not optional; it is a vital part of Scotland’s healthcare system. We need the Scottish Government to recognise the essential role hospices play and to commit to fair, sustainable funding, so that every family can rely on the care and compassion they deserve when it matters most.” 

Jacki Smart, Chair of the Scottish Hospice Leadership Group, said: “Without secure, long-term funding, hospices across Scotland are facing devastating choices – cutting back services, reducing staff, or even turning patients away for the first time. These hospices care for thousands of people every year, offering comfort and dignity at life’s most difficult moments. 

“If funding falls short, families will lose vital support, and pressure on the NHS will grow. Hospices are a lifeline for communities, and we need urgent action to protect them.” 

Hospice UK says that with the right investment, hospices stand ready to help the Scottish Government deliver its long-term ambition to shift more care into communities, providing expert, person-centred care closer to home. 

One in five adults in Scotland say they are concerned about sexual harassment in the workplace

One year on from the introduction of the Worker Protection Act, new research from online training provider High Speed Training has revealed that about one in five UK adults in Scotland say they are concerned about sexual harassment in the workplace, with about one in 12 (8%) reporting they had witnessed behaviour they considered to be sexual harassment in a workplace.

The Worker Protection Act (2023) which came into force in October 2024, introduced a legal duty for employers to take “reasonable steps” to prevent the sexual harassment of their employees.

The legislation put the onus on the employer – rather than the employee – to take action against inappropriate conduct which would fall under the category of sexual harassment in the workplace. It also gives workers more protection, rights and support should they experience any kind of sexual harassment when at work.

However, a YouGov survey from High Speed Training found that only 61% of workers in Scotland are confident that employers have taken these reasonable steps.

The survey also found that 8% of workers across Scotland say they have witnessed behaviour at workplaces in the last 12 months that they would consider to be sexual harassment, as well as finding that only 65% of workers feel confident that workplaces would handle a report of sexual harassment effectively.

Dr Richard Anderson, Head of Learning and Development at High Speed Training, said: “The term ‘sexual harassment’ refers to any sort of unwanted conduct of a sexual nature that has this effect.

“Anybody who experiences unwanted sexual behaviour, whether this be verbal, physical or digital, is a victim of sexual harassment.”

Examples of this behaviour are:

  • Comments, ‘jokes’, inappropriate remarks, emails, messages or questions of a sexual nature.
  • Sexual propositions or bribes, such as offering to help a colleague at work in return for going out for a drink or on a date.
  • Posting inappropriate comments on social media, such as commenting about a person’s appearance in a picture they’ve shared.
  • Inappropriate hand gestures or facial expressions.
  • Unwanted physical contact, including touching, hugging, unwelcome sexual advances and all forms of sexual assault.

High Speed Training’s research also found stark differences across generational demographics when looking at the nation as a whole.

Respondents currently working fromacross the UK aged 18-24 were more than three times as likely to say they have witnessed behaviour they considered to be sexual harassment at a workplace as those aged 45+ (24% vs 7%).

The figures suggest that younger employees are either being disproportionately exposed to or witnessing sexual harassment, or, as employees joining the workforce in a post #MeToo era, are more adept at recognising inappropriate behaviour.

Younger workers may also be more likely to occupy more junior or entry-level positions, which could make them more vulnerable to inappropriate conduct, and feel less empowered to challenge it.

Dr Anderson said: “A year on from the introduction of the new Worker Protection Act, our research has shown that there is still lots of work to be done.

“If we expand our findings to the whole of the UK workforce, which the ONS estimated to be 36.9 million people in December 2024, these findings would suggest that nearly 3 million people have witnessed sexual harassment in the workplace in the last 12 months, underlining the need for the new legislation, and showing just how much work employers need to do to ensure that everyone feels safe and supported at work.

“A strong workplace culture, one that promotes transparency, trust and inclusivity, is built by visible and consistent action and investment.

“For organisations looking to demonstrate their commitment, comprehensive sexual harassment training training is a great place to start.”

Thousands of UK businesses are already recognising this. Since the WPA came into force 12 months ago, High Speed Training has seen more than a 1,500% increase in companies enrolling teams on its Sexual Harassment Training for employees course, with a 2,234% increase in uptake of their Sexual Harassment Training for managers course.

To find out more, visit High Speed Training to read the whole report.

300% surge in demand for neurodiversity support

‘a system under strain and a need for urgent change’

New data shows the need for support has rocketed over the past five years, revealing a growing crisis across schools, families, and workplaces

As Mindroom marks 25 years of championing neurodivergent children, young people, and adults in the workplace, new data exposes a sharp rise in need across the UK, and a system struggling to cope.

Over the past five years, demand for Mindroom’s support has soared by nearly 300%, with families waiting years for assessments, children missing school due to unmet needs, and parents describing a system “at breaking point.” 

The charity’s latest Impact Report also shows a 62% rise in families seeking mental health support, a 240% increase in training for professionals, and 93% of young people saying they felt more confident after working with Mindroom – proof of both surging need and transformative impact.

“Everywhere we look – classrooms, GP surgeries, workplaces, kitchen tables – the pressure is mounting,” said Alan Thornburrow, CEO of Mindroom.

“Every week, more families come to us saying they simply can’t navigate the system alone. The good news is that public understanding of neurodiversity has grown hugely. The question now is whether our institutions can keep up.”

This comes amid a worsening national picture. A Scottish Parliament report (June 2025) * described a “concerning picture” of neurodivergent care in Scotland, with over 42,000 children and 23,000 adults now waiting for neurodevelopmental assessments, signalling increases of over 500% and 2,200% respectively since 2020.

Some families face waits of up to three and a half years, while in England, reports show children waiting more than four years for an ADHD or autism diagnosis.

Mindroom’s 2024 Impact Report shows the charity handled 25,499 direct contacts on behalf of children and young people last year alone, providing vital one-to-one support and advocacy for families in crisis.

At the same time, its training and consultancy arm grew by 160%, equipping professionals in education, health, and business to create “neuroinclusive communities. But despite this progress, the gap between awareness and action remains wide.

A 2024 national workplace report** found that over half of neurodivergent employees had taken time off due to inadequate support or lack of reasonable adjustments. While neuroinclusion is rising up the corporate agenda, too many workplaces still fall short on psychological safety and practical understanding.

To mark its 25th anniversary, Mindroom is launching new initiatives to expand neuroinclusive practice from classrooms to boardrooms and, over the past three years, the charity has trained more than 10,000 people across sectors, a foundation it now plans to build on through national partnerships, policy advocacy, and expanded training.

“Behind every statistic is a person: a child finally getting the right support in school, a parent who no longer feels alone, or a workplace learning to value difference,” Alan Thornburrow added. “That’s what keeps us going.

“With neurodiversity finally gaining visibility in public life – from government policy to entertainment – we have a once-in-a-generation chance to turn awareness into action. Neurodivergent young people are not a side issue; they are the future workforce.”

Founded in 2000 and inspired by the lived experience of Robin and Sophie Dow and their daughter Annie, Mindroom began as a small Edinburgh charity and now supports thousands of families every year. Its mission – to build a society that champions every kind of mind – is more relevant than ever.

To download the latest Impact Report created by Mindroom (2024), please visit: 2024 Impact Report

For more information or to access Mindroom’s 2024 Impact Report, visit: https://www.mindroom.org

* Neurodevelopmental Pathways and Waiting Times in Scotland

** The City & Guilds Foundation “Neurodiversity Index 2024” finds that 50% of neurodivergent employees say they have taken time off work due to their neurodivergence.

Healthcare support over winter

Campaign to ensure people know how to get help

Advice on how to get the right healthcare in the right setting this winter is the focus of an annual campaign launching today (Monday).

This year’s Right Care Right Place Campaign will run across TV, radio, press and digital platforms. It aims to ensure people can get the right care, while also reducing pressures on frontline health services.

As the weather turns colder, Scotland’s NHS and social care services get busier and the awareness campaign helps the public decide whether they should contact their GP or pharmacy, call NHS 24 on 111 or use self-help guides on the NHS Inform website. It reminds everyone that hospital emergency departments should only be visited for critical emergencies.

Health Secretary Neil Gray said: “Pressure on the healthcare system increases in winter months, and the Right Care Right Place campaign helps everyone know where they can go for advice or care for any health concerns during this busy period.

“Of course, people can also help by making sure they receive their Respiratory Syncytial Virus (RSV), Covid-19 and flu vaccinations if they’re eligible. This is even more important this year, as early evidence suggests it could be a particularly challenging flu season.

“We are taking a range of measures to ensure our health service is as resilient as possible over the next few months and that our committed health and social care staff are supported.

“We know that staff members work tirelessly to provide excellent care to all those who need it and as always, I’d like to thank them for their continued dedication.”

Right care right place | NHS inform

Self-help guides on NHS inform include advice on the most common winter illnesses.

Milestone reached in vital mental health programme

Supporting people in distress

More than 100,000 people have been referred to a mental health initiative which provides immediate, non-clinical support to those in need.

The Distress Brief Intervention (DBI) programme, launched in 2016, offers personalised support to people who present to emergency or primary care services in distress.

Initially, trained front line staff provide a compassionate response and then, where appropriate, offer a referral to third sector staff who contact the person within 24-hours and provide community-based support.

Mental Wellbeing Minister Tom Arthur said: “Each and every one of the 100,000 referrals has provided quick and compassionate support to someone in distress.

“There are many who make DBI such a success and I want to thank all those involved across health, social care, emergency services, third sector and academia.

“DBI plays an important role in our work to prevent suicide, sitting within our national Suicide Prevention Strategy, with investment doubled in the current parliamentary term to £2.8 million.

“We continue to work with partners to ensure those experiencing distress get the support they need, when and where they need it, to improve people’s mental health and wellbeing.”

Kirstie McCulloch, who received support from and now works for DBI, said: “I was experiencing severe panic attacks, anxiety, and depression, due to the Covid lockdowns. NHS 24 helped me when I had a severe panic attack and referred me for further support to the DBI service, which in my local area is run by SAMH.

“The support I received was invaluable. My practitioner had been so helpful that I asked them how they came into the role, as I knew this was something I would like to do for others.

“DBI aligns with SAMH’s ambition that anyone in Scotland can ask once and get help fast. In the years I have worked here, I have delivered compassionate support to hundreds of people and helped them to get back on their feet. It is very rewarding knowing that I can give back in this way.”

Assistant Chief Constable Catriona Paton said: “Police Scotland has over 2,300 DBI trained officers who can identify when someone is in distress and signpost them to the right service to provide the compassionate support they need and deserve, before redirecting to core policing duties.

“We will continue to work closely with key partners to develop and embed a whole system, trauma-informed, approach to mental health and this landmark 100,000th referral is testament to our collaborative commitment.”

Head of Mental Health and Dementia at the Scottish Ambulance Service Catherine Totten said: “The Scottish Ambulance Service is committed to ensuring access to services that offer care and support to patients experiencing mental distress and the collaboration with DBI supports us to provide the right care at the right time for our patients.

“We take pride in our contribution to enhancing access to the emotional care and support that DBI offers to its service users and are committed to continuing our support to keep widening the reach of this valuable resource.

“We are proud to celebrate with partners this momentous achievement of 100,000 referrals meaning 100,000 people are receiving this valuable service which was previously unavailable.”

Executive Director of Nursing and Care at NHS 24 Patrick Rafferty said: “The partnership between NHS 24 and the Distress Brief Intervention Programme is valued by patients and our Mental Health Hub team. This national pathway ensures that person-centred and compassionate care is then delivered locally to the people of Scotland.

“The impact of this significant collaboration through early intervention reduces distress, empowers patients and supports the journey to recovery.  This is a truly commendable initiative that we are delighted to be a part of.”

Distress Brief Intervention – Connected Compassionate Support | DBI.scot 

Improving patient care over winter

Initiative will save thousands of ambulance journeys every month

Almost £1 million is being allocated to help reduce pressures on A&E departments and improve patient flow over the winter months.

The Scottish Ambulance Service will receive £995,000 to increase staffing for a clinical hub model, which uses GPs to triage patients as calls come in to prevent unnecessary ambulance dispatches and ensure everyone gets the treatment they need.

The system was trialled successfully over a weekend in September this year and it is estimated that it could save 12,000 ambulance journeys over winter as well as safely preventing an additional 4,500 patients being conveyed to Emergency Department front doors.

The funding will also enable the expansion of patient transport hubs in areas where pressures are greatest, using Hospital Ambulance Liaison Officers who help identify and co-ordinate early discharges – reducing handover delays by keeping the flow of patients moving through the system in periods of high activity.

Health Secretary Neil Gray said: “Improving patient care over the winter months is a priority and this funding will see patients treated faster in the setting which is appropriate for them.

“The measures being taken by the Scottish Ambulance Service will help cut unnecessary ambulance dispatches and improve patient outcomes and experiences through earlier clinical intervention.

“Our winter preparations have also seen a £20 million investment for health board initiatives to increase social care capacity and relieve pressure on acute services.

“And, as the temperature drops, we continue to urge those eligible for the flu vaccine to take up the offer.

“As always I thank all our dedicated health and social care staff who continue to work tirelessly to provide excellent care to all those who need it.”

Campaign to address barriers preventing Edinburgh residents getting cancer symptoms checked

People in Edinburgh concerned that they have cancer symptoms are being urged to seek information and support while they shop.

This comes as Tesco and Cancer Research UK are working together to raise awareness in Edinburgh of possible symptoms of cancer, break down barriers people may face to speaking to healthcare professionals, and help customers feel more confident when communicating with their doctor.

A new survey by the charity and YouGov shows that there are a number of barriers that make people in the region delay or put off having potential cancer symptoms checked*.

The top four in Scotland are :–

  • thinking it will be difficult to get an appointment 48%;
  • finding it difficult to get an appointment 41%;
  • thinking symptom was unlikely to be anything serious 43%; and
  • deciding that symptom(s) could be managed by themselves 42%.

To break down these barriers, Cancer Research UK has created a health campaign with Tesco, running until 30 November, to highlight the importance of early diagnosis of cancer, and support customers to seek help if they’ve noticed something unusual for them.

If someone notices something that is unusual for them, they can have an initial conversation with a pharmacist at the Edinburgh Superstore in a convenient, private setting, and receive guidance on taking the next steps and booking a GP appointment if needed.

Tesco pharmacists have received specialist training from Cancer Research UK to provide support on possible signs and symptoms of cancer.

Michelle Mitchell, Cancer Research UK’s chief executive, said: “Nearly one in two of us will be diagnosed with cancer in our lifetime. Spotting cancer early can make all the difference, so it’s incredibly important that people get the support they need when they notice something that’s not right for them.

“That’s why we’ve joined forces with Tesco, to make it easier for people to talk to a professional about any concerns, and ultimately, to help diagnose cancers earlier and save lives.”

Tom Lye, Tesco Health and Wellness Category Director, said: “We know how many barriers there can be in day-to-day life around getting health concerns checked out. Customers can quickly and easily see a pharmacist at one of our Tesco Pharmacies. 

“Informed by their specialist Cancer Research UK training, pharmacists can have a confidential conversation about any worrying symptoms which could support customers in getting an earlier cancer diagnosis.”

Data from Cancer Research UK highlights why spotting cancer early is so important. Bowel cancer is the second most common cause of cancer death in the UK – but about 9 in 10 people in England will survive the disease for five years or more if they are diagnosed at the earliest stage, compared to around 1 in 10 at the latest stage.

Across England, just over half of cancer cases are diagnosed at an early stage (55.3%), but this varies by region due to a number of factors such as some areas having higher numbers of cases of cancer types that can be harder to spot early, like lung cancer.

Tesco pharmacists are available all year round, supporting anyone experiencing symptoms so that they can discuss what steps to take next.