Scotland’s leading healthcare organisations raise serious concerns over proposed changes to Assisted Dying for Terminally Ill Adults (Scotland) Bill
A group of six major medical and healthcare membership organisations in Scotland has issued a joint consensus statement warning of their significant concern regarding changes now being proposed to the Assisted Dying for Terminally Ill Adults (Scotland) Bill.
The organisations – whose members span a wide range of clinical and ethical perspectives on assisted dying – emphasise that while they take no collective position on the principle of assisted dying, they are united in their concern that provisions relating to no duty to participate and conscientious objection may be removed from the Bill, and the impact that this could have on the workforce.
The Scottish Government has recently indicated that key provisions relating to ‘no duty to participate’, as well as other protections linked to professional regulation and employment rights are not within devolved powers and may be removed from the Bill at Stage 3. These issues would instead be addressed later through a Section 104 Order – secondary legislation that receives only limited parliamentary scrutiny.
The signatory organisations state that removing issues of such significance risk undermining both professional confidence and public trust.
The joint letter, sent today to Liam McArthur MSP, the Scottish Parliament Health, Social Care and Sport Committee, the Cabinet Secretary for Health and Social Care, as well as the Secretary of State and Chair of the House of Commons Scottish Affairs Committee states:
“The prospect of removing matters of such professional, ethical, and legal significance from parliamentary scrutiny at Stage 3, and deferring them to secondary legislation after the Bill has passed, raises important questions about transparency, accountability, and the robustness of the legislative process.
“These protections are central to the safe, ethical, and fair delivery of care, and to the confidence of our medical workforce who may be affected by the legislation.”
The organisations highlight four core concerns:
1. Removal of key safeguards from primary legislation
2. Risk to professional confidence and public trust
3. Inadequate scrutiny of consequential provisions
4. Implications for safe and ethical implementation
The group of organisations in consensus express their continuing commitment to work constructively with the Scottish Government and Scottish Parliament to ensure that any legislation affecting assisted dying is developed transparently, rigorously, and with full consideration of the healthcare workforce it will impact.
Signatory organisations:
Association for Palliative Medicine (Scotland)
Medical and Dental Defence Union of Scotland
Royal College of General Practitioners Scotland
Royal College of Physicians and Surgeons of Glasgow
Rural communities continue to face barriers that limit access to essential services, including healthcare, childcare, specialist support, legal advice and public transport, according to a new report from Holyrood’s Equalities, Human Rights and Civil Justice Committee.
A shortage of affordable housing and adequate infrastructure, combined with a higher than average cost of living, were also found to pose significant challenges to the sustainability of rural communities.
The Committee’s report calls for targeted action to be taken to ensure that these communities are able to fully access their rights. The Committee want to see the Scottish Government recognise the distinct needs of different rural areas, consider rural populations throughout all stages of policymaking, and factor the findings of the report into a future Scottish Human Rights Bill.
While the Scottish Government acknowledged the issues raised during the Committee’s inquiry and highlighted the work it is doing, the Committee’s report says that this has yet to translate into sufficient improvements in the lives of people living in rural areas.
The report backs calls for the Government to carry out multi-year engagement with, and investment in, community-led organisations. The potential of these organisations, who are often best placed to understand local need and design effective solutions, appears to the Committee not to be currently being used to its full potential.
The report also highlights concerns over rural housing shortages. The shortage undermines workforce recruitment, drives depopulation and restricts the ability of young people to remain in their communities. It calls on the Government to provide an update on what it is doing to improve the situation.
The Committee also heard about barriers to health that were created by distance and travel costs. In its report it calls for urgent action to be taken to address the centralisation of essential health services, such as those relating to maternity in regions such as the Highlands.
Karen Adam MSP, Convener of the Equalities, Human Rights and Civil Justice Committee, said:“Rural communities deserve equitable access to services, opportunities and rights and often face greater financial challenges than urban areas of Scotland.
“During this inquiry rural people clearly told us that they cannot access essential services, including healthcare, childcare, specialist support, legal advice and public transport.
“We want to see the Scottish Government build on its work to date by undertaking targeted action to deliver better access to services and combat the rural premium.”
Meryl Williams, star of The Traitors, joined an influential Summit aimed at championing the rights of disabled people and shaping a future where the next Parliament drives meaningful progress towards equality and opportunity.
Scotland’s Disability Summit took place yesterday – Saturday 21 February 2026 and was held in partnership with the Cross-Party Group on Disability.
Following on from Meryl’s appearance on The Traitors, she has used her significant social media platform to raise awareness about her condition, Achondroplasia. Meryl is passionate about amplifying underrepresented voices and challenging outdated perceptions around disability in society.
Meryl addressed hundreds of disabled people across Scotland in the Debating Chamber of the Parliament, as well as those joining online. The Summit also considered what progress can be made around transport, social care, education, social security and voting.
Speaking before the Summit, Rt Hon Alison Johnstone MSP, Presiding Officer of the Scottish Parliament said:“This Summit brings together people from across the country to look at how we can create a more inclusive society, which is so important as we look towards what the next Parliament will achieve for people in Scotland.
“We’ll be meeting in the Chamber and online to share ideas and I’m delighted that this important event is returning to Holyrood.”
Meryl Williams said:“I wanted to take part in this Summit because disabled people are still too often spoken about, rather than listened to.
“Living with Dwarfism has shown me how systems around transport, healthcare, education and social security can unintentionally exclude people when accessibility isn’t built in from the start.
“I hope this Summit helps shift the conversation from awareness to action, and that the next Parliament listens directly to disabled people and uses those lived experiences to drive meaningful, lasting change”.
Jeremy Balfour MSP, Convener of the Cross-Party Group on Disability said:“This is a unique opportunity for disabled people of all ages from across Scotland to share their policy priorities with the Scottish Parliament as we approach the May elections, a crucial moment in Scottish politics.”
“I am really looking forward to hearing from disabled people across Scotland at what I know will be an excellent, informative and important opportunity to help shape the debate on the issues that matter most to disabled people.”
A recent report from the Health, Social Care and Sport Committee of the Scottish Parliament on ADHD and autism support highlighted that children and adults are frequently waiting multiple years for assessments of these conditions.
It called on the Scottish Government to take urgent action to develop and implement a national plan that ensures adults and children with autism and ADHD across all health boards in Scotland have clear, consistent pathways to support.
The report further reinforces the need for the Scottish Government to introduce the Learning Disabilities, Autism and Neurodivergence (LDAN) Bill to Parliament at the earliest opportunity.
The LDAN Bill would help tackle long waiting times through new national and local strategies and introduce mandatory training for health and social care staff, as well as teachers and school staff, to ensure people’s needs are identified and met.
The importance of the LDAN Bill in tackling the inequalities faced by individuals and their families cannot be overstated, and it has the potential to make a real difference for them in Scotland across education, healthcare, and employment.
A Scottish Parliament Committee is supporting the general principles of a new Bill aiming to give councils more flexibility in designing visitor levy schemes.
The Visitor Levy (Amendment) (Scotland) Bill updates the Visitor Levy (Scotland) Act 2024, which granted local councils the discretionary power to introduce charges for overnight visitors, and amends the position in the Act that levies could only be charged as a percentage of accommodation costs. Councils could instead apply a fixed amount per night or per-person-per-night, or set different fixed amounts for different areas, times of year or accommodation types.
In its report, the Local Government, Housing and Planning Committee supports the ability for councils to choose different models but recognises that the introduction of multiple options has the potential to create a “complicated landscape” across Scotland, and even within individual local authority areas, and describes the monitoring of this as “essential”.
The Committee recommend that the Scottish Government should amend the Bill to clarify whether a chargeable transaction could be subjected to more than one scheme – describing this current uncertainty as “unhelpful”.
While the Government said it developed its estimates of the potential costs for local authorities and businesses in consultation with stakeholders, local authorities and businesses have presented different estimates to the Committee.
Given these discrepancies – and the Bill’s wide discretion leading to varied local approaches – the Committee is seeking a fuller explanation of how stakeholders were engaged, why estimates differ, and what amendments and associated costs the Government is considering ahead of Stage 2.
Local Government, Housing and Planning Committee Convener, Ariane Burgess MSP, said: “The timetable for this Bill has been challenging but we recognise the Scottish Government’s response to the calls of many stakeholders for flexibility.
“Our report outlines a number of recommendations for the Scottish Government, including an explanation on the discrepancies on the Bill’s costings, clarity over consultation and transition periods for councils who have already adopted visitor levy schemes and what changes it is considering making at Stage 2.”
Foysol Choudhury has warned that rising business rates and limited government backing are placing increasing strain on small, community-driven businesses.
Following a visit to Time Twisters Edinburgh in Sighthill on Monday, Mr Choudhury met founder Andy Hixon and staff to see first-hand how the business supports young people, creates jobs, and brings learning to life for school pupils.
He praised the company’s work supporting young people and said more must be done to protect businesses that deliver real local impact.
Time Twisters delivers hands-on educational experiences linked to the Scottish Curriculum, giving students the opportunity to explore Ancient Egypt in an interactive and engaging way.
Founded 20 years ago, the business now employs 23 people and has helped hundreds of young people take their first steps into work, often offering their very first job opportunities.
Speaking after the visit, Foysol Choudhury MSP said: “Time Twisters is a brilliant example of how small businesses can inspire young people, create local jobs, and strengthen communities. But right now, too many businesses like this are being pushed into survival mode.
“The last two budgets have made it harder than ever for small businesses to thrive. Instead of investing, expanding, and creating more opportunities, many are simply trying to stay afloat.
“These pressures are hitting the hospitality and leisure sectors particularly hard, sectors that should be driving local regeneration and economic confidence, not being held back.”
Mr Choudhury reaffirmed his commitment to supporting local enterprises and called for policies that enable businesses like Time Twisters to continue contributing to the community and the local economy.
The Community Wealth Building Bill has been passed by the Scottish Parliament.It will support investment in communities with councils, health boards and other public bodies focusing on the generation, circulation and retention of wealth in local and regional economies.
This could include buying or procuring more goods and services from local businesses, boosting social enterprises or helping community groups to acquire vacant buildings and land.
The Community Wealth Building Bill has been passed by the Scottish Parliament.
It will support investment in local economies.
This could include buying more goods and services from local businesses or boosting social enterprises.
Public Finance Minister Ivan McKee said: “Community Wealth Building is an approach to economic development that can deliver sustainable growth and foster resilience in our local economies.
“This unique legislation will help to deliver more benefit from investment in local economies so that they become fairer, greener and more prosperous.
“It will also strengthen partnership working in our communities, and I look forward to working closely with public bodies to building on existing links.”
Neil McInroy, Chair of the Economic Development Association Scotland, commented: “We support the Bill because it marks a positive shift in economic development amid wider global crises and upheaval.
“Some local councils and many organisations across Scotland are already advancing Community Wealth Building, and this Bill provides the enabling framework that secures that progress and deepens it.
“By changing patterns of wealth, it boosts productivity, helps tackle child poverty and cost‑of‑living pressures, and builds economic dynamism. Crucially, it advances economic democracy by giving communities, workers, and all of us a fuller stake in Scotland’s future.”
Stacey Dingwall, Head of Policy & External Affairs (Scotland) at the Federation of Small Business (FSB) said: “FSB is a long-time supporter of the Community Wealth Building agenda, therefore it’s welcome to see the Bill pass today.
“Opening up public procurement contracts to small businesses is crucial to boosting economic growth, yet many still face barriers to accessing opportunities.
“Passing this legislation gives us a real chance to make progress here. Investing more public money in local businesses is also an investment in local job opportunities, ensuring as much wealth as possible is retained in local communities.”
Scotland will become the first country in the world to legislate for implementation of the Community Wealth Building economic development model at national, regional and local level.
Holyrood’s Finance and Public Administration Committee has called for early fiscal action from the Scottish Government, and the next administration following May’s election.
In its budget report published yesterday, the committee wants an urgent review of social security spending and reform of local government taxation.
The committee has also made immediate recommendations to address pressure on local government finance and improve budget transparency – including clarity on baseline figures and ‘new’ money.
Finance and Public Administration Committee convener Kenneth Gibson said: “This is our final budget report ahead of the Scottish election.
“Some recommendations are directed towards the government for immediate action others will be for the next administration to take forward after May.
“Frustratingly, some cross-party concerns set out in this report have been raised before with the government during this five-year session of Parliament – including issues of financial transparency, which have only been partly addressed.”
Join the Centre for Public Policy and the Scottish Parliament on Monday 16 February, for a free event at The Scottish Parliament in Edinburgh – hear from a panel of experts as they explore how the next Parliament could redefine the path to net zero and the implementation of the Climate Change Plan.
As Scotland heads toward a pivotal Holyrood election in May 2026, join the panel of experts to explore how the next Parliament could redefine the path to net zero and the implementation of the Climate Change Plan.
As MSPs examine the plan ahead of dissolution, this discussion will delve into the political, economic, and social pressures shaping Scotland’s climate future, examine public attitudes to environmental policy in an election year, and highlight the importance of women’s role in driving Scotland’s green energy transition.
Chaired by Edward Mountain MSP, Convener of the Net Zero, Energy and Transport Committee
Speaker biographies
Dr Hannah Salamon is a Research Associate at the University of Glasgow’s Centre for Public Policy with expertise at the intersection of gender, climate change policy, and equality, diversity, and inclusion (EDI). Her work brings a gendered and EDI-focused perspective to climate governance and policy, including the role of women’s representation in shaping climate outcomes. As a ClimateXChange Research Fellow, she is currently working with the Scottish Government to investigate the socioeconomic benefits of nature connectivity.
Mark McGeoghegan is a Research Associate at the Centre for Public Policy, Associate Advisory Director at Ipsos, and Associate Member of the Centre on Constitutional Change. He is an expert in Scottish polling and politics who has written for The Herald and a range of other publications.
Professor Jaime Toney is a leading environmental and climate scientist. She is the Sustainable Futures Lead for Glasgow Changing Futures, directs the Centre for Sustainable Solutions at the University of Glasgow and leads GALLANT: Glasgow as a Living Lab. Her recent work focuses on systems approaches for sustainable solutions and puts co-production and partnership working at the core. She is passionate about enabling action and building capacity for change towards sustainable futures. Toney is a Fellow of the Royal Society for the Encouragement of Arts, Manufactures and Commerce and has held expert roles, such as, Advisor to Scottish Government.
Dr Dominic Hinde is a Lecturer in Sociology at the University of Glasgow, author and climate journalist. He is an expert in transitions and recently completed ‘Drifting North’, an extensive multi-year ‘public sociology’ of climate and energy in Scotland, and works academically on the storytelling aspects of energy transition and climate impacts. He recently released the podcast ‘The Energy That Made Modern Scotland’ bringing alive the story of North Sea energy.
The Health, Social Care and Sport Committee published its report today into Attention Deficit and Hyperactivity Disorder (ADHD) and autism pathways and support.
The Committee calls for urgent action to deliver a national plan that ensures autistic people and people with ADHD can access clear, consistent pathways to support across every health board in Scotland.
The Committee welcomes the Scottish Government’s commitment to accept the recommendations in the National Autism Implementation Team (NAIT) Adult Neurodevelopmental Pathways report.
It also notes the Scottish Government’s intention to review implementation of the National Neurodevelopmental Specification for Children and Young People through its new task force.
The Committee expresses concern that many people wait years for neurodevelopmental assessments and that some health board areas have closed waiting lists. It emphasises that long waits harm individuals and may prevent people from making a full contribution to society.
The unprecedented demand for neurodevelopmental assessment is recognised by the Committee and the need to put certain thresholds in place before a referral is made. But the Committee warns that this approach can be seen as gatekeeping and can cause delays to accessing assessments and support.
The report further highlights evidence that long waiting times can push people into crisis, which can increase complexity of the support needed and put additional pressure on services. It calls on the Scottish Government to work with health boards to deliver a shift towards early, progressive support, in line with the principles of the Population Health Framework.
The Committee also heard evidence that long NHS waiting times can push people towards private diagnosis at significant cost, risking a two-tier system.
The Committee calls for a comprehensive review of assessment processes across all areas, leading to a National Standard that guarantees consistency, responsiveness and support across Scotland.
Given current waiting times, the Committee calls for consistent high-quality communication with people on waiting lists, including accurate, supportive, up-to-date and neuro-affirming information that meets the needs of each individual.
Countering claims that neurodevelopmental conditions are subject to over-diagnosis, the report instead notes evidence that rising demand for assessments reflects historic under-diagnosis and improved understanding of these conditions. The report recognises that diagnosis can validate lived experience and help people access adjustments, support and medication if needed.
While the Committee welcomes the Scottish Government’s commitment that diagnosis should not be a prerequisite for support, it remains concerned that, for many individuals, the lack of a formal diagnosis can create a barrier to accessing support. The Committee calls on the Scottish Government to set out actions to prevent diagnosis status becoming an artificial barrier to receiving support.
To improve fairness and consistency, the Committee calls for a plan to deliver mandatory training for everyone involved in making referrals to neurodevelopmental pathways and all health and social care staff in patient-facing roles.
The Committee supports a whole systems approach across health, social care, education and other sectors to improve awareness, reduce stigma and strengthen support for those with neurodevelopmental conditions.
It calls on the Scottish Government to set out what it is doing to advance whole society action, including workforce planning, funding distribution that supports integration, inclusive education, support for families with multiple neurodivergent members, and stronger collaboration across public services.
On publication of the report, Clare Haughey MSP, Convener of the Health, Social Care and Sport Committee said:“Our inquiry has shone a light on the myriad issues those with neurodevelopmental conditions face in accessing and receiving support from Scotland’s NHS.
“We acknowledge the huge rise in demand for assessment and diagnosis and the huge pressure this places on services. But we are concerned that inconsistent care pathways and a lack of support can leave some feeling isolated and unable to access the support they need.
“We are concerned to have heard evidence of long waits for assessments or closed waiting lists, meaning some individuals are unable to access support due to where they live or because they haven’t been diagnosed with a neurodevelopmental condition. It’s clear things need to improve.
“We’re calling for urgent delivery of a national plan so that autistic people and/or people with ADHD are able to access clear, consistent pathways to support regardless of where they live in Scotland.
“We’re also calling on the Scottish Government and health boards to work together to undertake a comprehensive review of the assessment process in order to introduce a National Standard for assessments that guarantees consistency and quality of access throughout Scotland.
“Our Committee wants to see a whole systems and whole society approach to ensure autistic people and/or people with ADHD can access equitable and timely pathways to assessment, treatment and support across Scotland.
“Thank you to all of the individuals who shared their personal experiences of ADHD and autism with us and helped inform our inquiry.”
Other findings in the report:
The report also stresses the need for consistent national data on referrals and waiting times. The Committee calls for steps to enable routine quarterly reporting of data on referrals and waiting times for autism and ADHD, underpinned by national guidance, and for longer-term work to culminate in a comprehensive dashboard.
The Committee pays tribute to third sector organisations that support people who have not received, or are waiting for, diagnosis. It welcomes ongoing commitments such as the Autistic Adult Support Fund and calls for clearer plans to place third sector funding on a sustainable long-term footing.
Both ADHD and autism are neurodevelopmental conditions.
ADHD is characterised by a group of symptoms that includes difficulty in concentrating, hyperactivity and impulsive behaviour. It affects around 5% of school-aged children, and between 2.5% and 4% of adults.
Autism Spectrum Disorder (ASD) is a lifelong developmental condition that affects the way a person communicates, interacts and processes information.
It is often characterised by social and communication difficulties and by repetitive behaviours. Current estimates indicate about 1 in 34 people are autistic, just under 3% of the population.
