New changes introduced to the sale and placement of foods high in fat, sugar and salt in shops come into effect
Following the passing of regulations by Parliament last year, new restrictions will be introduced from 1 October 2026 in Scotland to support people to make healthier food choices.
Businesses with more than 50 employees will no longer be allowed to display prepackaged junk food such as sugary soft drinks, confectionary, biscuits and breakfast cereals in prominent locations, such as entrances, checkouts and at aisle ends.
Certain price promotions including free refills of sugary soft drinks will also be restricted.
The regulations, which will apply both in-store and online, are intended to create a healthier balance of products on offer, support healthier eating habits and help lower levels of obesity.
Similar restrictions are already in place across England and Wales.
Public Health Minister Maree Todd said: “We want to make it easier for people to live healthier lives. “In Scotland, two out of three adults are overweight or obese, with those living in our poorest areas more likely to be overweight and experience the most harm as a result.
“We know that promotions and the prominent product placement can encourage over-consumption and impulse buying of foods with high levels of calories, fat, sugar and salt.
“By restricting the promotion of less healthy food and drink we can make it easier for people to make healthier choices, improving health and wellbeing and create a Scotland where everyone eats well and has a healthy weight.
”We have engaged extensively with business and industry extensively in developing this approach.
“These restrictions strike a balance between improving the health of people in Scotland whilst reducing any potential effects on smaller businesses and shops.”
Ewan MacDonald-Russell, Deputy Head of the Scottish Retail Consortium, said: “Scotland’s retailers are committed to helping consumers make healthier choices. For example, fresh fruit and veg are heavily price promoted and grocers have led the way on reformulating products to reduce salt, sugar, and fat. We’ve pioneered traffic light labelling and signage to help consumers make informed choices.
“We believe these new regulations are proportionate and will enhance the positive work being done by retailers in supporting consumers to make healthier food and drink choices. The choice to implement a consistent model with other UK nations should simplify and reduce the cost of implementation: albeit retailers will still invest around £20 million to deliver the policy.
“We hope this approach, where industry is meaningfully consulted and government acts in a constructive manner, can serve as a model going forward as we work in partnership to make Scotland a healthier and wealthier nation.”
Alcohol and Drugs Minister Maree Todd has raised concerns about an ‘increasingly toxic and unpredictable drugs supply’ in Scotland and has said the government will continue to prioritise a public health response to drug deaths.
It comes as new figures from National Records of Scotland show there were 1,133 drug use deaths in 2025, an increase of 11% compared with the previous year.
Cocaine was implicated in over half of all drug use deaths in 2025 (52%, or 589 deaths), an increase of 23% compared with 2024. Nitazenes, a group of highly potent synthetic opioids , were implicated in more than one in five drug use deaths (22%, 247 deaths).
Speaking during a visit to In Cahootz, an initiative in Glasgow which supports people affected by substance use through creative activities and building community connections, Ms Todd said: “My heartfelt condolences go out to everyone who has lost a loved one to drug use. Each and every death is a tragedy, and even more so because every life lost to drug harms is preventable.
“Against an increasingly toxic and unpredictable drugs supply, this rise is deeply concerning and unacceptable. The increase in deaths involving cocaine, and the continued threat from dangerous synthetic opioids like nitazenes, must drive more coordinated action across the country.
“We have taken important steps forward, including funding more than 1,100 residential rehabilitation placements last year and widening access to treatment and life-saving naloxone. However, despite these policy interventions, and the actions of our valued frontline workers, it is clear we need to do much more to reduce this tragic loss of life.
“Our new Alcohol and Drugs Strategic Plan will strengthen surveillance, deepen links between treatment, housing and other services, and target support at the communities most at risk. I have also announced today that Scotland’s first local drug-checking service will open in Glasgow this October – building on the UK’s first safer drug consumption facility.
“Whilst we are using every lever available through our devolved powers, it is clearly now vital that the UK Government work with us to transfer the greater powers over drugs policy that we require to treat drug harms fully as a public health issue.”
In Cahootz Creative Director Kate Black said: “The National Mission funding has allowed us to expand the range of activities available through our Creative Citizens Project.
“Taking part in creative activities can increase confidence and give people a sense of purpose and belonging. Building connections and becoming an active part of a community can play an important role in recovery.
“Our project helps people develop those connections and supports them to build a better quality of life.”
THE POVERTY ALLIANCE commented: “In a just Scotland, no-one would lose their life to drug addiction and everyone would have quick and efficient access to addiction treatment that works for them.
‘People living in the most deprived communities in Scotland are around 15 times more likely to experience problem drug use, compared to people in the least deprived communities. Reducing drug deaths means reducing poverty.
‘That means redesigning our economy so that people are able to access decent work, and investing in our social security system and public services, so that people have the income they need to live in dignity and security.
‘Above all, we need to treat people with the dignity, respect, and compassion they deserve.’
As part of recovery month, COSLA’s Spokesperson for Health and Social Care, Cllr Paul Kelly, reflects on the key role local authorities play in preventing harms from drugs and alcohol and supporting people to recover:
Across Scotland, unacceptably high levels of drug and alcohol related harms continue to have profound impacts on our communities. Behind each life lost is a person, their family, friends and colleagues. As a small but diverse country, many of us will know personally how the effects of drug use pervade our lives and affect whole communities.
Earlier this year, COSLA Leaders agreed the new Strategic Plan for alcohol and drugs, Preventing Harm, Promoting Recovery – the first time Local and Scottish Government have agreed shared ownership over this critical challenge we face as a nation. The Strategic Plan builds on progress made during the National Mission but recognises that we need sustained leadership to tackle ongoing and emerging harms from alcohol and drugs.
While a shared policy direction at a national level is important, ultimately it is the local delivery of support that will make a difference to people’s lives. These solutions will lie in our communities, shaped by people, and delivered through trusted local services.
At the launch of the strategy at a rehabilitation facility in Inverclyde, I met with people in recovery and who told me how important it is to have pathways of care that bridge different services, bringing together specialist care with appropriate housing and ongoing wellbeing support.
Councils are well placed provide wrap-around support for people affected by drugs and alcohol and their families which fosters sustained recovery. Housing, social work and social care and community justice support some of the most vulnerable in our communities. This holistic support, meeting the needs of the whole person, act as the foundations for more specialist care. Meanwhile, our partnership working third sector organisations enable greater reach into communities, including outreach with people who face additional barriers to accessing services.
If we are serious about reducing harm from alcohol and drugs, we need strong local knowledge to understand why communities in Scotland continue to be deeply affected by drugs and alcohol. The stark reality is that the harms are not evenly distributed; rather, they are closely aligned to the prevalence of deprivation. Experiences of poverty and trauma can act as an underlying driver of harms, while drug and alcohol issues can perpetuate deprivation.
COSLA has long championed this preventative approach which tackles these root causes because our councillors witness firsthand how interconnected these inequalities are with wider outcomes. As much as 80% of what determines our mental and physical health comes from outside of health and care services. Our health and wellbeing starts long before a person speaks to their GP. It starts with a warm, safe home, with whole-family support in the critical early years and access to opportunities through high-quality education and secure local jobs.
As set out in the Population Health Framework, these are the wider determinants of health, the underlying social, economic and environmental factors that have a greater impact on our health outcomes that access to health and social care services. The preventative and universal services that councils deliver every day are the embodiment of these determinants: our schools, transport networks, leisure and culture facilities.
Indeed, no other part of the public sector has such depth or breadth in people’s daily lives. Our joint approach to reducing harms from alcohol and drugs rightly places prevention at its heart, maximising these local opportunities to shape healthy, resilient communities.
As the form of government which is closest to people, councils have the local knowledge to understand where services are working well, where gaps exist and how to make the best use of a community’s strengths. Differing demography and geography mean that our communities can vary. Post-industrial communities in the central belt have different challenges and opportunities to remote, rural and island communities. Flexibility in the delivery of services is vital to meet the needs in a range of local contexts.
Key to developing place-based solutions are the insights from people with lived and living experience of drug and alcohol issues, so services are developed with people, not for them. Last year, COSLA Leaders endorsed the Charter of Rights for People Affected by Substance Use which empowers people to know the human rights that belong to them.
Since publication, a range of emerging local practice has focused on meaningful engagement and participation, promoting more inclusive and accessible services, and enabling people to shape services through what matters most to them.
As we move forwards with this preventative, rights-based approach, I recognise the significant pressures that the system is under. Alcohol and Drug Partnerships, which coordinate a range of services to meet local need are often led by very small teams of committed individuals working to tight budgets. The wider workforce is delivering preventative, wrap-around and specialist support in challenging circumstances due to high and complex levels of need in communities.
Many of us continue to feel the effects of drugs and alcohol issues in our communities – in the unacceptably high numbers of lives lost and the families affected, and through the wider impacts of organised crime, including trafficking. New substances, increased toxicity and changing patterns of drug use add further challenges which require expertise and bespoke solutions.
Strong leadership in all parts of the system is essential to recognise the role that we all have to play to promote good health wellbeing and reduce harms. This will involve culture change, tackling stigma and promoting human rights in everything we do. We have already clarified the governance arrangement for Alcohol and Drug Partnerships through the Partnership Delivery Framework. This affirms the importance of a range of statutory services, not just local authorities, but also health boards, police and the prison service. Further work is required to ensure all partners understand their roles and responsibilities.
At a national level, our joint approach with Scottish Government will enable local and national leaders to work together to prioritise action that will make the greatest impact and hold each other to account.
Working with the Minister for Public Health, Mental Wellbeing, Sport, Alcohol and Drugs, I look forward to inviting a diverse range of individuals and organisations, including third sector colleagues, clinicians and people with lived and living experience, to provide advice, insight and challenge to support the delivery of the Strategic Plan.
By combining a shared national ambition with strong local leadership, we can consider drugs and alcohol not in a siloed fashion but across the broad range of services that councils and their partners provide.
We can deepen partnership working, build a culture of learning, listening to those most affected. Through a collective commitment to prevention and wrap-around support, to reducing inequalities and to improving outcomes, we can create resilient communities and support people to live longer, healthier and more fulfilling lives.
National roll-out of Nurse Sexual Offence Examiners
Specialist nurses trained to examine survivors of sexual assault will be available across Scotland as part of a national roll-out.
Nurse Sexual Offence Examiners (NSOEs) support and examine survivors of sexual violence, providing trauma-informed care and gathering forensic evidence.
Following a test of change backed by over £700,000 of Scottish Government funding, the Lord Advocate approved the national roll-out of the role in March 2026
The change means specialist nurses will now be able to undertake forensic medical examinations and give opinion evidence in court, subject to continuing review of progress.
The expansion will particularly benefit islands and rural areas, which have previously relied on private forensic doctor services to deliver this care.
Public Health Minister Maree Todd said: “It is crucial for any survivor of rape or another sexual offence to be able to access the support they need, in the way they need it.
“The hours after a sexual assault are some of the most difficult a survivor will face. Expanding this specialist nursing role means more survivors will be cared for by compassionate, highly trained professionals. It also means these specialist nurses will be able to give opinion evidence in court.
“This is a significant milestone for Sexual Assault Response Coordination Services throughout Scotland, and I want to thank everyone involved for their dedication and work to make this possible.”
Sexual Assault Response Coordination Service (SARCS) Network Patient Advocate Kirsty Arnaud said: “Disclosing sexual assault is one of the hardest things a person can do. It takes a considerable amount of courage and strength to attend a SARCS.
“Every survivor who has taken that step deserves timely, compassionate and trauma-informed care. This includes being able to exercise their right to request the preferred sex of the examiner.
“The quality of care a survivor receives post-assault can determine their future mental and physical wellbeing. More survivors should have access to the passionate and dedicated nurses I have been so fortunate to have met during my time as the lived-experience representative for the SARCS Network.
“The role of Nurse SOEs will further enhance this access across SARCS in Scotland. This development reflects the ways the SARCS Network is strengthening its commitment to delivering high-quality support to survivors across Scotland.”
This change will also mean people will be able to exercise their right to be examined by someone of their chosen sex.
A new report published by Public Health Scotland (PHS) estimates the burden of disease attributable to physical inactivity from selected mental health and musculoskeletal conditions in Scotland.
The analysis was jointly commissioned by PHS, Scottish Action for Mental Health (SAMH) and the Active Scotland team within the Scottish Government. It builds on previous analysis of cardiovascular disease, cancer and diabetes, to provide a more complete picture of the impact of physical inactivity on the nation’s health.
The report estimates that more than 12,000 disability-adjusted life years (DALYs) are attributable to physical inactivity from mental health and musculoskeletal conditions alone. When combined with the previous analysis, physical inactivity is estimated to account for nearly 24,000 DALYs each year in Scotland. Mental health conditions account for around 38% of the newly identified total burden, with anxiety the largest contributor.
DALYs are a measure used to help show the impact of ill health on both length and quality of life. They combine years of life lost due to premature death with years lived in less than full health.
While the relationship between physical inactivity and conditions such as cardiovascular disease is well established, these findings show that it also contributes significantly to poor mental health, disability and reduced quality of life.
Addressing the social, economic and environmental barriers that influence activity levels is key to supporting active lifestyles, helping those who are least active to move more and preventing others from becoming inactive.
Dr Dionne Mackison, Head of Place, Environment and Health Harms at Public Health Scotland said:“This report reinforces the importance of physical activity as a key determinant of health, underlining its role supporting good mental wellbeing, mobility and independence throughout life.
“Our Together We Can strategy, focuses on prevention and creating the conditions that enable people and communities to live healthier lives. Supporting people to be more active is crucial in preventing ill health and reducing health inequalities.”
Alex Cumming, Executive Director of Delivery and Service Development at Scottish Action for Mental Health (SAMH) said:“This research project yet again highlights the importance of good mental health and its foundation in us all leading healthy, active lives.
“Creating the conditions which enable people to be more active, is an early and preventative approach to mental health. Supporting active, connected communities can help reduce the wider burden of disease and improve the quality of life for people impacted by mental health.”
Responding to the Public Health Scotland report, Lauren Bennie, Head of Scotland for Arthritis UK, said:“This report highlights the significant impact musculoskeletal (MSK) conditions have on people’s health and quality of life across Scotland, and the important role physical activity can play in prevention and management.
“Importantly, it notes that MSK problems are ‘among the most common reasons for GP consultations and work absence’, highlighting their wider impact on individuals, health services and the economy.
“While the report estimates that physical inactivity contributes to the loss of more than 3,000 years of healthy life through MSK conditions, for people living with arthritis, being active is not always easy. Pain, stiffness, fatigue and reduced mobility can themselves create major barriers to physical activity, creating a vicious cycle that can further impact people’s physical and mental wellbeing.
“The substantial contribution of mental health and musculoskeletal conditions to the disability burden demonstrates that increasing physical activity is critical not just for living longer, but for living healthier lives, benefiting the individual, society and the economy.
“With around 1.7 million adults in Scotland living with arthritis and other musculoskeletal conditions, we need a much greater focus on prevention, early intervention and access to the right treatment and support.
“That is why Arthritis UK is calling on the Scottish Government to introduce Scotland’s first MSK Action Plan and include MSK conditions in the upcoming Long Term Conditions Strategy, providing the coordinated national approach needed to improve MSK health and help people live healthier, more active and independent lives.”
More than 30 services will be opened across Scotland
First Minister John Swinney has announced 24 more areas will benefit from new GP-led walk-in services across Scotland, bringing the number of centres planned or operational to 40.
Work is underway with health boards to establish new walk-in services for communities including Angus, Dumbarton, East Kilbride, East Renfrewshire, Edinburgh, Falkirk, Glasgow, Inverness, North Ayrshire, Paisley, Shotts, Tweeddale and West Lothian. Many will be able to open within a year.
Proposals are also in development for walk-in services in communities in Ayr, East Dunbartonshire, Glasgow, Glasgow North East, Glenrothes, Grangemouth, Inverclyde, Musselburgh, North Lanarkshire and Oban.
It comes as First Minister John Swinney marked the official opening of the 11th GP walk-in service in Buckhaven in Fife and announced an extension of the pilot programme until April 2029.
The GP walk-in pilot is testing new ways of accessing same-day care from GPs, Advanced Nurse Practitioners or other clinicians at a wider range of times. They have been designed to provide more choice for patients while helping to relieve pressure on wider NHS services.
Speaking at the service at Randolph Wemyss Community Hospital, the First Minister said: “I promised that my government would break from the status quo and introduce a new way for patients to access same day care – and we are delivering on that commitment.
“We are listening and want to create more choice for patients, closer to home and without the need for a pre-booked appointment.
“In the first six months since we opened the first service in February, more than 10,500 walk-in cases have been seen. As these services are phased in to become fully operational, seven days a week, I am confident that many more people will benefit.
“The opening of our newest GP walk-in service, in Fife, is an important milestone in the roll-out of this pilot project, fulfilling my government’s commitment to open five new walk-in centres within our first 100 days of office. We have done this in Aberdeen, Dunoon, Invergordon, Cardonald and Buckhaven.
“This is part of my Government’s wider agenda to provide patients with greater choice and access to care closer to home – in turn relieving pressure on hospitals and acute services. It will complement our trusted network of GP practices across the country, which we are bolstering with historic additional investment to recruit more GPs with £531 million to 2029.”
Checks to enable earlier treatment and improve life chances
People in Scotland will be empowered to make better, more informed choices about their health with access to heart and lung MOT-style checks, First Minister John Swinney has announced.
Fulfilling one of the commitments made for the Scottish Government’s first 100 days, the Healthy Heart and Lung Checks are part of wider action to identify those most at risk of cardiovascular and respiratory disease, helping to prevent illness and support earlier intervention where needed.
Delivered by Chest Heart and Stroke Scotland (CHSS) and supported by local NHS services, the scheme will see people take part in a range of health tests, including blood pressure and BMI measurements, heart rate, cholesterol and pulse checks and a lifestyle assessment.
People will receive advice and support based on their individual needs, allowing them to take control of their heart and lung health in a way that is relevant, achievable, and sustainable.
Initially available to people in Tayside, Glasgow and Grampian, the Scottish Government and CHSS will work together over five years to develop and extend the model. The programme will prioritise people and communities that are more likely to experience poorer health outcomes and less likely to access traditional health services, helping to reduce health inequalities and improve early diagnosis.
The First Minister will visit the CHSS Health Defence Hub in Dundee to mark the beginning of the strategic partnership today (Thursday 20 August).
He said:“We know illnesses related to heart and lung issues affect too many families in Scotland. As our population ages and our healthcare system faces growing pressure, proactive measures to keep people healthier are more important than ever.
“These Healthy Heart and Lung Checks will not only help identify people at risk of cardiovascular and respiratory conditions at an earlier stage but will also empower people to make better, more informed decisions about their health in a way which works for them.
“They will also help reach people who might not otherwise come forward, particularly in more disadvantaged communities where the burden of ill health is greatest.
“Alongside existing interventions, our new GP walk-in clinics, and additional investment in planned care, my government is delivering a strengthened NHS by reducing pressure on acute services and enabling people to get the care they need, when and where they need it.”
CHSS Chief Executive Jane-Claire Judson said: “Around one in five people in Scotland are living with a chest, heart or stroke condition, and we know that too many opportunities to prevent serious illness are missed because risks are identified too late.
“Our CHSS Health Defence Hubs are designed to take prevention directly into communities, helping people understand their health, identify risks earlier and access the support they need before life-changing conditions develop or worsen.
“We know that people experiencing the greatest barriers to good health are often the least likely to access traditional services. That is why this five-year partnership, with indicative funding of £3 million investment, will focus on reaching communities that experience poorer health outcomes, helping to tackle health inequalities that continue to affect too many people across Scotland.
“By working in partnership with the Scottish Government, the NHS and local communities over the next five years, we have an opportunity to prevent avoidable illness, improve health and give more people a fairer chance of living longer, healthier lives. Together, we can help create the conditions for a healthier Scotland, now and for the future.”
Further information on Healthy Heart and Lung Checks can be found on Chest, Heart and Stroke Scotland’s website.
Patients having blood samples taken at NHS Lothian’s two Emergency Departments (A&Es) are likely to be tested for blood-borne viruses as part of a national initiative to save lives by diagnosing and treating infections earlier.
The testing – which is safe, confidential and optional – will be provided to Emergency Department patients aged 16 and over who are assessed at the Royal Infirmary of Edinburgh from 4 August, and at St Johns Hospital in Livingston from 1 September.
People may have no symptoms and be unaware they are living with an infection. Of the three viruses that will be tested for, hepatitis C can be cured, and hepatitis B and HIV can be managed with effective treatment so that people can lead long and healthy lives. But if left untreated, these can result in serious illnesses and, in some cases, death.
With around half of Emergency Department patients having blood samples taken as part of their care, the additional tests will enable early detection. If a test is positive, the patient will receive a telephone call within 2 weeks to discuss highly effective treatment options.
Any patient who does not wish to be tested can opt out by letting a member of staff know. This decision will not affect the care they receive.
The initiative, funded by the Scottish Government, follows an NHS Lothian trial. In testing elsewhere in the UK, 1 in 180 patients tested positive for hepatitis B, hepatitis C or HIV and received specialist follow-up care.
Susan Webb, Director of Public Health, NHS Lothian, said: “This testing is a positive step for public health in Edinburgh and the Lothians.
“It will ensure patients are diagnosed and treated far sooner than they otherwise would have been.
“Early diagnosis improves the clinical outcomes for these patients, and reduces ongoing transmission across our communities. This ties in with the Scottish Government’s drive to eliminate hepatitis C, end new transmissions of HIV and treat people living with hepatitis B – continuing the progress that has already been made.
“The tests are safe, confidential and optional, with the initiative designed to protect and improve health.”
The tests are only for adults attending NHS Lothian’s Emergency Departments because they need emergency care.
Posters about this initiative will be displayed throughout the Emergency Departments, with further information about blood-borne viruses and testing available on the NHS Inform website. All this reminds patients that if they wish to opt out, they should tell a staff member.
Anyone who believes they may have been exposed to a blood-borne virus should seek advice and testing as soon as possible from their GP practice, or from sexual health services at the Chalmers Centre or its local clinics.
Urgent work to take place to protect bereaved families
Proposals for formal regulation of the funeral sector to be developed following harrowing case in Hull
DHSC to lead cross-government work to ensure that every person in every setting is treated with the respect they deserve in death.
Work will formally commence following the sentencing of criminal funeral director Robert Bush today
Regulation is already in place in Scotland
The UK government has announced urgent plans to crack down on rogue operators in the funeral sector and ensure better protection for bereaved families after the sentencing of Robert Bush yesterday.
Bush, of Legacy Independent Funeral Directors in Hull, was sentenced to 20 years in prison for a total of 67 charges, including the prevention of a lawful and decent burial, fraud, fraudulent trading, and theft.
The Department for Health and Social Care will now drive forward work alongside other government departments, including the Ministry of Justice and the Law Commission to crack down on rogue operators in the funeral sector, and to protect bereaved families against the heartbreak of having their loved ones mistreated in death.
This will include developing a range of detailed proposals to drive up standards, including regulation of the funeral sector. These will be drawn up in discussion with established operators, faith groups, families, and other stakeholders.
As part of this work, the Law Commission will undertake a review of the criminal law in relation to the deceased, consider any gaps in existing legal protections and make recommendations on the creation of new offences, if they are needed.
For bereaved families, there can be few things more painful than knowing a loved one was not treated properly after they died. The deceased cannot speak for themselves, which is why clear safeguards, stronger oversight and consistent standards are needed to protect their dignity and give families the reassurance they deserve.
Health and Social Care Secretary, Yvette Cooper said: “Robert Bush’s actions were utterly abhorrent, and my thoughts are with all the bereaved families in Hull who have been so badly let down.
“In the wake of this horrific case, we will now bring forward comprehensive proposals to ensure respect and dignity for the deceased in every setting, including proper regulation of the funeral sector. We are determined to drive rogue operators out of this industry, and protect other families from suffering this same heartache.
“Every person in every situation deserves dignity in death, and every bereaved family deserves certainty that their loved ones are being treated with care and respect.”
The Government will work closely with bereaved families, funeral providers, faith groups and others to ensure that future policy is proportionate, effective and informed by those with relevant experience.
This will ensure action is designed to give families confidence that funeral providers are meeting clear, consistent standards, no matter where they live or which provider they choose.
It will also reinforce the profound responsibility placed on anyone entrusted with caring for someone after death.
This case is another horrendous example of where the deceased have not been honoured with the care and respect many of us would have expected. The findings from Sir Jonathan Michael’s independent inquiry into the actions that allowed David Fuller to commit his horrific crimes showed that we need to consider how we can ensure better standards across all settings that look after our loved ones after they die, including where some level of regulation is already in place.
Many funeral providers offer compassionate and professional care every day. Stronger oversight, including regulation and other measures, would protect families from poor practice, support good providers, and restore confidence in a sector people rely on when they are at their most vulnerable.
Andrew Judd, Chief Executive Officer, National Association of Funeral Directors, said: We welcome the government’s commitment to raising standards and oversight across the whole funeral sector and look forward to working with government to ensure that every single deceased person and their bereaved families are treated with the respect and dignity that they deserve.
“We will work with Government and industry during the engagement to secure meaningful change for all bereaved families as soon as possible. We believe that statutory regulation can best achieve this aim and will continue to make that case during this process.”
Paul Allcock, Government Liaison at the National Society of Allied and Independent Funeral Directors (SAIF), said: “SAIF welcomes the DHSC’s commitment to engaging with the funeral profession on regulation.
“Any framework must protect the deceased and their families as a priority, but must also uphold standards and recognise small and medium-sized independent funeral businesses. It should be proportionate, preserve family choice and maintain a diverse market.
“We’re committed to supporting the engagement and cross-government work.
“SAIF members currently follow the UK Funeral Director Code and undergo inspections of premises, mortuary facilities and administrative processes. Families also have access to an independent complaints and redress process, delivered by an externally audited alternative dispute resolution body certified by the Chartered Trading Standards Institute, providing an added safeguard.
We’ll continue working closely with the DHSC and MOJ to shape regulation that protects the deceased, their families and supports a sustainable funeral profession.”
Phil Rosenberg, President of the Board of Deputies of British Jews, said: “We look forward to working with the Department of Health and Social Care and the Ministry of Justice to ensure the improvement of standards in the funeral sector enable all families and communities to bury their loved ones with dignity and care.
“The Jewish community is proud of its high standards of care for the deceased and internal regulatory processes, which ensure that Jewish people are buried safely, respectfully, and in accordance with religious requirements.”
Mohamed Omer MBE, Chair, National Burial Council, said: “We have followed the Robert Bush (Legacy Independent Funeral Directors) case with deep distress. The findings are profoundly troubling and have caused immense pain to families who entrusted their loved ones to this service. We extend our heartfelt sympathies to all bereaved families affected by this appalling breach of trust, care and decency.
“The National Burial Council welcomes the Government’s commitment to urgent action to strengthen oversight, accountability and professional standards across the funeral sector.
“Muslim and Jewish communities have specific religious requirements for timely burial and respectful handling of the deceased, making dignity and transparency essential. NBC works closely with burial societies and funeral directors to uphold high standards and will support DHSC and the Ministry of Justice in strengthening safeguards and effective self‑regulation.”
NOTE: Regulations are already in place in Scotland.
NHS Rich List finds that 574 senior NHS managers had higher salaries than the prime minister, an increase of 12 per cent in a single year.
1,758 senior managers received more than £100,000 in total remuneration in 2024-25. This is an increase of 3.8 per cent from 2023-24.
The number of NHS senior managers receiving at least £300,000 in total remuneration more than doubled to 292 people. An increase of 134 per cent in a single year.
TaxPayers’ Alliance research presents senior salaries alongside A&E waiting times, revealing failing hospital bosses taking pay rises in defiance of Labour pledge to link pay and performance.
Following the appointment of Yvette Cooper as the new health secretary, the TaxPayers’ Alliance (TPA) today reveals there were 574 senior managers in the NHS on a higher salary than the prime minister last year.
The NHS Rich List shows that across the 220 NHS Trusts, 1,758 senior managers received over £100,000 in total remuneration, with the number of NHS senior managers receiving at least £300,000 in total remuneration more than doubling to 292.
While few would disagree with paying doctors and nurses properly, the NHS Rich List shows that managers in hospitals with poor A&E performance and long waiting times from referral to treatment (RTT) are still picking up handsome remuneration packages at taxpayers’ expense.
Total remuneration includes salary, expenses, benefits, bonuses and pension contributions. Looking at salaries alone, 1,603 managers had salary entitlements of at least £100,000, including 319 receiving between £200,000 and £300,000, and 17 who received over £300,000.
After the previous health secretary Wes Streeting announced that NHS leaders would face a new carrot and stick performance drive, the TPA is calling on the new health secretary Yvette Cooper to follow through with these plans and properly link performance to pay inside the NHS.
The Newcastle Upon Tyne Hospitals had the senior manager with the highest salary in 2024-25, with chief executive, J Mackey, receiving £377,500, including up to £94,000 moonlighting in other NHS jobs. The trust was ranked 41 out of 140 in England for A&E waiting times.
The worst performing trust for A&E waiting times was East Cheshire for the second consecutive year. The chief executive officer, G J Murphy, had a total remuneration package of £377,500 in 2024-25, rising from £172,500 in 2023-24 despite the persistent poor A&E waiting times. The trust had 7 senior managers who received over £100,000 in total remuneration overall.
Cambridgeshire and Peterborough had the worst referral to treatment waiting time of 149 trusts, ranking last for the second consecutive year. The chief medical director, Catherine Walsh, had total remuneration of £322,500 in 2024-25.
In 2024-25, there were 1,758 senior managers receiving £100,000 or more in total remuneration (comprising salary, expenses, benefits, bonuses and pension benefits) across 220 NHS trusts, an increase of 3.8 per cent from 2023-24.
Of these, 1,603 had a salary of £100,000 or more, comprising:
17 who had salaries over £300,000
319 who had salaries between £200,000 and £300,000
1,267 who had salaries between £100,000 and £200,000
574 senior managers had a salary greater than the prime minister’s £172,153 salary entitlement in 2024-25, up from 512 in 2023-24, an increase of 12 per cent.
574 senior managers had a salary greater than the prime minister’s £172,153 salary entitlement in 2024-25, up from 512 in 2023-24, an increase of 12 per cent.
The number of NHS senior managers receiving at least £300,000 in total remuneration increased by 134 per cent in a single year, rising from 125 in 2023-24 to 292 in 2024-25.
Highest salary
The Newcastle Upon Tyne Hospitals had the senior manager with the highest salary in 2024-25, with chief executive, J Mackey, receiving £377,500 (£382,500 total remuneration). The trust was ranked 41 out of 140 in England for A&E waiting time.
This was followed by West Hertfordshire Teaching Hospitals, where chief medical officer, M Van Der Watt, received £372,500 in 2024-25 (£372,500 total remuneration).
Next was Guy’s and St Thomas’, where chief executive, I Abbs, received a salary of £337,500 in 2024-25 (£347,500 total remuneration).
Highest salary in Scottish, Welsh and Northern Irish NHS organisations
Crawford McGuffie, medical director at NHS Ayrshire and Arran, was the senior manager with the highest salary in Scotland in 2024-25, at £247,500. The trust was ranked 11 of 14 for A&E waiting times in Scotland.
C Shillabeer, chief executive of Betsi Cadwaladr University Health Board, had the highest salary of any senior manager in Wales in 2024-25 at £262,500. The health board was ranked 6 of 7 for RTT waiting time and 7 of 7 for A&E waiting time in Wales.
South Eastern Health and Social Care Trust had the senior manager with the highest salary in Northern Ireland in 2024-25, with medical director, C Martyn, receiving £242,500.
Notable individuals
Nottingham University Hospitals was ranked 133 of 149 for RTT waiting times and 131 of 140 for A&E waiting times in England. Their chief nurse, T Pilcher, had total remuneration of £712,500 in 2024-25.
Chesterfield Royal Hospital was ranked 136 of 149 for RTT waiting times and 124 of 140for A&E waiting times in England. Their medical director, Kevin Sargen, had a total remuneration of £542,500 in 2024-25.
University Hospitals Sussex was ranked 144 of 149 for RTT waiting times and 122 of 140 for A&E waiting times in England. Their chief executive, George Findley, received £492,500 in total remuneration in 2024-25, including £32,500 in performance pay.
Cardiff and Vale University Health Board was ranked last (7 of 7) for RTT waiting times and 5 of 7 for A&E waiting times in Wales. Executive director of therapies and health science, Emma Cooke, received £367,500 in total remuneration in 2024-25.
NHS Lanarkshire ranked 14 of 14 for A&E waiting times in Scotland. Their medical director, C Deighan, received £462,500 in total remuneration in 2024-25.
Best and worst performing trusts by A&E waiting time (England)
Humber Teaching had the best A&E waiting time of 140 trusts. Six senior managers received over £100,000 in remuneration. The senior manager with the highest total remuneration in the trust was medical director, Kwame Opoku-Fofie, at £272,500 in 2024-25.
East Cheshire remained the worst performing trust for A&E waiting times for the second consecutive year, ranking last in both 2023-24 and 2024-25. The chief executive officer, G J Murphy, had total remuneration of £377,500 in 2024-25, rising from £172,500 in 2023-24 despite the persistent poor A&E waiting times.
Best and worst performing trusts by RTT waiting time (England)
Mersey Care had the best RTT waiting time of 149 trusts. The senior manager with the highest total remuneration in the trust was chief nurse and director of infection, prevention and control, Jenny Hurst, at £297,500 in 2024-25.
Cambridgeshire and Peterborough had the worst RTT waiting time of 149 trusts, ranking last for the second consecutive year. The chief medical director, Catherine Walsh, had total remuneration of £322,500 in 2024-25.
Highest salary by function
Digital: Neil Darvill, chief digital information officer shared between North Bristol and University Hospitals Bristol and Weston, had the highest salary within this function at £195,000 in 2024-25.
HR: Ajit Abraham, group director of inclusion and equity at Barts Health, had the highest salary within this function at £232,500 in 2024-25.
Strategy: Shane Gordon, director of strategy, research and innovation at East Suffolk and North Essex, had the highest salary within this function at £247,500 in 2024-25.
Finance: Roy Clarke, chief financial officer at King’s College Hospital, had the highest salary within this function at £267,500 in 2024-25.
Responding to the findings, Rt. Hon Stuart Andrew MP, Shadow Health Secretary, said:“Running the NHS is a demanding job and managers should be rewarded for delivering results. But paying managers large bonuses while patients receive poor care is not good value for taxpayers or fair on NHS frontline staff.
“Labour is handing out bonuses while patients bear the brunt of long waits and poor performance. Funding should be focused on frontline services and better patient care, not bigger payouts for managers.
“The Conservatives know the NHS needs serious reform. Every pound should deliver better care for patients and better value for taxpayers.”
Anne Strickland, researcher at the TaxPayers’ Alliance, said:“Taxpayers will be appalled that NHS executive pay is soaring while patients are still left waiting for care.
“Andy Burnham’s new government has an early opportunity to show taxpayers that it will get a grip on this culture of rewarding failure.
“Ministers must keep their promise to link performance to pay, so that failing NHS bosses are held accountable and money goes into patients’ care not managers’ pockets. ”
