Improving health through prevention

Funding digital type 2 diabetes programmes

A new Scottish Government programme is expected to prevent up to 4,000 people from developing type 2 diabetes.

The £4.8 million investment will offer education and virtual, app-based, individual consultations with nutritionists, dietitians and health coaches via the Accelerated National Innovation Adoption (ANIA) initiative to fast track proven healthcare innovations.

By focusing on prevention, this will reduce future health complications for patients, improve quality of life and ease long-term pressures on the NHS.

Health professionals in primary or secondary care will refer suitable patients soon after diagnosis of pre-diabetes or history of gestational diabetes – increasing equity of access to NHS services across Scotland – and self-referral will also be available.

Meeting frontline staff and patients at Pennywell All Care Centre in Edinburgh, Public Health Minister Jenni Minto said: “We want to improve access to treatment in the community, enhance preventative services and maximise the opportunities of digital innovation through our Service Renewal and Population Health Frameworks. This will deliver a sustainable and high quality health and social care system for the future.

“This digital programme reduces the need to travel to in-person appointments and helps patients make sustainable changes to their diet and lifestyle and prevent progress towards type 2 diabetes. It enables rural and urban communities to easily access services which can have a life-changing impact.

“It is a prime example of transformative innovation that benefits frontline staff and patients alike and supports our health and care service to meet the challenges it faces.”

The three-year programme will enable up to 15,000 people at risk of type 2 diabetes to access nine months of digital diet and lifestyle change advice through ANIA – with up to 4,000 of those expected to avoid the condition.

Director of Innovation and Transformation at NHS Lothian Jenny Long said: “Over the past five years, NHS Lothian’s dietetic service has successfully delivered both the diabetes remission and award-winning prevention programmes, supported by permanent Scottish Government funding.

!Their success has led to further investment in digital innovation via the Accelerated National Innovation Adoption (ANIA) pathway.

“New digital services will improve patient access and outcomes across the region, enabling direct referrals from primary care and reducing waiting times.”

The ANIA Pathway, funded by the Chief Scientist Office and led by the Centre for Sustainable Delivery, is designed to fast-track proven innovations into frontline healthcare across Scotland. By identifying, assessing, and implementing new health technologies with strong evidence and impact, ANIA ensures patients across Scotland benefit from the latest advances in care.

Head of Innovation at the Centre for Sustainable Delivery Jason White said: “This programme represents a major step forward in the delivery of preventative healthcare across Scotland.

“It will empower people with pre-diabetes via easily accessible technology to make meaningful lifestyle changes that will significantly reduce their risk of developing type 2 diabetes.

“The Centre for Sustainable Delivery is proud to support this initiative through the ANIA programme. It’s a scalable, evidence-based solution that will support people to improve their own health and wellbeing over nine months.

“It will improve patient outcomes and reduce demand on NHS services through reducing the growth of type 2 diabetes across Scotland.”

There are 310,000 people living with type 2 diabetes in Scotland, representing more than 5% of the population. In 2023, more than 25,000 new cases were diagnosed and the number is predicted to reach 420,000 by 2044.

Type 2 diabetes | NHS inform

Scale of obesity challenge in Scotland highlighted by new research

New research from Public Health Scotland (PHS), conducted in collaboration with Sciensano* and recently published in Public Health, the journal of the Royal Society of Public Health, projects a surge in the number of adult cases of excess weight in Scotland by 2040.

The findings highlight the scale of the challenge for both population health and future care services.

Current estimates from the Scottish Health Survey show that around two-thirds of Scottish adults are overweight, and one-third are living with obesity. These figures are disproportionately higher than other UK nations and among the highest compared to other European Union countries.

This new research analysed data from the Scottish Health Survey and found that, without urgent and sustained intervention, the number of adults who are overweight or living with obesity is set to rise significantly.

Dr Grant Wyper, Principal Epidemiologist, PHS, said: “Our findings highlight the stark challenge ahead. We estimate 3.3 million cases of adult excess weight by 2040, with more pronounced increases for obesity. Between 2025 and 2040, we estimate an additional 118,000 female and 36,000 male cases of obesity.

“Furthermore, recent increases in excess weight among adults aged 65 and above are projected to intensify towards 2040, signalling growing and more complex pressures on Scotland’s health and social care systems in the coming decades.

“These findings should be seen as a clear warning, but the projections are not inevitable. Delivering on the Population Health Framework priority to improve healthy weight is vital.

“Excess weight is linked to a wide range of health conditions, including premature death, meaning that our findings point to the risk of future adverse impacts on population health and unsustainable pressure on healthcare services.”

Claire Hislop RNutr (Public Health), Organisational Lead – Food & Physical Activity, PHS, added: “The time for incremental change is over. The evidence shows we must accelerate progress on bold, preventative measures that reshape the food environment and ensure healthier options are accessible, affordable and widely available.

“At the same time, we must strengthen comprehensive weight management and support services to improve the health and wellbeing of the people of Scotland. This approach aligns with the ambitions of the Population Health Framework.

“The framework priority for improving healthy weight needs a whole system package of prevention and treatment measures to improve levels of healthy weight, alongside ongoing policy developments to create conditions for better health and reduced inequalities.”

Read the published research

Read more about the Population Health Framework

Read the Scottish Public Health Systems consensus statement on improving Scotland’s diet and weight

*Sciensano is the federal research institute for public and animal health in Belgium.

Walk-in GP clinics to open in Scotland

Improving access to primary care

A network of walk-in GP clinics will open as part of work to improve access to primary care.

The clinics, which would be staffed by GPs, nurses and support staff, will be open seven days a week, 12:00-20:00, in addition to existing primary care services. They will provide a range of same-day assessments, diagnostics and treatment.

Fifteen clinics in sites across Scotland will proceed initially to test the benefits for patients.

Health Secretary Neil Gray said: “Improving access to primary care and shifting more care into the community is central for this Government.

“As part of this, we are taking forward new and innovative ways to improve access to primary care, including the benefits of local walk-in GP clinics.

“These will be in addition to core GP services and will offer additional flexibility for patients. These will be designed in collaboration with NHS Boards, GPs and other partners to ensure they strengthen existing services.”

The announcement was made by First Minister John Swinney at the SNP’s annual conference in Aberdeen yesterday.

The Holyrood elections take place next May.

MHRA: NO EVIDENCE that taking paracetamol during pregnancy causes autism in children

There is no evidence that taking #paracetamol during pregnancy causes autism in children.

Always follow NHS guidance and report any suspected side effects via the Yellow Card scheme https://bit.ly/2A6B165

Dr Alison Cave, Chief Safety Officer at the MHRA, said:Patient safety is our top priority. There is no evidence that taking paracetamol during pregnancy causes autism in children.   

“Paracetamol remains the recommended pain relief option for pregnant women when used as directed. Pregnant women should continue to follow existing NHS guidance and speak to their healthcare professional if they have questions about any medication during pregnancy.

“Untreated pain and fever can pose risks to the unborn baby, so it is important to manage these symptoms with the recommended treatment. 

https://twitter.com/i/status/1970506529125064995

“Our advice on medicines in pregnancy is based on rigorous assessment of the best available scientific evidence. 

“Any new evidence that could affect our recommendations would be carefully evaluated by our independent scientific experts. 

“We continuously monitor the safety of all medicines, including those used during pregnancy, through robust monitoring and surveillance. We encourage anyone to report any suspected side effects to us via the Yellow Card scheme.”

Paracetamol is recommended as the first-choice painkiller for pregnant women, used at the lowest dose and for the shortest duration.

If pain does not resolve, then patients are advised to seek advice from their healthcare professional.

See NHS Guidance – Pregnancy, breastfeeding and fertility while taking paracetamol for adults 

Scottish Autism is aware that pronouncements regarding autism from the US Government will be a source of anxiety and worry for many in our community.

We are clear that public policy should be focused on recognising and accommodating the needs and rights of autistic people rather than stigmatising neurodivergence as something to be ‘treated’ or prevented. Spreading misinformation about the identified reasons why some people are born autistic does nothing to further this aim.

Scottish Autism’s focus is on finding better ways to support autistic people and their families. Our research, campaigning and service provision reflect this priority and always will.

Our Advice Line is open 10am-4pm Monday, Tuesday, Thursday & Friday and our Community Advisors can help you to identify what support may exist in your area.

You can call the Advice Line on 01259 222022, email advice@scottishautism.org or LiveChat with us via our website.

Major study to assess public health benefits of Community Wealth Building

Researchers have launched a major new investigation into the power of Community Wealth Building (CWB) to affect local economies and improve population health.

Glasgow Caledonian University will lead a £1.5million study to determine whether retaining more wealth in local communities can prevent premature deaths and tackle health inequalities.

CWB is an approach to economic development that aims to generate, circulate and retain more wealth within local areas.

The National Institute for Health and Care Research (NIHR) is funding the three-year study to examine how CWB is being implemented and how it is impacting local economies and population health.

GCU will work in partnership with researchers from the Glasgow Centre for Population Health, the University of Glasgow and Lancaster University to assess whether CWB is improving economic and health outcomes. The findings will inform local economic polices across Scotland and other parts of the UK.

Neil Craig, Professor of Public Health Economics at the Yunus Centre for Social Business and Health at Glasgow Caledonian University and Co-Principal Investigator, said: “Economic inequality is a cause of health inequality.

Ultimately, if CWB is found to be effective in improving health and reducing inequalities, this could lead to fewer premature deaths, particularly amongst economically disadvantaged communities.”

North Ayrshire became the first area of Scotland to adopt a CWB strategy in 2020. The approach is now being piloted in Clackmannanshire, Fife, Glasgow, the South of Scotland and the Western Isles. Councils work alongside major employers, businesses and partner organisations and commit to generating employment and spending resources locally.

Dr Micaela Mazzei, Reader at the Yunus Centre for Social Business and Health and Co-Principal Investigator, said: “Previous research shows that there is a need to better understand whether and how CWB can make a real difference.

“The stakeholders recognise the importance of this work and have pledged to offer practical support, share their expertise and act on the findings.”

Councillor Tony Gurney, Cabinet Member for Green Environment and Economy at North Ayrshire Council, added: “CWB has become an integral part of how we operate, helping to support both our local community and businesses.

“In the last financial year alone, more than £70million was spent locally with almost 900 suppliers. This research is timely and important as it will deepen the evidence base to increase our understanding of the wider impacts of CWB.”

Dr Jennifer McLean, Interim Director of the Glasgow Centre for Population Health, said: “We will work to ensure that the voices, expertise and perspectives of those working across various sectors involved in local CWB implementation in Scotland are able to shape and inform this project, so that the evaluation is grounded in local insights, and that learning is relevant to local people and communities.”

Reducing drugs harm

Funding enables more people to access support

More people impacted by drugs have received support after the Scottish Government funded 225 community-based projects across the country.

The National Drugs Mission Funds distributed almost £13 million in grants in 2024-25 through the Corra Foundation. In 2024-25, there were more than 51,000 interactions with support services, an increase from 33,613 the previous year thanks to sustained funding.

The multi-year funding helps people in crisis and provides continued support throughout their recovery, including access to medication assisted treatment and residential rehabilitation.

Drugs Policy Minister Maree Todd said: “These funds are enabling vital, community-led work that supports people affected by drug harm with care, compassion, and dignity.

“The projects are focused on a wide range of areas, including recovery, mental health, reducing stigma and supporting young people.

“This report highlights the progress and impact of these projects and the types of support provided directly to people, their families and communities impacted by drugs. I have been especially struck by the creativity, resilience and partnership shown by organisations delivering support which is rooted locally, with more than 51,000 interactions this past year.

“I’m proud to continue the work of those who came before me, and to be part of a mission that is turning hope into action. My sincere thanks go to Corra, and to every person and project involved – these efforts are saving lives and helping to build a Scotland where recovery is real and support is always within reach.”

Corra Foundation Chief Executive Carolyn Sawers said: “Corra is honoured to work in partnership with organisations that are making a meaningful difference to the lives of people affected by drug use in Scotland.

“This report recognises the vital work of these projects, the committed efforts to reduce drug harm and the challenges encountered in addressing the issue.

“It makes clear the importance of access to multi-year funding to provide security for organisations to sustain their work.”

Decrease in drug misuse deaths but ‘still work to be done’ in Scotland

DRUG-RELATED DEATHS IN SCOTLAND REPORTED FOR 2024

The number of deaths caused by drug misuse fell by 13% to 1,017 last year – the lowest level registered since 2017.

According to statistics published by National Records of Scotland yesterday, there were 155 fewer deaths in 2024 compared to the previous year.

The statistics showed that people in the most deprived areas were 12 times more likely to die from drugs as those in least deprived areas. This is a drop from 15 times more likely in 2023.

There was also a drop in the number of deaths among young people with 34 under-25s compared with 58 in 2023.

However, Drugs and Alcohol Policy Minister Maree Todd said there is still work to be done by the Scottish Government to deal with the harm caused by drugs.

During a visit to The Scheme Livi recovery project, which offers a variety of creative workshops to support people dealing with substance use, Ms Todd said: “My heartfelt condolences go to all those affected by the loss of a loved one through drugs.

“It is welcome that we have seen progress with the number of deaths at the lowest level since 2017, but I know there is still work to be done and we will continue to do everything we can to save and improve lives.

“This is particularly true as we face new threats from highly dangerous synthetic opioids like nitazenes, which further raise the risk of overdose and death.

“That is why we are providing record levels of funding for drugs and alcohol programmes and widening access to treatment, residential rehabilitation and life-saving naloxone. We have also supported and funded the opening of the UK’s first Safer Drug Consumption Facility and are working at pace to deliver drug-checking facilities.

“The spread of grassroots support, enhanced by our funding of more than 300 organisations and projects, has also made a difference on the ground. However, we will always want to do more and will continue to work hard to adapt to new patterns of consumption and demand to direct support where it is most needed.”

The Scheme Livi co-founder Aidan Martin said: “At The Scheme Livi, we’ve seen first-hand how grassroots projects, supported by Corra, can transform lives. Since launching full-time in March 2023, we’ve welcomed over 3,100 attendees, with 524 unique footprints, to our free creative workshops, which carry both therapeutic and creative benefits.

“These attendee numbers highlight the real need for safe, supportive spaces for people impacted by addiction, trauma, mental health challenges, social isolation, and social deprivation.”

The annual report for drug related deaths from the National Records of Scotland, published today, shows that there were 1017 drug-related deaths in Scotland in 2024; a decrease of 13% (155 deaths) compared to 2023.

The report also highlights the worrying extent of premature mortality, with 46% of deaths (467) occurring in the 35-49 age group, similar to 2023, when this age group accounted for 49% of deaths (583).

Opioids continue to be the most common drug type implicated in drug-related deaths (80%), which reflects a similar picture to 2023.

Reflecting on the publication of the figures, Dr Tara Shivaji, Consultant at Public Health Scotland (PHS), said: “We must all take a moment to pause and reflect on the stark reality of this report. 

“These deaths are not just numbers; they reflect real people in our communities and families. Those who are working tirelessly within the system will feel the weight today as drug related deaths, and harm, continues to be one of the most significant public health challenges in Scotland.

“Whilst there was a slight decrease in deaths from 2023, Scotland continues to have one of the highest drug death rates in the developed world. Our most recent RADAR quarterly report showed an increase in drug harms during 2025.

“In order to tackle this, we must also address the underlying social determinants of health. Poverty, homelessness, trauma, and stigma play a key role in further entrenching the problematic drug use. We are working with health boards, local authorities and third sector organisations right across the country to reduce these inequalities.

Scotland’s Population Health Framework 2025-2035 sets out a vision that we, collectively, need to focus on prevention and create supportive environments that promote health and wellbeing and reduce health harming activities.

“Through research and consultation, PHS is working across the system to actively engage with partners, stakeholders and people with lived and living experience.

“Our aim is to prevent substance use harm – making sure our schools, families and communities can reduce early risks and support healthier futures.”

COSLA has issued a short statement following statistics published today (2nd September 2025) on drug-related deaths in Scotland.

A COSLA Spokesperson said: “Every death from drug misuse is a tragedy. These numbers represent loved ones: parents, sons, daughters and siblings. It is a stark reminder of the challenges we still need to overcome across the public and third sectors to end deaths of this nature.

“Local Authorities continue to work in partnership with a wide range of agencies to support to people affected by addiction and drug misuse, and reduce the devastating impacts on our communities.”

View the drug-related deaths in Scotland 2024 report

Free chickenpox vaccination offered for first time to children

A free chickenpox vaccination will offered for first time to children across England on the NHS from January – Scotland expected to follow suit

  • Government to launch chickenpox vaccination programme in England from January 2026, which will protect around half a million children each year
  • Eligible children will receive the vaccine during routine GP appointments, which protects against measles, mumps, rubella and chickenpox
  • The rollout will help raise the healthiest generation of children ever, while reducing sick days and time parents take off work

Thousands of children will be protected against chickenpox for the first time in England through a new vaccination programme that will keep kids in school and parents in work while also saving the NHS vital funds.

It’s expected that the vaccination programme will also be introduced in Scotland.

From January next year, GP practises will offer eligible children a combined vaccine for measles, mumps, rubella and varicella (MMRV) – the clinical term for chickenpox – as part of the routine infant vaccination schedule.

It will mean kids miss fewer days in nursery and school while parents won’t need to take time off work to care for them. Research shows that chickenpox in childhood results in an estimated £24 million in lost income and productivity every year in the UK. The rollout will also save the NHS £15 million a year in costs for treating the common condition.

The chickenpox vaccine has been safely used for decades and is already part of the routine vaccine schedules in several countries, including the United States, Canada, Australia and Germany.

Minister of State for Care Stephen Kinnock said: “We’re giving parents the power to protect their children from chickenpox and its serious complications, while keeping them in nursery or the classroom where they belong and preventing parents from scrambling for childcare or having to miss work.

“This vaccine puts children’s health first and gives working families the support they deserve. As part of our Plan for Change, we want to give every child has the best possible start in life, and this rollout will help do exactly that.”

The vaccination programme forms part of the UK government’s wider ambition to raise the healthiest generation of children ever as part of the Plan for Change — boosting the nation’s health and ensuring the future sustainability of the NHS as we shift the focus of healthcare from sickness to prevention.

The vaccine will help reduce cases of chickenpox and protect children from serious complications that can cause hospitalisation, such as bacterial infections like strep A, brain and lung inflammation and stroke.

Dr Gayatri Amirthalingam, Deputy Director of Immunisation at the UK Health Security Agency said: “Most parents probably consider chickenpox to be a common and mild illness, but for some babies, young children and even adults, chickenpox can be very serious, leading to hospital admission and tragically, while rare, it can be fatal.

“It is excellent news, that from next January, we will be introducing a vaccine to protect against chickenpox into the NHS routine childhood vaccination programme – helping prevent what is for most a nasty illness and for those who develop severe symptoms, it could be a life saver.

“We now have extensive experience from a number of countries showing that the vaccine has a good safety record and is highly effective. The programme will have a really positive impact on the health of young children and also lead to fewer missed nursery and school days.”

The government’s decision to roll out the MMRV vaccine in January is based on expert scientific advice from the Joint Committee on Vaccination and Immunisation (JCVI), following research showing the significant impact of severe cases of chickenpox on children’s health, hospital admissions and associated costs.

Private vaccinations for chickenpox at pharmacies and clinics currently cost around £150 for a full course of two doses. This rollout will mean the vaccination will be available free of charge on the NHS to eligible children.

Other countries where the MMRV vaccine is already offered — such as Germany, Canada, and the United States — have seen substantial decreases in chickenpox cases and related hospital admissions since introducing their vaccination programmes.

Amanda Doyle, National Director for Primary Care and Community Services at NHS England said: This is a hugely positive moment for families as the NHS gets ready to roll out a vaccine to protect children against chickenpox for the first time, adding to the arsenal of other routine jabs that safeguard against serious illness.

“We will work with vaccination teams and GP surgeries across the country to rollout the combined MMRV vaccine in the new year, helping to keep children healthy and prevent sickness from these highly contagious viruses.

“The MMRV vaccine rollout forms part of the government’s overall aim to ensure young people thrive, as part of the 10 Year Health Plan. This includes expanding access to vaccines, as well as free school meals, mental health support and dental care.”

This is the first time protection against another disease has been added to the routine childhood vaccination programme since the MenB vaccine in 2015.

Meanwhile, the Department for Education has recently announced plans to roll out Best Start Family Hubs in every local area, relieving pressure on parents and giving half a million more children the very best start in life.

The eligibility criteria for children will be set out in clinical guidance covering which age groups will get the MMRV vaccine and when, to ensure the most effective protection for children.

As with other childhood immunisations, parents will be contacted by their GP surgery to arrange an appointment if their child is eligible.

NHS Lothian: Right Care, right place

If you suddenly need urgent medical care, please contact NHS 24 on 111

If it’s a critical emergency, always call 999.

#RightCareRightPlace

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Confused about where to go when you or a loved one needs medical help?

It can be tricky to know where to get advice when you are ill or in pain, and choosing the wrong service can mean longer waits, more stress, and extra pressure on our NHS.

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 Our #RightCareRightPlace guide can help you make the right choice, quickly, safely and as close to home as possible.

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 Share our #RightCareRightPlace guide with your friends, family, and community.