Additional funding to build on progress in clearing longest waits
Health Secretary Neil Gray has welcomed progress in reducing waiting lists at NHS Lothian as he confirmed the health board will be allocated an additional £22 million for the year ahead – as part of a £106 million investment across the NHS to tackle the longest waits.
Latest figures show a 14% decrease last year in inpatient/daycase waits for all specialties at NHS Lothian – down from 26,462 at 31 March 2024 to 22,762 at 31 March 2025.
The reduction in ongoing waits was driven by reductions in:
General surgery -19.6%
Gynaecology -20.6%
Orthopaedics -17.9%
Urology -27.9%
On a visit to the Day Surgery Unit at the Edinburgh Royal Infirmary, the Health Secretary met with staff and patients and saw first-hand the positive impact Scottish Government investment is having on waits. The Day Surgery Unit carries out 30 – 40 scheduled procedures every day – this helps allow patients to leave for home from 2pm onwards with a focus on same day discharge.
A huge variety of procedures are performed with patients from a mix of five specialties, including gynaecology, general surgery, vascular, neurosurgery and orthopaedics. Last year, around 4,500 procedures were carried out by the Unit.
Mr Gray said: “This government is focussed on taking the action needed to cut waiting lists and we are determined to make it easier, faster and fairer for patients to get access to the treatment they need.
“I was pleased to meet the team at the Royal Infirmary’s Day Surgery Unit who are carrying out fantastic work to help target long waits and making significant progress. We want to build on this success and drive that improvement across Scotland – our additional investment of £106 million support this work across all health boards.
“Figures published today show monthly A&E performance at its best since July 2023 and delayed discharge at its lowest since October 2023. Our plan to improve our NHS is working and we will build on this progress by increasing capacity and investing to tackle the longest waits to ensure patients get faster access to care.”
People across Scotland are being encouraged to sign up to a free UK-wide health research registry, which is aimed at helping to improve health and care and ultimately save lives.
NHS Research Scotland (NRS) believes that research participation is the single most important contribution we can make to help improve health and develop the best means to prevent, diagnose, and treat conditions — representing an essential cornerstone of an effective, modern health service.
It is therefore supporting the push to sign up to 1.5 million people to Be Part of Research — a UK-wide partnership between the National Institute for Health and Care Research (NIHR), the UK’s devolved administrations including Scotland, and the NHS.
The UK-wide volunteer registry helps people find suitable health research studies based on their interests, where they live, as well as their age, sex, and ethnicity.
More than 90,000 people have already been matched to over 100 studies, including the UK’s first norovirus vaccine trial.
Those signing up online can choose the health conditions that are of interest to them. They are then sent clear information about suitable study opportunities, making it easier than ever to find and take part in vital health and care research.
A key aim is to help people make informed choices about taking part in health and care research and make sure everyone has the chance to get involved if they want to.
Scotland’s Chief Scientist (Health) Professor Dame Anna Dominiczak said: “We welcome this launch as part of a unified UK approach to heightening research participation.
“I encourage people across Scotland to get involved. Stepping forward and volunteering to take part in research helps develop and provide access to new treatments, helps to improve NHS Scotland, enhances patient outcomes, and saves lives.
“However, people can only take part in research if they know that it’s happening. Online services like Be Part of Research provide an opportunity to help members of the public discover what research is currently happening and make informed choices about taking part.”
She added: “The difference which patients and the public can make through their participation in research is immeasurable, and nothing can be achieved without a diverse group of volunteers.”
People in Scotland can also register with SHARE, Scotland’s Health Research Register and Biobank, to be informed of future opportunities to participate in research studies that they could be suitable for.
One participant who volunteered for an Obsessive Compulsive Disorder (OCD) study at the Glasgow Clinical Research Facility (GCRF) called it “such a positive experience”.
They added: “I took part because I think it is vital that more work is done in the treatment of an illness that is largely misunderstood and an illness that can strip away your very existence.
“I was nervous going into the trial, but I can’t speak more highly of all the medical staff that I have worked with. They have created an environment where you feel very safe and fully supported.
“I would encourage anyone to take part in a trial like this if they are considering it.”
A stroke study participant, Jennifer Hanlin, said: “I found taking part in a research programme very helpful in my rehabilitation and would encourage others to participate in research programmes if given the chance.”
Professor Lucy Chappell, CEO of the National Institute for Health and Care Research (NIHR) and Chief Scientific Adviser to the Department of Health and Social Care, said: “Tomorrow’s treatments are today’s research.
“We are calling on the British public to sign up to Be Part of Research, our world-leading register, to find studies that they can take part in. Whether you are a healthy volunteer, or have a particular condition, you can be part of research that makes a difference.
“It is vital that health and care research represents society, reflecting the diversity within it to produce the best treatments. Research that includes people from all backgrounds and from across the country will produce findings that benefit and serve everybody.
“Being a part of research is a great way to get involved and give back in a way that can change lives, accelerate knowledge and benefit us all. Members of the public will be able to be matched to vital trials through the Be Part of Research service.”
People across Scotland can sign up to be contacted about opportunities to take part in studies that are right for them by creating a free Be Part of Research account at bepartofresearch.uk.
New healthy food standard will see big businesses promoting healthier food and drink
Reducing daily intake by just 50 calories could lift 340,000 children and 2 million adults out of obesity
Reforms part of the shift from sickness to prevention in the forthcoming 10 Year Health Plan
A healthy nation means less strain on the NHS, helping drive down pressure on waiting lists as part of the Plan for Change.
Food retailers and manufacturers will “make the healthy choice the easy choice” in a world-first partnership between government and industry to tackle the obesity epidemic and ease pressure on the NHS as part of the Plan for Change.
As part of the forthcoming 10 Year Health Plan, large retailers including supermarkets will be set a new standard to make the average shopping basket of goods sold slightly healthier.
Businesses will be given the freedom to meet the standard however works best for them, whether that’s reformulating products and tweaking recipes, changing shop layouts, offering discounts on healthy foods, or changing loyalty schemes to promote healthier options.
Public health experts believe cutting the calorie count of a daily diet by just 50 calories would lift 340,000 children and 2 million adults out of obesity. If everyone who is overweight reduced their calorie intake by just 216 calories a day, equivalent to a single bottle of fizzy drink, obesity would be halved.
Obesity is one of the root causes of diabetes, heart disease and cancer. With the UK now having the third highest rate of adult obesity in Europe, it remains a critical public health challenge, costing the NHS £11.4 billion a year, three times the NHS budget for ambulance services.
Obesity rates have doubled since the 1990s, including among children. A forthcoming report by the Chief Medical Officer will show that more than 1 in 5 children are living with obesity by the time they leave primary school, rising to almost 1 in 3 in areas with higher levels of poverty and deprivation.
It follows the government setting out in recent days a number of measures to tackle rapidly growing health inequalities, including investing more in working class communities where health disparities are greatest, and rapid action on the maternal mortality gaps in Black, Asian and working class communities.
Through our Plan for Change, the government is shifting the focus from treatment to prevention and creating a more active state – that works with partners to make the healthy choice the easy choice – and a transition of the NHS from a sickness service to a prevention service.
Health and Social Care Secretary, Wes Streeting, said: “Obesity has doubled since the 1990s and costs our NHS £11 billion a year, triple the budget for ambulance services. Unless we curb the rising tide of cost and demand, the NHS risks becoming unsustainable.
“The good news is that it only takes a small change to make a big difference. If everyone who is overweight reduced their calorie intake by around 200 calories a day – the equivalent of a bottle of fizzy drink – obesity would be halved.
“This government’s ambition for kids today is for them to be part of the healthiest generation of children ever. That is within our grasp. With the smart steps we’re taking today, we can give every child a healthy start to life.
“Our brilliant supermarkets already do so much work for our communities and are trying to make their stores heathier, and we want to work with them and other businesses to create a level playing field.
“Through our new healthy food standard, we will make the healthy choice the easy choice, because prevention is better than cure.
“By shifting from sickness to prevention through our Plan for Change, we will make sure the NHS can be there for us when we need it.”
Environment Secretary Steve Reed said: “Britain has some of the best farmers, growers, food manufacturers and retailers in the world, which means we have more choice than ever before on our shelves.
“It is vital for the nation that the food industry delivers healthy food, that is available, affordable and appealing.
“Our food strategy will bring together the health plan, food producers and retailers to make sure we can feed the nation more healthily while growing the economic success of our food sector.”
The policy will see all big food businesses report on healthy food sales. This will set full transparency and accountability around the food that businesses are selling and encourage healthier products.
The government will then set targets to increase the healthiness of sales in communities across the UK and work with the Food Strategy Advisory Board on the sequencing of this policy.
Sarah Price, NHS England Director for Public Health, said: “A healthy diet, which includes a variety of nutritious food can help people stay well and provide long-term health benefits, which is good for them and good for the NHS.
“That is why this move to make it easier for people to shop for healthy and nutritious food options is so important – it will help people reduce the risk of developing a range of life-altering physical conditions, such as obesity and Type 2 diabetes – both of which are on the increase in England.”
Major investment firms have already signalled that they would be keen to invest more in healthier products, if they were given due prominence and promotion by food retailers.
Many supermarkets want to do more to make the average shopping basket healthier, but they risk changes hitting their bottom lines if their competitors don’t act at the same time. The new standard will introduce a level playing field, so there isn’t a first mover disadvantage.
The changes are part of the UK government’s 10 Year Health Plan, due to be published shortly. The plan will radically reform the health service and improve the health of the nation, to make the NHS sustainable and fit for the future.
Ken Murphy, Tesco Group CEO, said: “All food businesses have a critical part to play in providing good quality, affordable and healthy food. At Tesco, we have measured and published our own healthier food sales for a number of years now – we believe it is key to more evidence-led policy and better-targeted health interventions.
“That’s why we have called for mandatory reporting for all supermarkets and major food businesses and why we welcome the Government’s announcement on this.
“We look forward to working with them on the detail of the Healthy Food Standard and its implementation by all relevant food businesses.”
Simon Roberts, CEO of Sainsbury’s commented: “We’re passionate about making good food joyful, accessible and affordable for everyone and have been championing the need for mandatory health reporting, across the food industry for many years.
“Today’s announcement from Government is an important and positive step forward in helping the nation to eat well. We need a level playing field across the entirety of our food sector for these actions to have a real and lasting impact.
“We look forward to working across Government and our wider industry on the further development of these policies and in helping to drive improved health outcomes across our nation.”
Ravi Gurumurthy, CEO of Nesta, said: “Most of us want to lose weight and make healthier choices but the food that surrounds us makes that too hard. That’s why obesity has doubled since the 90s.
“This new standard focuses on lots of small changes that make it easier to buy food that’s a little bit healthier. Nationally, it could send obesity rates down by a fifth – through business and government working together to improve our health.”
Sue Davies, Which? Head of Food Policy, said: “Which? research has shown that people want retailers to do more to support them in making healthier choices. Six in 10 (60%) consumers said they support the government introducing health targets for supermarkets.
“Mandatory food targets will help to incentivise retailers to use the range of tactics available to them to make small but significant changes – making it easier for people to eat a balanced diet and lead healthier lives.”
John Maingay, Director of Policy at the British Heart Foundation (BHF) said: “A new standard to make meals across the UK healthier is a huge step towards creating a food environment that supports better heart health. This move recognises the vital role that businesses can play in supporting everyone to have a healthier diet.
“Obesity puts people at greater risk of developing cardiovascular disease, which remains one of the UK’s biggest killers. We hope to see real momentum behind this new standard to make the healthier choice the easiest choice once and for all.”
Michelle Mitchell, Cancer Research UK’s chief executive, said: “Businesses can play a major role in supporting people to make healthy choices, and this important step could help to reduce rising obesity rates.
“Being overweight or obese is the second biggest cause of cancer in the UK, and is linked with 13 different types of the disease.
“The UK government must introduce further bold preventative policies in both the upcoming 10-year health plan and National Cancer Plan, so that more lives can be saved from cancer.”
Katharine Jenner, Director, Obesity Health Alliance, said: “This is a fair and evidence-based prescription for better health; big businesses urgently need the government to level the playing field to help them focus on selling products that help people live well.
“The government has rightly identified the root cause of obesity-related ill health: a food system that makes healthy eating difficult. Crucially, it puts the spotlight on the food industry and commits to holding it accountable for providing healthier options – rather than placing the burden on individuals who are already struggling to get by.”
Henry Dimbleby, Author of the National Food Strategy and Independent Review for Government said: “What gets measured gets done.
“Mandatory reporting is a crucial first step in improving the food environment – it creates a level playing field, rewards the businesses already acting, and gives us a clear picture of what’s really being sold.
“It’s fantastic to see food retailers themselves calling for this. With proper data, we can start to reshape the food system and make healthier choices easier for everyone”
Measures to protect the public and establish industry standards
New proposals to improve safety and standards in the non-surgical cosmetic procedures sector have been set out as the Scottish Government publishes its response to a consultation on the issue.
The proposals, informed by over 2,200 responses and broad stakeholder engagement, intends to introduce a minimum age of 18 for all procedures and classify treatments into three distinct groups which will be regulated to reflect the associated risk:
group 1 procedures – such as microneedling and non-ablative laser treatments – will require both a premises licence and individual practitioner licences issued by local authorities
group 2 procedures – including injectables like Botox® and dermal fillers – will have to be supervised by a qualified health care professional in a setting regulated by Healthcare Improvement Scotland (HIS)
group 3 procedures – for instance, breast and buttock augmentation – will have to be performed by a qualified healthcare professional in an HIS-regulated setting
The Scottish Government will take forward a combination of primary and secondary legislation to implement the proposals.
A new Bill regulating Group 2 and Group 3 procedures will be introduced later this year. Secondary legislation under the Civic Government (Scotland) Act 1982 will establish the licensing regime for Group 1 procedures.
Public Health Minister Jenni Minto said: “It is deeply upsetting to hear of cases where people have suffered as a result of non-surgical cosmetic procedures going wrong.
“The current gaps in regulation mean that anyone can perform most of these procedures without the need for any formal training or qualifications. These proposals reflect our determination to protect the public and ensure high standards across this growing industry.
“I am particularly heartened by the broad support for action to make the sector safer, and we will continue to work closely with Healthcare Improvement Scotland, local authorities, and the wider industry to support a smooth and effective implementation.”
NHS Lothian’s Princess Alexandra Eye Pavilion has, from today (25 June) fully reopened to patients. The hospital was temporarily closed in Autumn 2024 to enable urgent repair work to be carried out.
The return of services, which began in early June, has been carefully managed over a number of weeks to ensure a smooth transition.
Michelle Carr, Chief Officer, Acute Services, NHS Lothian explained, “Moving our range of diagnostic and treatment equipment, microscopes, ophthalmoscopes and devices for measuring eye pressure, along with all the lenses and instruments that our healthcare staff require for the many and varied eye conditions that individual patients may present with is nothing short of a mammoth task.
“Our teams have worked tirelessly, planning for the return of services and the reopening of the building. I would like to thank them for their professionalism and ongoing commitment to patient care.”
Patients will continue to receive tailored communications by letter, text or both with information about their appointments.
Recognising patient feedback, an element of the macular service (including some IVT) will now also be available for patients within the East Lothian Community Hospital, in addition to the service provided at the Princess Alexandra Eye Pavilion.
Jim Crombie, NHS Lothian Deputy Chief Executive explained, “For many patients, the move back to the familiar surroundings of the Princess Alexandra Eye Pavilion, will be most welcome.
“We are incredibly grateful to all of our patients for their understanding while the building was temporarily closed and would like to thank them for the valuable feedback they provided.”
The Princess Alexandra Eye Pavilion holds an average of 152 outpatient clinics a week, using 40 consultation rooms every day. In all, there are 1,400 outpatient appointments every week and more than 130 inpatient slots.
UKHSA is reminding travellers to be careful around animals when travelling to rabies affected countries
A woman from the UK has sadly died after becoming infected with rabies, following contact with a stray dog during a visit to Morocco. The individual was diagnosed in Yorkshire and the Humber.
There is no risk to the wider public in relation to this case as there is no documented evidence of rabies passing between people. However, as a precautionary measure, health workers and close contacts are being assessed and offered vaccination when necessary.
Rabies is passed on through injuries such as bites and scratches from an infected animal. It is nearly always fatal, but post-exposure treatment is very effective at preventing disease if given promptly after exposure to the virus.
Dr Katherine Russell, Head of Emerging Infections and Zoonoses, at UKHSA, said: “I would like to extend my condolences to this individual’s family at this time.
“If you are bitten, scratched or licked by an animal in a country where rabies is found then you should wash the wound or site of exposure with plenty of soap and water and seek medical advice without delay in order to get post-exposure treatment to prevent rabies.
“There is no risk to the wider public in relation to this case. Human cases of rabies are extremely rare in the UK, and worldwide there are no documented instances of direct human-to-human transmission.”
Rabies does not circulate in either wild or domestic animals in the UK, although some species of bats can carry a rabies-like virus. No human cases of rabies acquired in the UK from animals other than bats have been reported since 1902.
Between 2000 and 2024 there were 6 cases of human rabies associated with animal exposures abroad reported in the UK.
Rabies is common in other parts of the world, especially in Asia and Africa. All travellers to rabies affected countries should avoid contact with dogs, cats and other animals wherever possible, and seek advice about the need for rabies vaccine prior to travel.
You should take immediate action to wash the wound or site of exposure with plenty of soap and water, if:
you’ve been bitten or scratched by an animal while you’re abroad in a country with rabies
an animal has licked your eyes, nose or mouth, or licked a wound you have, while you’re abroad in a country with rabies
you’ve been bitten or scratched by a bat in the UK
Local medical advice should be sought without delay, even in those who have been previously vaccinated.
When given promptly after an exposure, a course of rabies post-exposure treatment is extremely effective at preventing the disease.
If such an exposure occurs abroad, the traveller should also consult their doctor on return, so that the course of rabies treatment can be completed. If travellers have not sought medical advice abroad, they should contact their doctor promptly upon return for assessment.
Rabies – Information for travel leaflet. Public Health England. Product code: 400322RT. Gateway Number: 2024664.Rabies – Information for travel leaflet. Public Health England. Product code: 400322RT. Gateway Number: 2024664.
For more information on the risk of rabies in different countries, see the country information pages on the National Travel Health Network and Centre’s (NaTHNaC’s) website, TravelHealthPro.
Huge congratulations to our incredible staff who have been recognised at this year’s RCN Nursing Awards!
NHS Lothian staff were recognised at this years RCN awards for their pioneering innovations, dedication and exceptional care.
Kath Williamson, Senior Clinical Nurse Specialist in Bariatric Care, picked up the Inspiring Excellence – Nursing Innovation and Research Award at the ceremony at the National Museum of Scotland in Edinburgh.
Described as a pioneering nurse and researcher, Kath is dedicated to improving care for people living with severe obesity.
While working as a District Nurse, she identified a critical gap in services for housebound patients and went on to pursue a PhD to better understand their needs, experiences, and the associated costs of care. Her mixed-methods research has revealed fragmented services, widespread stigma, and significant unmet needs among this vulnerable group.
With the support of her CSO Fellowship, Kath established the NHS Lothian Bariatric Forum, a multidisciplinary group working to improve care coordination and outcomes for patients with complex obesity. Despite the limited clinical academic pathways for nurses in Scotland, Kath continues to lead innovative research, mentor others, and advocate for greater nurse involvement in academic work.
In a close second, Stacey Boyle, Midwife, and Marianne Hay, Senior Charge Midwife at St. John’s Hospital, were recognised as runners-up for their innovative scrubs, made from recycled NHS fleeces, that enable partners to provide vital skin-to-skin contact with their newborns after a caesarean section.
The special theatre scrubs allow newborns to nestle inside, regulating their heart rate and breathing, as well as assisting with immediate bonding, while the surgical team focus on the mum and the completion of the procedure.
Gillian McAuley, Nurse Director Acute, NHS Lothian, was named runner-up for the Clinical Leadership Award. Gillian was recognised for leading the development of a five year Nursing and Midwifery Strategic Plan, driving key initiatives like care assurance systems, digital care planning, and a BME career programme.
Through innovation, collaboration, and strategic leadership, she’s strengthened patient care and staff support.
Scott Taylor, Co-Chair of the Scottish Learning Disability Lead Nurse Group, was also a runner up for the Learning Disability Nursing Award. Along with Kerry Anderson, Scott has played a key role in advancing learning disability nursing across Scotland.
Through strategic leadership and national engagement, he’s helped raise the profile of the profession, tackled health inequalities, and ensured the needs of people with learning disabilities are reflected in national policy.
The South East Forensic Healthcare Team at the Royal Edinburgh and Associated Services, also came second for the nursing team of the year award.
The Team delivers trauma-informed, person-centred care to vulnerable individuals in the justice system. Their work spans forensic examinations, mental health support, and harm reduction services like naloxone distribution.
Partnering with agencies like Police Scotland, they tackle health inequalities and prevent drug-related deaths.
Alison MacDonald, Executive Nurse Director, NHS Lothian, said: “I’m incredibly proud of all our staff who have been recognised at this year’s RCN Awards.
“Congratulations to Kath on her outstanding achievement and to all our runners-up, whose dedication, innovation and compassion continue to raise the bar for nursing excellence.
“These accolades are a testament to the remarkable talent we have across NHS Lothian.”
Reducing diagnoses to address antibiotics resistance
Thousands of cases of the sexually transmitted infection gonorrhoea could be prevented through a new vaccine programme.
The Scottish Government is funding the programme, which will begin in August, to address increasing health inequalities and growing resistance to antibiotics treatment.
Those eligible include gay and bisexual men at highest risk of infection, those involved in selling or exchanging sex regardless of gender and those who sexual health clinic professionals assess as being at a similar risk level.
Gonorrhoea can cause significant pain and discomfort and in rare cases, life-threatening sepsis. The number of cases has been rising steadily in recent years and it is the second most common bacterial STI in Scotland. Latest figures show there were 5,999 diagnoses in 2023, a 59% increase on pre-pandemic.
Speaking at the Public Health Scotland Scottish Vaccination and Immunisation Conference in Edinburgh, Public Health Minister Jenni Minto said: “This action is urgent and timely since the number of diagnoses has been high and the disease is becoming increasingly difficult to treat with antibiotics.
“The science tells us that this vaccine will potentially protect thousands of people and prevent the spread of infection.
“Anything which stops people from contracting gonorrhoea in the first place can have huge benefits, including ensuring our health system remains resilient by reducing the amount of treatment needed.”
Dr Sam Ghebrehewet, Head of the Vaccination and Immunisation Division at PHS, said: “With gonorrhoea diagnoses having increased in recent years, the offer of the 4CmenB vaccine to those at highest risk of exposure is a welcome new intervention. This vaccination programme is expected to help control and prevent the spread of gonorrhoea.
“Public Health Scotland is working with the Scottish Government and colleagues across NHS Boards to finalise plans for the roll out of this targeted vaccination offering to those at increased risk of gonorrhoea from August 2025.”
More than £106 million has been allocated to health boards in Scotland to help tackle the longest waits for procedures and operations.
The funding has been assigned to specialty areas for the year ahead where it can have the greatest impact against the longest waits – this includes £25 million for trauma and orthopaedics, £21 million for imaging, £14 million for cancer treatment and more than £12 million for ophthalmology.
The investment is part of the £200 million announced as part of the Programme for Government to build capacity, tackle delayed discharge and improve patient flow through hospitals.
Health Secretary Neil Gray said: “This government is focussed on taking the action needed to cut waiting lists – significant activity is already underway through this additional investment which will help us target the longest waits for treatment.
“We are determined to reduce patient waits in the year ahead and this £106 million of additional funding will help us to deliver more than 150,000 extra appointments and procedures in 2025-26. This funding is just part of our record investment of £21.7 billion for health and social care this year.
“Last year, health boards vastly exceeded the commitment to deliver 64,000 appointments and procedures – instead delivering more than 105,000 through our targeted approach. This investment will allow us to build on this progress and deliver tangible improvements for patients.”
NHS Lothian, and Asthma + Lung UK have praised the benefits of the LEZ, following a year of enforcement.
Experts at the NHS and a leading charity have highlighted the ongoing impact of the LEZ enforcement on air quality and health. In addition, the new rules have incentivised active travel and greater use of public transport.
A LEZ was introduced in Edinburgh on 31 May 2022, along with LEZs in Glasgow, Aberdeen, and Dundee, restricting the most polluting vehicles and benefiting everyone’s health. Edinburgh began enforcement alongside Aberdeen on June 1, 2024. Dundee began enforcement on May 30, 2024, and Glasgow on June 1, 2023.
With Clean Air Day (19 June) just a few weeks away too this one-year anniversary is a timely reminder of the importance of the LEZ here in Edinburgh and beyond.
In recent years air quality in Edinburgh has improved, with our monitoring data showing reduced pollution levels, and people getting ready for the LEZ may have contributed to this.
Over the last year, the average amount of Penalty Charge Notices (PCNs) issued for non-compliant vehicles entering the zone has been decreasing steadily.
Between June 2024 and January 2025 alone the total number decreased by 56%. There is also evidence of lower numbers of second contraventions. The vast majority of vehicles entering the LEZ are compliant, over 95%. Around 3% of vehicles entering the LEZ are exempted classed.
The Institute of Occupational Medicine (IOM) has also published a study indicating that active travel and public transport use increased within the LEZ during the first six months after LEZ enforcement.
The first annual report on LEZ operation is expected to be presented to the Transport and Environment Committee later this year, including air quality trends and how the scheme contributes to our carbon reduction targets, as well as operational matters such as the number of PCNs issued, costs of maintaining and operating the scheme, gross and net revenue and other key issues.
The Council is working with the Scottish Environmental Protection Agency (SEPA) on data collection and analysis of the LEZ and will present a report in the Scottish Parliament that will help inform the national picture of LEZ impact.
Transport and Environment Convener, Councillor Stephen Jenkinson: “I’m proud that alongside Aberdeen, Dundee, and Glasgow we took the bold step of implementing and enforcing a LEZ. We’re sending a clear message that our major cities are united in pursuing a better future for all. Fundamentally, the LEZs are about making our cities healthier for everyone.
“As Scotland’s capital city, we have a duty to lead on the response to the climate and nature emergencies which will define our country for generations to come. Multiple studies show that even low levels of pollution can have an impact on our health.
“Road traffic is one of the main sources of harmful emissions that are damaging people’s health and contributing to climate change, so we have a real responsibility to tackle this.
“The average decrease in PCNs here in Edinburgh show that people are getting used to the LEZ and modifying their habits accordingly. It’s also encouraging to see studies showing a positive shift towards greater use of active travel and public transport.
I look forward to seeing the annual report when it is considered by Committee.
“The LEZ is one important tool to help us achieve our ambitious climate goals, including net zero emissions by 2030.”
Flora Ogilvie, Consultant in Public Health, NHS Lothian said: “It’s great to know that the LEZ enforcement has been in place for a year, helping to improve air quality in the city and protect the health of our most vulnerable residents.
“Improving air quality and reducing traffic levels are also an important way of encouraging more people to travel by walking, wheeling, cycling and public transport.
“Travelling sustainably can help improve individual physical activity levels and mental wellbeing, as well as supporting better environmental health for the whole population and planet.”
Joseph Carter, Head of Asthma + Lung UK Scotland said: “We are pleased that Edinburgh along with Dundee and Aberdeen made the bold move a year ago to ban the most polluting cars from their city and it is a step in the right direction to help improve the air that we all breathe.
“With air pollution cutting short thousands of lives a year, we want to see our cities become far healthier places, where people can walk and cycle and not be forced to breathe in dirty air.
“With 1 in 5 people in Scotland developing a lung condition like asthma and chronic obstructive pulmonary disease (COPD) in their lifetime, for them, air pollution can trigger life-threatening asthma attacks and flare-ups.
“Children are more susceptible to air pollution as their lungs are still growing, and they also breathe faster than adults. As they grow, toxic air can stunt the growth of their lungs, making them less resilient into adulthood and placing them at greater risk of lung disease in the future.”
77% of all PCNs in the last year were served to light passenger vehicles (private cars) and 21% to light goods vehicles (panel vans) with the remaining 2% being divided among the other classes of vehicle. 62.4% of PCNs are paid within 14 days at the discounted rate.
Income from the LEZ will be used in the first instance to pay for the operation and maintenance of the scheme. Any surplus income will be contributed towards Council projects which contribute towards the wider goals of the LEZ, particularly improving air quality and climate change emission reduction.
Air pollution is associated with between 29,000 and 43,000 deaths a year in the UK. The World Health Organization and the UK Government both recognise that air pollution is the largest environmental threat to our health.
Another key development is that the Low Emission Zone Support Fund has now resumed and is open to new applications. This is funded by Transport Scotland and administered by the Energy Saving Trust.
