Unions consider revised pay and contract reform offer
Resident Doctors have called off proposed strike action across Scotland after the British Medical Association (BMA) Scottish Resident Doctors Committee agreed to ballot members on an offer of 4.25% in 2025-26 and 3.75% in 2026-27.
The committee is recommending that their members accept the two-year pay deal offered by the Scottish Government – that matches one already accepted by nurses and other healthcare staff – alongside a separate package of contractual reform.
The combined offer will see an 8.16% cumulative pay uplift over two years and an additional investment in contractual reform over the same period.
The total investment in the offer for both pay and contract reform over the two-year period will be £133 million. The BMA will now consult their members on the deal with planned industrial action on 13 January no longer going ahead.
Health Secretary Neil Gray said: “It is great news that we have reached an agreement that has allowed next week’s industrial action to be halted.
“This avoids the cancelled operations and disruption to patient care that no one, including resident doctors, wanted to see. Days of intensive and constructive talks have got us here and I thank the BMA, and my team, for getting us to this point.
“The combined offer will see the same pay deal which nurses and NHS support staff agreed. It also includes additional investment in contractual reform over the same period, providing a total investment of £133 million over this time.
“It further underlines our commitment to the 2023 pay and contract reform agreement. I hope Resident Doctors will now vote to accept.”
On Tuesday 13 January, the Scottish budget will be announced.
Right now, unpaid carers and local carer organisations are under huge pressure. Cuts to services mean carers are caring for longer and more intensively, often while living in poverty.
This cannot continue.
The National Carer Organisations are calling on the Scottish Government to:
Provide secure, long‑term funding for local carer organisations
Properly fund the Right to a Break so carers can take time to rest
Take real action to reduce carer poverty and improve health and wellbeing
Read the statement from the National Carer Organisations in full:
National Carer Organisation’s Statement on the Scottish Budget
The Scottish Budget will be announced on Tuesday 13th January 2026. Unpaid carers and local carer organisations are facing considerable challenges as the pressure on our health and social care system mounts.
Cuts to budgets and services mean more unpaid carers are caring for longer and more intensively, often while living in poverty.
The National Carer Organisations urge the Scottish Government to ensure the upcoming budget provides secure and sufficient funding to support both unpaid carers and local carer organisations. This support must include sufficient funding to support the implementation of the right to a break, as well as targeted measures to alleviate poverty and improve health and wellbeing.
Unpaid carers, including young carers, encounter a range of complex and diverse challenges that affect many aspects of their lives. The estimated value of unpaid care in Scotland is £15.9 billion annually. It is imperative that no unpaid carer experiences poverty due to their caring responsibilities.
The National Carer Organisations believe that the Scottish Government has a significant opportunity through the Scottish Budget to take decisive action, reinforce its commitment to recognising unpaid carers, and address some of the primary challenges they face.
We are calling on the Scottish Government in its budget to:
Invest to ensure unpaid carers can have a break from caring, including in developing the Right to a Break from Caring and by increasing voluntary sector short break funding.
Invest in support for unpaid carers by sustaining local carer organisations, in particular compensating for the extra costs they face from increased employer National Insurance Contributions and the forthcoming rise in the Real Living Wage from April 2026.
Invest in reducing poverty amongst unpaid carers and those they care for by delivering on commitments to improve Carer Support Payment, introducing a new payment for older adult unpaid carers, and making meaningful progress towards abolishing social care charges.
About the National Care Organisations
The National Carer Organisations in Scotland are Carers Trust Scotland, Carers Scotland, Coalition of Carers in Scotland, MECOPP, Shared Care Scotland and the Scottish Young Carers Services Alliance.
Together we have a shared vision that all Scotland’s unpaid carers will feel valued, included and supported as equal partners in the provision of care. We aim to achieve this through the representation of unpaid carers and giving them a voice at a national level.
We believe we can deliver more for unpaid carers by working together to share our knowledge and experience, and by focusing our collective efforts on achieving improvements in areas of policy and practice that are of greatest concern to unpaid carers.
Two-child limit mitigation funding for 2025-26 reinvested to tackle child poverty
More support will be available to families and households to help cover the cost of life’s essentials and to deal with emergencies.
First Minister John Swinney has confirmed that £10 million originally earmarked in 2025-26 to support the two-child limit mitigation payment in Scotland will be reallocated to tackling child poverty.
The majority of the funding will be split between charities and government programmes that provide emergency financial support, including:
£5.5 million additional funding for the Scottish Welfare Fund. The fund is administered by local authorities and provides people on low incomes with emergency grants if they are facing crisis, homelessness or other housing or caring challenges
An additional £0.55 million for Aberlour Children’s Charity and £1.5 million for Children First to provide extra emergency support to families in crisis
£1.5 million for the Corra Foundation to distribute additional emergency funds via local organisations
A further £1 million will support various strands of the Scottish Government’s national Child Poverty Delivery Plan 2022-2026, including parental employability schemes, funding to support women back into the workforce, additional investment into the King’s Trust’s NHS employability programmes, and targeted support for households experiencing homelessness.
Visiting children’s charity Children First, First Minister John Swinney said: “When I became First Minister, I said that I will pursue priorities that will make Scotland the best our country can be, and the most important priority that I have pursued in government has been that of eradicating child poverty.
“We have made progress. Scotland is the only part of the UK where relative child poverty rates fell in the last year. Our investment in a more dignified and generous social security system, funded childcare, free school meals and free bus travel for under-22s is putting more money in families’ pockets.
“However, as we start 2026, there are still far too many children in Scotland growing up hungry, or cold, and unable to reach their full potential. That is unacceptable.
“Today’s announcement will provide some immediate short-term relief for individuals and families facing the most challenging of circumstances. Our local authorities and charities have well-established means of getting support out quickly to people in need.
“Next week we will set out in more detail our intention to put tackling child poverty at the heart of the next Scottish Budget and I look forward to unveiling landmark interventions to drive this work forward.”
Chief Executive of Children First, Scotland’s national children’s charity, Mary Glasgow said: “These funds from the Scottish Government will allow Children First to offer life changing and immediate support to thousands of children as part of the national mission to eradicate child poverty.
“Through our national support line we will be able to reach more children and families to offer the financial, practical and emotional support they need to improve their circumstances and tackle the hardships they face in the short and longer term.
“Any family in Scotland in need of help can contact Children First’s friendly, specialist support line team 365 days a year by calling 08000 28 22 33 or starting a web chat at www.childrenfirst.org.uk/supportline.”
Chief Executive of Aberlour Justina Murray said: “Aberlour is delighted to receive this funding boost from the Scottish Government for our Urgent Assistance Fund.
“We know that families living in poverty particularly struggle with the cost of living during the winter months, with the post-Christmas period particularly challenging and often very bleak.
“This additional funding will be used to provide emergency cash grants via our UAF to families in desperate need for essentials like heating, food, warm clothing and bedding.
“This generous contribution by the Scottish Government will ensure that around 1,660 families living in poverty will have the basic essentials they need this winter such as food on the table, adequate clothing for their children and a warm home at night.”
The Scottish Welfare Fund is made up of two different grants (Crisis Grant and Community Care Grant) which can be applied for through your local authority and do not need to be paid back.
To apply for a grant from the Scottish Welfare Fund you must be 16 or older and on a low income or getting certain benefits.
New legislation has been published that will give councils more choice in how they design and apply a visitor levy to raise funds for local tourist services.
While local authorities currently have the power to apply a charge on overnight stays based on a percentage of accommodation costs, the Visitor Levy (Amendment) (Scotland) Bill proposes giving councils additional powers to set the levy as a fixed amount.
If passed by Parliament, the legislation will also allow councils to set a range of fixed amounts, such as for different geographical locations, times of year or types of accommodation.
In addition, the Bill clarifies how accommodation providers should report to councils and how levies are applied to sales made through third parties such as travel agents.
Public Finance Minister Ivan McKee said: “When we introduced the original visitor levy legislation, we wanted to empower councils to implement a scheme that was right for their areas and easy to understand for local businesses.
“We worked closely with councils and tourism bodies when the original legislation was considered and passed by Parliament. These new proposals will give councils even more flexibility and provide clarity to businesses.
“We want to ensure visitor levies are an effective option for councils who choose to introduce them to boost investment in local economies and services.”
Fiona Campbell MBE, Chief Executive of the Association of Scotland’s Self-Caterers and Vice Chair of Scottish Tourism Alliance Policy Group, said:“The Association of Scotland’s Self-Caterers warmly welcomes the introduction of the Scottish Government’s Visitor Levy (Amendment) Bill.
“The commitment to introduce much-needed legislative changes in the current parliamentary timetable is an important recognition of the urgency of the situation and the continuing complexities that a percentage-based model presents for Scotland’s valuable accommodation sector.
“If passed, this legislation will give local councils greater flexibility and choice by allowing them to set the levy as a fixed amount. This is a pragmatic change that industry has pushed hard for, and it also reflects a clear cross-party desire to ensure the visitor levy is fit for purpose, proportionate and workable in practice.
“We are heartened that the Scottish Government has listened to consistent, evidence-based concerns.
“We look forward to working constructively with the government and MSPs from all parties as the Bill progresses, to help deliver a levy that boosts local tourism investment in those areas that choose to take it forward, while supporting Scotland’s vital tourism economy.
“Given that change is coming, the sector would encourage local authorities, including those who have already formally consulted on a percentage-based levy, to seriously consider opting for a simpler, more workable fixed amount charge, which will have a less damaging impact on the accommodation businesses that are the lifeblood of our local communities.”
NHS Scotland spent £440m last year on beds for patients who were unable to get out of hospital despite being ready to be discharged, according to a new report by Scotland’s public spending watchdogs.
The report from the Audit Scotland and the Accounts Commission said one in nine hospital beds were occupied because of delayed discharges in the 12 months to April 2025.
It said the Scottish government must set out a plan to tackle the problem.
Delays in discharging patients from hospital affect people’s physical and mental health, and make it harder to admit others to hospital. Delayed discharges are a symptom of wider pressures across health and social care in Scotland.
The joint report by the Auditor General for Scotland and the Accounts Commission warns this has a significant effect, despite impacting only around three per cent of hospital patients. People medically ready to leave spent 720,000 unnecessary days in hospital in 2024/25. Whilst the full financial impact is unknown, the cost to the NHS in hospital days alone is an estimated £440 million a year.
The causes are complex, including rising demand for health and social care services, financial pressures, long-standing recruitment and retention problems across Scotland and for some, not having a Power of Attorney in place.
Reducing delayed discharges is a priority for the Scottish Government and their partners in health and social care, with significant activity underway to tackle this. But a lack of evaluation of initiatives across the country means it is difficult to measure what is having the greatest impact and whether these initiatives represent value for the money and time spent.
Stephen Boyle, Auditor General for Scotland, said: “Delayed discharges from hospital have far-reaching impacts on people’s health and well-being. The Scottish Government, health bodies, councils and other partner organisations agree on the need for major changes and are actively trying to reduce delayed discharges.
“Now they must improve how they collect, analyse and use data to evaluate the initiatives underway to tackle the problem. Without this, it’s impossible to understand the impacts and costs of delayed discharges and whether the initiatives across Scotland are improving lives, services and delivering value for money.”
Malcolm Bell, Member of the Accounts Commission said: “Significant change is critical across our health and social care services, shifting towards preventative care, greater use of technology and ongoing investment in the workforce. Without this, the care and support individuals need to leave hospital won’t always be available.
“The Scottish Government and COSLA’s joint health and social care service renewal framework is an opportunity for progress to be made with health and social care reform. But IJBs and social care need to be at the centre of planning and decision-making on service renewal, and it’s not clear how the framework will address the challenges faced by social care.”
‘The current approach has failed’
In response to the joint report into delayed discharges by the Auditor General for Scotland and Accounts Commission, Dr Fiona Hunter, RCEM Vice President for Scotland, said: “This report lays bare the scale of delayed discharge, and the impact it has on our health and social care system and the people it serves.
“720,000 days’ worth of unnecessary hospital stays in the 2024/25 financial year. That’s almost 2,000 years – an almost inconceivable amount of wasted resources which, if exit block had been addressed, could be used to help the patients lining the corridors of Emergency Departments day in, day out.
“The knock-on effect delayed discharge has on EDs cannot be overstated.
“Every hospital bed occupied by someone who does not need it, but cannot leave through no fault of their own, adds pressure to EDs which are receiving more patients than they can move on.
“And these unnecessary stays in a hospital bed puts patients at greater risk of hospital-born infection, and can lead to deconditioning, stripping them of their independence.
“This is something RCEM has been raising the alarm about for years now, and while the government has acknowledged the issue and taken some steps to address it – the total breakdown in hospital flow outlined in this report shows that the current approach has failed.
“Things cannot go on like this and I hope the government, health service and local authorities heed the recommendations set out by the Auditor General for Scotland.
“Improvements to data gathering and discharge planning, among the other recommendations, would be a step towards the system-wide approach we have long said is needed to fix Emergency Care.”
RCEM said earlier this week that The Scottish government must prioritise tackling delayed discharges and overcrowding in Emergency Departments (EDs) or risk the entire system collapsing under the strain of an incredibly difficult winter.
Th message from the Royal College of Emergency Medicine (RCEM), followed the release of ED performance figures on Tuesday (6 January) by Public Health Scotland (PHS) for November 2025.
One in 15 patients (8,065) waited 12 or more hours in a type-1 ED before being admitted, transferred or discharged in that month alone, the worst figures for a November since records began in 2007.
Further, the new data found that:
It was the worst November on record for eight-hour waits, which stood at 17,259, or 14.5% of patients attending a major ED
Only 63% of patients seen within four hours at type-1 EDs, a far cry from the government target of 95%
Compared to November 2018, waits of four or more hours were four times higher, eight-hour waits were 14 times higher, and 12-hour waits were 39 times higher
Meanwhile, the number of people attending ED was only 5.5% higher in November 2025 compared to November 2018
Dr Fiona Hunter, RCEM Vice President for Scotland, said: “This is yet another month of predictable broken records for Emergency Medicine performance in Scotland.
“The Scottish government continues to shout about improvements to NHS waiting lists. We, of course, welcome these but a lack of political will to put the same emphasis on addressing delayed discharges means our departments are at risk of total derailment.
“We are now in the depths of winter. Patients are arriving into EDs only to find that there isn’t the space to treat them safely, let alone quickly.
“Very sick and injured people are lining corridors, crammed into whatever space we can find, because of exit block and a complete breakdown in flow out of hospitals.
“With warnings of storms, snow and freezing temperatures, the situation is likely to get a lot worse before it gets better.
“It’s unacceptable that this has been allowed to happen, but it’s not too late to act. We call on the government to support health boards so they can make the improvements needed to tackle delayed discharges and improve patient flow.”
The First Minister’s Independent Advisers on the Ministerial Code have concluded their investigation into the Cabinet Secretary for Justice and Home Affairs Angela Constance.
The Advisers concluded that Ms Constance unintentionally breached two provisions of the Ministerial Code. They conclude that:
“…the two breaches were inadvertent without any deliberation or intention to mislead.”
As part of their role, the Advisers can provide advice on any sanction that the First Minster should impose. In this case their advice on sanctions states that this is:
“…at the lower end of the spectrum provided for in the Code and therefore does not call for anything beyond a reprove which should be formal and in writing accompanied by a statement to Parliament by Ms Constance…”
First Minister John Swinney has accepted the conclusions and recommendations in full. In line with the terms of reference of the Independent Advisers, the report has been published by the Scottish Government. Ms Constance will make a statement to Parliament today.
First Minister John Swinney said: “I greatly value the important and impartial role of the Independent Advisers on the Ministerial Code and I am grateful to the Advisers for concluding their investigation promptly.
“I set up this system of Independent Advisers so that they could call in any issue they feel needs to be examined under their own authority and make recommendations as they see fit. They have exercised their ability to examine this case and make recommendations on sanctions. That provides real assurance that there is appropriate, independent scrutiny of Ministers.
“I therefore accept the Independent Advisers’ conclusions, including that Ms Constance acted without any intention to mislead. The requirements of the Independent Advisers’ report will be followed in full.”
The Scottish Government’s Resilience Room (SGORR) convened yesterday to discuss ongoing efforts to recover from the recent heavy snow in northern Scotland and preparations for further snow and ice warnings.
The meeting was chaired by Justice Secretary Angela Constance and attended by First Minister John Swinney, Cabinet Secretaries, the Met Office, transport operators, Police Scotland, local authorities, resilience partnerships and utilities companies.
First Minister John Swinney has asked people to continue to follow advice on staying safe in winter and thanked those involved in supporting others.
Mr Swinney said yesterday: “The cumulative impact of the heavy snowfall across northern Scotland has been significant and there has been a huge effort to keep transport moving and public services open.
“At present, there is still some travel disruption but trunk roads are open and rail, ferry and air services are working to get back to normal as quickly as possible. Likewise many schools are closed today but remote learning is in place for young people, while contingency plans are in place for affected health and social care services.
“There will be further snow and ice, with yellow warnings in large parts of Scotland and temperatures set to remain cold, so impacts will continue to be felt in the coming days which could include transport problems and I would encourage everyone to plan ahead, look out for each other and pay close attention to the range of weather and travel advice available.
“I want to thank everyone who has worked so hard, day and night, to keep Scotland open and moving. Public services have been collaborating well in sharing information and vehicles, while I have heard of truly exceptional efforts by farmers, volunteers and members of the public offering to clear local roads, dig out cars and keep people safe. That community spirit is truly heartening to hear.
“Ministers will continue to keep the situation under review.”
Assistant Chief Constable Alan Waddell said: “Local resilience partnerships are continuing to meet to co-ordinate and deliver the response to disruption experienced by communities in the north and north east of Scotland following heavy snowfall over the weekend.
“We have been working closely with resilience partners across local authorities, other emergency service partners, transport partners, NHS and health and social care partnerships, and other local organisations to support communities affected by adverse weather and keep public services open where possible.
“Some services may be impacted by adverse weather, and I would encouragethe public to check on neighbours or relatives, if they are able to do so safely.
“Heavy snow and ice means driving conditions are likely to continue to be hazardous in some areas. Our advice is to plan ahead and consider if your journey is really necessary.
“If you need to travel, please fully clear your vehicle windows of snow and ice before you drive, drive to the conditions, be prepared for delays and allow extra time for your journey.”
First Minister John Swinney will propose Monday 15 June 2026 is designated a national bank holiday to mark Scotland’s participation in the World Cup for the first time since 1998.
This will allow individuals, businesses and other organisations in Scotland to celebrate after the men’s team play their opening game against Haiti in Boston.
The First Minister said: “Scotland qualifying for the men’s World Cup was a remarkable achievement and a landmark moment, and the reaction to the dramatic win against Denmark reminded us all what football means to the country.
“This year, we want to make the most of this huge opportunity for Scotland and ensure as many people as possible have the opportunity to celebrate the team’s success.
“Not only is this an historic sporting event, it’s also a chance for Scotland to be on the world stage, to attract business development, create tourism interest within the country and to make cultural and sporting connections.
“That is why I am taking steps to ensure the Monday after our opening game should be national bank holiday, so that – no matter the outcome of the match – we can all come together to share the occasion.”
UK Prime Minister Keir Starmer issued the following statement yesterday:
‘The UK has long supported a transition of power in Venezuela. We regarded Maduro as an illegitimate President and we shed no tears about the end of his regime.
‘I reiterated my support for international law this morning. The UK government will discuss the evolving situation with US counterparts in the days ahead as we seek a safe and peaceful transition to a legitimate government that reflects the will of the Venezuelan people.’
Other political leaders have been braver in their condemnation:
First Minister John Swinney has commented on the unfolding situation in Venezuela, urging the international community to ensure that de-escalation, diplomacy and democracy are the foundations of what follows.
YOUR PARTY leader Jeremy Corbyn said: The US has launched an unprovoked and illegal attack on Venezuela. This is a brazen attempt to secure control over Venezuelan natural resources.
“It is an act of war that puts the lives of millions of people at risk — and should be condemned by anyone who believes in sovereignty and international law.”
Your Party has launched a petition
Senator Bernie Sanders’ statement on President Trump’s actions in Venezuela
Former Democrat US Presidential candidate Kamala Harris said: “Donald Trump’s actions in Venezuela do not make America safer, stronger, or more affordable.
“That Maduro is a brutal, illegitimate dictator does not change the fact that this action was both unlawful and unwise.
“We’ve seen this movie before. Wars for regime change or oil that are sold as strength but turn into chaos, and American families pay the price. The American people do not want this, and they are tired of being lied to.
“This is not about drugs or democracy. It is about oil and Donald Trump’s desire to play the regional strongman. If he cared about either, he wouldn’t pardon a convicted drug trafficker or sideline Venezuela’s legitimate opposition while pursuing deals with Maduro’s cronies.
“The President is putting troops at risk, spending billions, destabilizing a region, and offering no legal authority, no exit plan, and no benefit at home.
“America needs leadership whose priorities are lowering costs for working families, enforcing the rule of law, strengthening alliances, and — most importantly — putting the American people first.”
SCOTTISH GREENS: ‘Trump’s illegal invasion and occupation of Venezuela must end. We stand in full solidarity with the people of Venezuela.
“This kind of blatant US imperialism cannot be allowed to stand.’
The UN has issued the following statement:
‘The Secretary-General is deeply alarmed by the recent escalation in Venezuela, culminating with today’s United States military action in the country, which has potential worrying implications for the region.
‘Independently of the situation in Venezuela, these developments constitute a dangerous precedent. The Secretary-General continues to emphasize the importance of full respect – by all – of international law, including the UN Charter. He’s deeply concerned that the rules of international law have not been respected.
‘The Secretary-General calls on all actors in Venezuela to engage in inclusive dialogue, in full respect of human rights and the rule of law.’
AMNESTY INTERNATIONAL said: “Today’s military action by the Trump Administration in Venezuela, which resulted in the capture of Nicolás Maduro and Cilia Flores, raises grave concerns for the human rights of the Venezuelan population and most likely constitutes a violation of international law“.
Health Secretary Neil Gray @neilcgray has welcomed the start of the new chickenpox routine childhood vaccination programme and encouraged parents or carers to take up this offer when called to appointments to give their children the very best protection.
Following a detailed review by the Joint Committee on Vaccination and Immunisation (JCVI), the UK’s independent expert group on vaccines, Public Health Scotland (PHS) has been working with the Scottish Government and colleagues across NHS Boards to make some changes to Scotland’s childhood vaccination programme.
The changes, which began in July 2025, are based on the latest scientific evidence and are designed to ensure that children continue to have the best possible protection from vaccine-preventable diseases.
From January 2026, children will be offered a varicella (chickenpox) vaccine as part of the routine childhood schedule for the first time in Scotland.
JCVI’s recommendation is to offer a two-dose programme offering vaccination at 12 and 18 months of age, using the combined MMRV (measles, mumps, rubella and varicella) vaccine.
Varicella vaccines have been seen to dramatically decrease the number of cases of chickenpox seen in childhood when used in other countries.
Dr Daniel Chandler, Consultant in Public Health Medicine at PHS said: “Chickenpox is a highly contagious infectious disease. While most cases of chickenpox in children are relatively mild, many children are unwell for several days and have to miss school or nursery as a result.
“In some cases, chickenpox can be more severe and can lead to hospitalisations from serious secondary infections or other complications.
“The offer of the varicella vaccine is a welcome new addition to the routine childhood schedule and, as well as reducing the number of cases, will prevent more severe cases of chickenpox.”
Vaccination programmes are regularly reviewed to make sure that all children are offered the best protection against preventable diseases.
As new vaccines become available, or research shows that giving existing vaccines at different times improves protection, the programme will be changed.
Parents and carers will receive appointment invitations from local NHS immunisation teams and are encouraged to look out for them and bring their children for vaccination as scheduled.
Provide secure, long‑term funding for local carer organisations
