Tag: Scottish Government

Delayed Discharge: ‘The current approach has failed’

Significant Change Needed, says new report

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.”

nr_260108_delayed_discharges_erDownload

Angela Constance ‘unintentionally breached’ Ministerial Code

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.”

Independent Advisers Report

Letter from the First Minister to the Justice Secretary

‘Plan ahead and look out for each other’: Swinney plea as winter bites

Resilience room updated on impacts of snowfall

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 encourage the 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.”

Met Office weather warnings are available on the Met Office website.

Flood alerts are issued by the Scottish Environmental Protection Agency and can be viewed on their website. 

Advice on preparing for severe weather can be found on the Ready Scotland website.

World Cup Public Holiday

Celebrating Scotland’s first game since 1998

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.”

Venezuela: Starmer shies away from criticising illegal US action

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 Minister welcomes start of new chickenpox vaccination programme

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.

More school leavers in positive destinations

More than 93% of young people were in work, training or further study nine months after they left school, according to the latest figures.

The proportion in these positive destinations has grown from 85.9% in 2009-10.

Education Secretary Jenny Gilruth said: “These figures show the proportion of Scotland’s young people achieving positive destinations is almost back to pre-pandemic levels and at a near record high.

“The increase among those in Higher and Further Education is hugely encouraging and testament to the hard work of those young people and the extraordinary support provided by Scotland’s teachers, lecturers and other support staff.

“The gap in positive destinations between young people from our most and least deprived communities has more than halved since 2009-10, but this latest data shows we still have more to do. We also know this cohort of young people faced significant disruption to their education during the pandemic.

“A range of support, including from careers advisers and the Developing the Young Workforce network, is available for young people considering their options after school.

“I am determined to ensure young people can access the right help they need to enable them into a positive destination and this Government will continue to invest in opportunities for young people across Scotland.”

Summary statistics for follow-up leaver destinations, no. 7: 2025 edition – gov.scot

Disability and carer benefit transfer completed

700,000 benefit awards transferred to Social Security Scotland

Carers and disabled people have had their benefit awards safely and securely transferred to Social Security Scotland from the Department for Work and Pensions after a multi-year project.  

More than 700,000 benefit awards have been successfully moved over to the Scottish system, meaning every disabled person and carer in the country who received Disability Living Allowance, Personal Independence Payment, Attendance Allowance or Carer’s Allowance will now receive their benefits from Social Security Scotland.

The case transfer process was designed so people did not need to reapply for their benefits or experience any break in the payments they rely on for vital support.

Shirley-Anne Somerville, Cabinet Secretary for Social Justice, said: “Moving more than 700,000 benefits safely and securely from the DWP to Social Security Scotland was a huge undertaking that was essential to ensure carers and disabled people who need financial support are treated with the dignity, fairness and respect they deserve. 

“We have also met our commitment to complete case transfer on time and on budget by the end of 2025.

“When developing our case transfer process, people told us about the stress and anxiety caused by DWP transitions where they had to apply for benefits again with no guarantee they would continue to be eligible.

“We’ve taken a different approach, transferring people’s benefit awards without requiring an application and ensuring no break in entitlement to protect people’s critical payments.

“We set out to deliver a fairer social security system starting from a position of trust, and the majority of clients have told us they were treated with kindness by staff during the process.”

First Minister announces additional funding for community projects

Supporting mental health and tackling loneliness

First Minister John Swinney has announced additional funding to help people with their mental health. A further £3 million will be made available so people can get early help close to home to improve their wellbeing and tackle loneliness.

Since 2021, more than 6,100 grants have been awarded from the Communities Mental Health and Wellbeing Fund for Adults to projects, including those that deliver:

  • support groups for people with long-term health conditions
  • walking, cycling and fitness sessions to reduce stress
  • arts and music programmes to build confidence and social connection
  • befriending services for older adults and carers

The additional funding was announced by First Minister John Swinney ahead of a visit to the EATS Rosyth community hub and garden.

The First Minister said: “I am pleased to announce a further £3 million from the Scottish Government for projects to help people with their mental health and wellbeing.

“This investment reflects our commitment to healthcare that delivers prevention and early intervention, supporting people before they reach crisis point and prioritising those who are most at risk.

“Local support for people who need a bit of extra help with their mental health is really important – projects close to home in familiar settings are often where people feel the safest and most comfortable.

“Offering that kind of support is particularly important at this time of year, which many find difficult. But the festive season also reminds us of the importance of kindness, compassion, and caring for one another.

“Getting outside and spending time in the fresh air can really improve our physical and mental wellbeing, and the Fund that I am announcing today has supported projects that support people to do exactly that.

“After seeing the new community hub, I am looking forward to visiting the EATS Rosyth garden to see how local people are benefitting from the chance to enjoy valuable time outdoors.”

With the additional £3 million investment, total funding from the Communities Mental Health and Wellbeing Fund for Adults in 2025-2026 will be £18 million, and the total provided by the Fund since 2021 will be £84 million.