Questions and answers

Question reference: S6O-04443

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 12 March 2025
Current Status: Taken in the Chamber on 19 March 2025

To ask the Scottish Government what steps Historic Environment Scotland is taking to ensure that women have access to a safe working environment.

Question reference: S6W-35425

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 05 March 2025
Current Status: Answered by Alasdair Allan on 10 March 2025

To ask the Scottish Government what consideration it is giving to the reported community concerns regarding the culling of feral goats in the Scottish Borders, and whether a form of protected status is a potential option to preserve their existence.

Question reference: S6O-04344

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 12 February 2025
Current Status: Taken in the Chamber on 20 February 2025

To ask the Scottish Government, regarding the application of equalities legislation, what its position is on the provision of single-sex spaces in public sector buildings, including hospitals.

Question reference: S6W-33801

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 22 January 2025
Current Status: Answered by Jenni Minto on 3 February 2025

To ask the Scottish Government, further to the answer to question S6W-32174 by Jenni Minto on 23 December 2024, for what reason data on the percentage of women accessing multidisciplinary care is not routinely collected; whether this will change; if so, when; what timeline has been set to ensure that all NHS boards have established multidisciplinary teams for endometriosis, and how progress will be reported.

We are continuing work to improve the data we have on women’s health so that we can better understand the health of women and girls in Scotland – including endometriosis.

Information on women’s health data in Scotland can be found in the recently published . It sets out the range of publicly available data on the health of women in Scotland and highlights where there appear to be gaps. Further work will be undertaken to explore data sources and gaps in more detail.

The for NHS Scotland aims to support healthcare professionals to provide holistic and timely care for those with endometriosis and endometriosis-like symptoms. All NHS Boards should be taking steps to implement the pathway.

As set out in the Pathway, clinicians should consider women’s individual needs in order to determine treatment for example symptoms, aspects of daily living and whether fertility is a priority for that individual.

Question reference: S6W-33810

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 22 January 2025
Current Status: Answered by Jenni Minto on 3 February 2025

To ask the Scottish Government, further to the answer to question S6W-32158 by Jenni Minto on 23 December 2024, how it plans to evaluate the long-term impact of the menstrual health resource on increasing awareness and early diagnosis of endometriosis, and whether there is a plan for follow-up surveys or studies to assess whether engagement with the platform correlates with improved diagnosis rates or better health outcomes.

Question reference: S6W-33809

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 22 January 2025
Current Status: Answered by Jenni Minto on 3 February 2025

To ask the Scottish Government, further to the answer to question S6W-32162 by Jenni Minto on 23 December 2024, what steps it is taking to improve the early identification of endometriosis symptoms by primary care providers, in order to reduce any reliance on A&E visits.

The for NHS Scotland supports healthcare professionals to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms.

The pathway is clear and advises healthcare professionals to suspect endometriosis in women who present with one or more symptom (including in young women aged 16 and under).

Clinicians are advised to assess women’s individual information and support needs and take into account their circumstances, symptoms, priorities, desire for fertility, aspects of daily living, work and study, cultural background, and their physical, psychosexual and emotional needs.

All NHS Boards should be taking steps to implement the pathway.

To support health care professionals to improve their knowledge and understanding of endometriosis, NHS Education for Scotland (NES) has launched an e-learning module on menstrual health available on . It is open access to anyone working in NHS Scotland and in particular aimed at those working in primary care.

Further training resources have also been provided through the Women’s Health Masterclass on endometriosis which provided information on diagnosis, treatment and current research on endometriosis, raising awareness of the Pathway with attendees. The resources from this event are also available on .

Additionally, we are have funded the Royal College of General Practitioners (RCGP) to develop new training resources on endometriosis for members, which will be available in the coming months.

Question reference: S6W-33800

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 22 January 2025
Current Status: Answered by Jenni Minto on 3 February 2025

To ask the Scottish Government, further to the answer to question S6W-32170 by Jenni Minto on 23 December 2024, what percentage of NHS healthcare professionals have used the Menstrual Health Symptom Questionnaire in patient consultations; what training is provided to healthcare professionals on using this tool, and whether any such training is mandatory.

The Scottish Government does not hold data on the number of NHS health professionals using the NHS Education for Scotland in patient consultations.

As part of the implementation of the Women’s Health Plan, an NHS Education for Scotland educational resource has been developed and is free to access for anyone working in the NHS in Scotland via . The module includes a link to the questionnaire and guides the learner on how it can be used. We continue to work with NHS Education for Scotland to promote this training module among health professionals.

The questionnaire is also freely available to both patients and healthcare professionals through the NHS Inform .

Question reference: S6W-33808

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 22 January 2025
Current Status: Answered by Jenni Minto on 3 February 2025

To ask the Scottish Government, further to the answer to question S6W-32168 by Jenni Minto on 23 December 2024, in light of funding not being ring-fenced, how it is ensuring that NHS boards prioritise endometriosis care within their overall budgets.

The Scottish Government is providing investment of over £19.5 billion for health and social care in 2024-25 and supporting delivery of the specific actions relating to women’s health as we continue to drive forward the implementation of the Plan.

The Scottish Government provides this baseline funding to NHS Boards, to best meet the healthcare needs of their population, including for women with endometriosis.

Endometriosis is one of the key priorities in the Women’s Health Plan and will continue to be so. Through the implementation of the Women’s Health Plan we have established Women’s Health Lead Network with a Lead in every NHS Board. The Network enables the Leads to identify both common and local challenges and exchange ideas on innovation and best practice, along with discussions on progress to implement the Women’s Health Plan priorities at local level.

Question reference: S6W-33813

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 22 January 2025
Current Status: Answered by Jenni Minto on 3 February 2025

To ask the Scottish Government, further to the answer to question S6W-32166 by Jenni Minto on 23 December 2024, how it plans to enhance the role of primary care providers in the early identification and management of endometriosis, and whether there are any plans to provide GPs and other primary care professionals with more targeted training or guidelines to help identify endometriosis symptoms early in the process.

The for NHS Scotland supports healthcare professionals, including those in primary care, to provide a holistic approach and timely care for those with endometriosis and endometriosis-like symptoms. The pathway advises healthcare professionals to suspect endometriosis in women who present with one or more endometriosis-like symptom (including in young women aged 16 and under) NHS Boards should be taking steps to implement the pathway.

To support health care professionals to improve their knowledge and understanding of endometriosis NHS Education for Scotland (NES) has launched an e-learning module on menstrual health available on . It is open access to anyone working in NHS Scotland and is in particular aimed at those working in primary care.

Further training resources have also been provided through the Women’s Health Masterclass on endometriosis which provided information on diagnosis, treatment and current research on endometriosis, raising awareness of the Pathway with attendees. The resources from this event are also available on .

Additionally, we are have funded the Royal College of General Practitioners (RCGP) to develop new training resources on endometriosis for members, which will be available in the coming months.

Question reference: S6W-33803

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 22 January 2025
Current Status: Answered by Jenni Minto on 3 February 2025

To ask the Scottish Government, further to the answer to question S6W-32175 by Jenni Minto on 23 December 2024, what proactive steps are being taken to ensure that women with endometriosis receive timely fertility advice, rather than waiting until conception difficulties arise; what percentage of women currently diagnosed with endometriosis have been referred to fertility specialists, and what the current average waiting time is for referrals to these services.

Data regarding post-diagnosis referral to fertility services is not held by the Scottish Government.

As set out in the for NHS Scotland, clinicians should consider women’s individual needs in order to determine treatment, for example symptoms, aspects of daily living and whether fertility is a priority for that individual. The Pathway notes that discussions regarding fertility should happen in the first presentation and that management and long-term impact including fertility should be discussed during initial assessment.

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