Questions and answers

Question reference: S6W-33378

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Thursday, 16 January 2025
Current Status: Answered by Neil Gray on 28 January 2025

To ask the Scottish Government, further to the expansion of guidance on breast screening protocols by risk category in 2023, and as set out in the Scottish Cancer Network's Breast Cancer Clinical Management Pathway, what support has been provided to NHS boards to provide screening to women aged 25 to 30 who are identified as very high risk, as per the updated guidance.

The Familial Breast Cancer pathway which is hosted by the Scottish Cancer Network’s Clinical Management Pathway website is a consensus document which is not a rigid constraint on clinical practice, but a concept of good practice against which the needs of the individual patient can be considered by health care professionals.

Surveillance for high-risk breast cancer is the responsibility of NHS Health Boards and are managed locally by health care professionals. The inclusion of a treatment or approach within a consensus document is not a guarantee of immediate access.

Question reference: S6W-33379

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Thursday, 16 January 2025
Current Status: Answered by Neil Gray on 24 January 2025

To ask the Scottish Government how it is monitoring NHS boards' adherence to the Scottish Cancer Network's Breast Cancer Clinical Management Pathway guidance on breast screening protocols by risk category, following the update to the guidance in 2023.

The Scottish Government does not specifically monitor the individual use of the familial breast cancer consensus document’s ‘framework for undertaking germline genetic testing and risk assessment for breast cancer’ which is hosted on the Scottish Cancer Network website. For other formally approved Clinical Management Pathways, assurance is sought via the NHS Boards’ Annual Delivery Plan review process.

Question reference: S6O-04281

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 22 January 2025
Current Status: Taken in the Chamber on 30 January 2025

To ask the Scottish Government when it last met with Borders College.

Question reference: S6O-04246

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 15 January 2025
Current Status: Taken in the Chamber on 23 January 2025

To ask the Scottish Government what its response is to the report, Economic Impacts of Short-term Lets in Scotland, specifically in relation to the Scottish Borders.

Question reference: S6W-32188

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 11 December 2024
Current Status: Answered by Jenny Gilruth on 8 January 2025

To ask the Scottish Government what specific measures are being taken to train teachers in recognising any impact of endometriosis on students’ (a) attendance and (b) academic performance.

I recognise that endometriosis is a painful and long-term condition, which may result in young people being absent from school for a prolonged period. As acknowledged in our national guidance on attendance, ‘Included, Engaged and Involved Part 1,’ there are links between poor attendance and attainment. It is therefore important that education authorities provide appropriate support to meet the educational needs of children or young people where endometriosis is impacting on their attendance.

Teachers are not medical professionals and therefore cannot be expected to have a detailed knowledge of all medical conditions that might affect children and young people. Training requirements should instead be planned for and driven by the individual needs of children and young people in the schools in the area. Similarly, it would not be possible for our guidance to provide detailed information for every medical condition which might cause a healthcare need in schools. For this reason our guidance on ‘Supporting children and young people with healthcare needs in schools’ does not make reference to specific health conditions such as endometriosis. If a child and young person is diagnosed with a longer term condition or develops healthcare support needs, it is normally the role of parents/carers to notify the school that they require the school's input to support their child's needs. Our guidance recommends that if a young person were to be diagnosed with any health condition which might affect their schooling, they and their parent or carer should seek a meeting with the school at the earliest opportunity to discuss their potential additional support needs. This will enable appropriate information about their healthcare needs, including impacts associated medication to be shared and enable the consideration of an individualised healthcare plan.

Where endometriosis results in a young person being absent from school for a prolonged period, the Education (Scotland) Act 1980 requires that education authorities make special arrangements for pupils to receive education elsewhere than at an educational establishment. Alternative arrangements for education will depend upon the young person’s individual circumstances; however it could be provided, for example, at home or in a hospital setting.

Question reference: S6W-32181

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 11 December 2024
Current Status: Answered by Shirley-Anne Somerville on 7 January 2025

To ask the Scottish Government what plans it has to provide support for self-employed women with endometriosis, including access to financial assistance during periods of illness.

Question reference: S6W-32190

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 11 December 2024
Current Status: Answered by Jenni Minto on 6 January 2025

To ask the Scottish Government how it plans to work with youth organisations to deliver peer-led workshops on menstrual health and endometriosis awareness in (a) schools and (b) communities.

The Health and Social Care Alliance Scotland (the ALLIANCE) has continued to support the Women’s Health Plan through their dedicated lived experience programme. This has included the development of the , available for anyone to use, to encourage information sharing and peer support on areas of women’s health including menstrual health and endometriosis.

More information can be found in the

Menstrual health and wellbeing education is a key part of relationships, sexual health and parenthood (RSHP) education. RSHP education is an integral part of the health and wellbeing area of the Scottish curriculum, Curriculum for Excellence.

An online RSHP teaching resource, () was published in 2019 and provides age and stage appropriate learning activities on RSHP education for use in all education settings and is aligned to Curriculum for Excellence. This resource includes learning activities on menstruation from second level (P5 to P7), with endometriosis introduced at third/fourth level (S1 to S3).

Question reference: S6W-32187

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 11 December 2024
Current Status: Answered by Jenni Minto on 6 January 2025

To ask the Scottish Government what specific resources it provides to school (a) nurses and (b) counsellors to support students with suspected or diagnosed endometriosis.

Question reference: S6W-32191

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 11 December 2024
Current Status: Answered by Jenni Minto on 6 January 2025

To ask the Scottish Government what initiatives are in place to provide targeted educational campaigns about endometriosis for boys and young men, in order to promote understanding and reduce stigma.

We recognise the importance of ensuring that everyone understands what a normal period is. We have developed a range of resources that anyone can access to learn more about periods, period symptoms and conditions like endometriosis, PCOS and PMS. More information can be found in the .

Additionally, in March 2023 we delivered an to increase young people’s awareness of endometriosis. The campaign is aimed at those aged 11 to 25 in Scotland, including boys and young men. The campaign includes information about endometriosis symptoms, provides information about available support and provides information on how to support a friend in the process of diagnosis or who may have endometriosis.

Menstrual health and wellbeing education is a key part of relationships, sexual health and parenthood (RSHP) education. RSHP education is an integral part of the health and wellbeing area of the Scottish curriculum, Curriculum for Excellence.

An online RSHP teaching resource, () was published in 2019 and provides age and stage appropriate learning activities on RSHP education for use in all education settings and is aligned to Curriculum for Excellence. This resource includes learning activities on menstruation from second level (P5 to P7), with endometriosis introduced at third/fourth level (S1 to S3).

Question reference: S6W-32182

Asked by: Rachael Hamilton, MSP for Ettrick, Roxburgh and Berwickshire, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 11 December 2024
Current Status: Answered by Jenni Minto on 6 January 2025

To ask the Scottish Government how it is working with (a) trade unions and (b) COSLA to ensure that employees with endometriosis are fully supported in the workplace.

The was established to oversee and drive the delivery of the Plan. The Board brought together a range of organisations, including COSLA and Trade Union representation, to ensure that the actions within the Plan are implemented effectively and in partnership, with continued input and influence from women themselves.

The Boards stood down with the close of the first phase of the Plan. Updated governance will be developed alongside the second phase, to be published in 2025.

In NHS Scotland, a was published in October 2023, to seek to better support employees and their line managers.

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