These commentaries by John Macgill represent his opinions only and not those of any Ettrickburn client.

Scotland’s NHS and social care app timeline unveiled

Health Secretary commits to kidney action

Scots kidney disease patients urge politicians to act

NRS-CSO conference programme announced

Rare condition screening for newborns across Scotland

Scientists to help cut NHS medical device waste

Pharmacies campaign to lead weight loss service

Government to review user voices on IJBs

AI for lung cancer care to help tackle “hidden killer”

Scotland falling behind on lung cancer screening

Charity campaigner to head up Public Health Scotland

Scots urged to show Yellow Card to meds side effects

Scotland’s new Chief Nurse appointed

Pharmacists urge leaders to act for the profession

Children’s doctor new Chief Scientific Adviser

Struggling health board appoints new leader

NHS waits pushing more patients private

Government to merge two national NHS boards

King honours Scots in health, care and science

Health board escalated over deepening financial risk

Call for ‘new way’ to assess dementia drugs

First Minster pledges people will see GP sooner

Views sought on unified long term conditions approach

GPs to tackle hidden risks of heart disease

Fears new Boots owner will walk

Scots living with liver disease set to rise by 54%

Scotland’s first senior heart pharmacist appointed

NHS Scotland relying on older diagnostic kit

New steps for pharmacists to access patient records

Gene study helps islanders prevent disease

Government boosts health innovation funding

Labour: We’ll fix the NHS, starting with GPs

Analysis: abolishing non-residential care charges

New Alzheimer’s drug rejected for NHS Scotland

Livingston-made vaccine gets UK green light

Current metrics fail to capture full NHS activity

First Minister unveils NHS renewal plans

National Care Service plans scrapped

Highland GPs to reclaim vaccine services

NHS Lanarkshire appoints new leader

Less than half NHS PFI bill has been settled

Care sector criticises ‘budget that kills’

Briefing: Health and care in the Scottish budget

Watchdog: action needed now on NHS reform

Major shake-up in NHS service planning

Report spotlights drug shortage crisis

Scottish GPs to be asked about future strike action

Digital health: short-term cuts, long-term setbacks

AI in NHS Scotland is here – but the leaders aren’t

Councils walk away from National Care Service

GPs told not to prescribe hundreds of items

Social workers warn of harm from care power row

Thousandth patient receives TAVI heart treatment

New nurses and midwives left jobless by NHS cuts

Partnership to plough millions into NHS research

Chief medic: Innovate to tackle health & planet crises

New ‘clue’ to treating arthritis and severe COVID

NHS reform to dilute some board boundaries

Harnessing a parasite to take drugs into the brain

Kidney disease focus of new research partnership

‘Unprecedented’ crisis in community health and care

NHS Scotland unveils plan to cut plastic packaging

Scottish government consults on medicines blacklist

RSV vaccine rollout for Scotland to launch in August

Protecting public health through pathogen genomics

The new MPs with backgrounds in health and care

Scots honoured in health, care and life sciences

GPs in ‘moral distress’ over drug shortage crisis

Genetic data offer new routes to fight breast cancer

Workforce and public to inform NHS reform

A third of positive bowel tests not followed up

‘The time for a care revolution is now’

Fast-track NHS training centre opens

MSPs to question kidney disease priority status

UK joins forces to combat antimicrobial resistance

Government urged to make lung health a priority

Glasgow celebrates medical research recovery

Cancer workforce “not going in right trajectory”

Professor calls to end cancer medicine funding lottery

New service to bolster Scotland’s health research

Charity: ‘Asthma care is in crisis’

Council to take all care at home services in-house

Rapid cancer diagnostic network improves outcomes

NHS receives extra cash from medicines scheme

Health boards to soon accrue £380m in lifeline loans

NHS chief execs agree 15-point plan to cut costs

Cancer outcomes worse for rural patients

Scottish health research collaboration extended

Making cervical cancer a ‘rare disease’

Surveys to shape access to liver services launched

Edinburgh team seek new insights into MS progression

‘Most extensive’ liver disease study backed by £30m

Biomarkers can improve melanoma patient care

The King honours Scots in health, care and science

Health and care innovation: Let 1,000 flowers bloom

Government to launch ‘conversation’ on future NHS

New chief executive for NHS Highland

Data integration: Don’t let health subsume social care

Government abandons plan to create care boards

At-home pessary care offers hope to prolapse patients

Snapshot reveals enduring GP contract concerns

New partnership looks to build digital-savvy workforce

‘Substantial’ impact of domestic abuse on brain

Being bad at healthcare innovation ‘is a choice’

More doctors means longer waiting lists

50 years ‘just the beginning’ says Chief Scientist

Women more severely affected by ME

Partnership seeks early Alzheimer’s blood test

Scottish health tech firm launches $2m clinical trial

Genome research sees £46.3m boost

Pharmacy funding dispute resolved

Call for preventative healthcare targets

Community pharmacy "sounding the alarm"

Scots honoured in health, care and sciences

£20m pharmacy cash injection small amid rising costs

Scotland commits to change the dementia story

Community Pharmacy rejects funding deal

Microwaves offer less invasive cervical cancer therapy

AI for early heart attack diagnosis

Expanding hospital at home services

NHS staff say data vital to improving care

Funding boost for hepatology research

Advice for devices seminar

Big data: closing the endometriosis knowledge gap

Briefing: Cabinet Secretary plans for health and care

Dementia: a treatable condition of midlife

Joint pharmacy project cuts adverse events

Scotland first to ban planet-harming anaesthetic gas

Pharma sector boosting Scotland’s economy

Study shows value of pharmacy in care homes

New treatment for rare genetic condition approved

‘Miracle’ patient to help create new CHD guidelines

NHS boards’ ‘unprecedented’ budget challenges

Digital health: This is the moment

News Release Call to embed genomic testing for every cancer patient in Scotland

RPS Scotland director moves to HIS

HealthTech losing faith in UK market?

NHS struggling to find vaccination centres

Pharmacy and medicines: Flourishing in Fife

Forth Valley unveils learning partnership

Plans for a more inclusive pharmacy sector

"Bold step" for pharmacy

New green inhaler prescribing guidance

Pharmacy leaders share vision for profession

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NHS Scotland forms landmark partnership

Scotland well placed for tech in health and care

Leading care provider secures Highland HQ

Realistic medicine to help the climate

Repurposed drug for MND

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£500,000 scheme helps thousands of new carers

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NHS launched good ideas accelerator

NCS Bill published

Scotland can lead on dementia research

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Scots honoured in health, care and sciences

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Pharmacy publishes 2030 vision

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Ettrickburn commentary - Labour's plans to radically shake-up the pharma industry (part 2)

Ettrickburn commentary - Labour's plans to radically shake-up the pharma industry (part 1)

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Profile: Dr Norman Lannigan OBE

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22 July 2024: NHS Scotland unveils plan to cut plastic packaging

This report was first published on our sister website healthandcare.scot

A consultation has launched as part of NHS Scotland’s ‘journey to net zero’ on proposals to reduce or remove unnecessary plastic packaging

It includes a proposal that all plastic packaging for goods purchased by NHS Scotland from April 2025 will need to be able to be reused or recycled in the UK.

This will apply to new suppliers, but existing suppliers will also be asked to review their packaging to ensure it meets the requirements.

NHS National Services Scotland (NSS), which carries out procurement on behalf of NHS Scotland, says in the consultation that plastic pollution is a ‘major environmental problem’ which impacts health.

Its proposals now seek to reduce both the layers and quantities of packaging wherever possible.

Leading the new consultation as part of wider efforts to meet Scotland’s commitments to sustainability across the health service, NSS states:

‘We look forward to starting this joint approach to ensuring that NHS Scotland further improves the health for the population of Scotland and the wider population through environmental sustainability and stewardship.’

The proposals acknowledge that plastic is an important material in healthcare but add that the polluting impacts cannot be ignored, quoting the United Nations:

“Plastic pollution can alter habitats and natural processes, reducing ecosystems’ ability to adapt to climate change, directly affecting millions of people’s livelihoods, food production capabilities and social wellbeing.”

As a baseline, at least 30% of plastic packaging would be made from recycled material, in order to meet the requirements of a UK-wide tax that came into effect in April 2022.

Where this is not possible, suppliers will be asked to explain why 30% recycled materials could not be achieved.

As it is the businesses providing products who will be taxed, the proposal says that requiring recycled plastics as part of NHS Scotland contracts will also assist businesses in providing sustainable packaging while avoiding the need to pay the additional tax.

Yet, the consultation also recognises that this tax will apply in variable ways depending on the products.

Human medicinal products, such as those in immediate contact with medicines, are not subject to the tax but packaging like containers or other secondary or tertiary plastic packaging can be taxed.

The consultation says:

‘For now, we wish to understand whether there are any difficulties for our suppliers in using recycled material in their plastic packaging.

‘It is NHS Scotland’s position that the cost of paying the UK Plastics Packaging Tax should not be passed onto NHS Scotland. Suppliers should instead endeavour to ensure that their packaging includes 30% recycled material.’

NHS Scotland says it will work with suppliers to increase the amount of recycled content and the quality of plastic which can be recycled for the products it needs.

It is also working with its clinical waste contractor to increase the amount of clinical plastic waste – once decontaminated – which is recycled.

This will help Scotland meet its wider target of an NHS in which 70% of all general waste is recycled or composted.

In its proposals, the NSS provides an NHS Scotland plastic hierarchy based on ease of recyclability within Scottish infrastructure, and asks that suppliers share their perspectives:

‘We appreciate there are some circumstances in which other products containing plastics not listed in the hierarchy may still be required. In these situations, we may ask the suppliers of those products on a voluntary basis, to explain the reasons why non-hierarchy plastics must be used in their products and encourage them to use our preferred plastics where possible.

‘We welcome proposals from the suppliers of products using non-hierarchy plastics for end-of-life management plans for those products e.g. take-back schemes.’

Looking to the future, the proposals say NHS Scotland is considering bringing the consideration of recycled materials in the products it buys into its evaluation process for choosing potential suppliers.

However, it states that since it is ‘already common practice’ for packaging to be made of recyclable material, these changes proposed are not likely to present any ‘major challenges’ to potential suppliers.

Future considerations include ensuring all secondary plastic packaging meets a minimum of 40% recyclable materials.

The consultation is now open in early access until 19 August.