Scott was first elected to Parliament in the 1999 [New Zealand general election|1999 election], winning the South Island seat of Kaikoura. She replacedDoug Kidd, a long-serving National MP who had opted to become a list MP. In 2002, she became National's spokesperson for health. On 21 July 2004, however, she announced that she would retire from politics at the next election, returning to her "first love", medicine.