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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 29 November 2025
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Displaying 3519 contributions

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Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

Absolutely. Hannah Axon has a quick last word on this topic before we come to our last question.

10:45  

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

Jo Gibson, I will bring you in first on the last question because I have not heard from you for a while. It is on plans and strategic direction. In 2017, the Government published the “Mental Health Strategy 2017-2027” document. In October 2020, there was “Mental Health—Scotland’s Transition and Recovery”. There was a mental health and wellbeing strategy a couple of years later, and we have heard this morning about the launch at the beginning of this month of a delivery plan, a workforce action plan and the outcomes framework about which we spoke. Has there been a surfeit of plans and strategies? Do they demonstrate an evolution of thinking, or is it a matter of keeping on reinventing the wheel and not enough changing on the ground?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

Thank you. I turn to the people who are joining us remotely.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

I am going to reflect on exhibit 3 in the report. It is a chart that shows the variations among health board areas for psychological therapies appointment types. It is for the year 2022. Does anybody want to comment on why there are such huge variations?

For me, what comes out of this evidence, and I cited an example last week, is the big difference between the number of face-to-face appointments in NHS Ayrshire and Arran, for example, where the figure is as high as 86 per cent, and an area that Graham Simpson and I represent, NHS Lanarkshire, where the figure is just 32 per cent—less than a third of appointments there are face to face and 68 per cent are conducted through remote video and telephone links. Does anybody have a view on why two areas with a slightly different population size but a more or less similar demographic have such a big variation? Richmond Davies, do you have any perspectives on that?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

Tracey McKigen, you have a rather more urban landscape in the Lothians. I wonder whether you have a perspective on the recommendation on face-to-face versus remote consultations.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

Let us go back to the variability question, which Simon Burt wants to come in on.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

Thanks. We will certainly return to workforce planning and some of the other points that you raise. We are pressed for time, so I will move to questions from the deputy convener, Sharon Dowey.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

You have described all the increased needs. In an area such as East Ayrshire, the cost of living crisis and the pandemic have presumably heightened need in the community that you serve. Is that a fair assessment?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

Right. Thanks very much.

I have to report that Pamela Cremin in the Highlands was having some technical difficulties, but I think that they have now been solved. I will endeavour to bring her in on the next set of questions. I turn to Willie Coffey to put those questions.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 23 November 2023

Richard Leonard

We lost connection with Jillian Galloway, but it has been restored. I invite Jillian to give any reflections that she has on the point about the governance arrangements with IJBs that Colin made.