Chamber and committees

Following the UK Chancellor's July statement, the Scottish Government continues to face the most challenging financial situation since devolution.

We have sought to protect mental health funding, despite difficult decisions about reductions which affect all of Government.

Despite this reduction to the 2024-25 budget, we remain committed to taking forward our work across mental health, working closely with our key delivery bodies, partners and stakeholders. Our collective focus has to be on making as much difference as possible with our funding.

No elements of the Distress Brief Intervention (DBI) programme will be discontinued in 2024-25. Savings were realised through pre-agreed changes in funding to the original pilots, which from 2024-25 will be funded by local areas rather than centrally by the Scottish Government. The DBI programme continues to grow – it is now live locally in 29 of the 31 Health and Social Care Partnership areas, with the remaining 2 actively preparing to go live in October 2024. In addition, 3 national pathways to DBI are live – via NHS24 and via call handling centres operated by Police Scotland and the Scottish Ambulance Service.

The Cabinet Secretary for Finance and Local Government’s statement to Parliament on 3 September outlined the challenging financial situation faced by the Scottish Government following the UK Chancellor's July statement. She confirmed that spending controls are in place to make sure the entire SG budget is being managed prudently. These additional controls set out that any activity undertaken, or commitment made, that generates expenditure in 2024-25 must only proceed if it is truly essential and unavoidable. “Unavoidable” means if the Scottish Government would otherwise breach its legal obligations, or fail to provide essential support to emergency situations, or cause significant economic damage across Scotland. The scale of the savings required means that these exceptional measures are being applied across the whole Government, with all policy areas having to think about what this means for them.

Whilst I had originally set out the intention to make Changing Place Toilets funding available across financial years 2024-25 and 2025-26, reductions in the mental health budget mean we are no longer able to launch the fund in the current financial year. Instead, funding will be reprofiled into future years. I remain committed to increasing the numbers of Changing Places Toilets across Scotland and we are continuing preparatory work to enable the launch of the Fund.

The number of thrombectomy patients treated at each thrombectomy hub is shown in the following table.

The Scottish Government is continuing with its due diligence process, which includes a value for money assessment.

The Minister for Housing visited the Wester Hailes pilot on 4 July 2023 and met with local councillors, members of the City of Edinburgh Mixed Tenure Improvement Service (MTIS) Team and local tenants living in flats affected by the MTIS. Scottish Government officials meet City of Edinburgh Council regularly to discuss progress with the MTIS and any issues arising, most recently in July 2024 with another meeting expected in September.

Living Rent Edinburgh gave a deputation at the City of Edinburgh Council’s Housing, Homelessness and Fair Work Committee on 27 August 2024, after which they shared their concerns with council officials. The council have extended an invitation to Edinburgh Living Rent to hold regular meetings with them to discuss and agree options to improve local engagement.

MTIS is the responsibility of the City of Edinburgh Council and decisions related to service delivery are best discussed with the council.

The Scottish Government is aware of the Community Social Work pilot undertaken by Fife Council and recognises the approach is known to support positive outcomes. Ms Ewing will be aware of the challenging fiscal climate we are operating in at this time, which means that we are currently unable to provide additional resources to local authorities to pilot such an approach.

The Scottish Government recognises that social work has the greatest impact where practitioners are embedded in communities. This enables them to recognise and understand the challenges people in communities face on a day to day basis, including the existence of child poverty.

Social work has evolved to respond to both the existing and emerging needs of people and their communities, including demographic and societal changes. The Scottish Government understands that, as part of a range of approaches in which social work supports people, the community social work model holds an important place, especially in relation to responding to child poverty and other complex issues which people experience.

Scottish Government officials meet with Social Work Scotland and Chief Social Work Officers regularly to discuss a range of social work issues. Specifically, Chief Social Work Officer Network meetings are held every fortnight, coordinated by the Scottish Government and Social Work Scotland.

Whilst community social work has not been a specific agenda item on the meetings this year, many of the discussions keep abreast of issues underpinning community social work.

The enforcement of traffic offences is an operational matter for Police Scotland, with oversight provided by the Scottish Police Authority, who act independently of Scottish ministers.

The information requested on how many full-time equivalent doctors have been employed in each of the past five years can be found on the TURAS NHS Education for Scotland workforce statistics site at: NHS Scotland workforce | Turas Data Intelligence.