Chamber and committees

In setting up of the DBI pilot programme in 2017, the Scottish Government created a dedicated DBI Central team to support and monitor implementation of this innovative programme. The Central team works closely with Public Health Scotland to provide monitoring reports to Government (and wider partners), and this evidence has informed the expansion of the programme across Scotland over the last eight years.

In addition to routine monitoring, the Government has commissioned two independent evaluations of the DBI programme to review its impact. The first evaluation relates to the original pilot phase of DBI (for over 18s) Distress Brief Intervention Pilot Programme evaluation: findings report - gov.scot (www.gov.scot) and the second relates to the NHS24 expansion https://www.gov.scot/publications/evaluation-extended-distress-brief-intervention-programme-summary-findings/

Both evaluations confirmed that DBI is a highly effective model in supporting people in distress, with 90% reporting that their distress levels continued to decrease and that they felt it had given them the tools and skills to manage their distress. Additionally, evaluation suggests that, in around 10% of referrals, DBI support has helped prevent suicidal thoughts, or even suicide. Additionally, feedback from frontline services suggests that DBI helps ensure they can help people to access the support they need, easing pressure on frontline services.

A further independent evaluation, relating to how effective DBI is for under 18s, is underway, and is expected to report to the Scottish Government in June 2025.

To enable a smooth expansion of the DBI programme, we have used improvement science and an active learning approach.

The DBI programme has now supported over 78,000 people across Scotland (as of November 2024).

(a) As set out on 22 January 2024 in response to question S6W-24720, the Scottish Government has established an Expert Group to lead on scoping work to consider and provide recommendations on how Scotland will work towards reaching the targets set by the World Health Organisation (WHO) to eliminate Cervical Cancer.

As well as the Expert Group itself, three subgroups have been established to support the Expert Group in considering and analysing data on specific topics (vaccination, screening and cancer treatment).

The sub groups held inaugural meetings in September, and discussions are ongoing to inform recommendations on how Scotland will progress towards Cervical Cancer elimination and when this could potentially be achieved. These recommendations will be considered by the Scottish Government.

(b) The Scottish Government recognises the importance of HPV vaccination and screening.

(i) The latest published HPV vaccination uptake data from PHS shows that pupils living in the most deprived quintiles had lower coverage of the HPV vaccine compared with pupils from the least deprived areas. We are working with Public Health Scotland (PHS) and territorial Health Boards to consider what further actions can be taken to increase vaccination uptake, support those eligible for vaccination, and to address any inequalities in accessing immunisation services. Reducing vaccine inequalities is one of the three primary objectives in PHS’s recently published Scotland's 5-Year Vaccination and Immunisation Framework and Delivery Plan.

Completion of consent forms is required to participate in school vaccination programmes. We therefore welcome the return of the PHS marketing campaign, “chat.sign.protect”, which builds on the messages of last year’s campaign to raise awareness of vaccines offered in secondary school and encourage an increase in the numbers of parents and young people giving consent to be vaccinated.

Timed to coincide with the distribution of informed consent materials to young people, the campaign aims to increase understanding of why these vaccines are important, and the seriousness of the diseases they protect against, and encourages parents and carers to take action and sign consent forms to ensure our young people receive the protection offered by immunisation.

Addressing the inequalities in HPV uptake and maximising the opportunities for young people to receive the vaccine is a primary focus of the Cervical Cancer elimination work.

(ii) The Equity in Screening Strategy, combined with an action plan, was published on 27th July 2023. The vision of the strategy is for access for all eligible individuals, across the full screening pathway. The Strategy launched alongside the Equity in Screening Network which supports the strategy by capturing local and third sector research activity and allows individuals that work across screening to share evidence, best practice and learning around screening inequalities.

Several national projects are being supported by the Inequalities Fund of £1 million. This includes changes to national IT systems to improve engagement with participants. Research and learning from past projects has shown some ways to increase access to screening and uptake, including appointment reminders and targeted follow-up with non-responders.

All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

In total, between June 2020 and May 2024, initial contact was not made within 24 hours for 216 people out of 58,657 referrals (less than 0.4%). The following table breaks this down by percentage due to the small number of cases in each area.

The Scottish Government is currently working on a National Treatment Specification for Alcohol and Drug Treatment in Scotland.

This document will be informed by numerous sources including the forthcoming UK Clinical Guidelines for Alcohol Treatment and the recently published Public Health Scotland review into Alcohol Brief Interventions as well as key independent reports such as Scottish Health Action on Alcohol Problems (SHAAP) report, Exploring the delivery of alcohol-related health advice in dental practice settings: A scoping review.

Officials will work closely with colleagues within Primary Care including the team of the Chief Dental Officer to ensure that the National Treatment Specification fully reflects the importance of dentistry as an integral part of Scotland’s alcohol treatment provision.

The Scottish Government recognises the gradual reduction of alcohol-related hospital admissions over the past decade and is working closely with Public Health Scotland, local services and other stakeholders to ensure the reasons behind the gradual reduction are factored in to service provision.

HM Inspectors evaluate the quality of education in Scottish schools using quality indicators. 'How good is our school? (4th edition)’ has been in use since September 2016.

HM Inspectors use a six-point scale to grade individual quality indicators. There are two models of inspection, one in which two quality indicators are graded, and one where four quality indicators are graded. The information provided includes grades assigned for both models of inspection.

The information previously provided (PQ reference - S6W-27327 on 17 May 2024) related to grades assigned during inspections carried out using the current framework, 'How good is our school? (4th edition). The information did not include details of inspections carried out in academic year 2023-24 where fieldwork has been carried out, but the report is not yet published. All inspection reports for inspections carried out in 2023-24 have now been published and the data updated.

HM Inspectors evaluate the quality of education in Scottish schools using quality indicators. 'How good is our school? (4th edition)’ has been in use since September 2016.

HM Inspectors use a six-point scale to grade individual quality indicators. There are two models of inspection, one in which two quality indicators are graded, and one where four quality indicators are graded. The information provided includes grades assigned for both models of inspection.

The information previously provided (PQ reference - S6W-27327) related to grades assigned during inspections carried out using the current framework, 'How good is our school? (4th edition). The information did not include details of inspections carried out in academic year 2023-24 where fieldwork had been carried out, but the reports are not yet published. All inspection reports for inspections carried out in 2023-24 have now been published and the data updated.

The Distress Brief Intervention Programme provides tailored one to one support across a period of up to around 14 days. Some people will only require one phone call whereas others may need more support across the 14 days including background work for resources and signposting. Overall, of those who engage with the programme, more than 80% of people go on to receive further support beyond one phone call across the 14 day period.

Table 1 shows the specific numbers of people who received support across the 14 day period. This is broken down by health and social care partnership areas and small numbers have been suppressed. The data available was between June 2020 and May 2024.

Table 1 – Number of individuals who received DBI support by H&SCP

Practitioner training data is currently available up to 31st October 2023 for Level 1 training and to 31st August 2023 for Level 2 training. The next tranche of training data will be available after summer 2025.

Table 1 provides data on the number of frontline staff trained in Level 1 of Distress Brief Intervention where initial compassionate support is provided and referral takes place.

Table 2 provides data on the number and distribution of third sector staff trained in Level 2 of DBI where support is provided for a period of up to around 14 days.

In addition to the training by health and social care partnership area provided in the tables below, an additional 562 frontline staff have been trained in Level 1 through the DBI National Pathways (NHS 24 and call handling centres operated by Scottish Ambulance Service and Police Scotland). This additional data covers training to NHS 24 (up to March 2024), Scottish Ambulance Service (up to December 2022) and Police Scotland (up to March 2024). For Level 2, there have been 32 practitioners trained for the National Pathways.

The DBI programme was rolled out in stages which means that areas which opted in earlier may have higher numbers of practitioners trained than those who opted in later, though health and social care partnership population and demographics will also play a role.

Table 1 - DBI Level 1 Staff Training estimates

The ability to re-refer is part of the current structure of the Distress Brief Intervention programme. Data is not held within individual years for multiple referrals but data about multiple referrals overall has been provided below. Data beyond January 2023 will be available after spring 2025.

The programme was initially piloted in Lanarkshire, Aberdeen city, Inverness City and Scottish Borders. Data for these areas is available between 1st November 2018 to 31st January 2023 and is outlined in Table 1. Data for the subsequent rollout across the remaining health and social care partnerships is available between 1st July 2019 to 31st January 2023 and is outlined in Table 2.

For the National Pathways (NHS 24, Scottish Ambulance Service and Police Scotland), data is available between May 2020 to the end of January 2023. In this time, 12,649 individuals were referred. Of these, 1,044 people (8.3%) had 2 referrals and 473 people (3.7%) had 3 or more referrals.

Table 1 – Referral numbers for pilot areas (November 2018 to January 2023)

The Scottish Government has produced several resources to increase public awareness of the issues that autistic people might face.

We launched the Different Minds website in 2020 to provide clearer information and a better understanding of autism, as well debunking myths around autism. The site was co-produced with and features autistic people, and was accompanied by an television advertising campaign and resources in local libraries and schools.

Furthermore, the Scottish Government, COSLA and Inspiring Scotland have recently collaborated with autistic people through our leadership and engagement framework. This work resulted in the co-creation of a package of lived experience resources, which were launched in November 2024. The resources look to increase autism awareness and the understanding of how autistic people experience health settings and are now available on the website.