Chamber and committees

The Scottish Government is working with NHS Boards, community partners, and the National Autism Implementation Team (NAIT) to improve access to diagnosis, by supporting local health partners to develop, enhance and redesign existing local neurodevelopmental services.

We are working with NAIT to implement Adult Neurodevelopmental Pathways across Scotland. By implementing a single diagnostic pathway for autism and ADHD, and by adopting a stepped care model, we hope to ensure that diagnostic and post-diagnostic support is provided in a timely and effective fashion.

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).

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 Elections (Representation and Reform) Bill was passed unanimously on 17 December 2024 by the Scottish Parliament. As a result of amendments passed at Stage 3, it places a duty on Scottish Ministers to bring forward regulations which:

• must have the effect of prohibiting Members of the Scottish Parliament (MSPs) from holding dual mandates in the House of Commons or the House of Lords
• may make provision prohibiting MSPs from holding dual mandates as Councillors

As a part of the Bill’s consideration, the Scottish Government committed to consulting on dual mandates in the Scottish Parliament in early 2025. The findings of the consultation will be used to inform Regulations which Ministers intend to lay before the Scottish Parliament in autumn 2025.

The consultation on dual mandates in the Scottish Parliament is being published today, 20 January 2025, with a closing date of 23 March 2025. The consultation seeks views on the principles and practical issues of ending dual mandates. The consultation can be accessed here: https://consult.gov.scot/communications-and-ministerial-support/dual-mandates-in-the-scottish-parliament.

In reaching their decision, Scottish Ministers will determine applications in accordance with legislative requirements and relevant policy. No steps are necessary to ensure alignment, as National Planning Framework 4 is a policy document to be considered as appropriate in the decision-making process.

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

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 recognises challenges faced by businesses and particular circumstances faced in Scotland, and that is why the Scottish Government stands ready to support the UK Government to design an immigration system that addresses the requirements of Scotland’s economy and communities.

The Scottish Government is working with business to grow the economy and address labour and skill shortages, promoting fair work to make it easier for people to enter and remain in the workforce and ensuring our education and skills system are responsive to national needs .