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Chamber and committees

Question reference: S6W-18043

  • Asked by: Gordon MacDonald, MSP for Edinburgh Pentlands, Scottish National Party
  • Date lodged: 11 May 2023
  • Current status: Initiated by the Scottish Government. Answered by Michael Matheson on 12 May 2023


To ask the Scottish Government when it will provide an update to the Parliament on NHS Lothian’s escalated position in relation to the delivery of mental health services.


NHS Lothian has made significant progress in the area of Mental Health since it was escalated to Stage 3 of the NHS Board performance escalation framework in July 2019.

The Scottish Government requested a formal recovery plan with clear milestones and has provided a package of tailored support to NHS Lothian to develop and implement it. The changes resulting from the plan, including changes to the Mental Health leadership team in NHS Lothian, has supported sustained improvement in performance.

The Scottish Government’s Director General of Health and Social Care, supported by the Health and Social Care Management Board, took the decision to de-escalate NHS Lothian from Stage 3 to Stage 2 of the NHS Board performance escalation framework for its improved provision of mental health services, care and support.

The Scottish Government will continue to monitor progress at Stage 2 and NHS Lothian will continue to be able to access advice and support from the Scottish Government Professional Advisors. This will ensure that the continuous improvement remains a priority.

You can find out more about the NHS Board performance escalation framework here: NHS healthcare standards: Board performance escalation framework - ( )