Questions and answers

Question reference: S6W-23950

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Friday, 15 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, further to the finding in the publication, NHS Recovery Plan 2021-2026 Annual Progress Update 2023, that the percentage of frontline NHS spend allocated to child and adolescent mental health services (CAMHS) is currently 0.66%, whether it is still on track to meet its commitment to allocate 1% of NHS spend to CAMHS by the end of the current parliamentary session.

We continue to work towards delivery of the commitment that at least 1% of frontline health spending will be dedicated to mental health services for children and young people by the end of this parliamentary session.

The NHS Recovery Plan 2021-2026 Annual Progress Update published in December 2023 confirmed that NHS expenditure on Children and Adolescent Mental Health Services rose from £88m in 2020-21 to £97.6m in 2021-22, an increase of £9.3m or 10.6% - representing 0.66% of total NHS expenditure.

Question reference: S6W-23313

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Wednesday, 13 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, in light of the letter from the Deputy First Minister and Cabinet Secretary for Finance to the Finance and Public Administration Committee on 21 November 2023, how it plans to support health and social care partnerships to deliver on its Mental health and wellbeing in primary care services: planning guidance, following its reported decision to no longer provide the funding from the Mental Health Recovery and Renewal Fund that was previously committed to support such delivery.

Question reference: S6W-23951

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Friday, 15 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, in light of Public Health Scotland data confirming that the percentage of frontline NHS spend allocated to mental health services was 8.78% in 2021-22, whether it is still on track to meet its commitment to allocate 10% of NHS spend to mental health services by the end of the current parliamentary session.

We continue to work towards delivery of the commitment that at least 10% of frontline health spending will be dedicated to mental health by the end of this parliamentary session.

The NHS Recovery Plan 2021-2026 Annual Progress Update published in December 2023 confirmed that NHS expenditure on mental health rose from £1.25bn in 2020-21 to £1.3bn in 2021-22, an increase of £51.5m or 4.1% - representing 8.8% of total NHS expenditure.

Question reference: S6W-23953

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 19 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government what its position is on whether 8.78% of NHS spend being allocated to mental health services represents a funding shortfall of £180 million per year from its target of 10% of spend.

Question reference: S6W-23954

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 19 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, further to the letter of 21 November 2023 from the Cabinet Secretary for Finance to the Finance and Public Administration Committee, whether the in-year budget changes set out in the letter will impact the delivery of its commitment to spend 1% of frontline NHS spend on child and adolescent mental health services (CAMHS).

The majority of spending on mental health is delivered through NHS board budgets, and this is not directly affected by the in-year budget changes impacting on the direct mental health programme budget. Between the Scottish Government and NHS boards we expect spending on Mental Health to be well in excess of £1.3 billion in financial year 2023-24.

We are working with partners towards delivery of the commitment to increase spending on child and adolescent mental health services to 1% of the total frontline NHS budget by the end of this Parliamentary session in 2026. We will continue to work with NHS Boards to monitor delivery through the Scottish Health Service Costs Book and the process of setting and monitoring priorities in Annual Delivery Plans.

Question reference: S6W-23955

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 19 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, further to the letter of 21 November 2023 from the Cabinet Secretary for Finance to the Finance and Public Administration Committee, whether the in-year budget changes set out in the letter will impact the delivery of its commitment to spend 10% of frontline NHS spend on mental health services.

The majority of spending on mental health is delivered through NHS board budgets, and this is not directly affected by the in-year budget changes impacting on the direct mental health programme budget. Between the Scottish Government and NHS boards we expect spending on Mental Health to be well in excess of £1.3 billion in financial year 2023-24.

We are working with partners towards delivery of the commitment to increase spending on mental health services to 10% of the total frontline NHS budget by the end of this Parliamentary session in 2026. We will continue to work with NHS Boards to monitor delivery through the Scottish Health Service Costs Book and the process of setting and monitoring priorities in Annual Delivery Plans.

Question reference: S6F-02713

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Monday, 08 January 2024
Current Status: Taken in the Chamber on 11 January 2024

To ask the First Minister what urgent steps are being taken to address reports of a mental health crisis with an increase in calls to the NHS 24 Mental Health Hub.

Question reference: S6W-23812

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 12 December 2023
Current Status: Answered by Maree Todd on 8 January 2024

To ask the Scottish Government, further to the answer to question S6W-23424 by Maree Todd on 11 December 2023, what programmes were expected to receive increased funding which now cannot be progressed as a result of the in-year budget changes set out by the Deputy First Minister and Cabinet Secretary for Finance on 21 November 2023.

Question reference: S6W-23811

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 12 December 2023
Current Status: Answered by Maree Todd on 8 January 2024

To ask the Scottish Government, further to the answer to question S6W-23424 by Maree Todd on 11 December 2023, what planned new programmes cannot proceed as anticipated as a result of the in-year budget changes set out by the Deputy First Minister and Cabinet Secretary for Finance on 21 November 2023.

Difficult decisions have had to be made to allow us to balance the Scottish Government budget while still progressing implementation of our mental health and wellbeing and other strategies from a revised direct budget of £260.3 million.

The in-year budget changes impacted on a number of planned new programmes which could not proceed as anticipated. Planned increased funding to existing programmes were also not able to be progressed. This included programmes related to Mental Health and Primary Care; regional CAMHS developments; full implementation of Coming Home; full implementation of the new Mental Welfare Commission Patient Records System; and improving prisoner mental health.

Despite the savings made, we have continued to focus on delivery of our mental health and wellbeing strategy and recently published delivery plan, which includes commitments around mental health services and specific programmes of work around learning disability and autism, and cross-cutting trauma work.

Question reference: S6W-23714

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Friday, 08 December 2023
Current Status: Answered by Maree Todd on 5 January 2024

To ask the Scottish Government, in light of the update on child and adolescent mental health services (CAMHS) staff set out in its publication, NHS Recovery Plan 2021-26: Annual Progress Update 2023, how many additional CAMHS cases have been taken on since 2021, and whether the "potential to increase capacity for CAMHS cases by over 10,000" includes the caseload from the last two years.

It is not possible to report accurately on the number of additional CAMHS cases taken on since 2021 as the current aggregate data set does not allow identification of separate individuals, it only gives a snapshot of the total number of open cases at any one time.

In the NHS Recovery Plan, published in 2021, we committed to provide sufficient funding for around 320 additional staff in CAMHS over the next 5 years, with the potential to increase capacity for CAMHS cases by over 10,000. This estimate was based on the Choice and Partnership Approach (CAPA) capacity model, where each full time clinician can hold around 40 open cases at any one time, and manage around 40 new cases per year.

From March 2021 to September 2023, 295 WTE CAMHS staff have been added to the workforce, significantly increasing capacity to manage CAMHS cases. We see this reflected in numbers waiting - the total number of children and young people waiting for treatment has fallen from 10,499 in December 2021 to 5,344 in September 2023.

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