Chamber and committees

Financial planning for the significant challenges our public finances continue to face took place in advance of the Deputy First Minister and Cabinet Secretary for Finance's update on the 2023-24 in-year budget changes on 21 November.

The difficult decisions which have had to be made have allowed us to help balance the Scottish Government's budget while still progressing implementation of our mental health and wellbeing strategy 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.

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.

Financial planning to address the significant challenges our public finances face took place in advance of the Deputy First Minister and Cabinet Secretary for Finance's update on the 2023-24 in-year budget changes on 21 November.

The difficult decisions which have had to be taken, have allowed us to help balance the Scottish Government's budget, while still progressing implementation of our mental health and wellbeing strategy from a revised direct budget of £260.3 million.

As set out in the Scottish Public Finance Manual grant payments should not be made in advance of need.

The Scottish Government remains committed to improving mental health service provision in primary care settings. The newly published Mental Health and Wellbeing Delivery Plan sets out our ambition to drive a shift in the balance of care across mental health to ensure a focus on prevention and early intervention in the community, including a focus on providing high quality mental health care in General Practice, by:

• Working collaboratively to improve access to support, assessment and treatment in primary care mental health and wellbeing services. This will include the development of multi-disciplinary teams in general practice, and maximising the role of community mental health teams, digital provision and NHS 24 to make access simpler and quicker, aligning care and quality with the Getting it Right For Everyone (GIRFE) principles. We will produce an initial report on progress, which will include equality impacts, by November 2024;
• Publish guidance on measuring and evaluating outcomes from mental health and wellbeing services in primary care by the end of 2023. This includes data indicators for protected characteristics and deprivation; and
• Continue to include primary care and community mental health as priorities within the Mental Health Outcomes Framework.

We will work with partners, including primary care stakeholders, to progress this ambition.

Additionally, as at 12 July 2022, 958.9 whole time equivalent (WTE) mental health roles have been filled using Action 15 funding, including 356.1 WTE posts in GP practices. Having met and exceeded the Action 15 commitment, the Scottish Government has continued to fund the roles that were recruited to.

By March 2023 186 WTE mental health workers had been recruited under the Primary Care Improvement Fund (PCIF). The PCIF also funds Community Link Workers (CLWs) as part of primary care multi-disciplinary teams (MDTs) and, at March 2023, more than 308 WTE CLWs were in post supporting GP practices. We are investing almost £190 million (£170m plus Agenda for Change Uplifts) in the Primary Care Improvement Fund in 2023-24, for the ongoing development of primary care multi-disciplinary teams and we have committed to the PCIF being £170m plus Agenda for Change uplifts in future years.

The Scottish Government measures progress against the commitment to increase GP numbers using headcount data as this provides an accurate number of GPs registered on the Performers List in Scotland at the time the data is collected. Currently whole-time equivalent data is calculated as an estimate, based on returns from General Practices through the General Practice Workforce Survey.

The latest publication can be found here: General practice workforce survey 2022 - General practice workforce survey - Publications - Public Health Scotland

The Scottish Government uses both headcount and whole-time equivalent data to inform workforce planning to increase GP capacity.

Ending homelessness continues to be a key priority for the Scottish Government. Our ambition can only be achieved through a shared public responsibility when government and partners all play their part.

With that in mind, I met with the Scottish Veterans Commissioner on 30 November and have agreed a number of actions to raise the profile of veterans’ housing and homelessness issues with relevant stakeholders such as local authorities and social landlords.

I have also discussed with the Minister for Veterans how we can work together to provide support to veterans and their families and I have invited him to join the Ministerial Oversight Group on Homelessness, which brings together ministers from a range of portfolios across the Scottish Government to identify the actions required to prevent and end homelessness, including for veterans.

As previously set out in the response to S6W-16651 on 21 April 2023 recruitment of the 1,000 additional roles to support community mental health resilience, ensuring every GP Practice has access to a mental health and wellbeing service has not yet commenced. The re-profiling of spend means that recruitment for this programme continues to be paused in 2023-24. We have already prioritised significant investment to build mental health capacity in primary care through Action 15 of the Mental Health Strategy 2017-2027 and the Primary Care Improvement Fund, with funding for posts continuing in 2023-24.

We continue to focus on delivery of our mental health and wellbeing strategy and recently published delivery plan, which includes commitments around mental health in primary care.

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

Edinburgh City Council has indicated their strong interest in Safer Drug Consumption Facilities and have commissioned a feasibility study. The findings of which are being finalised and should be released early 2024.

At present there has not been, and currently are no plans for a feasibility study in Dundee. However, a feasibility study focusing on heroin assisted treatment was completed and was presented and discussed by Dundee Alcohol and Drug Partnership. This study will also be made public sometime in the New Year.

As part of the annual Homelessness in Scotland publication, the Scottish Government releases national statistics on the number of households assessed as homeless or threatened with homelessness by former armed forces status. Table T22 in the main tables, in the supporting documents of the most recent publication, provides data from 2018-19 to 2022-23. These statistics are available here: https://www.gov.scot/publications/homelessness-in-scotland-2022-23/

Additional statistics about veteran homelessness in Scotland, including the number of homelessness applications by former armed forces status, is available here:

https://www.gov.scot/publications/homelessness-in-scotland-veteran-homelessness/

Note, these figures have been rounded to the nearest 5 for disclosure control purposes and totals may not sum due to rounding.

Financial planning to address the significant challenges our public finances face took place in advance of the Deputy First Minister and Cabinet Secretary for Finance's update on the 2023-24 in-year budget changes on 21 November.

The difficult decisions which have had to be taken, have allowed us to help balance the Scottish Government's budget, while still progressing implementation of our mental health and wellbeing strategy from a revised direct budget of £260.3 million.

As set out in the Scottish Public Finance Manual grant payments should not be made in advance of need.

Following consultation with each of Scotland five medical schools most students receive taught modules on mental health and psychiatry in years three and four of their medical degrees with the opportunity to specialist mental health units on clinical placements from year four onwards. There are significant core learning requirements in relation to mental health set out by the GMC and each University ensures these are fulfilled.

The GMC also require all medical schools to provide support for the consideration of postgraduate careers and each school has their own way of doing this. For example, the University of Aberdeen hold careers fairs across the whole curriculum wherein Mental Health is always included, and the psychiatric education team engaged. Furthermore each of the medical schools have a ‘PsychSoc’ attached to them. These societies are funded by the Royal College of Psychiatrists and work with the medical schools to encourage and support medical students into a career within the psychiatric fields.