Chamber and committees

It is for Integration Authorities to plan and resource hospice care, using the integrated budget under their control; and to plan palliative care services and costs now and in the future.

We are working with Integration Authorities and independent hospices to develop a national guidance framework to support improved and more consistent planning and resourcing of independent hospice care, and we will continue to explore solutions and options for longer term sustainable planning and commissioning for the sector.

I have met with a number of hospices and hospice leaders over the last few months, including the round table I convened in December 2023, to understand the financial position and challenges that hospices currently face and how they can contribute to palliative care in the future.

We expect children and young people who need inpatient mental health care to be looked after in age-appropriate facilities. Following recommendations from the Mental Welfare Commission, the Scottish Government commissioned a national review of existing provision for young people under 18 years who had needs and risks that required intensive psychiatric care. This review published its findings in June 2021 and recommended purpose-built regional units adjacent to existing inpatient services.

Since then, the Scottish Government has provided funding to NHS Boards to support the development of regional Intensive Psychiatric Care Units for young people. Work is currently ongoing to support NHS Boards to establish these facilities, including engagement with regional planning and recruitment to develop this work.

In addition, in June 2020, the Scottish Government published a protocol for admissions of young people to adult wards, in response to action 19 of the Mental Health Strategy 2017-27. This protocol is a best practice guidance to aid implementation of Section 23 of the Mental Health (Care & Treatment) (Scotland) Act 2003 which places a duty on health boards to provide sufficient services and accommodation to meet the needs of young people under 18 when they are admitted to hospital for treatment of a mental disorder.

To support general practice services, we have significantly expanded the primary care multi-disciplinary team workforce, with over 4,700 staff working in services including physiotherapy, pharmacy and phlebotomy at March 2023.

We are supporting development of these teams through an annual investment of £190 million in the Primary Care Improvement Fund which is distributed on an NRAC basis.

While we have made significant progress, we know that implementation gaps remain. That is why we have introduced the Phased Investment Programme, working with a small number of areas to demonstrate what a model multidisciplinary team can look like in practice. This programme will strengthen the evidence base on the national context for the implementation of multidisciplinary teams and inform future long term Scottish Government investment.

In addition, we have submitted our annual evidence to the DDRB for its recommendations on a pay uplift for GPs and will consider them carefully.

Children and young people are only admitted to an inpatient unit for assessment and treatment when there is a clear clinical need and rationale. This would not be inappropriate within the context of current practice, and only becomes inappropriate at the point of becoming a delayed discharge.

Data on the number of delayed discharges for children and young people with learning disabilities is not held centrally. The current work referred to is directed at people aged 18 and above.

Our Autism, Learning Disabilities and Neurodivergence Bill is currently out for consultation within which are proposals on legislative options for Dynamic Support Registers.

Individuals who are not healthcare professionals and provide such procedures are not currently regulated and therefore this information is not held by the Scottish Government.

Individuals who are not healthcare professionals and provide such procedures are not currently regulated and therefore this information is not held by the Scottish Government.

The Scottish Government has not undertaken such a review however, this will be taken into consideration as officials continue to explore next steps in potential further regulation of non-surgical cosmetic procedures that pierce or penetrate the skin.

Individuals who are not healthcare professionals and provide such procedures are not currently regulated and therefore there are currently no regulated training requirements to work in the sector. Accreditation for training for the sector will also be considered as part of the work with stakeholders and the Scottish Cosmetics Interventions Expert Group.

This information in relation to treatment in Scotland is not centrally collected. When NHS Scotland treats someone who has suffered harm from a non-surgical cosmetic procedure that has gone wrong, NHS Scotland will not necessarily record the cause as there is no specific code to record this. The Scottish Government does not hold information relating to treatments outside Scotland.

Individuals who are not healthcare professionals and provide such procedures are not currently regulated and therefore this information is not held by the Scottish Government.