Chamber and committees

The Scottish Government is responsible for setting the overall policy direction of mental health services, and for working with and funding NHS Health Boards and local authorities to ensure they plan and deliver appropriate local services. The design and management of these services is for local NHS Boards and local authorities to decide, and each will have their own arrangements in place.

CAMHS is a specialist mental health service and is not the correct service for children seeking a diagnosis for a neurodevelopmental condition, unless they have a co-existing mental health condition. For many young people, it is more likely that a neurodevelopmental pathway will ensure that the right help and support is provided. This approach is intended to ensure that young people who need support for their mental health from CAMHS are able to receive it in a timely manner, and also that specialist neurodevelopmental support is available whenever needed

I refer the member to the answer to the question S6W-37322 on 19 May 2025. 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

There will always be referrals to CAMHS that are not accepted as CAMHS only provide the right support for a small proportion of children and young people. Children who require neurodevelopmental support are not reported in these statistics unless they have co-morbid mental health issues, but may be included within total referral figures, leading to lower accepted referral rates in some Boards.

Public Health Scotland has started publishing data from the CAMHS and Psychological Therapies National Dataset (CAPTND), including referrals to CAMHS by sex, age and SIMD as well as reasons for referral not being accepted.

However, CAPTND is still under development, and any inferences or conclusions drawn from this data should be treated with caution. Work is ongoing between NHS Boards, Public Health Scotland, and the Scottish Government to improve the consistency and completeness of the information.

There will always be referrals to CAMHS that are not accepted as CAMHS only provide the right support for a small proportion of children and young people. Children who require neurodevelopmental support are not reported in these statistics unless they have co-morbid mental health issues, but may be included within total referral figures, leading to lower accepted referral rates in some Boards.

The National CAMHS specification includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service, such as our community-based supports.

We have provided local authorities with over £65 million since 2020 to fund community-based mental health and wellbeing supports and services for children, young people and their families. This £15 million per annum funding will continue through the local government finance settlement from 2025-26.

We will continue to work with NHS Boards and partners to monitor the National Specification’s implementation, to improve services and support for children and young people and their families.

The Scottish Government does not hold this information centrally as this is the responsibility of NHS Boards. However, the Scottish Governments expects NHS Boards to follow the National Child and Adolescent Mental Health Services (CAMHS) specification, which includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service, such as our community-based supports.

We have provided local authorities with over £65 million since 2020 to fund community-based mental health and wellbeing supports and services for children, young people and their families. This £15 million per year funding will continue through the local government finance settlement from 2025-26. Examples include mentoring services, art-based therapies, digital services, whole-family supports, counselling services and supports involving sport or physical activity.

Individual local authorities decide which supports and services to put in place in their area based on the needs of their communities.

Standard 1.2 of the National Neurodevelopmental Specification relates to the offer of a first appointment. As set out in the Specification, Neurodevelopmental Services that are delivered locally are the responsibility of Children Services providers. A first appointment could be provided by a number of professionals within a range of agencies, including education, health and voluntary organisations.

The Scottish Government does not collect data on length of waits for neurodevelopmental services centrally. Our focus is on improving support. Our Neurodevelopmental Specification places an expectation on NHS and Children's Services to work together to implement standards, in line with GIRFEC. Crucially, local authorities have a statutory duty to identify and provide support for pupils with additional support needs, regardless of diagnosis.

I refer the member to the answer to the question S6W-34345 on 28 February 2025. 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

We expect NHS Boards to follow the National Child and Adolescent Mental Health Services (CAMHS) specification, which includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service.

Some of these services are likely to be community based and we continue to invest £15 million per annum in funding to these supports, which will continue through the local government finance settlement from 2025-26. Local authorities report that nearly 83,000 children, young people and their family members accessed community-based mental health support between July 2023 and March 2024. Alongside this, we are ensuring access to counselling services in all secondary schools, and continue to support local authorities with £16million a year.

Appropriate redirection and alternative support will vary across NHS Boards depending on the services available locally, and the needs of the child or young person involved. While we have made significant progress in improving mental health and wellbeing services for children and young people since 2018, we continue to work closely with Boards to understand the reasons for non-accepted referrals and to ensure that the criteria in the CAMHS specification are being met.

Additionally, Public Health Scotland has started publishing data from the CAMHS and Psychological Therapies National Dataset (CAPTND), including referrals to CAMHS by sex, age and SIMD as well as reasons for referral not being accepted. Health Boards are also working with PHS and Directors of eHealth to enable the collection and publication of additional information this year.

CAPTND is still under development, and any inferences or conclusions drawn from this data should be treated with caution. Work is ongoing between NHS Boards, Public Health Scotland, and the Scottish Government to improve the consistency and completeness of the information.

The Public Health Scotland CAMHS statistics capture children and young people who meet the CAMHS criteria. Children and Young People and their families who have requested support for their neurodevelopmental needs but do not meet the CAMHS criteria are not reported in these statistics.

However, the statistics do capture those children and young people who are on the waiting list and have mental health concerns comorbid with neurodevelopmental issues.

Data relating to the number of children waiting for a neurodevelopmental diagnosis is not currently nationally reported or published. However Health Boards should hold their own data on who is waiting for a neurodevelopmental diagnosis.

It is also important to recognise that not all children seeking a diagnosis will meet diagnostic criteria but may still have support needs. That is why our National Neurodevelopmental Specification makes clear that support should be put in place to meet the child or young person’s requirements when they need it and should not be dependent on a formal diagnosis.

We acknowledge that work is needed to improve the quality of data that we have on neurodevelopmental support and services, including a better understanding of current levels of need and the level of support children and young people currently receive.

We are working with Health Boards and local authorities to improve our understanding of what data is available, and how this could be used to support improvements for children and families.