Chamber and committees

The Scottish Government does not currently have plans to establish a national framework for shared care. However, we are engaging with the Royal College of GPs (Scotland) to understand the current issues around shared care agreements for patients with ADHD.

Officials have also written to all health boards seeking clarification on what neurodevelopmental assessment and support they currently have in place for adults, this included a question on local protocol for patients with a private diagnosis. We are currently collating and considering this information.

The Scottish Government is providing further funding of £500,000 this year to improve neurodevelopmental assessment and support for children and young people, and their families.

Further, our Autistic Adult Support Fund provides £1 million of funding per year to organisations that support autistic adults both pre- and post-diagnosis. As autism and ADHD often co-occur, adults with ADHD have benefitted and will continue to benefit from this support. A recent independent evaluation of the Fund showed that 72% of individuals and 71% of families supported via the Fund reported improved wellbeing as a result.

The Scottish Government published the Transition Care Plan (TCP) Guidance in 2018, describing the standards required in the planning of good transitions for children and young people moving to adult services. This guidance is underpinned by a rights based approach and ensures the young person is involved in discussions about their care.

The National Neurodevelopmental Specification notes that the guidance should be used to ensure that transitions between children and young people’s services and other services are robust and that, wherever possible, services work together with the young person and families/carers to plan in advance for transition.

The Scottish Government funds the National Autism Implementation Team (NAIT), which is currently supporting NHS Boards to develop, enhance and redesign existing local adult neurodevelopmental services. We continue scope the work required to improve Adult Neurodevelopmental Pathways nationally, understanding that a stepped care model is needed to reduce waiting times for adult neurodevelopmental assessments and ensure a consistent approach to them across Scotland.

We continue to fund NHS Education for Scotland and NAIT to deliver professional learning on neurodevelopmental conditions. Training is offered at informed, enhanced, specialist, and expert levels, with strong uptake across all tiers.

The Scottish Ministers make decisions on applications in accordance with legislative requirements and relevant policy. Energy consent applications are assessed on a case-by-case basis, with all relevant information considered to ensure balanced decision-making. This includes environmental information, consultee responses from public bodies and representations from the public.

All information related to determinations made by the Scottish Ministers in respect of onshore wind farm developments, including any conditions to mitigate biodiversity impacts, is publicly available on our Energy Consents portal: https://www.energyconsents.scot/ApplicationSearch.aspx

The Scottish Government instructed NHS Territorial Health Boards to outline their governance, reporting and management processes through a Local Assurance Framework in 2024, as well as, requiring the inclusion of audiology in their 2025-26 Annual Delivery Plans.

Decisions regarding accessibility policy and planning of this nature are made by individual Health Boards based on local priorities and needs. Boards are expected to assess the impact of their policies and functions on people with protected characteristics and equality groups in line with statutory requirements.

A programme of work to address recommendations of the Independent Review of Audiology Services in Scotland has now concluded and each of the 55 recommendations updated.

In line with agreed governance structures processes, all NHS Territorial Health Boards have established Local Improvement Plans for 2023-24 and were instructed by Scottish Government to outline their governance, reporting and management processes through a Local Assurance Framework in 2024, as well as, requiring the inclusion of audiology in their 2025-26 Annual Delivery Plans.

It would be for NHS Lanarkshire to make the decision to publish these plans.

The Scottish Government instructed NHS Territorial Health Boards to outline their governance, reporting and management processes through a Local Assurance Framework in 2024, as well as, requiring the inclusion of audiology in their 2025-26 Annual Delivery Plans.

Decisions regarding accessibility policy and planning of this nature are made by individual Health Boards based on local priorities and needs. Boards are expected to assess the impact of their policies and functions on people with protected characteristics and equality groups in line with statutory requirements.

Scottish Audiology Heads of Service have recently initiated an in house peer review process and are continuing to see positive results from this. As part of Improving Quality in Physiological Services (IQIPS) benchmarking, a mapping exercise is currently underway which includes the consideration of national peer review for audiology services.

An executive lead group for audiology has been reestablished, with representation from each NHS Territorial Health Board to consider the outputs and next steps of this work, which will conclude within the current financial year.

As part of our strategic approach to healthcare science, the Scottish Government is actively undertaking work to ensure healthcare science professions, including audiology, are included as part of wider work on reform and renewal of NHS Scotland.

This sits hand in hand with activity which will enable us to be able to map our scientific workforce in NHS Scotland more accurately, strengthening capacity, training and recruitment pipelines for audiologists, and supporting better workforce planning for the future.

As part of Improving Quality in Physiological Services (IQIPS) benchmarking, a mapping exercise is currently underway which includes the consideration of national KPI reporting for audiology services.

An executive lead group for audiology has been reestablished, with representation from each NHS Territorial Health Board to consider the outputs and next steps of this work, which will conclude within the current financial year.