Chamber and committees

There are currently 54 Child and Adolescent Mental Health Service (CAMHS) inpatient beds across Scotland for children and adolescents.

Forty eight of these beds are commissioned on a regional basis. These are split across:

• North of Scotland Region - Dudhope Young People’s Inpatient Unit - 12 beds;
• South and East Region - Melville Young People’s Mental Health Unit - 12 beds;
• West Region Skye House Adolescent Inpatient Unit - 24 beds.

These units admit children and young people from Health Boards in that region, with the flexibility to admit from other regions if the unit closest to a child or young person is full.

Additionally, the National Child Psychiatry Inpatient Unit in the Glasgow Royal Hospital for Children has 6 beds for children under 12 years and admits children from across Scotland, based on clinical need. This includes one to two national beds for children with profound learning disabilities and mental health disorders.

The National Adolescent Secure Inpatient Unit, Foxgrove, is due to open later in 2024 and initially will provide 4 beds for young people who require care in an inpatient setting with medium levels of security.

The Scottish Government expects all women, at all times, to receive high-quality, person-centred maternity care, tailored to their needs, with quality and safety for mothers and babies central to decision-making. We recognise that every woman’s experience of pregnancy and birth is different and that, for a variety of reasons, some women may require support related to trauma.

We continue to participate in four UK-wide audits and confidential enquiries, including the MBRRACE-UK programme, to highlight quality and safety of maternity and neonatal care and where that can be improved. The Scottish Government considers the findings of all data reports and reviews carefully and expects all NHS Boards to do the same locally. Where areas for improvement are identified, the Scottish Patient Safety Programme (SPSP) Perinatal arm provides support and guidance for NHS Boards to undertake focused quality improvement activity.

We are also committed to supporting the development of perinatal and infant mental health services across Scotland. We are working with NHS Boards to develop specialist Community Perinatal Mental Health services to provide assessment and care for women with moderate to severe mental illness, including psychological impact following the birth of a baby. All pregnant women in Scotland are provided with a copy of Ready, Steady, Baby! , a guide to pregnancy, labour and birth and early parenthood, during their routine antenatal care. This provides information for women on mental health and wellbeing in pregnancy and after birth, including signposting to other resources such as the Birth Trauma Association.

Public Health Scotland (PHS), through the Scottish Vaccination and Immunisation Programme (SVIP), is responsible for oversight and leadership of vaccine delivery in Scotland. The Scottish Government is part of SVIP and is working closely with PHS and NHS Boards to promote and encourage uptake of all childhood immunisations.

It is important that all parents and carers ensure that children attend their routine scheduled childhood vaccinations when invited to give them the best protection possible against vaccine preventable diseases.

The NHS Inform website provides details of how to arrange an appointment for anyone who has not had two doses of the free MMR vaccine.

The most recent childhood immunisation uptake statistics, which were published on 19 December 2023 for the quarter ending 30 September 2023, can be found on the PHS website: Childhood immunisation statistics Scotland - Quarter ending 30 September 2023 - Childhood immunisation statistics Scotland - Publications - Public Health Scotland

We have invested over £2m within this parliamentary term to deliver the Framework for Pain Management Service Delivery which looks to reduce the impact of chronic pain, including fibromyalgia, on quality of life and wellbeing and improve information, care and services for people in Scotland.

In 2022-23, as part of Section 10 of the Social Work (Scotland) Act 1968, the Scottish Government provided grant funding of £7,920 to Pain Concern and Flippin’ Pain to host an online awareness raising event for people in Scotland living with fibromyalgia. The event was also open to healthcare staff.

The Scottish Government is developing a place-based, industry specific Just Transition Plan for the region, committed to in our 2023 Programme for Government, that will outline the strategic long-term future of the industrial cluster.

The plan will outline a range of possibilities for operations at Grangemouth in 2045, including low-carbon hydrogen manufacture, carbon capture and Storage, bio-manufacturing and alternative low-carbon fuels as well as wider Just Transition impacts on the workforce, community and surrounding environment.

SG leads on this work, in partnership with the Grangemouth Future Industry Board, and has been working extensively with multiple industrial operators including Petroineos, and wider stakeholders to develop a baseline as well as a co-designed vision for the future Grangemouth Industrial Cluster.

A draft Grangemouth Just Transition Plan and Vision will be published in May 2024.

The Consolidated Accounts are published annually and include a Performance Report which includes a Performance Overview and Performance Analysis, with high level financial information split by portfolio. The Consolidated Accounts for the years noted can be found at the following links:

The Scottish Government Consolidated Accounts for the year ended 31 March 2022 (www.gov.scot)

The Scottish Government Consolidated Accounts for the year ended 31 March 2023 (www.gov.scot)

I receive regular performance delivery updates on the three Policy Prospectus missions of equality, opportunity and community. I also engage regularly with Cabinet Secretaries to support strong collaboration across portfolios and budgets and enable effective delivery of Mandate Letter commitments. These arrangements are routinely reviewed and improved where appropriate.

The statutory review of the National Performance Framework National Outcomes is underway and reporting on progress towards the National Outcomes will continue to be delivered via the NPF website nationalperformance.gov.scot

In December 2021, our Response to Scotland’s Climate Assembly: Recommendations for Action included the commitment to investigate opportunities for whole life emission reporting.

Following this commitment we engaged with Zero Waste Scotland and some of the UK’s leading embodied carbon experts to scope research which produced the report Regulating Embodied Carbon in Scotland’s Buildings .

National Planning Framework 4 makes clear that reducing greenhouse gas emissions is a cross-cutting outcome of development and includes policy that requires a minimisation of lifecycle greenhouse gas emissions and the use of materials with the lowest forms of embodied emissions, such as recycled and natural construction materials.

We are currently engaging with key organisations and UK counterparts to understand the viability of such action and benefit that can be derived from a requirement to report on the broader environmental impact of new development, including the assertion that this could be addressed through building regulations.

Scottish Government are not aware of any local authority that is considering establishing such bonds.

A local authority's capital financing and investment arrangements are a matter for the authority. Whilst we would expect councils to engage appropriate specialist expertise to assist them with their capital financing and investment plans, the Scottish Government would be happy to support any council considering innovative capital financing and investment propositions for the good of their local communities.

It is a fundamental priority for the Scottish Government to ensure that people take up their full entitlement to social security benefits. This includes UK reserved benefits such as Attendance Allowance, where promotion and delivery remains the responsibility of the Department for Work and Pensions.

Welfare advice services work closely with people across Scotland who may be entitled to benefits but have not yet applied. This year, we have allocated funding of £12.5 million to support free income maximisation, welfare and debt advice services, helping people to access social security and maximise incomes.

Social Security Scotland also work extensively with local and national stakeholders to promote Scottish payments. This includes engagement with a group of stakeholders representing Energy Limited Chronic Illnesses, which brings together a number of organisations supporting people with fibromyalgia.

We are aware that many third sector organisations issue three-month notices to staff that are funded through grants to inform them that they are at risk of redundancy should funding not continue.

In recognition of the impact that this can have, grant managers across the Scottish Government aim to inform organisations of funding arrangements as early as possible and, ideally, before the end of calendar year to avoid the need for redundancy notices.

Regrettably, the late timing of the UK Government Autumn Statement and the catastrophic cuts to Scotland’s block-grant have caused unavoidable delays in finalising budgets for 24-25. As a result we have been, as yet, unable to notify many third sector organisations of their future funding.

In line with our Fairer Funding commitments, we are working to do so as soon as soon as is practically possible and before the end of March 2024 for funding that starts on 1 April. Grant managers are engaging with organisations to provide as much support and assurance as possible.