Chamber and committees

In our response to the Scottish Mental Health Law Review we committed to establish a Mental Health and Capacity Reform Programme to further enhance and protect human rights within legislation, policy and practice. This includes a commitment to enhance carers’ rights and role in practice through further developing and promoting carer awareness training for staff working with people with mental or intellectual disability across health and social care settings, by 2026.

These actions will also be set out in the Mental Health and Wellbeing Workforce Action Plan, which will be published in Autumn 2023.

We have funded NHS Education for Scotland (NES) to develop three training modules for the health and social care workforce, including those working with mental or intellectual disability across health and social care settings, to help them to identify, include and support unpaid carers. We expect those to be launched by the end of 2023.

Rather than permanent monitoring, which is the common approach for water companies in England, Scottish Water worked with SEPA to carry out a comprehensive Scotland-wide environmental study programme to assess and model the impacts of its assets on water quality. The programme was undertaken during the 2015 to 2021 investment period with an investment of £40m. These studies supported identification and prioritisation of River Basin Management Planning objectives, which were published at the end of 2021.

The computer models Scottish Water developed allow it to understand when CSOs will spill, under what rainfall conditions and the impact those spills will have on the environment. Instead of taking the approach of English water companies, targeted monitoring is being put in place to support the information already obtained from the models and to support operational performance. The Scottish Government is supportive of this evidence based and proportionate approach by Scottish Water. We also support their decision to invest inn widening monitoring by installing 1,000 new spill monitors by the end of 2024 with an investment of up to £70m.

Scottish Water’s Improving Urban Waters Routemap commits it to publishing near real-time spill data for all monitored CSOs by December 2024. The data collected by the 1000 new monitors will support SEPA’s and Scottish Water work to prioritise investment where it will most benefit our environment and communities. Continued investment by Scottish Water contributes towards Scotland’s water quality being at its highest level ever, with 87% of the water environment rated as good or better, up from 82% six years ago. Scotland’s River Basin Management Plan sets out objectives, including those for Scottish Water, aiming to improve water quality to 92% of the water environment to be in good or better condition by 2027.

I wrote to NHS National Services Scotland on 16 June 2023 to request that an evaluation of post COVID services (including long COVID clinics) in comparison to pathways in Scotland was added to the long COVID Strategic Network’s workplan for 2023-24. Consequently, the Strategic Network has contracted the University of Leeds to support the initial evaluation of long COVID services in Scotland.

The University of Leeds is currently the only institution in the UK evaluating long COVID services under the LOCOMOTION study, which includes NHS Highland as a pilot site. The University of Leeds also collaborates with ELAROS which has produced the C19-YRS digital tool which has been procured for use within NHS Scotland to monitor long COVID services. This partnership will also enable Scotland to benefit from the lessons already being learned from NHS England’s long COVID services.

As part of the evaluation, the University of Leeds will provide an: analysis of demand and capacity within Scotland’s long COVID services; analysis of longer-term outcomes for long COVID patients assessed within NHS Health Board services; and where possible, compare differences in service models.

All NHS Scotland Boards are providing support for children and young people with long COVID.

Assessment and initial investigation is being provided by local primary care teams, who can give advice and guidance about the management of symptoms and any potential treatment options for these in the first instance. Primary care clinicians can refer to occupational therapy and physiotherapy for further support where appropriate. In cases where referral to secondary care is required, children and young people may be referred to general paediatric services for investigation and management.

Children and young people learn about the negative impact of tobacco and vaping products on their health through the Health and Wellbeing curriculum. This includes understanding the laws around sales of tobacco products, and how to make positive choices in sometimes challenging situations. It is up to individual schools to decide what to study against the experiences and outcomes within the Curriculum for Excellence.

The Scottish Government wants to build on the success of no smoking education, and are reviewing vaping education for young people in schools with the Children and Young People Health and Wellbeing team to ensure that it provides the best impact.

We also recently distributed a survey via the National Parents Forum for Scotland to inform future education and marketing campaigns on youth vaping.

In addition, ASH Scotland have undertaken work with young people to help them understand the risks associated with using nicotine vaping products –resources can be found on the Young Scot website and social media channels.

The Scottish Government’s 2023-24 Programme for Government, published on 5 September 2023, outlined our commitment to take action to reduce vaping among non-smokers and young people and to tackle the environmental impact of single use vapes, including consulting on a proposal to ban their sale and other appropriate measures.

On 13 September, at the initiation of the Scottish Government, a meeting was held between ministers and senior officials from across the UK to discuss the available evidence and shared challenges, and agreement was reached to work together on a range of options to tackle the impacts, up to and including a ban.

Our approach will be subject to further engagement, policy development and consultation and developed in the spirit of the new deals recently agreed with local government and with business. Development of the consultation will also take place alongside careful consideration of the public health impacts and impacts on young people.

On 6 September, Scottish Government hosted a roundtable with a range of stakeholders to explore the findings of the Zero Waste Scotland report and discuss policy options to tackle the environmental impacts of single use vapes. The detailed findings of this engagement will inform our approach and further engagement and we will be working constructively with retailers, local government, young people and other stakeholders to develop and deliver solutions.

We have a clear message on vaping – that it is one possible smoking cessation method and not a lifestyle accessory. Vapes should not be used by children and young people or adult non-smokers.

Our 2022 consultation on Tightening Rules on Advertising and Promoting Vaping Products proposed restrictions on vaping products that strike a balance between protecting non-smokers from the potential harms of vaping, whilst providing existing adult smokers with the information they need to make an informed choice on cessation.

Officials are working to develop further action in this area, which will form part of our refreshed Tobacco Action Plan when it is published in autumn 2023.

Any action that we seek to take will build on the regulations that are already in place to restrict the marketing, promotion and sale of vaping products to under-18s.

We are also supporting work with young people to help them understand the risks related to vaping.

We continue to work with the UK Government, alongside Welsh Government and the Northern Ireland Assembly, over joint approaches where appropriate and welcome their commitment to help address underage vaping.

The purchase of tobacco and vaping products is age restricted and they should not be sold to, or purchased for, anyone under the age of 18.

The Health (Tobacco, Nicotine etc. and Care) (Scotland) Act 2016 introduced new laws on the sale of tobacco and Nicotine Vapour Products (NVPs) which made it an offence to:

1. sell NVPs to people aged under 18

2. buy NVPs on behalf of people aged under 18 (proxy purchase)

3. allow a person under 18 to sell tobacco, cigarette papers or NVPs without authorisation

4. fail to operate an age verification policy at premises selling these products

5. carry on an NVP business without registration

Enforcement of legislation around the sale and purchase of nicotine vapour products (NVPs) is carried out by Local Authorities as part of the Enhanced Tobacco Sales Enforcement Programme (ETSEP).

This is overseen by the Society for Trading Standards Officers in Scotland (SCOTSS) and funded by the Scottish Government. Officers are using every tool at their disposal - including test purchasing - to ensure retailers are not selling tobacco or vaping products to under 18s.

As outlined in our response of 16 June 2023 to the COVID-19 Recovery Committee report on long COVID, I wrote to NHS National Services Scotland on 16 June 2023 to request implementation of a range of actions to support internal and external communication regarding activities being undertaken by the long COVID Strategic Network. NHS National Services Scotland has confirmed that these actions are in progress, and include the identification of an appropriate web solution to share priorities, key outputs, and meeting minutes.

The Scottish Government is represented on the Strategic Oversight Board of the long COVID Strategic Network. The Strategic Oversight Board provides oversight of the workplan and programme outcomes of the Strategic Network.

The information requested is not held centrally by the Scottish Government.

The National Child and Adolescent Mental Health Services (CAMHS) Specification (published in February 2020) and the National Neurodevelopmental Specification for Children and Young People: Principles and Standards of Care (published in September 2021), set out the levels of service that children, young people and families can expect across Scotland.

This includes nationally agreed referral criteria, a first engagement appointment for all those that meet the criteria, and personalised and meaningful signposting for all those that do not require treatment .

The National Specification for the delivery of Psychological Therapies and Interventions is also due to be published this month and will set out what patients can expect following a referral, and detail the whole system approach including early intervention options that services should offer.