Chamber and committees

The latest data available on admissions and length of stay for people in Mental Health Hospitals is collected as part of the Mental Health & Learning Disability Inpatient Census and Out of Scotland NHS Placements Census, 2022 .

At the census point 11 April 2022, 152 adults with a diagnosis of autism were inpatient within an NHS Scotland hospital. In addition, there were 9 patients under 18. There were a further 11 adults with a diagnosis of autism inpatient outwith an NHS Scotland hospital. These individuals also may or may not have a co-occurring diagnosis for a learning disability.

Data on the numbers of people with a diagnosis of autism who have been admitted to hospital for treatment following offending is not collected.

There were 24 patients with a diagnosis of autism who have been in an NHS Scotland hospital more than a decade, with an average length of stay of 16 years and 10 months. There are fewer than 5 further patient(s) with an autism diagnosis who have been treated outwith NHS Scotland more than a decade. These individuals also may or may not have a co-occurring diagnosis for a learning disability.

The latest publication of the Mental Welfare Commissions Mental Health Act Monitoring Report covers the period 2021-22 and provides some information on compulsory treatment under criminal proceedings and you may wish to ask if they have further information on disaggregated data.

The latest data available on admissions and length of stay for people in Mental Health Hospitals is collected as part of the Mental Health & Learning Disability Inpatient Census and Out of Scotland NHS Placements Census, 2022.

At the census point 11th April 2022, 166 adults with a diagnosis of a learning disability were inpatient within an NHS Scotland hospital. In addition, there were fewer than 5 patient(s) under 18. There were a further 33 adults with a diagnosis of a learning disability inpatient outwith an NHS Scotland hospital. These individuals also may or may not have a co-occurring autism diagnosis.

Data on the numbers of people with a diagnosis of a learning disability who have been admitted to hospital for treatment following offending is not collected.

There were 44 patients with a diagnosis of a learning disability who have been in an NHS Scotland hospital more than a decade, with an average length of stay of 19 years and 2 months. There are a further 8 patients with a learning disability who have been treated outwith NHS Scotland for more than a decade with an average length of stay of 19 years and 5 months. These individuals also may or may not have a co-occurring autism diagnosis.

The latest publication of the Mental Welfare Commissions Mental Health Act Monitoring Report covers the period 2021-22 and provides some information on compulsory treatment under criminal proceedings and you may wish to ask if they have further information.

Funding for mental health services is drawn from the overall funds allocated to NHS Scotland by the Scottish Government. The latest available data from the Public Health Scotland Scottish Health Service Costs shows that for 2021-22 total expenditure by NHS Scotland on mental health was £1.299 billion. The figures for 2022-2023 are yet to be published.

As part of the block funding provided to NHS Boards by the Scottish Government, NHS Boards make operational decisions on how to deploy spend, in a way which best meets local needs. The detail of this is not held by the Scottish Government.

Prevention and early intervention remain a priority for the Scottish Government.

We have placed a stronger focus on preventing mental health issues and tackling the underlying causes and inequalities through our recently published Mental Health and Wellbeing Strategy. The provision of advice and support will continue to be an important part of our approach.

We continue to undertake a range of preventative and early intervention mental health work, key examples include:

• We have invested a total of £51m since 2021 in our Community Mental Health and Wellbeing Fund for Adults, with approximately 3,300 grants made to local projects across Scotland in the first two years alone.
• We have allocated a total of £45m since 2021-22 for local authorities to provide over 300 community mental health and wellbeing supports and services for children, young people and their families.
• We published an ambitious Suicide Prevention Strategy and Action Plan with COSLA in 2022, with the vision of reducing suicide deaths and tackling the inequalities which contribute to suicide. The strategy is supported by record funding to double the annual suicide prevention budget to £2.8m by 2026 and we are well on track to achieving this target.
• Since 2016, we have invested over £21m in our world-leading Distress Brief Intervention (DBI) programme, which offers timely, compassionate support to people in distress who come into contact with frontline services. Over 50,000 people have already been referred for DBI support. We are on track to have DBI available in all NHS Board areas by March 2024.

The Green Jobs Fund was created to support new and increased opportunities for green job creation across Scotland, by providing up to £100 million capital investment over a five year term.

Scottish Enterprise, Highlands and Islands Enterprise and South of Scotland Enterprise are working to deliver £50 million to businesses which provide sustainable or low carbon products and services to help them develop, grow and create jobs. Up to a further £50 million is aimed at supporting businesses and their supply chains create and safeguard jobs by investing in equipment, premises, research and development.

The aim is to fully utilise all available funding, where possible, and this twin aim of supporting existing businesses to transition to a low carbon environment and looking to fund new and innovative projects, which will take time to develop and deliver, could result in more funding being required over the latter part of the five year term, as these newer markets grow and mature.

As at October 2023, our records show that across the whole of the Scottish Government there are currently 155 individuals procured to provide specialist services under a Service Level Agreement.

The Agreements that are put in place stipulate the length of the service period, and so will often set that Agreement in place for a period of two years, or more. Some Agreements have been established with short service periods, such as 6 months, but the norm is for two to three years. Agreements are reviewed annually to consider the service being provided and whether there is a business need for that service continuation.

We understand the distress and pain that migraines cause and want to ensure that everyone living with this debilitating condition can access the best possible care and support.

The Neurology Specialty Delivery Group (SDG), commissioned via the National Centre for Sustainable Delivery, has developed a national pathway for headache, including migraine, which will be published and implemented this autumn.

The pathway will aid the diagnosis and management of headache disorders and offer guidance on management. It is aimed towards those working across primary care including community pharmacy and general practice and those working across secondary care including emergency care, acute/general medicine and neurology.

The SDG have also developed factsheets on migraine for use by primary care clinicians.

Funding for mental health services is drawn from the overall funds allocated to NHS Scotland by the Scottish Government. The latest available data from the Public Health Scotland Scottish Health Service Costs shows that for
‎ 2021-22 total expenditure by NHS Scotland on mental health was £1.299 billion.

https://publichealthscotland.scot/publications/scottish-health-service-costs/scottish-health-service-costs-high-level-costs-summary-2021-to-2022/

The R100 programme comprises of three strands of activity – the R100 contracts, R100 Scottish Broadband Voucher Scheme (R100 SBVS) and continued commercial build.

The R100 contracts are gap funded meaning that the Scottish Government subsidises Openreach to deliver connections to premises which would not otherwise be commercially viable. Subsidy is only paid to Openreach once premises have been delivered and delivery milestones have been achieved.

Suppliers to the R100 SBVS can only claim their evidenced costs, up to a maximum of the voucher value, once the installation work is completed and the voucher beneficiary is able to receive, as a minimum, a superfast broadband service.

The Scottish Government does not have a remit to intervene should a broadband provider choose not to proceed with their commercial build plans.

The percentage of individuals procured by the Scottish Government to provide specialist services under Service Level Agreements compared to the total headcount (as at 30 June 2023) is 1.44%.

Forecasts provided by the recipients of the Green Jobs Fund awards estimated projects will support up to 4,462 full time jobs over the life of the individual project.