Chamber and committees

MHOs are critically important as they protect and safeguard the rights of vulnerable people with mental health conditions.

MHO workload pressures have no doubt been exacerbated by the COVID pandemic, but we are aware of a number of issues that are having an impact. These include significant numbers of applications for guardianship orders under Adults with Incapacity legislation, supporting hospital discharges when there is an issue with incapacity, as well as the challenges of working on detention and compulsory treatment orders during the pandemic. MHOs also provide ongoing advice for other professionals, users of services and carers about the use of mental health legislation when planning care and treatment.

While it is the responsibility of local authorities to ensure they have the appropriate levels of MHOs in place, we have been working, with COSLA, local authorities, the Scottish Social Services Council and others since 2019 to improve MHO capacity across Scotland.

We are committed to addressing a shortfall in the MHO workforce by 2023 as part of our wider Integrated Health and Social Care Workforce Plan (2019) and we are investing £1.5 million over 2019-2022 to support Local Authorities and Health and Social Care Partnerships in training additional MHOs. Additionally, we are currently evaluating with COSLA options to support new MHO posts and decisions will be made in due course.

The circumstances which led to the case before the European Court of Human Rights preceded the Human Trafficking and Exploitation (Scotland) Act 2015. The 2015 Act introduced new protections for victims of human trafficking and exploitation offences in Scotland.

The 2015 Act requires the Lord Advocate to issue instructions regarding the prosecution of persons who are, or appear to be, the victims of trafficking, slavery, servitude or forced or compulsory labour and who have allegedly committed a criminal offence. These instructions were published in May 2016 and were updated in August 2021, following a review by the Crown Office and Procurator Fiscal Service in light of the European Court of Human Rights’ decision in VCL and AN v UK. The instructions sets a strong presumption against prosecution of adult victims who have been compelled to commit an offence and the compulsion is directly attributable to trafficking or exploitation and a strong presumption against prosecution of child victims who have committed an offence in the course of, or as a consequence of, being trafficked or exploited.

Decisions in relation to prosecution are for the Crown Office and Procurator Fiscal Service which makes its decisions independently.

Both Police Scotland and the Crown Office and Procurator Fiscal Service continue to discharge their positive obligations to potential victims of human trafficking and exploitation.

Information on the application of the Lord Advocate’s instructions can be accessed through the Trafficking and Exploitation Strategy progress reports https://www.gov.scot/policies/human-trafficking/ .

The Scottish Government has regular communication with the UK Government on a range of issues relating to human trafficking and exploitation, including the decision by the European Court of Human Rights in VCL and AN v UK.

We continue to work with the UK Government and other organisations to ensure the findings of VCL and AN v UK are appropriately considered.

National Referral Mechanism data is released by the Home Office Single Competent Authority.

Information is published quarterly and in an end of year summary. Data relating to 2020 and 2021 can be found at https://www.gov.uk/government/collections/national-referral-mechanism-statistics .

We commissioned and published in 2018 a first national independent expert report on specialist NHS dementia beds provision Transforming Specialist Dementia Hospital Care with recommendations for sector modernisation as part of wider whole-system reform in localities.

The report noted the most recent official figures at that time on numbers of NHS Old Age Psychiatry beds and Geriatric Medicine beds. These figures include people with an organic illness (dementia) and those with a functional illness (mental ill health conditions such as depression, bi-polar and schizophrenia) and the report noted that it was difficult to provide a precise number of patients with dementia in these settings, given the frequency of co-morbid conditions and under-diagnosis of dementia.

We continue to work with the author of the report as part of wider work since 2018 to support implementation of the report and to support local service modernisation, workforce planning and resourcing.

I have agreed a joint statement with the BMA on face to face appointments that will be published later today.

As they have for many years, face-to-face appointments form part of a hybrid model also including video and telephone consultations. While we all aspire to return to greater availability of face-to-face, many patients will also wish to continue with telephone or video consultations. In joint communication with the BMA I have set out my expectation that recent changes to guidance should result in an increase in GP face-to-face appointments.

Rather than setting an arbitrary return date, what is most important is that appointments are agreed through shared decision making, balancing patient choice and clinical judgement.

Later this year we will consult on our Low Income Winter Heating Assistance which we plan to introduce next winter.

We want people to have benefits they can rely on so this new £50 benefit will replace the unstable Cold Weather Payment provided by the DWP. The payment will bring stability and security for around 400,000 low income households who will now be able to rely on getting help with their fuel bills every winter and not rely on it being cold enough for long enough to get a payment.

This benefit is a clear example of where we are using our limited powers over social security to improve the lives of people and increase their incomes.

With the statutory procedures completed, Transport Scotland is progressing through the necessary governance approval procedures that require to be completed before any procurement process for the A737 Improvements at Beith project could begin. Once this process is complete, The Transport Minister will write to the member with an update on plans for delivery of the project.

The next round of allocations will be confirmed and dispersed to local authority areas this Autumn.

Households eligible for assistance under Warmer Homes Scotland will be offered low-carbon alternatives, where these are technically appropriate for the property. These include High Heat Retention Heating Systems, Air Source Heat Pumps, Ground Source Heat Pumps, Micro-hydro, Micro-wind and Micro-CHP systems (Micro-CHP systems are not suitable for off gas grid properties). Some of these measures may be of particular benefit to households living in rural and island areas that are not served by the gas grid. Warmer Homes Scotland operates a national pricing mechanism, meaning that rural and island homes aren’t disproportionately affected.

Since April 2021 our Area Based Schemes have included additional funding to provide low carbon and micro-generation measures as part of a whole house approach. Local councils are encouraged to offer these measures to households living in or at risk of fuel poverty, where this is technically feasible and will result in lower energy bills. We also provide additional funding and support for remote rural and island communities to reflect the delivery challenges in these locations, including higher installation costs.

The shared policy programme also commits to provide additional support for rural and islands homes which require bespoke and targeted advice.