Chamber and committees

On April the 1st, ScotRail passenger services were successfully brought into public ownership. This move now offers us the opportunity to take the right actions to make rail travel more sustainable, affordable and accessible for the people of Scotland.

Affordable rail travel, including a consideration of peak rail fares, will be considered by the Fair Fares review. This review will seek to consider the affordability of public transport across the network, whilst also considering how journeys can be better connected through integrated ticketing, for example. In the context of the cost of living crisis it is absolutely essential that all Governments consider how to support an affordable public transport network.

I refer the member to the answer to question S6W-07181 on 24 March 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at www.parliament.scot/chamber-and-committees/written-questions-and-answers .

On 27 October 2021, SEPA published independent audits , commissioned from Police Scotland, The Scottish Business Resilience Centre, Azets and its own organisational response to allow others to learn from the SEPA experience. There were 44 learning points identified, all of which were accepted by SEPA and 35 have already been implemented.

The Scottish Government is committed to ensuring a human rights-based approach is delivered across all our public services. We recognise the key role that peer-led advocacy has to play in ensuring the rights of people who use drugs are fully protected.

Advocacy work is delivered across Scotland by a number of organisations and contributes to the delivery of our National Mission to reduce drug deaths and improve lives. The Scottish Government therefore welcomes FAVOR UK’s Advocacy Project and the positive impact this service is reported to have made to the lives of the individuals supported during the first 6 months of the project.

The report identifies systematic challenges that the Scottish Government is seeking to address through the National Mission. We recognise the vital role that residential rehabilitation can play and in recognition of this we have committed £100 million over the life of the National Mission to allow more people to access such services.

The Scottish Government aims to increase the number of statutory funded residential rehabilitation placements by 300% over the next five years. We have announced funding for four projects which combined will provide a total increase of 85 beds in Scotland by 2025/26, increasing rehabilitation capacity from 425 to 510 beds. It is envisaged that at least 1,000 people every year will be able to access government funded residential rehabilitation services by 2026.

The report also details the value of people who use drugs being supported to make informed choices in relation to their treatment options. The Scottish Government recognises the importance of this and the Medication Assisted Treatment (MAT) standards will ensure that people have a say in the type and choice of treatment being made available to them .

The Scottish Government has committed to developing a new hate crime strategy, for publication later this year, to help guide how we successfully tackle hatred and prejudice in Scotland.

On 28 April 2022, I chaired the inaugural meeting of the Hate Crime Strategic Partnership Group (SPG), comprising a range of third sector organisations and public bodies. The representatives on the SPG each possess specific expertise in tackling hate crime and building community cohesion, and will provide a multi-agency approach to development of a new hate crime strategy for Scotland.

At the meeting, the SPG discussed draft Terms of Reference and I invited members to share their key priorities for tackling hate crime, to help shape development of the new strategy.

In the coming period we will publish relevant information relating to the SPG, including membership and an agreed Terms of Reference.

The Scottish Government is aware of a growing number of studies linking autistic people (both diagnosed and undiagnosed) to increased chance of suffering from self-harm and suicidality, including the academic report Autistic traits in adults who have attempted suicide published by Richards, G., Kenny, R., Griffiths, S. et al. Molecular Autism and the academic report Links between self-injury and suicidality in autism published by Moseley et al. Molecular Autism in 2020.

People experiencing suicidality often face a complex set of personal issues and circumstances. As such, services must be person-centred and trauma-informed to ensure they provide compassionate and effective support. It is important services recognise and respond to the mental health challenges autistic people face in their day-to-day lives. In terms of learning resources, NHS Education for Scotland (NES) have developed Knowledge and Skills Frameworks for the Scottish Workforce on Mental Health Improvement, Self-Harm and Suicide Prevention, and Children and Young People’s Mental Health and Wellbeing; these learning frameworks include resources and guidance on providing mental health support for autistic people. In addition, as part of a National Trauma Training Programme funded by the Scottish Government, NES have developed a knowledge and skills framework and training resources to support the Scottish workforce to better understand and respond to trauma.

The Scottish Government set up the National Suicide Prevention Leadership Group (NSPLG) to oversee the delivery of the Suicide Prevention Action Plan ‘Every Life Matters’, published in 2018. The Plan continues to deliver a wide range of actions, including: campaigns to reduce stigma and promote suicide awareness (with a focus on reaching groups with a higher risk of suicide), improving suicide prevention skills of the workforce; ensuring effective, compassionate support to anyone in crisis, and supporting local suicide prevention planning.

In developing the new suicide prevention strategy and action plan, which will publish in September, the Scottish Government and COSLA are focussed on how to further develop effective approaches to reach and support groups at heightened risk of suicide, including autistic people. This will include drawing on research, lived experience insight, and examples of good practice.

The Scottish Government published our Learning/Intellectual Disabilities and Autism Towards Transformation Plan in March 2021. The plan looks at the actions needed to shape supports, services and attitudes to ensure that the human rights of autistic people and people with learning/intellectual disabilities are respected and protected and that they are empowered to live their lives, the same as everyone else. Vital to the successful implementation of the plan are actions to improve diagnostic and post-diagnostic services, to improve waiting times and to provide the support newly diagnosed autistic people require.

We are also carrying out new leadership and engagement work where lived experience is at the heart of the whole process. This process looks to empower autistic people and people with learning disabilities to be the leaders in transforming Scotland, starting by looking at what is needed to improve mental health for autistic people and people with learning disabilities.

The main Mental Health professional groups that the Scottish Government holds data for are Psychiatrists, Mental Health Nurses and Psychologists, including other psychological clinical staff and therapists. The Scottish Government also holds workforce figures for CAMHS, which are multidisciplinary teams that include, in addition to the professions mentioned above, AHPs, counsellors and social workers.

Under this government (since 2007), the number of:

a. Psychiatric Consultants across all specialities in NHSScotland has increased by 21.6% to 548.8 WTE posts;

b. The Mental Health Nursing workforce in NHSScotland has increased by 34.7% to 9,763.2 WTE posts;

c. Staff providing Psychology Services in NHSScotland has increased by 95% to the current all-time high of 1,359.3 WTE posts; and

d. Staff within CAMHS is up by 83.4% to the current all-time high of 1099.5 WTE posts.

NHS Scotland’s Mental Health Nursing, Psychology and CAMHS staffing numbers were at a record high on 31 December 2021.

Vacancy rates at 31 December 2021 were: 16.6% (107.5 WTE) for Consultant Psychiatrists, 12.4% (1,377.3 WTE) for Mental Health Nurses, 12.3% (191 WTE) for Psychology staff and 14.7% (190 WTE) for staff within CAMHS reflecting demand for staff as services continue to grow.

The Scottish Government also collects and publishes figures for mental health workers recruited under Action 15 of the Mental Health Strategy 2017-27, representing our commitment to recruit an additional 800 mental health workers between 2018-19 and 2021-22, to key settings such as A&E departments, GP practices, police station custody suites and prisons. As at 1 January 2022, 756.9 WTE mental health posts have recruited under Action 15.

The latest Action 15 recruitment figures as at 1 January 2022 can be accessed at Mental health workers: quarterly performance reports - gov.scot (www.gov.scot)

Despite this workforce expansion, demand for Mental Health Services remains high. The Scottish Government has committed to develop a long-term Mental Health Workforce Plan in the first half of this Parliament, and to ensure that by 2026, 10% of frontline NHS budget is invested in mental health, with 1% directed specifically to children and young people.