Chamber and committees

We are considering the recommendations made by the Heat Pump Sector Deal Expert Advisory Group within its final report and will respond later this year alongside the publication of our Heat in Buildings Supply Chain Delivery Plan.

The evaluation of early medical abortion at home began in October 2021, with of the final report currently due in autumn 2022. The evaluation seeks to provide further evidence regarding the safety, and efficacy of the current early medical abortion at home arrangements and to consider the experiences of women in Scotland accessing abortion early medical abortion services. It will also review practices and procedures in each NHS Board area and, where appropriate, identify areas of good practice.

A broad range of different skills are needed to support the heat in buildings transition, however we are aware that the installer skills for zero emissions heating and energy efficiency represent the largest gap.

Unlocking investment in the supply chain must start with clear demand for its products and services. Our investment of at least £1.8 billion, as outlined in the Heat in Buildings Strategy, will strengthen demand and support an increase in jobs and skilled workers.

We have provided over £1.3m through our National Transition Training Fund for energy efficiency and zero emissions heating retrofit skills. This includes a Low Carbon Learning Programme delivered by the Construction Scotland Innovation Centre which provides free training access for tradespeople to increase their skills in retrofit and Passivehaus construction methods, as well as funding through the Energy Skills Partnership to support heat pump training in Scottish Colleges.

The Flexible Workforce Development Fund provides employers with access to a range of heat and energy efficiency courses and is open both to UK Apprenticeship Levy paying employers and Small and Medium Enterprises (SMEs) in Scotland.

We have invested in heat pump training equipment for Scottish colleges with new capacity for training provision due to come online later this year.

Finally, Scottish Government officials and Skills Development Scotland are collaborating with the industry under the Climate Emergency Skills Action Plan to define new pathways, and work is underway to develop new, targeted financial support for skills development in this sector.

There are a number of current initiatives funded by Scottish Government aimed at providing support to industry to upskill their workforce and gain the necessary qualifications to effectively install/ maintain low carbon heating systems.

Current initiatives include the National Transition Training Fund (NTTF); The Flexible Workforce Development Fund (FWDF); and, the Heat Pump Skills Grant and MCS Certification Fund.

NTTF was established as a reactive response to Covid-19’s immediate impact on the labour market. The fund offers industry-recognised qualifications and training in growing employment sectors. Individuals can apply direct for training opportunities, while employers are encouraged to apply on behalf of their team. We have provided over £1.3m through the NTTF for energy efficiency and zero emissions heating retrofit skills. This includes a Low Carbon Learning Programme delivered by the Construction Scotland Innovation Centre which provides free training access for tradespeople to increase their skills in retrofit and Passivehaus construction methods, as well as funding through the Energy Skills Partnership to support heat pump training in Scottish Colleges.

FWDF is available to employers to address priority skills gaps in their organisation. The fund provides funding to UK Apprenticeship Levy-payers and SMEs in Scotland which they can use to access flexible workforce development training opportunities. Training programmes can be delivered in partnership with their local college, The Open University in Scotland or an independent training provider.

The Heat Pump Skills Grant and MCS Certification Fund is offered to assist Scottish SMEs installing heat pumps in achieving MCS certification for the first time. This funding is for installers who are not currently MCS certified for heat pumps and who want to become MCS certified for any heat pump technology (air, water, or ground source).

It is vital that the supply chain for the installation and maintenance of zero emission heating systems is equipped with the necessary skills and qualifications to provide a high quality and responsive service to consumers. We estimate that the supply of skills is largely balanced at existing levels of heat pump demand, but will need to grow substantially to match the pace and scale of the heat transition.

We have partnered with Skills Development Scotland to undertake a ‘Heat in Buildings Workforce Assessment Project’ which will help us better understand the timing of workforce growth and how best to support people transitioning into key sectors, including low carbon heating. This work is at an advanced stage and we will publish the findings in due course.

We have committed to publishing our Heat in Buildings Supply Chain Delivery Plan later this year which will detail actions and public support to aid workforce growth through a combination of reskilling, upskilling and youth employment.

The independent Barclay Review of Non-Domestic Rates acknowledged that exemption - where types of property are exempt from rating – is not the best way to affect non-domestic rates liabilities. The review highlighted that where properties are not valued and do not appear on the valuation roll the financial benefit to those concerned is unknown, which decreases transparency and has the potential to create unfairness for other ratepayers. Furthermore, exemptions are based on the property characteristics of lands and heritages, rather than occupiers. As such, any exemption for the property types that ALEOs operate would require to apply across the tax base, to all similar lands and heritages.

The independent Barclay Review recommended that charity relief be ended for ALEOs and the existing relief for ALEOs removed. The Scottish Government only accepted this recommendation in part, and on 28 November 2017 it was announced that properties being run by council ALEOs in receipt of relief, charitable or sports club, on that date would be able to retain that relief in full. However, to address the concerns of the continuing expansion of the ALEO approach, the cost of further relief to ALEOs would be offset to councils to mitigate against future ALEO expansion.

ALEOs are still able to claim relief, and Local Authorities may award the relief included within their baseline amount as they see fit. However, if the total amount awarded by the Council exceeds the established baseline, its Local Government settlement is adjusted by an offsetting amount.

People of all ages in Scotland living with Cystic Fibrosis have access to Specialist Cystic Fibrosis Centres. These include a Clinical Psychologist who forms part of the multidisciplinary team supporting the patient and their family.

Patient referrals will be made to the psychologist for in-patients, out-patients and those whom the multi-disciplinary team have specific concerns about. National Services Scotland- who commission adult CF Services- receive data about the work carried out by clinical psychologists within the annual reports for each Adult Cystic Fibrosis Centre. This data, however, does not specifically state how many patients were seen by the psychologist at their annual review and instead relates to referrals and care episodes.

Paediatric Cystic Fibrosis Services are commissioned and delivered by Local Health Boards, therefore information is not held centrally on the percentage of children who have seen a psychosocial professional at their 12 month review.

All boiler and heating systems, including Air Source Heat Pumps installed under Warmer Homes Scotland are guaranteed for a 2 year period. Warmworks, the Managing Agent for the scheme provide a one year maintenance warranty with the installer and this runs from the date of the installation for 12 months. Once this 12 month period is up, there is a further 12 month warranty with the boiler/heating system manufacturer. This means the boiler/heating system is covered for a full 2 years from the date of installation.

At the end of this 2 year warranty period all Warmer Homes Scotland customers become responsible for the maintenance of their boilers and heating systems together with any associated costs.

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.