Chamber and committees

The mental health and wellbeing of children and young people is an absolute priority for the Scottish Government.

Access to counselling support services through secondary schools are in place across Scotland. As highlighted in the answer to S5W-35805, there is variation in how the counselling service is being delivered across authorities. Twenty four authorities are providing a specific resource in schools and eight authorities are providing an authority wide service according to need across their region.

A summary of information provided by local authorities on the school counselling service in their area is available at: Access to counsellors in secondary schools: summary report - gov.scot (www.gov.scot)

In Scotland's curriculum, Curriculum for Excellence, learning about health and wellbeing is a specific curriculum area and is one of the three core areas that are the responsibility of all school staff. Schools are encouraged to develop the curriculum to suit their local context and meet the needs of children and young people, which can include delivering learning on bereavement. It is good practice for schools to consult with children and young people and respond to their views appropriately, to ensure this meets the needs of all children and young people in the school or educational setting.

Curriculum for Excellence Experiences and Outcomes make clear that, in addition to the Health and Wellbeing Experiences and Outcomes, children and young people will also experience certain aspects of health and wellbeing through focused programmes such as Personal and Social Education (PSE) programmes. Learning on bereavement is supported through resources on Education Scotland’s national improvement hub which can be accessed at https://education.gov.scot/improvement/learning-resources/resources-for-school-staff-to-support-positive-mental-wellbeing-of-children-and-young-people/ and https://education.gov.scot/parentzone/additional-support/specific-support-needs/social-and-emotional-factors/bereavement/ .

The PSE Review report recognised that secondary schools are using an increasing range of approaches to support mental health and build resilience, including dealing with bereavement. The report also recognised the use of targeted support in special schools where pupils benefit from a range of proven programmes to alleviate bereavement and loss or to promote mindfulness.

The Heat Networks (Scotland) Act sets statutory heat network deployment targets, requiring 2.6 terawatt hours of output by 2027 and 6 terawatt hours by 2030. To help achieve this, we have committed to invest at least £400 million over this parliamentary session in large scale heat and energy efficiency projects, including zero carbon heat networks. Detail on how we will meet the ambitious heat network targets will be provided in the Heat Networks Delivery Plan, which we will publish for consultation in due course.

As outlined in our recently launched Heat in Buildings Strategy we will launch a Heat Network Pre-Capital Support Unit in 2021, expanding on the previous role of the Heat Network Partnership to provide enhanced support to public and private sector in developing a pipeline for delivery.

The Scottish Government has awarded £37 million of financial support to heat networks through the Low Carbon Infrastructure Transition Programme since its launch in 2015. The programme is now closed to new applications, with a successor scheme due to be launched by the end of 2021. This new scheme will have a focus on low carbon heat projects, including large-scale heat networks. As well as supporting new projects and network extensions, the scheme will look to provide assistance to improve the efficiency of current heat networks and convert those powered by fossil fuels to low carbon options.

The Scottish Government is committed to implementing the National Neurodevelopmental Specification: Principles and Standards of Care for Children and Young People, published in September 2021, which specifies service standards that all children’s services should follow, to ensure access to support is effective and consistent across Scotland. Scottish Government have also commissioned Directors of eHealth, working with others including Public Health Scotland, to work to improve digital infrastructure, applications and data to report on all standards within the National Neurodevelopmental Specification.

In addition to these actions, and to support this work, £3.06 million has been allocated to NHS Boards, for the remainder of this year, to build professional capacity within Boards to support children and young people with neurodevelopmental support needs.

The Scottish Government has also established the National Autism Implementation Team, in partnership with Queen Margaret University, to support Health and Social Care Partnerships to consider best practice and improve service in adult autism diagnostic services. The National Implementation Team is supporting NHS Boards to examine diagnostic pathways for autism and establish regional experts to assist with improving tiered autism specialisms across health boards.

The Scottish Government has not undertaken any specific study into the impact of the new vessel delay on the Isle of Arran economy. However, we are very aware of the importance of reliable and regular ferry services upon which our island communities depend, including the people and businesses on Arran. Improvements implemented since 2013 as a result of the Ferries Plan included providing a 2nd vessel from May to September, resulting in increased daily sailings, a longer operating day and an extended summer season.

We continue to work with the yard to do everything we can to ensure that the new vessels enter service as quickly as possible, to deliver the further service improvements our island communities deserve

The Scottish Government has committed to bringing Free Personal and Nursing Care rates for those self-funding residential care into line with the National Care Home Contract. We are currently consulting on this as part of the National Care Service consultation, which runs until 2 November 2021.

NHS Scotland already utilises an electronic prescription message between GP practices and community pharmacies which runs in parallel with paper prescriptions. However, the use of paper prescriptions is still a necessity at this stage as a legal requirement.

The Scottish Government has commissioned NHS National Services Scotland (NSS) to take forward a number of digital priorities in response to COVID. This national programme includes investing in development of a new ePrescribing and eDispensing pathway by enabling the use of advanced electronic signatures in primary care and addressing the need for an end-to-end digital solution that will support replacement of the paper prescription from all community settings with a digital solution. The programme recognises that electronic prescribing will help some vulnerable sections of society, but we must also ensure others are not disadvantaged and the solution adopted should address patient needs including digital exclusion. It is difficult to be precise on timescales at present but significant progress on the technical and process models continues at pace and the Scottish Government is committed to deliver a solution through this programme.

Our refreshed Digital Health and Care Strategy includes a clear approach on how we will empower the public to manage their health and wellbeing through digital means. This work will look to give greater access to things like health records and being able to manage prescriptions online.

In addition, patients who have a long-term condition can access the ‘Medicines: Care and Review Service’ at their local community pharmacy. It promotes a partnership approach between the pharmacist, the patient and their GP practice. Patients with stable long-term conditions can receive serial prescriptions for a duration of 24, 48 or 56 weeks which are dispensed in regular intervals by the pharmacy and remove the need to request regular repeat prescriptions.

We continue to monitor closely and assess this next phase of the pandemic. The current package of statutory measures is considered an appropriate public health response to the incidence or spread of infection in Scotland in line with our strategic intent to suppress the virus to a level consistent with alleviating its harms while we recover and rebuild for a better future. We have acted to give as much clarity and consistency as possible to individuals, businesses, and sectors within society, and we will continue to do so. The fact that COVID-19 continues to be a threat – to individual health and to the capacity of our health system – is the reason why our existing mitigations remain in place.

However, we are keeping these measures under review, with regular reviews scheduled every three weeks. As part of this process, we will consider whether any existing mitigations need to be strengthened in light of what the data is telling us.

Cabinet Secretaries and officials have renewed efforts to engage with sectoral stakeholders to re-invigorate stronger messaging on the need to comply with existing baseline measures. This means taking all possible proactive steps to promote and reinforce baseline measures, the promotion of advisory precautionary measures and sector specific good practice in all sectors.

As set out in the Programme for Government 2021 - 22, published on 7 September 2021, the Scottish Government is committed to establishing a dignified and compassionate miscarriage service by the end of 2023.

Work is underway to progress this commitment, which aims to support the development of individualised care plans after a woman’s first miscarriage, take forward specific recommendations made in the Lancet series on miscarriage published on 26 April 2021 and ensure women’s services in Health Boards have dedicated facilities for women who are experiencing unexpected pregnancy complications.

The M8 Woodside Viaducts are essential links in the M8 central Scotland urban motorway, vital for the economy and connectivity of Scotland. Therefore, the repair of the viaducts and removal of restrictions is high priority. A number of potential remedies were considered but the propping solution was assessed as the best option in terms of timescale and value for the public purse. The viaducts carry 150,000 vehicles per day in normal times, which would be difficult to accommodate by other routes or modes. Part of the Underline Project, an active travel corridor route from Cambridge Street to St George’s Road extending below the viaducts, has been deferred to allow the viaducts repair work to be completed. Several excavations are required in this area and it would be abortive to construct this part only for it to be disrupted by the repair works. This has been fully discussed and agreed with Glasgow City Council. On completion, the Underline project will deliver a key cross-Glasgow active travel corridor in line with the commitments given in the motion and contribute to the net zero aims of COP26.