Chamber and committees

Statutory responsibility for decisions about the learning estate, including mothballing, rest with local authorities. The Scottish Government issues guidance to support local authorities’ implementation of their statutory responsibilities.

As the First Minister stated on 24 April, we are reviewing current guidance on the mothballing of schools and nurseries to provide greater clarity on whether it is an appropriate action to take. Scottish Government officials have regular engagement with local authorities and their representative bodies on a range of issues, including mothballing, and Ministers are considering a range of local government and stakeholder views on mothballing through the review process.

We will update Parliament further on this work in due course. While the review is underway, the existing guidance on mothballing (which is included in the Statutory Guidance on the Schools Consultation (Scotland) Act 200) remains in place.

Statutory responsibility for decisions about the learning estate, including mothballing, rest with local authorities. The Scottish Government issues guidance to support local authorities’ implementation of their statutory responsibilities.

As the First Minister stated on 24 April, we are reviewing current guidance on the mothballing of schools and nurseries to provide greater clarity on whether it is an appropriate action to take. Scottish Government officials have regular engagement with local authorities and their representative bodies on a range of issues, including mothballing, and Ministers are considering a range of local government and stakeholder views on mothballing through the review process.

We will update Parliament further on this work in due course. While the review is underway, the existing guidance on mothballing (which is included in the Statutory Guidance on the Schools Consultation (Scotland) Act 200) remains in place.

This is a matter for NHS Boards. The information requested is not held centrally.

This is a matter for NHS National Services Scotland, which established the national Long Covid Strategic Network and requested that Health Improvement Scotland perform the evidence review.

This is a matter for NHS Boards, which the Scottish Government expects to provide high quality, person-centred care and support for everyone, including people with postural tachycardia syndrome (PoTS). Support is often provided via primary care, with referral to secondary care if necessary to rule out other causes of symptoms or provide management advice.

PoTS UK is a charity which provides information about managing and living with PoTS. This includes information and advice on self-management, mental health support and medication guidance. Their full resources can be found here: Managing PoTS - PoTS UK. Additionally, STARS (the Heart Rhythm Alliance) provide information on PoTS and resources for patients, which can be found here: Postural Tachycardia Syndrome (PoTS) – STARS – UK (heartrhythmalliance.org).

The Public Health Scotland CAMHS waiting times statistics capture children and young people who meet the CAMHS criteria. We continue to see a significant and sustained improvement in CAMHS waiting times, despite continuing high demand from children and young people who need mental health support.

The CAMHS waiting time statistics do not include children seeking a neurodevelopmental assessment unless they have a comorbid mental health condition because they do not meet the CAMHS criteria. This is stated in the publication of CAMHS statistics.

CAMHS is a specialist mental health service and is simply not the appropriate service for children and young people seeking diagnosis of a neurodevelopmental condition, unless they are seeking support for a co-existing mental health condition. For many young people, support through a neurodevelopmental pathway will be more appropriate.

The Public Health Scotland CAMHS statistics capture children and young people who meet the CAMHS criteria. Children and Young People and their families who have requested support for their neurodevelopmental needs but do not meet the CAMHS criteria are not reported in these statistics.

However, the statistics do capture those children and young people who are on the waiting list and have mental health concerns comorbid with neurodevelopmental issues.

Data relating to the number of children waiting for a neurodevelopmental diagnosis is not currently nationally reported or published. However Health Boards should hold their own data on who is waiting for a neurodevelopmental diagnosis.

It is also important to recognise that not all children seeking a diagnosis will meet diagnostic criteria but may still have support needs. That is why our National Neurodevelopmental Specification makes clear that support should be put in place to meet the child or young person’s requirements when they need it and should not be dependent on a formal diagnosis.

We acknowledge that work is needed to improve the quality of data that we have on neurodevelopmental support and services, including a better understanding of current levels of need and the level of support children and young people currently receive.

We are working with Health Boards and local authorities to improve our understanding of what data is available, and how this could be used to support improvements for children and families.

The Tobacco and Vapes Bill has now entered into committee stage in the House of Lords. Following the conclusion of the Bill’s passage through Westminster, we expect to consult on the extension of restrictions on smoke-free places.

We expect NHS Boards to follow the National Child and Adolescent Mental Health Services (CAMHS) specification, which includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service.

Some of these services are likely to be community based and we continue to invest £15 million per annum in funding to these supports, which will continue through the local government finance settlement from 2025-26. Local authorities report that nearly 83,000 children, young people and their family members accessed community-based mental health support between July 2023 and March 2024. Alongside this, we are ensuring access to counselling services in all secondary schools, and continue to support local authorities with £16million a year.

Appropriate redirection and alternative support will vary across NHS Boards depending on the services available locally, and the needs of the child or young person involved. While we have made significant progress in improving mental health and wellbeing services for children and young people since 2018, we continue to work closely with Boards to understand the reasons for non-accepted referrals and to ensure that the criteria in the CAMHS specification are being met.

Additionally, Public Health Scotland has started publishing data from the CAMHS and Psychological Therapies National Dataset (CAPTND), including referrals to CAMHS by sex, age and SIMD as well as reasons for referral not being accepted. Health Boards are also working with PHS and Directors of eHealth to enable the collection and publication of additional information this year.

CAPTND is still under development, and any inferences or conclusions drawn from this data should be treated with caution. Work is ongoing between NHS Boards, Public Health Scotland, and the Scottish Government to improve the consistency and completeness of the information.

The Scottish Government does not hold this information centrally as this is the responsibility of NHS Boards. However, the Scottish Governments expects NHS Boards to follow the National Child and Adolescent Mental Health Services (CAMHS) specification, which includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service, such as our community-based supports.

We have provided local authorities with over £65 million since 2020 to fund community-based mental health and wellbeing supports and services for children, young people and their families. This £15 million per year funding will continue through the local government finance settlement from 2025-26. Examples include mentoring services, art-based therapies, digital services, whole-family supports, counselling services and supports involving sport or physical activity.

Individual local authorities decide which supports and services to put in place in their area based on the needs of their communities.