Chamber and committees

We recognise the importance of support for individuals on release from custody. While we are not currently pursuing a pilot on post-custody outreach, we are improving support for these individuals by introducing a new national voluntary throughcare service, Upside, which offers one-to-one support for men and women leaving short sentences and periods of remand. This service, which launched on
1 April 2025, will assist people with the immediate challenges they face post-custody, including accessing housing, healthcare and social security, while also linking them to the wider support services they may require, such as mental health or substance use services.

In addition to this, through the Getting It Right For Everyone (GIRFE) model, we are supporting Health Boards to provide a package of care and support in a joined-up, holistic manner across various services and agencies. This will also support people with their needs on release from prison.

The Medication-Assisted Treatment (MAT) Standards set out what people should expect from substance use services. MAT Standard 3 sets out that people at high risk of drug-related harm should be proactively identified and offered support, while MAT Standard 9 sets out that all people with co-occurring drug use and mental health issues should receive mental health care. Implementation of the MAT Standards is supported by multi-year funding of £10.3 million per year over the life of the Parliament. Implementation of the MAT Standards is assessed by Public Health Scotland (PHS) via annual Benchmarking Reports.

Extensive work is ongoing to improve coordination of public services as part of our commitment to public service reform. We will support all areas to follow the Getting It Right for Everyone model of person-centred services (GIRFE). This model brings the person, their families, carers and all service providers together to devise a package of care and support in a joined-up, holistic manner across various services and agencies to achieve the best outcomes for individuals. In December 2024 we published the GIRFE toolkit and Health Boards are now required to set out how they will embed the GIRFE principles and toolkit in NHS Annual Delivery Plans for the organisation and delivery of their services. In addition, we are establishing the new National Care Service Advisory Board to improve social care, social work and community health services.

More specifically to support individuals with complex co-occurring mental health and substance use issues we commissioned Healthcare Improvement Scotland (HIS) to create a gold-standard protocol that sets out how these services should work together, which has now been published. HIS are now working to support areas across the country to develop and implement their own protocols. We are also supporting Mental Health Officers (MHOs), who assess and support individuals with mental health conditions and are pivotal to integrated health and social care services. Actions underway include undertaking workforce planning initiatives to address shortfall in MHOs, developing a pilot exercise to reduce administrative burden, and developing a scheme to harness the potential of AI powered tools to support reporting and reduce associated workloads.

The Medication-Assisted Treatment (MAT) Standards set out what people should expect from substance use services. MAT Standard 3 sets out that people at high risk of drug-related harm should be proactively identified and offered support, while MAT Standard 9 sets out that all people with co-occurring drug use and mental health issues should receive mental health care. Implementation of the MAT Standards is supported by multi-year funding of £10.3 million per year over the life of the Parliament.

It is for Health Boards to ensure that they are consistently following good practice in risk assessment and discharge planning, however Scottish Government regularly engages with Boards at official level to ensure they are providing a safe, high-quality service to patients. In addition to this, the Mental Welfare Commission follows up with Boards/HSCPs to ensure they implement any recommendations made in their reports.

It is for Boards to establish local processes for addressing disagreements within multidisciplinary teams, however it is for the Mental Health Tribunal to decide whether a Compulsory Treatment Order is to be granted.

The Scottish Government provide funding to NHS Education for Scotland (NES) who are responsible for developing and delivering healthcare education and training for NHS, the health and social care sector and other public bodies. We provided NES £30 million in 2024-25 to deliver multidisciplinary mental health education, training and workforce expansion for staff supporting adult and children mental health and psychological wellbeing.

This includes mental health training resources on risks relating to suicide, substance use, non-engagement and offending behaviour, as well as our trauma-informed and trauma responsive programme. These resources support implementation of the Medication-Assisted Treatment (MAT) standards and Core Quality Standards for Mental Health.

NHS Boards have duties under the Carers Act to involve unpaid carers in decision making and planning the return from hospital of the person they care for (or will care for). More specifically, the Core Mental Health Quality Standards state that a person’s support network should be involved in their care if they wish. Progress on implementing the standards is measured by Healthcare Improvement Scotland. Local assessments were circulated in 2024 and responses are currently being analysed.

Throughcare services are in place to support individuals being released from custody to reintegrate into the community, which includes providing support with any accommodation needs. A new national voluntary throughcare service, Upside, with annual funding of £5.3 million from the Scottish Government, launched on 1 April 2025.

I refer the member to the answer to question S6W-36086 on 24 April 2025. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers