Chamber and committees

The information requested on how many midwives are currently employed on permanent contracts, broken down by NHS board can be found on the TURAS NHS Education for Scotland workforce statistics site at: NHS Scotland workforce | Turas Data Intelligence (Employment over time tab, contract type drop-down).

The paper shared by the Industrial Decarbonisation Research and Innovation Centre at the last Grangemouth Future Industry Board was not specific to the Grangemouth Refinery.

The 1,152 reported is the Whole Time Equivalent (WTE) fall in the NHS Scotland Nursing and Midwifery establishment over the six months to 30 June 2024. Care should be taken when comparing workforce data over a six month period as it will be influenced by seasonal patterns. The NHS Scotland Nursing and Midwifery establishment fell by 99 WTE in the year to 30 June 2024.

The Scottish Government sets the strategic policy direction for the NHS in Scotland. However, operational matters, including staffing, are in the first instance the responsibility of each NHS board. Health Boards will set their establishment depending on the service needs, taking account of national, regional and local priorities, and we expect NHS boards to plan and provide safe, effective and high-quality care, in line with their statutory service provision and workforce planning responsibilities.

Since 2019/20, the Scottish Government has invested, in the pursuance of its Programme for Government commitments, over £19 million across five years to support student mental health and wellbeing in colleges and universities and to help institutions to transition to a more sustainable means of providing mental health support for students. The cessation of this funding – referred to in the Cabinet Secretary for Finance and Local Government’s letter – was extensively discussed with the sector, including when transition funding was put in place for Academic Year 2023-24.

Our new Student Mental Health Action Plan, published on 13 September, seeks to move to a mainstreamed approach to student mental health which will help students better access services. The Government will work with NHS Boards, CoSLA, Public Health Scotland and community based providers to join up support that is already available, embedding students’ mental health needs into the wider communities in which they live and study.

The Action Plan recognises the importance of each college and university having a Student Mental Health Agreement in place. To enable this we continue to support NUS Think Positive with £130,000 in 2024-25.

The Scottish Government is committed to improving attendance in Scottish schools. Last year, we requested that Education Scotland undertake a “deep dive” to support greater understanding of the issue and the reasons for it.

Within the resulting report, five recommendations were identified. Education Scotland and Scottish Government officials have been working together to support the implementation of the recommendations. An online package of support, designed in collaboration with local authorities and schools, has been published.

Education Scotland are working with local authorities to improve attendance through both universal supports and through a bespoke support package using Quality Improvement Methodology. The first cohort of the ‘Improving Attendance Quality Improvement Programme’ will run from October to January.

Our commitment to delivering these recommendations is set out in ‘The National Action Plan on Relationships and Behaviour: 2024 – 2027 (The Joint Action Plan, 2024)’. This includes actions to review and revise national guidance on attendance This will enable refreshed guidance to be produced.

In recognition of the challenge of persistent absence, HM Chief Inspector for Education has also been asked with addressing this during school inspections and to identify successful approaches which can be shared more widely.

The Scottish Government is taking a range of actions to encourage the employment of people with learning disabilities, autism and neurodivergence in the public sector, including investment of up to £90 million in employability services in the 2024-25 financial year.

We are delivering all-age, person-centred, tailored employability services to those further from the labour market, including people with learning disabilities, autism and neurodivergence, and those with health conditions, through locally designed services such as No One Left Behind.

Under No One Left Behind, participants can access person-centred support to gain employment, which includes roles within the public sector. From summer 2025 all local employability partnerships will have an enhanced specialist employability offer which may be beneficial for those with learning disabilities, autism and neurodivergence.

We are also undertaking work internally to encourage the employment of people with learning disabilities, autism and neurodivergence within the Scottish Government as a public sector body.

The Scottish Government launched its Diversity and Inclusion Employer Strategy in April 2024. This sets out how the organisation will make further progress towards our employer equality outcomes. It is complemented by an action plan for 2024 - 2027 setting out what we will do to achieve this, and when we will do it. Improving the experience of disabled applicants and employees is an integral part of this plan, and employees who are neurodivergent, are autistic and/or have learning disabilities are a central focus of our activity.

The Scottish Government is taking a range of steps to promote awareness of ADHD, often targeted at professionals in healthcare and education settings in order to maximise impact.

The Scottish Government published the National Neurodevelopmental Specification: Principles and Standards of Care for Children and Young People in 2021. This specifies the standards that all children’s services should follow to ensure access to support is effective and consistent across Scotland. Whilst aimed at service providers, it nevertheless serves to promote general awareness of the needs of children with ADHD across NHS Health Boards and Local Authorities.

Additionally, last year, resources on ADHD were published on Education Scotland’s website. These cover the common features, positive traits and challenges of ADHD. This was accompanied by a webinar, attended by over 300 individuals.

As part of our work on implementing Adult Neurodevelopmental Pathways, the Scottish Government is working with the National Autism Implementation Team (NAIT) to ensure that Health and Social Care Partnerships across Scotland are equipped to support adults with ADHD.

The Scottish Government provides funding to NHS Education for Scotland (NES) to deliver neurodiversity training resources for staff across agencies, including health and social care, and education. This training is delivered both in-person and via an online learning hub. It equips staff to deliver for neurodivergent individuals, including those with ADHD, across the lifespan. In 2023, at least 1,243 individuals attended webinars that dealt specifically with ADHD across the lifespan, and at least 2,189 individuals accessed the recordings of these sessions at a later date.

As part of our consultation on potential provisions within a future Learning Disabilities, Autism and Neurodivergence Bill, consideration is also being given to the possible introduction of mandatory training on neurodivergence, including ADHD, for public-facing staff in some public services.

The Scottish Government does not currently provide dedicated funding to organisations and services providing post-diagnostic support for adults with ADHD.

However, we know that ADHD often co-occurs with autism. Accordingly, through the Adult Autism Support Fund, we are funding 14 organisations that are providing post-diagnostic support to autistic adults, some of whom will also have ADHD. One organisation, Lochaber Hope in the Highland council area, specifically provides online workshops on Autism and ADHD, as well as a Neurodivergent group for women and non-binary people.

We are also working to ensure that local diagnostic pathways for adults adopt a stepped care model and a neurodevelopmental approach, inclusive of ADHD.

The Scottish Government has provided funding to National implementation Team (NAIT) to support the Health and Social Care Partnerships to develop action plans to introduce adult neurodevelopmental pathways. NAIT will also provide ADHD professional learning workshops and establish adult neurodevelopmental professional networks.

The total drug costs and fees for dispensing methadone mixture and solution (1mg/ml) to the NHS in the last year (July 2023 – June 2024), broken down by NHS Board, are presented in the following table. Cost data are complete for all NHS Boards, whereas fees are incomplete as some payment elements are handled locally.

Table 1: Total drug costs and fees for dispensing methadone mixture1. Items dispensed in Scotland by NHS Board – July 2023 to June 2024

The route from Glasgow to Barrhead was electrified in December 2023. Electrification from Glasgow to East Kilbride is due to complete in December 2025. Plans to decarbonise the Fife Circle and Borders are in development.

I refer the member to the answer to question S6W-27663 on 3 June 2024. 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.