Chamber and committees

The Scottish Government is supporting the NHS to offer the best evidence-based care and treatment to anyone who needs it. Decisions on what the best, and most appropriate, treatment options are for patients are informed by official guidelines, and clinical and professional involvement in someone’s care.

In 2022, the Scottish Intercollegiate Guidelines Network (SIGN), produced for the first time Scottish specific eating disorder treatment guidelines. These guidelines cover referrals, management of medical and mental health risks, choice of treatments and management of transitions. In addition NHS Education Scotland have recently published the updated evidence summary for the treatment of Anorexia Nervosa.

We recognise that anyone who might be suffering with an eating disorder needs to get the help they need, when they need it. We therefore expect mental health services across Scotland to respond rapidly and decisively to the needs of our vulnerable people, particularly those with eating disorders.

The Scottish Government does not collect this data. Individual NHS boards may hold this data locally and are best placed to advise.

We do know that eating disorders can co-occur with neurodevelopmental conditions including autism and ADHD. The draft National Specification for Treatment and Care of Eating Disorders outlines that we would expect services to work jointly with other services to care for anyone with co-occurring considerations.

The Scottish Government also partners with and provides funding to a number of organisations that can support neurodivergent people who are living with an eating disorder. These include the National Autistic Society Scotland, which has published useful guidance and information that can help autistic people who struggle with eating in different ways.

It is for Integration Authorities to plan and resource hospice care, using the integrated budget under their control; and to plan palliative care services and costs now and in the future.

We are working with Integration Authorities and independent hospices to develop a national guidance framework to support improved and more consistent planning and resourcing of independent hospice care, and we will continue to explore solutions and options for longer term sustainable planning and commissioning for the sector.

I have met with a number of hospices and hospice leaders over the last few months, including the round table I convened in December 2023, to understand the financial position and challenges that hospices currently face and how they can contribute to palliative care in the future.

The Scottish Government values the important work that childminders undertake in communities and is committed to supporting and growing the sector. We commissioned research on the reasons for the reduction in childminder numbers (a trend that is mirrored elsewhere in the UK) which was published in April 2022 and can be found here: https://www.gov.scot/publications/childminding-workforce-trends-qualitative-research-report/

Informed by that research, we are working with the Scottish Childminding Association to address the decline in the childminding workforce via a programme of recruitment and retention work. This work has been informed by recent pilot activity and will ensure that more families have access to the unique and flexible experience of childcare that childminders can offer. This programme is expected to launch in the Spring.

We will implement a range of measures to address retention issues, ensuring that our childminders are supported with their workloads and professional development, including trialling a mentoring scheme and models of funded time off the floor to allow childminders to undertake activity such as planning and continuous professional learning.

The Scottish Government is working with local government and other stakeholders to support justice social workers and to enhance the delivery of services. This includes increasing funding and providing updated operational guidance.

In 2024-25, a total of £148 million will be invested in community justice. This includes an additional £14 million to encourage wider use of robust community-based interventions where appropriate. This additional investment reflects the evidence that such interventions can be more effective than short-term imprisonment at reducing reoffending, assisting with rehabilitation and ultimately ensuring there are fewer victims of crime.

A budget of £9m has been committed to reopening the Independent Living Fund in 2024-25. Funding for 2025-26 will be agreed through the annual budget process.

NHS Education for Scotland expect this module to be ready for publishing on their website and available to members by June 2024. Updates will be detailed in their newsletter to Practice Based Small Group Learning (PBSGL) members.

Healthcare Improvement Scotland (HIS) is the health body which undertakes assessments and reviews of the quality of care throughout Scotland, however third sector organisations are not captured by their current inspections of NHS services. Health Boards might arrange for treatment to be provided for patients by non-NHS Scotland providers in exceptional circumstances for clinical reasons however the responsibility for consultation, diagnosis and treatment of patients fully remains with the originating Health Board.

Independent Healthcare is regulated by HIS which consists of independent hospitals, private psychiatric hospitals, independent clinics and also voluntary hospices; some of which are commissioned to provide NHS services.

We have asked staff to include the idea in the next survey of products available via our shop as a potential MSP only product branded with the Scottish Parliament identity. Whilst the Member will be aware that MSPs are unable to claim the cost of such gifts or awards under the Members’ Expenses Scheme as it does not form part of their parliamentary duties, there is scope for MSPs to personally choose to present and pay for such items. Initial research indicates plaques are likely to be expensive hence we will research demand and supply during next year’s survey.

The jointly chaired Scottish Government/COSLA Population Roundtable meets quarterly to discuss a range of population challenges, with representation from all of Scotland’s thirty-two local authorities. It has met three times since it was recently reconvened in April 2023. A date for the next meeting has not yet been confirmed.