Chamber and committees

We are committed to supporting people to access the right care at the right time and having support in place to respond to the whole person needs of those who suffer from an eating disorder. That is why in 2023-24 we allocated £55.5 million to Health Boards to improve the quality and delivery of mental health and psychological services for all, including eating disorder services.

The Scottish Government has recently developed a draft National Specification for the Care and Treatment of Eating Disorders in Scotland which will be finalised later this year. It clearly outlines that we would expect services to have specialist pathways and work jointly with other services to care for anyone with co-occurring considerations such as neurodiversity, pregnancy, diabetes etc.

The vast majority of people with eating disorders will be treated in the community, with support provided by primary care or community mental health teams, and with support links to specialist hospital or voluntary sector care where appropriate.

We have also provided Beat, the UK’s largest Eating Disorder charity, with over £600,000 to provide a range of support services for those impacted by an eating disorder.

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 and the Scottish Prison Service (SPS) are committed to modernising and improving the prison estate, to ensure it is fit for purpose for those who live and work in prisons, and supports the rehabilitation of people living there.

The decisions made by the UK Government to reduce capital funding in real terms year on year, alongside construction supply chain issues, labour shortages and recent high inflation mean that we are having to prioritise capital investment on areas of highest need. Replacing HMP Inverness and HMP Barlinnie remain the current prison infrastructure priorities.

In addition, SPS are undertaking a series of improvements to HMP Greenock until at least 2030, including roofing upgrades and replacements and refurbishment of the kitchen.

The new multi-agency group on commercial sexual exploitation held its first meeting on 27 March 2024. The membership of the Group includes representatives from the third and public sector. Details about the group can be accessed here: https://www.gov.scot/groups/commercial-sexual-exploitation/ . It is anticipated that part of the remit of the group will be to help inform the implementation and delivery of our strategic approach to challenging and deterring men’s demand for prostitution.

Colleagues with adjustment passports can wear Sunflower lanyards and/or pins or badges but must also wear a parliament issued purple lanyard.

It’s estimated that 70-80% of disabilities are hidden, including physical and mental health, sensory such as visual, auditory and processing difficulties, chronic conditions, and rare diseases. The SPCB want to make it easier for staff and visitors who have a non-visible disability to get the support they need. SPCB staff have been trained to recognise the Sunflower and offer help or adjustments as part of our existing reasonable adjustment process.

The Home Office is responsible for the provision of asylum accommodation and support, including the use of contingency hotels. The Scottish Government has consistently made clear to UK Government that hotels are not appropriate accommodation and we continue to be concerned about the effect prolonged stays in hotels have on people’s wellbeing.

People seeking asylum living in Scotland are entitled to access healthcare, including referral to mental health services. The Scottish Government funds a range of action that supports mental health and wellbeing which is available to anyone living in Scotland, regardless of their residence status.

Every suicide is a tragedy with a far-reaching impact on family, friends and the wider community. In implementing the Scottish Government and CoSLA’s suicide prevention strategy, Creating Hope Together, and its first 3-year Action Plan, we are working hard to tackle the inequalities that can lead to suicide and are prioritising communities and groups—including asylum seekers and refugees—with a heightened risk of suicide.

The Scottish Government funds a range of action that supports mental health and wellbeing which is available to anyone living in Scotland, regardless of their residence status.

The Home Office is responsible for the provision of asylum accommodation and support, including the use of contingency hotels. People seeking asylum living in Scotland are entitled to access healthcare, including referral to mental health services.

Through our actions in our Mental Health and Wellbeing Strategy and Delivery Plan and Suicide Prevention Strategy and Action Plan, we will continue to tackle the underlying causes of mental health inequalities and how we can better support groups most at risk of poor mental health, including asylum seekers and refugees.

This question relates to operational matters that are the responsibility of the Scottish Court and Tribunals Service (SCTS) corporate body. The question has been passed to the Chief Executive of the SCTS who reply in writing within 20 days.