Chamber and committees

The latest statistics show that 75.6% of child and adolescent mental health services (CAMHS) patients started treatment within 18 weeks of their referral. At Board level, 13 out of 14 CAMHS services have effectively eliminated their long waiting lists where 3% or fewer of all waits are over a year.

We regularly engage with Boards at official level, continually monitoring CAMHS waiting times performance and backlogs and directing tailored support to those Boards with the longest waits, including NHS Ayrshire and Arran. We provide access to professional advice, ensuring they have robust improvement plans in place and monitor their implementation.

We have commissioned all Boards to submit performance trajectories up to March 2024, including a timeline for clearing long waits. These will be updated annually and used to inform further targeted improvement work to ensure all Boards consistently meet the CAMHS waiting times standard.

Employment of Anaesthesia Associates (AAs) and Physician Associates (PAs) is the responsibility of individual NHS Scotland Boards who receive funding from the Scottish Government. In the case of AAs, it is open to Boards to employ and support these individuals for the duration of their training as a way of building clinical capacity. There have been no nationally funded programmes to grow the AA and PA workforce over the last five financial years.

We will work with NHS Education for Scotland and continue to review the merits associated with a subsidised educational offer for trainee AAs and PAs in Scotland, building on models adopted elsewhere in the UK, as we progress with an evidence-based approach to the expansion of Medical Associate Profession roles across NHS Scotland.

We are working to ensure lessons identified from our policy response to the COVID-19 pandemic are put in place and that policy across government is better able to respond to the next pandemic. This includes clear responsibilities for preparedness and response; to include NHS resilience, Scottish Resilience (through SGORR), and cross-Scottish Government policy consideration of our existing plans, drawing on learnings including the UK Chief Medical Officers Technical report on the COVID-19 pandemic in the UK and Public Health Scotland’s National Incident Management Team reporting.

We are working with the UK Government and other administrations to strengthen the capabilities and countermeasures required to address future pandemics, including retaining stockpiles of PPE and the purchase of vaccines and medicines. We have established a Standing Committee on Pandemic Preparedness which provided interim recommendations on future pandemic preparedness in August 2022. We anticipate that the Standing Committee on Pandemic Preparedness will provide its final report in the summer 2024 for consideration.

We are committed to responding to both the UK and Scottish Covid-19 inquiries, as learning lessons from the pandemic is vital to prepare for the future.

The Scottish Government has not provided any funding to Hayfield Limited from 2019 to present.

As set out in the draft Scottish Government budget, the capital funding position is extremely challenging due to the UK Government’s decision to cut our capital budget by nearly 10%.

The capital budget settlement allows for Health Boards’ delegated capital budgets to be maintained at 23-24 levels, for all major projects in construction to be completed and for continued support for the national replacement programmes for ambulances and radiotherapy equipment. Given the current uncertainty regarding availability of funding, regrettably, we have advised boards to pause any new capital projects until capital funding becomes more certain.

Our Infrastructure Investment Plan identified priority health capital projects for funding within that period. As a result of UK Government cuts, we will bring forward a revised Infrastructure Investment Plan in the spring. All due consideration will be given to what projects can be included to ensure the revised Plan is affordable and deliverable.

The Scottish Government received approximately £8.5 million in consequentials from this Spring Statement announcement. Consequential funding is not ring-fenced and Scottish Ministers decide how to allocate this funding. These consequentials were used to support Scotland’s overall 2023-24 budget position.

Scotland is delivering against a backdrop of continued austerity at Westminster, catastrophic cuts to Scotland’s block grant and a UK Government Autumn Statement that was the worst-case scenario for Scotland. Our Barnett funding – which is driven by UK spending choices – has fallen by 1.2% in real terms since the 2022-23 budget was presented. Nor did the UK Government inflation-proof their Capital Budget, which has resulted in nearly a 10% real terms fall in our UK capital funding over the medium term.

The Scottish Government has not provided any funding to Lochaber Sensory Care from 2019 to present.

We have protected and prioritised additional investment into social care despite the extreme pressure the Scottish Government is under as a result of the ongoing impacts of Covid, Brexit and inflation, and UK Government spending decisions, this years Budget has managed to increase the social care and integration budget by over £1 billion compared to 2021-22, exceeding our commitment to increase funding for social care by 25% over the life of the Parliament.

Social care workers delivering direct care in commissioned services will see their pay increase to a minimum of £12 per hour from April 2024 thanks to an additional £230 million investment. This represents a 10.1% increase from the £10.90 minimum rate that was introduced in April 2023, and a 14.3% increase in the last two years.

We acknowledge the importance of social care as an investment in the health of the Scottish population, this is why we continue to work closely with Health and Social Care Partnerships to support people out of acute settings and back into the community or home as quickly as possible using a 'Home first' approach.

The Scottish Government invested £1.7 billion in social care support and health and care integration in 2023-24, and the Scottish budget for 2024-25 provides and additional £2 billion investment in social care and integration. This delivers on our commitment to increase spending by 25% over this parliament – two years ahead of our original target.

Whilst the Scottish Government has overall responsibility for health and social care support policy, local authorities and health and social care partnerships are responsible for commissioning appropriate services for local and individual needs.

The "Travel Strategy and Innovation" budget line was not used to fund the Mobility as a Service (MaaS) Investment fund pilots, and will therefore have no impact on the pilots.