Chamber and committees

The Community Bus fund was launched on 22 September 2023, therefore it is too early to carry out an assessment of impact. A full evaluation will be carried out following the completion of projects in 2024.

The Scottish Government is advised on food safety and hygiene matters by Food Standards Scotland (FSS). Retained Regulation 853/2004, Annex II, Section I and Schedule 5 of the Food Hygiene (Scotland) Regulations 2006 allow for the slaughter of poultry on-farm and the supply of un-eviscerated birds to approved establishments for delayed evisceration. This procedure is allowed providing such production is ‘authorised’ by FSS. No consideration has been given however to extending this to beef and lamb sectors, as there is no provision to permit this within the Regulations.

The Scottish Government is clear that stoma patients should expect an equitable level of care wherever they reside in Scotland, and the responses received from the recently concluded information gathering exercise on the provision of stoma care and stoma specialist nurse coverage across Scotland's 14 territorial health boards will be an important step in achieving that when it is considered by the Scottish Executive Nurse Directors (SEND) in early 2024.

Data on ADHD assessments and waiting times is not centrally held for adults or for children and young people.

Although it is the responsibility of local Health and Social Care Partnerships to put in place services to meet local needs, including the needs of adults with ADHD, the Scottish Government is engaged in work to improve access to ADHD diagnosis in Scotland.

For children and young people, we have published a National Neurodevelopmental Specification for Children and Young People which makes it clear that support should be put in place to meet their needs at the earliest opportunity, rather than be dependent on a formal diagnosis. For many children and young people, such support is likely to be community based, and should be quickly and easily accessible. We are currently funding five tests of change to test and implement specific aspects of the National Neurodevelopmental Service Specification and Forth Valley is one of these areas.

For adults, the final report on the adult neurodevelopmental pathway trials, including the findings and recommendations of the trials, was published in March 2023. We have accepted the recommendations and we are working with the National Autism Implementation Team on implementation.

We remain committed to delivering a pilot of universal free school meals in secondary schools, and continue to work closely with key delivery partners on our free school meal expansion programme. We have prioritised the work to expand free school meals on the basis of eligibility for Scottish Child Payment, and this has been supported through the budget.

Statistics published on 5 September 2023 covering quarter ending June 2023 show that NHS Forth Valley, NHS Highland, NHS Lanarkshire and NHS Orkney did not effectively eliminate their long waits (where 4% or fewer of all waits are over one year).

However, statistics published on 5 December 2023 covering quarter ending September 2023 show that NHS Forth Valley, NHS Lanarkshire and NHS Orkney have now effectively eliminated their long waits (where 4% or fewer of all waits are over one year).

We continually monitor CAMHS waiting times performance and backlogs and are directing tailored support to those Boards with the longest waits, including NHS Highland, providing access to professional advice, ensuring they have robust improvement plans in place and monitoring 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.

We know that many carers experience mental, physical, employment and financial impacts as a result of their caring role. We must ensure adequate support for carers, particularly those most at risk of poorer health, to ensure their wellbeing and sustain them in their role.

The Mental Health and Wellbeing Strategy Delivery Plan and the Workforce Action Plan were published jointly with COSLA in November 2023. Actions in the Delivery Plan cover a wide spectrum, from maintaining good mental wellbeing, to support in communities, to ensuring specialist services are available whenever needed.

The Mental Health and Wellbeing Workforce Action Plan recognised the valuable role of carers and set out actions to improve carer awareness training for the workforce and access to wellbeing support for carers. Equality Impact Assessments have been published for both the Delivery Plan and Workforce Action Plan.

Our National Wellbeing Hub provides advice for unpaid carers, with information and resources to support carers to look after their mental health and wellbeing.

The National Specification for Psychological Therapies and Interventions was published in September 2023. It aims to improve the quality of the delivery of psychological therapies and interventions so that people accessing help, including unpaid carers, have positive experiences.

Support for carers is one of the aims of the recently published Core Mental Health Standards, which includes signposting to support and resources when needed. These standards were developed with the input of individuals with lived experience, including carers and set out clear expectations for what services will provide and to let individuals, their families and carers know what they can expect from a secondary mental health service. We want to support secondary mental health services which enable people to receive the right information, support, care, intervention, or service for their needs

Another key aim of the standards is that they are meaningful and measurable. National data sources will be used to monitor how well the standards are being met. Where areas for improvement are identified, support will be provided to local areas to ensure that safe and quality services are provided. The standards will also aim to ensure services are measuring key outcomes for patients, including carer experience.

The current route to becoming a midwife is to attain a degree in midwifery, however there is a shortened programme available to existing adult nurses who can dual-qualify in 20 months via Edinburgh Napier University. Higher Education Institutions (HEIs) are autonomous bodies responsible for the attraction and recruitment of their own students. Each institution has their own advertising and recruitment strategy which will include visiting schools, attending careers fairs and promoting the range of opportunities via their social media channels. HEIs also recruit to their Nursing and Midwifery Council approved programmes against their own entry requirements and will encourage and support prospective students in how to achieve the required standards.

Additionally, the attraction and retention of people into nursing and midwifery is a key part of the remit of the Nursing and Midwifery Taskforce. This work is ongoing and the Taskforce will recommend a workplan of actions to support longer-term workforce sustainability within nursing and midwifery next year.

The National Care Service Bill makes changes to the Carers (Scotland) Act 2016 to deliver a right to personalised short breaks support for any carer who is not currently able to access ‘sufficient breaks’ – accessed via their personalised plan under the Carers Act.

We are working with a group involving carers, local and national carer organisations and social care practitioners to develop the guidance and regulations required to deliver a right to personalised short breaks support for carers who need it under the proposed legislation. As caring roles vary in nature and intensity, carers will need different amounts and types of support to achieve ‘sufficient breaks’, depending on factors such as the type of caring role, help from other family members and wider support.

Ahead of the proposed legislation, we increased the voluntary sector Short Breaks Fund by £5m to £8m in 2022-23, to expand easy-access short breaks support, and have maintained the fund at £8m per year since then. This is in addition to £88.4m per year Carers Act funding in the local government block grant.

The mental health and wellbeing of children and young people is an absolute priority for the Scottish Government.

We support our local authority partners with £16 million in funding to ensure that every secondary school has access to counselling services. All school pupils aged 10 and above have access to in person school counselling services.

Local authorities currently provide six monthly reports on school counselling services which include information around number of children accessing the service, improved outcomes, counsellor numbers and the types of issues young people are presenting with. A summary of the reports can be found at: Access to counsellors in secondary schools and children and young people’s community mental health services – summary reports - gov.scot (www.gov.scot)

The Scottish Government has also provided revised guidance and professional learning for school staff to support the mental health and wellbeing of children and young people.