Chamber and committees

Patient care and service delivery are the statutory responsibility of local healthcare providers. NHS Boards are responsible for working with their partners to plan and provide health services which meet the needs of their populations. Use of the independent sector has been an option open to all Health Boards to help address short-term capacity issues and is an operational decision for them.

However, through Scottish Government investment, we continue to engage and support Boards to build their workforce and implement the National CAMHS Service Specification. The Scottish Government allocated around £40 million to improve CAMHS and Neurodevelopmental services for children and young people in 2021-22, and has invested £46 million in 2022-23 via the Mental Health Outcomes Framework to improve the quality and delivery of mental health and psychological services for all. The priorities for the funding this financial year have been to continue delivering improvements in CAMHS, psychological therapies, eating disorders and neurodevelopmental services for children and young people, as well as ongoing innovation and service reform.

As a result of our investment over recent years, CAMHS staffing has increased significantly. NHS Education for Scotland (NES) publishes quarterly statistics on the Child and Adolescent Mental Health Services (CAMHS) workforce. The publication on 6 December 2022 showed, as of September 2022, the CAMHS community staff Whole Time Equivalent (WTE) was 1259 compared to 900.3 WTE in March 2021, when significant investment in CAMHS was made. This represents a 39.8% increase.

In Autumn 2022, Transport Scotland launched a national marketing campaign to increase awareness and understanding of the Young Persons’ Free Bus Travel Scheme.

Analysis of the campaign was completed in February 2023 and showed that over 97% of the adult population in Scotland, and 94% of 13-18 year olds, would have seen or heard the campaign at least three times.

The evaluation also showed that the campaign helped to improve opinions of bus and increase bus use. Over half of those who responded to the post campaign survey said their opinion of bus travel improved as a result of the campaign. 91% of the young people who responded, and had already joined the scheme, said they were using bus more.

The Scottish Government welcomes the Scottish Courts and Tribunals Service announcement of a review into the process for dealing with warrants. The Scottish Courts and Tribunals Service exercises its functions independently of Government - it is entirely a matter for the SCTS to consider what action is necessary here.

The guidance issued by Lord Justice Edis seeks to prevent utility warrant applications being made and considered in bulk. That is already the position in Scotland.

Delivery of this action is a long term objective of the plan. The National Heart Disease Task Force will consider the prioritisation of work to be undertaken in 2023-24 as part of our ongoing implementation of the commitments within the Heart Disease Action Plan.

Work to develop agreed pathways is underway and required to complete before gap analysis can be undertaken.

In line with the ‘polluter pays’ principle, and just like similar schemes around the world, Scotland’s DRS is being delivered and funded by industry, led by the scheme administrator, Circularity Scotland (CSL). It is for CSL and Biffa to determine how best to communicate with affected businesses and whether or not there is a need to publish a transition plan.

If businesses have any concerns or questions regarding any aspect of Scotland’s DRS, they should contact CSL in the first instance.

The Scottish Government eligibility criteria prevent SMEs that are more than 25% owned or have more than a 25% stake in another business to access funding through the SME Loan. This is to protect public finance, make certain that the economic benefit from investment is realised by the intended party and ensure that there is a clear route for loan repayments to be made.

Although some businesses have expressed their disappointment at not being able to access funding we consider that this protection is necessary and proportionate. Advisors will ask about the current ownership structure of businesses in order to assess their eligibility for the SME loan scheme. However, Business Energy Scotland do not provide advice to businesses about ownership or their organisational structure.

We know that it is vital that we continue to support work to build capacity in primary care settings to respond to eating disorder presentations given the increasing demand, complexity of presentations and impact on secondary care services.

We continue to build on the investment we have already made by including outcomes to improve eating disorder services and Mental Health in Primary Care in our Mental Health Outcomes Framework investment in 2022-23, which gives NHS Boards and Integration Authorities flexibility to improve existing pathways.

Through the funding allocated to Beat in 2022-23, we have also introduced Beyond the Symptoms Training for GPs and Healthcare professionals training to support them to identify when a patient has an eating disorder, and to confidently intervene early.

In addition, we are currently developing Eating Disorder Quality Standards which are due to be consulted on in Spring 2023. The Standards cover areas such as service structure and governance arrangements, and aim to improve the care and treatment that people receive from primary care services.

Lastly, we are currently taking forward planning to establish a National Eating Disorder Network in 2023. Included within the Network’s remit will be to further develop specialist eating disorder services and to improve the links between primary and secondary services.

The Scottish Government works closely with key stakeholders to assess all factors that impact recruitment and retention for third sector providers in the adult social care sector.

The Scottish Government recognises the effect that wider pay settlements may have and that is why a further £100 million is being provided to Local Government to ensure a £10.90 per hour minimum wage for adult social care workers in commissioned services from April 2023. This includes workers in third sector providers and takes Scottish Government recurring funding for adult social care pay in commissioned services to £0.6 billion per year. It is worth noting that the £10.90 per hour rate is the minimum rate of pay for these workers and many providers choose to pay more than these minimums. The Scottish Government will continue to engage with third sector social care providers to understand how this funding is contributing toward supporting recruitment and retention.

The Scottish Government does not fund culture coordinator posts in schools. However, some Local Authorities choose to employ culture coordinators to support the delivery of the Youth Music Initiative programme, administered on behalf of the Scottish Government by Creative Scotland.

Creative Scotland do not require Local Authorities to have a specific coordinator role in place to deliver the fund. Scottish Government give Local Authorities the financial freedom to operate independently and allocate the resources available to them in response to local need.