Chamber and committees

The Mental Health Workforce Plan is scheduled to be published in spring 2023. A separate National Workforce Strategy for Health & Social Care was published on 11 March 2022, with a new Staff Wellbeing Strategy to be published in early 2023.

From the establishment of the Fund in April 2020, until the latest reporting in June 2022, there were 88 successful claims to the Mother and Baby Unit (MBU) Family Fund. NHS Greater Glasgow and Clyde and NHS Lothian who administer the Fund on behalf of Scottish Government, do not hold comprehensive information about a claimant’s home Board. Since April 2020:

• 32 families made a claim to NHS Greater Glasgow and Clyde MBU, with an average amount claimed of £303.
• 56 families made a claim to NHS Lothian MBU, with an average amount claimed of £250.

This data is not centrally available; aggregated data for Child and Adolescent Mental Health Service (CAMHS) Waiting Times is sent to PHS from each NHS Board. It does not contain any information specifically on the number of young people removed from waiting lists, it reports on the number of referrals for young people to services, numbers waiting to start treatment and total waiting, and then numbers for those who started treatment and those who’s referral was rejected / not accepted (with both outcomes resulting in them being removed from the waiting list).

Table 1 shows the number of young people that started treatment – i.e. resulting in them being removed from waiting lists - and Table 2 shows the number that were not accepted for treatment therefore removed from waiting lists. The figures are presented by NHS Board of Treatment and relate to the financial years 2014-15 to 2021-22.

Data from 2012 has been published on the Information Services Division website, but data prior to 2014 is from a period when the aggregate dataset in development and is not regarded as reliable compared to more recently collected data. All data presented in Tables 1 and 2 has been previously published, however the data presented has been newly extracted and analysed to take account of subsequent data resubmissions to provide the most accurate figures. Therefore figures below may differ slightly to previously published figures for some years.

Table 1: People who started treatment in CAMHS from April 2014 to September 2022, by NHS Board of Treatment.

In August 2022, NatureScot launched the Investment Ready Nature in Scotland (IRNS) scheme, which provides projects that offer nature-based solutions with technical assistance grants to address investment barriers and develop replicable and scalable business models. Through this work, IRNS aims to build capacity for environmental projects to attract financial investment. The scheme aligns to the Scottish Government’s Interim Principles for Responsible Investment in Natural Capital, which sets out our expectations for a values-led, high-integrity market. Successful applications were announced in November 2022, with £580k of funding awarded to projects across a range of environmental contexts and locations.

I provided figures in my previous response to S6W-12191 on the number of delayed discharges from hospital under the requirements of the Adults with Incapacity Act, which related to the guardianship process. All patients whose discharge from hospital is delayed by the application process for a guardianship are recorded under Code 9.

The Scottish Government is progressing a range of actions with partners to expedite AWI discharges from hospital to ensure that, once medically fit, patients can be cared for in a setting that is most appropriate for their needs. This includes:

• reviewing the guardianship process to identify opportunities to reduce timescales for the processing of applications;
• working with partners at a national level to disseminate good practice to local areas;
• providing targeted advice and assistance to Health and Social Care Partnerships (HSCPs), working with them to identify improvements to the process.

Brave@Heart nominations which include the St. Andrew’s Award can be made posthumously for consideration by the independent validation panel.

The Scottish Government’s ambition, shared with COSLA, is for a trauma-informed and trauma-responsive workforce and services across Scotland. We want anyone who has been affected by trauma in Scotland to be supported by trauma-informed services that are built on safe and trusted relationships, which support recovery and do not cause any further harm or re-traumatisation.

Over £6million has been invested in a National Trauma Training Programme since 2018, including £3.2 million which has been distributed to all local areas to further develop and embed trauma informed approaches. Support for training and implementation, across all sectors of the workforce, is provided by a team of Transforming Psychological Trauma Implementation Co-Ordinators (TPTICs). In 2021, a network of ‘Trauma Champions’ was also established, this includes senior leaders from across local authorities, health boards and key community planning partners who work collaboratively to influence change across local areas. The Trauma Champions network is supported by the Improvement Service.

The Scottish Government do not make any specific assessment about the training of staff in trauma-informed practice before awarding funding to an organisation. Work is currently underway to develop a Quality Improvement Framework, due for publication in Spring 2023, which will further support any organisation to track their own progress in developing and embedding trauma-informed approaches.

I refer the member to the answer to question S6W-13189 on
‎ 5 January 2023. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/questions-and-answers

The National Trauma Training Programme (NTTP) consists of a range of training resources, including a framework which details the knowledge and skills required at each of the four practice levels. This Framework was created in part to enable organisations to deliver their own training or identify suitable training providers. As such, there will be a wide range of NTTP-aligned training that has been delivered to many members of the workforce that we do not hold central information about.

Training delivered by NES (NHS Education for Scotland) central team and the Transforming Psychological Trauma Implementation Coordinators (TPTICs) is recorded. Two different processes are used for monitoring and recording information about numbers accessing training, as set out below:

1) Monitoring and recording processes for face-to-face or screen-to-screen training across all four levels (informed, skilled, enhanced and specialist levels)

All information about face-to-face and screen-to-screen training at any level delivered by TPTICs and the central team is recorded by the TPTIC or central team member via an MS form. This includes information about the type and level of training, by whom and where it was delivered, duration, the number of people attending and their area of work. Because of the multi-agency focus of the NTTP, many of the training sessions bring together professionals working across various organisations and agencies. Reporting focuses on broader numbers and areas of work of attendees (whether justice, health, education, etc.), rather than by organisation, and as such does not differentiate between NHS and other public sector workers.

This information is collated centrally, and numbers of staff trained at each of the four levels are reported quarterly for performance tracking purposes.

2) Monitoring and recording of delivery of online training resources across Informed and skilled levels.

Informed (Level 1)

At the Informed level, the use of NTTP animations Opening Doors and Sowing Seeds, and the recorded workshops that accompany them are monitored through the number of views as indicated on the Vimeo platform. The numbers of views of the animations and workshops, and registrations for the workshops notes and tools are measured on a monthly basis.

This information is collated centrally, and numbers of staff accessing each of the informed training resources are reported quarterly for performance tracking purposes.

A key focus of developing the informed, online resources has been on making them easy to access. The animations and recorded workshops are freely available, meaning people accessing them do not need to supply their email address or employer. Likewise, the training resource for the Informed level will have been shown at in-person/online events, and uploaded to/ watched through various platforms, so it is not possible to capture exact numbers and details as to who has accessed this resource and whether they work for the NHS, another public sector organisation or elsewhere.

Skilled (Level 2)

Four modules to support Skilled practice training are provided on NHS Education for Scotland's Turas platform. To access these modules, it is necessary to have a Turas account.

The number of staff completing each of the four skilled workshops is collected from the Turas system on a monthly basis. This information is collated centrally, and numbers of staff completing each of the skilled modules are reported quarterly for performance tracking purposes.

In addition, Turas can provide further information about registered users who have accessed the modules. Two data sources are used by NES to monitor who has a Turas account. First, any individual can register for Turas and upon registration, and they may provide details of their sector, professional role and organisation. Second, richer data is available for the majority of NHS Scotland staff where Turas draws data from workforce information systems – these provide an accurate and up to date information about job role, department and organisation.

Enhanced (Level 3) and Specialist (Level 4)

There are no online training resources at the Enhanced and Specialist level, as this is intensive skills-based training which is delivered face-to-face/screen-to-screen.