Chamber and committees

Staff across a wide range of services play a role in growing community mental health resilience and directing social prescribing, While it is not possible to quantify the total number of staff contributing to this objective, Action 15 of the Mental Health Strategy 2017-27 outlined our commitment to funding 800 additional mental health workers in key settings, including A&Es, GP practices, police station custody suite and prisons – ensuring local provision and support is at the heart of our plans. At the end of the commitment, an additional 958.9 whole time equivalent (WTE) mental health roles have been filled using Action 15 funding. This exceeds the original commitment and includes an additional 356.1 WTE mental health workers recruited to GP practices.

We have also prioritised investment through the Primary Care Improvement Fund (PCIF). At March 2022, 260 WTE mental health workers had been recruited to primary care settings. The PCIF also funds Community Link Workers (CLWs) as part of primary care multi-disciplinary teams (MDTs). CLWs also play a role in social prescribing by enabling people to identify and access relevant resources within their community. At March 2022, 249 WTE CLWs had been recruited to support GP practices.

Since 2021, we have invested £36 million in our Communities Mental Health and Wellbeing Fund for adults. We have made over 1,800 awards to grassroots community projects focused on prevention and early intervention, with the aim of building capacity within community organisations to support the mental health and wellbeing of individuals.

We are continuing to invest in community-based supports for children, young people and families, with a further £15 million being provided this year. These services benefitted over 38,000 children, young people, parents and carers in the first six months of this year alone. Many of these services include links to local sport and recreation activities, which capitalise on the benefits of young people being active.

The target intake for nursing and midwifery have seen 10 consecutive years of increases but we recognise that undergraduate entry programmes are just one route into these two critical professions in our NHS.

The Scottish Government alongside a wide range of stakeholders including NHS Boards, Higher Education Institutions and Skills Development Scotland is taking forward work to develop alternative career pathways into these professions including potential apprenticeship models and other ‘earn as you learn’ routes that will widen access into the profession to those individuals who may not choose the undergraduate route. These developments will allow people to study and work at the same time as they progress their career. These new routes aim to attract new employees to NHS Scotland and at the same time offer existing staff opportunities to develop and progress towards registered roles.

The Final Report from the Oversight Group has been published today on the Scottish Government website: https://www.gov.scot/isbn/9781805254362

Overall, the report is positive. It highlights where progress has clearly been made but also states a number of areas where further work is required.

The Scottish Government will continue to support sustainable change and improvements in Tayside, to ensure the safe and effective delivery of mental health services. We will work with partners in Tayside to ensure a detailed improvement plan is in place, with clear milestones and deliverables which progress the key areas for action detailed within the Oversight Group’s Final Report.

We will measure progress against agreed key deliverables in this plan, working closely with NHS Tayside, Local Authorities, Integration Joint Boards, the Chief Officer for Mental Health and other Chief Officers in Tayside. These arrangements will inform whether NHS Tayside can be deescalated from Level 3 to Level 2 for Mental Health Services in the future.

The Scottish Government will provide additional support to colleagues across Tayside, including access to advice and support from Professional Advisors and Senior Officials in the Mental Health Directorate to support progress.

I would like to thank the Oversight Group for the meticulous approach to this work. I have particularly welcomed the wide engagement the Chair and Members have had with staff and people with experience of using mental health services across Tayside, which has been a critical aspect in the successful delivery of this very challenging, but extremely important, programme of work.

I refer the member to the answer to question S6W-13391 on 11 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/written-questions-and-answers

The Scottish Government values all NHS Scotland staff, at every level and in every profession. The latest pay offer we have made is significantly more generous than the 2022-23 pay settlements which have been put in place in the rest of the UK and was negotiated through a partnership process with the input of all recognised Agenda for Change Staff Side organisations. Depending on the grade, under this pay deal Clinical Psychologists will earn anywhere between £53,513 and £112,673 per annum.

The Scottish Government is proud that our Agenda for Change staff are the highest paid in the UK. This applies to both starting salary and people at the top of their Band. It may be helpful to contrast the latest pay offer in Scotland against the settlements which have already been implemented in England and Wales for Band 8 and 9 staff. This information is set out in the following table.

The Scottish Government remains committed to introducing a high quality and clinically safe thrombectomy service in Scotland. As a result of the Emergency Budget Review, the thrombectomy service was not reduced, rather the expansion of the service was paused.

The budget for thrombectomy and development of a refreshed stroke improvement plan has been increased from £8.6 million for 2022-23 to £12.5 million in 2023-24. Prior to the 2023-24 budget announcement, the delivery of a national thrombectomy service had already received over £16 million of investment.

Work is ongoing to establish the most effective means of further expanding access to thrombectomy, including how the increased budget will be best used in recruiting staff to maximise the number of patients able to benefit from this treatment.

We are also in discussions with National Services Division, to ensure that decisions taken on potential expansions of the thrombectomy service consider the wider access requirements of patients across Scotland and ensure access is as equitable as possible.

Although the legal powers governing flexible working are currently reserved to Westminster, Scottish Government is committed to working with employers directly and through their representative bodies to explore ways of promoting and encouraging flexible, agile and inclusive workplaces that benefit all employees.

Improving access to flexible working is an important means to help people balance work and manage a range of health conditions as well as other commitments such as care without dropping out of the workplace with the loss of income, experience and skills that this entails.

In 2022-23 we are providing a total of £222,000 in funding to flexible working experts Flexibility Works to promote and support employers across Scotland to adopt flexible and family friendly workplaces.

Since 2019 we have also funded Timewise to deliver ‘A Fair, Flexible Work Programme for Scotland’ which focused on training a network of 70 Change Agents, both employment professionals and employability advisers on how to promote flexible working to employers and individuals.

In October 2021 our flagship Fair Work First approach to public sector spend included new criteria that asked employers to offer flexible working from day one of employment.

We continue to encourage employers to engage with all employees to consider flexible and hybrid working models where feasible and appropriate. However we recognise that employers are best placed to understand how their operations work most effectively and their employees’ and requests for flexible working, based on consultation with staff and unions.

There is no five-year target for take up of the Home Energy Scotland (HES) Grant and Loan scheme in the Highlands and Islands region. The scheme is demand-led and the number of households which can be supported is linked to the annual budget. The budget allocation across the HES loan/cashback scheme and replacement grant and loan scheme together in 2022-23 is £42 million, double the level for 2021-22. The budget for 2023-24 will be set in due course. The budget for the scheme forms part of at least £1.8bn which we have committed to allocating over the course of this Parliament to accelerate deployment of heat and energy efficiency measures and to support those least able to pay.

The new scheme introduces an increased grant level for households in rural areas, compared to other parts of Scotland. An uplift of £1,500 applies to both the heat pump and energy efficiency grants. This uplift increases the heat pump grant flat rate and the maximum limit of the energy efficiency grant to £9,000 respectively. The uplift is in recognition of the higher costs faced by rural households associated with the installation of measures (such as increased transportation costs, possible accommodation costs for installers, housing type amongst other reasons) and aims to support with these additional costs.

Within the financial year 2022-23, we’ve made available an initial £3 million from our £10 million long COVID Support Fund to provide NHS boards and partners with additional resource to deliver the best local models of care for assessment, and support for the treatment or management of symptoms.

Anyone who is at risk of homelessness as a result of long-COVID or any other reason can contact their local authority for advice and support. Additionally home owners with a mortgage are encouraged to engage with their lenders at an early stage to discuss their options and tenants should contact their landlord. Other organisations such as Shelter Scotland and Citizen Advice Scotland are also able to provide advice and support.

Supported by Scottish Government funding, the Money Talk Team service is delivered by the Citizens Advice Network in Scotland and provides an income maximisation service, including advice on welfare reform and debt to help clients save money, access benefits and grants they are entitled to and deal with debt problems.

The Scottish Government has surpassed its commitment to ensure every extra penny it receives from the UK Government is spent on health and social care. This means an extra £1 billion will be available to improve front line services and help fund the NHS pay deal for 2022-23. Scottish Government continues to keep the management of the 2022-23 budget under close and constant review, however, we do not anticipate further consequential funds from UK Government this financial year.