Chamber and committees

The Scottish Government remain committed to meeting the standard that 90% of patients start treatment for CAMHS and Psychological Therapies within 18 weeks of referral by March 2023.

There have been obvious operational difficulties caused by Covid-19 and the restrictions necessarily put in place over the pandemic. However, latest statistics for both CAMHS and Psychological Therapies (PT) published on 7 June 2022, Publications - Public Health Scotland , for the latest quarter ending 31 March 2022 show that there has seen an all-time high number of children and young people beginning treatment for CAMHS. It is also the highest number of children beginning treatment within 18 weeks under this measure since quarter ending June 2016. It is also encouraging to see significant progress with Psychological Therapies waiting times with a significant decrease in long waits over one year and a decrease for those waiting over 18 weeks.

This reflects the effects of the Scottish Government’s improvement work with Health Boards and the additional investment – which is growing the workforce and reducing backlogs resulting in shorter waiting times and a better experience for individuals and families supported by our NHS.

We are working with Boards closely and will continue to monitor their performance against the waiting times standard.

The Institute of Economic Affairs report is one independent report and should not be used to draw conclusions on the effect of the policy.

Public Health Scotland are leading a comprehensive evaluation of the impact of Minimum Unit Pricing, details of which can be found on their website. The evaluation is over a five year period and a final report will be produced in 2023. The evaluation will consider a wide range of evidence and reports regarding Minimum Unit Price (MUP).

We will review the final evaluation report from Public Health Scotland before drawing overall conclusions, this will include the impact MUP has had on health and social benefits.

Roles and responsibilities of the ScotRail Board Members and its subsidiaries are set out in the Grant Agreement between Scottish Ministers, Scottish Rail Holdings Limited and ScotRail Trains Limited and the Framework Agreement between Scottish Ministers and Scottish Rail Holdings Limited. The intention is for both agreements to be published by end June 2022.

At close of business 20 June 2022 there had been a total of 11,122,501 journeys made under the Young Persons Scheme (YPS).

Following the publication of the interim guidance in August 2021 by the Drug Deaths Taskforce, the Scottish Government published an evidence review on benzodiazepine use in March 2022 and convened an expert group to consider the interim guidance, the evidence review, and what further guidance would cover. Experts endorse the interim guidance and agree that the prescribing element is the area which requires further research before anything further is published.

The Scottish Government has provided funding for a cohort study by the University of Stirling on patient outcomes and through the National Mission we are funding a pilot benzodiazepine clinic in Fife. These projects will contribute to the evidence needed to inform further guidance, and guidance on benzodiazepine harm reduction will be updated in response to the developing evidence base.

Information on salaries/fees of ScotRail Board members will be published by the end of June 2022.

I have not instructed ScotRail to undertake an environmental impact assessment on what is a temporary change. There is positive progress being made on pay negotiations with ASLEF in Scotland, and I am hopeful that additional services will be added in the near future.

I would note that any environmental modelling undertaken but UK government in relation to the UK-wide RMT strikes, has not to this point been shared with the Scottish Government, although I would welcome sight of any such reports.

Responsibility for the recruitment of CAMHS staff lies with NHS Boards. In the NHS Recovery Plan 2021-2026 , the Scottish Government committed to provide sufficient funding for around 320 additional staff in CAMHS over the next 5 years, with the potential to increase capacity for CAMHS cases by over 10,000.

The additional funding for CAMHS from the Scottish Government’s Mental Health Recovery and Renewal Fund is designed to provide sufficient support for Boards to increase capacity, reduce long waiting lists and improve CAMHS services. The delivery expected includes implementation of the National CAMHS Service Specification, increasing age range for CAMHS services from 18 to 25, and clearing waiting list backlogs by March 2023.

NHS Education for Scotland (NES) publishes quarterly statistics on the Child and Adolescent Mental Health Services (CAMHS) workforce . The most recent publication on 7 June 2022 shows data from quarter ending 31 March 2022. These statistics show, as of 31 March 2022, there were 1172 whole time equivalent (WTE) CAMHS staff employed. This compares to 1078 WTE CAMHS staff employed in March 2021, prior to the 2021-22 additional investment of around £40 million to CAMHS from the Scottish Government’s Mental Health Recovery and Renewal Fund. Therefore, following investment in 2021-22, the CAMHS workforce increased by 94 WTE in 2021-22. Specifically, in the final quarter of 2021-22, the CAMHS workforce increased by 73 WTE.

The Scottish Government has spent £764,909,056 on Pupil Equity Funding since 2017-18 to 2022-23. This funding is allocated to all 32 local authorities, as well as Grant Maintained schools. The breakdown of funding by year is publicly available on the Scottish Government website - Pupil attainment: closing the gap - Schools - gov.scot (www.gov.scot) .

Transport Scotland currently has a planned investment in routine maintenance of £7.2m for the A75 for 2022-23.