Chamber and committees

In 2019, the First Minister announced a programme of investment over 4 years to improve perinatal and infant mental health services across Scotland.

The Perinatal and Infant Mental Health Programme Board was established to drive forward this work by providing oversight and strategic direction. This includes supporting boards to develop services and ensure that recruitment happens in a timely manner.

Since March 2019, the Scottish Government has invested over £16 million in perinatal and infant mental health.

This figure includes;

• funding for community specialist mental health services in every health board in Scotland and inpatient services for women and families with the highest level of need,
• investment in the third sector across 33 organisations providing perinatal mental health support to women and families, and
• funding to support the voices of lived experience to shape the development of policy and services, and raise awareness of perinatal and infant mental health among professionals, policy makers and the public.

Scottish Government will continue to invest in these services over the life of the Programme Board. We will continue to invest in perinatal and infant mental health to extend our investment in these services beyond the life of the Programme Board. This funding will enable boards to recruit the required staff, fully establish specialist community perinatal and infant mental health services and deliver on Scottish Government commitments towards perinatal and infant mental health in the long term.

The Programme Board has incurred £423,044 in costs since 2019-20. This includes fees for Programme Board management, research and publishing, as well as the administration and development of the Perinatal and Infant Mental Health third sector funds.

Estimated spend on dementia by each Integration Joint Board in each year since 2016 is as follows:-

Our clear ambition is that no one should be inappropriately delayed in hospital once they are clinically ready for discharge. However, given the current challenges health and social care partnerships are experiencing in relation to recruitment of care staff, and the increased level of needs people are presenting with, we need to set a realistic trajectory for reduction. Our intention is therefore to see a return to the position seen between the Summer of 2020 and Spring of 2021, freeing up at least 500 beds for winter.

The National Services Division (NSD) in NHS National Services Scotland (NSS) have commissioning responsibility for the Scottish Genetic Laboratories. NSD are currently conducting a review of NHS Scotland’s genomics services which will include reviewing the Scottish genomic test directory and genomics infrastructure. The review is expected to be completed by the end of the 2021–2022 financial year.

The outcomes from the review will be considered by the Scottish Genomics Leadership Group, chaired jointly by Professor David Crossman, the Chief Scientist for Health for the Scottish Government, and Susan Buchanan, NSD Director, who are supporting the Scottish Government in ensuring appropriate planning and robust decision-making processes are in place for genetic testing availability in Scotland.

The NHS Recovery Plan, launched on 25 August and backed by over £1 billion of additional investment, strives to recover NHS performance over the 5 years of this Parliament in order to ensure Treatment Time Guarantees and other waiting time standards can be met by every Health Board across Scotland.

Dealing with the direct and indirect impacts of the pandemic has resulted in the most significant challenge in 73 year existence of the NHS.

While it is not possible to anticipate when NHS Scotland will begin meeting the TTG in all instances, we know that it will take time and a series of targeted actions to build back capacity and redesign patient pathways to bring waiting times back within targets.

As announced by HM Treasury on 14 November 2016, the Scottish Government's population-based settlement from the UK Government's Apprenticeship Levy was £221 million in 2017-18, £230 million in 2018-19 and £239 million in 2019-20. This funding was allocated as part of the block grant.

From 2020-21 there has been no notional allocation of Apprenticeship Levy revenue included in the block grant and the normal operation of the Barnett Formula has provided a similar outcome. The UK Government collects the Levy and has details on who is liable to pay it and what revenue is accrued, with the Scottish Government not being responsible for this information.

Future allocations from the Apprenticeship Levy will be received as part of the block grant, and we have no advance notice of what this will be.

The National Services Division (NSD) in NHS National Services Scotland (NSS) have commissioning responsibility for the Scottish Genetic Laboratories. NSD are currently conducting a review of NHS Scotland’s genomics services which includes reviewing the Scottish genomic test directory and genomics infrastructure. The review is expected to be completed by the end of the 2021-2022 financial year.

The outcomes from the review will be considered by the Scottish Genomics Leadership Group, chaired jointly by Professor David Crossman, Chief Scientist for Health for the Scottish Government, and Susan Buchanan, NSD Director. This Group are supporting the Scottish Government in ensuring appropriate planning and robust decision-making processes are in place for genetic testing availability in Scotland.

Should the review highlight an inequity of access for Scottish patients for specific genetic tests, NSD will work with the Scottish Genomics Leadership Group to resolve the matter as soon as possible.

I can confirm that I have laid a report in Parliament today that provides an update on the Scottish Government’s renewable heat target. The report is now available on the Scottish Government website (at www.gov.scot/isbn/9781802015348 ).

Renewable heat generated in Scotland in 2020 was equivalent to 6.4% of non-electrical fuels consumed for heat. This represents a slight decrease in useful renewable heat generated since 2019. This reduction in renewable heat was largely due to reduced output from large biomass systems at industrial sites, and should be seen in the context of a difficult year for the Scottish economy due to the pandemic.

Reaching 6.4% renewable heat means we missed the 11% target, and is clearly disappointing. Deployment of renewable heat has seen challenges over the past decade. For example, the delay in introducing tariff guarantees for the Renewable Heat Incentive resulted in uncertainties for businesses in Scotland and delays to investment in new capacity. Challenges to deployment have been accompanied by outturn data on higher than anticipated demand that indicate that around a third more non-electrical fuel is consumed for heat than had been anticipated in 2009.

Beneath the headline statistic we see continued growth in the deployment of building-level renewable heat systems, particularly heat pumps. The Heat in Buildings Strategy, published earlier this month, makes clear we must accelerate deployment of zero emissions heat technologies so that by 2030 over 1 million homes and the equivalent of 50,000 non-domestic buildings are converted to zero emissions heat. The Heat in Buildings Strategy sets out an ambitious policy package to achieve this, including our commitment to invest at least £1.8 billion over the course of this parliament to help kick-start growth in the market and support those least able to pay; our intention to bring forward legislation, subject to consultation and to limits on devolved competence, that provides the regulatory framework for zero emissions heating and energy efficiency; and actions to expand our work with the supply chain to create new investment opportunities and create and support high value, local jobs.

We are maximising effort in devolved areas, but there are limits to what we can achieve on our own and critical policy areas remain reserved to the UK Government. While the UK’s new Heat and Buildings Strategy includes measures which will complement the comprehensive support package already available in Scotland the overall plan for action does not go far or fast enough. We will continue to work with the UK Government as it implements its strategy and call on it to accelerate action to support and enable delivery in Scotland, such as reforming the energy markets and amending the Gas Act.

In addition to the report I laid today, the Energy Savings Trust have published the report Renewable Heat in Scotland 2020 , which provides further insight into these figures. The Energy Savings Trust report is now available at https://energysavingtrust.org.uk/report/renewable-heat-in-scotland-2020/

The BSL National Plan Progress Report will be published today in British Sign Language, English and Easyread versions. This Report details the progress made since the Plan was published. I am pleased to report that the majority of the actions in the Plan have been put into effect, and have either been completed, or are ongoing as this Report is published. In almost all areas of public life in Scotland, significant progress has been made in promoting BSL, in making the language better understood and respected, and in improving access to services and support for BSL signers. We will continue to promote and support the use of BSL as one of Scotland’s vibrant indigenous languages.

Since my answer to question S6W-03274, a further £24.5 million has been provided from the £120 million Recovery and Renewal Fund, bringing total allocations to date to over £74.5 million, including:

• £40 million for Child and Adolescent Mental Health Services (CAMHS) to address waiting times this year, increase access to and enhance services, including for those with complex needs;
• £15 million to grass roots community groups via a Communities Mental Health and Wellbeing Fund to help tackle the impact of social isolation, loneliness and mental health inequalities;
• £5 million to address Psychological Therapies waiting times this year;
• £5 million to implement the recommendations of the Eating Disorders Review;
• Almost £2 million to roll out digital innovations, including online access to Cognitive Behavioural Therapy.

The following table provides a breakdown of allocations by the key themes in the Mental Health Transition and Recovery Plan, as well as funding provided for key dementia, learning disability and autism priorities.