Chamber and committees

The Scottish Government has provided specific funding (totalling around £145,000) for Emergency Department (ED) opt-out blood borne virus testing pilots in NHS Lothian, Grampian and Highland. At present, any other ED opt-out testing would be delivered by NHS Boards using the core funding they receive from the Scottish Government which includes baselined funding for sexual health improvement and blood borne virus elimination.

The recently approved 2025-26 Budget will provide a record £21.7 billion for Health & Social Care next year, including £16.2 billion for NHS Boards.

NHS Boards and other local partners are responsible for prioritising funding to ensure that their local population receives the highest quality of care and treatment at the right time and in the right place.

I expect any body responsible for planning and delivering health services to the public in Scotland to operate within the relevant strategic and statutory frameworks. Scottish Government officials are engaging with Aberdeenshire Health and Social Care Partnership and NHS Grampian about their plans.

We are working with NHS Boards and partners to improve access to diagnosis and we have commissioned the National Autism Implementation Team (NAIT) to support local health partners to develop, enhance and redesign existing local neurodevelopmental services. As part of this, NAIT is also working with NHS Boards to build a neurodevelopmentally informed workforce in Scotland.

Through our £1 million Adult Autism Support Fund (AASF), the Scottish Government funds SensationALL, which provides support to autistic adults in both Aberdeen and Aberdeenshire. Whilst this support does not include assessments, a diagnosis is not required to access the service, and the majority of service users have reported improved wellbeing as a consequence of this support.

Work is ongoing to establish whether Emergency Department (ED) opt-out testing for blood borne viruses would be acceptable, deliverable and cost-effective in areas of higher diagnosed prevalence, or across the whole of Scotland. Two of the pilot projects commenced later than originally planned, meaning that the evaluation process has not yet been completed. There has also been an extension to the Scottish Government-funded academic research on missed opportunities for blood borne virus testing, which will provide valuable information to inform future funding decisions.

An options appraisal is in development, which will be carefully considered alongside other potentially beneficial testing interventions.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

SPS are pleased that His Majesties Chief Inspector of Prisons for Scotland, recognised that HMP Dumfries is a well-run prison and performs well against their standards.

Prior to the inspection a CCTV replacement and upgrade programme was already agreed as part of the establishment maintenance programme.

A contractor has now been appointed and will replace and/or upgrade existing systems, introducing CCTV coverage into areas that do not currently have it such as D and E Halls and the respective exercise yards. This work is expected to begin in Autumn 2025 and is expected to take approximately 8 months to complete.

Standard Operating Procedures (SOPs) will be reviewed as soon as this process is complete and will supersede existing SOPs that are in place to monitor exercise yards.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

SPS are pleased that His Majesties Chief Inspector of Prisons for Scotland, recognised that HMP Dumfries is a well-run prison and performs well against their standards.

In 2022 work started on the new SPS development and learning strategy, now called "Learning for a Better Future”. The strategy will be implemented across all SPS sites on 1 August 2025 and aims to utilise an enhanced screening process, to support and identify the specific needs of learners, and allow establishments to design Annual Learning Plans (ALP) which deliver a range of qualifications and opportunities appropriate to their specific needs.

The strategy and individual ALPs will help to identify ways for establishments to enhance engagement and participation in learning opportunities both in and out with the traditional classroom setting.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

SPS have proactively published a range of data relating to Emergency Release (ER) on SPS Website, this includes a recently published a summary report of ER returns to custody data.

We continue to be as open and transparent as possible, whilst continuing to meet our statutory obligation to ensure that those in our care have their personal information protected; as such we have taken the decision not to publish a breakdown of establishments of those released under the ER scheme as some of the data could relate to a small group of individuals, which may lead to their inadvertent identification.

Non-departmental public bodies devolved to Scotland are operationally independent from Scottish Ministers but are ultimately accountable to Scottish Ministers for their performance. The national public bodies directory contains a full list of non-departmental public bodies and shows the amount of Scottish Government funding they receive. The national directory can be viewed at: https://www.gov.scot/publications/national-public-bodies-directory/pages/executive-non-departmental-public-bodies/

Audiology is considered as a clinical priority area and the Scottish Government remains committed to its vision for an integrated and community-based hearing service in Scotland.

Whilst our response to the Independent Review of Audiology in Scotland is implemented, we will continue to work with the NHS, Third Sector and private providers to identify and cost an appropriate model of community care for any future service reform and ensure that the voices of those with lived experience inform this work.

Scottish Government officials and the Centre for Sustainable Delivery national planned care team meet monthly with Chief Operating Officer and / or Acute Directors from all Health Boards to review performance and delivery across all Planned Care specialities, including ENT.

The Mental Welfare Commission for Scotland is an independent organisation established to safeguard the rights and welfare of patients under the Mental Health (Care and Treatment) (Scotland) Act 2003. Reports of visits along with any recommendations are published by the Commission to ensure standards of care are maintained and enhanced and that human rights are respected.

The MWC has a duty to visit people who are receiving care under mental health and incapacity legislation. The purpose of these visits is to hear directly from the person receiving care and treatment whether they feel their rights are being respected.

There are limits to the MWC’s scope and powers. While they visit individuals and provide recommendations to boards, they do not carry out inspections or audits of services and they do not have powers to enforce their recommendations.

Scottish Ministers have commissioned Healthcare Improvement Scotland and MWC to undertake a programme of joint visits to all three mental health adolescent inpatient units and the National Child Inpatient Unit, with a focus on care quality, patient safety, and patient experience. We will work with scrutiny bodies to determine the best way to implement wider recommendations following the Independent Mental Health Scrutiny and Assurance Evidence Review.

The Mental Welfare Commission have visited and reported on Skye House seven times since 2016 as part of its local visit programme, the most recent of which was in March 2024.

Some of the issues raised in these reports were also identified in the Disclosure documentary. These included staffing difficulties, support for young people with eating disorders in terms of standard of food, impact of isolation, and concerns regarding certain medical treatment under the Mental Health Act being properly authorised and monitored. The MWC does not comment on specifics such as self-harm, aggression or restraint in its visit reports, as there could be a risk to individuals being identified.

The MWC base their findings and recommendations on observations from the day of the visit and these local visit reports represent a snapshot of each facility at that moment in time, with recommendations made accordingly. MWC reports are an important part of ensuring standards of care and upholding rights, but they should not be seen as a comprehensive investigation or audit.