We know that the pandemic has been exceptionally difficult for the mental health and wellbeing of many children, young people and their families, and that there has been increased pressure on mental health services as a result of this.

As part of our £120 million Mental Health Recovery and Renewal Fund, we have made an additional £40 million available this year to improve CAMHS and to clear waiting list backlogs by March 2023. Long waits are unacceptable and we remain committed to meet the standard that 90% of patients start treatment within 18 weeks of referral. We are directing support to those Boards with the longest waiting lists to clear backlogs by March 2023 and are monitoring progress closely.

Additionally, in our NHS Recovery Plan we have committed to provide sufficient funding for around 320 additional staff in CAMHS over the next 5 years. This will have the potential to increase capacity for CAMHS cases by over 10,000.

We have also provided an additional £15 million to local authorities this year to deliver locally based mental health and wellbeing support for 5-24 year olds in their communities, providing alternative treatment options and pathways to CAMHS and ensured access to counselling support services in all secondary schools.

The Scottish Government is currently developing its consultation exercise, to seek views on future legislative change to the Freedom of Information (Scotland) Act 2002. This follows the report of the former Public Audit and Post-legislative Scrutiny Committee in the last session of the Parliament, on post-legislative scrutiny of the Act. We will announce further information about the consultation as soon as we are in a position to do so.

The Scottish Government published Coronavirus (COVID-19): face covering and masks guidance which provides information on the requirement to wear face coverings (unless exempt) including enforcement measures.

Enforcement of COVID-19 restrictions is a matter for Police Scotland and any breaches of these regulations can be reported to Police Scotland directly.

The police have enforcement powers to issue a Fixed Penalty Notice of £60 (halving to £30 if paid within 28 days) if members of the public do not comply with this law without a reasonable excuse. Officers have been asked to Engage, Explain, and Encourage with Enforcement only as a last resort.

We continue to keep the regulations and guidance under regular review.

The following table provides a breakdown of funding distributed from the Mental Health Recovery and Renewal Fund to date, which supports the delivery of the Mental Health Transition and Recovery Plan.

Universities and colleges have a duty of care to support their students, and if any have experienced difficulty or have concerns about studying remotely they should contact their institution as soon as possible in order to access the support they need.

We are aware of the impact of the pandemic on student mental health and wellbeing, and have continued to address this, through that period, by providing additional funding to help students deal with the mental health impacts of the COVID-19 pandemic, support to NUS Scotland and student associations for vital welfare support for students in colleges and universities and additional funding for colleges to help students and staff respond to the pandemic.

The Scottish Government is committed to the development of a research and evidence informed Student Mental Health Action Plan and we are re-establishing the Student Mental Health and Well Being Working Group to help take this forward.

I refer the member to the answer to question S6W-06205 on 4 March 2022. 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 .

An overarching Detect Cancer Early social marketing campaign 'Survivors' was launched in 2018. The campaign, developed in close consultation with the Scottish Cancer Coalition, aimed to reduce fear around cancer and empower people to take early action, be it visiting their GP practice or attending screening when invited. To coincide with the campaign, a symptom-checker tool was developed on DCE’s website (getcheckedearly.org) to raise awareness of the early signs and symptoms of cancer, including those that are indicative of blood cancer.

A new Early Cancer Diagnosis Programme Board has been formed, Chaired by Dr Catherine Calderwood, National Clinical Director at the Centre for Sustainable Delivery. This group will be responsible for shaping and supporting the delivery of Scotland’s early diagnosis agenda over the coming years, including any additional public awareness campaigns.

The NHS Recovery Plan 2021-2026 – published August 2021 – commits an additional £20m for our Detect Cancer Early Programme, providing greater public awareness of signs and symptoms of cancer and supporting the development of optimal cancer pathways to improve earlier diagnosis rates. Research will be undertaken in the coming months to better understand the possible barriers and levers to early diagnosis that any new awareness campaigns should focus on.

Clinical nurse specialists make a valued contribution to delivering services and supporting patients and families who require specialist care. The Scottish Government has invested £2.5 million annually in the Specialist Nursing and Care Fund since 2015.

The National Cancer Recovery Group (NCRG) recently carried out a short survey in November to identify workforce requirements to inform wider workforce planning. This looked at roles specifically related to cancer, including Cancer Nurse Specialists. Scottish Government Officials and the National Cancer Recovery Group are working collaboratively in the development of the National Workforce Strategy and work will be conducted around the cancer workforce over the coming year.

Information on the numbers of blood cancer specialist nurses is not held centrally.

The Scottish Government is committed to finding cancer early. That is why we have established Scotland’s first three Early Cancer Diagnostic Centres in NHS Ayrshire & Arran, NHS Fife and NHS Dumfries & Galloway. These Centres provide primary care with a new referral route for patients with non-specific symptoms suspicious of cancers including blood cancer (such as weight loss, fatigue and nausea), which don’t meet Scottish cancer referral guidelines.

Our £44m Detect Cancer Early Programme adopts a whole-systems approach to diagnosing and treating cancer as early as possible – ranging from screening and public awareness campaigns to diagnostics and data. The NHS Recovery Plan 2021-2026, published August 2021, commits an additional £20m for the Programme.

As outlined in our NHS Recovery Plan, we will also develop and support the delivery of a new early diagnosis vision for Scotland. Stakeholder engagement will be an important part of its development, with Blood Cancer Alliance included in this. Officials recently met with the Blood Cancer Alliance and committed to working together in future to ensure the experiences of those with blood cancers are reflected in national cancer improvement programmes.

The Scottish Government meet with NHS 24 on a regular basis to ensure that it delivers its functions in accordance with Ministers’ policies and priorities; to provide strategic leadership; to ensure financial stewardship; and to hold Chief Executives, senior management team and Board to account.

The Scottish Government review all monthly Board papers to keep appraised of Board business and also hold Annual and Mid-year review meetings with NHS 24. Due to the increasing pressures Covid-19 has had on the Service, regular sponsorship engagement has increased significantly with daily and weekly discussions now taking place with the Boards Chief Executive along with regular performance reporting from NHS 24 which allows us to maintain a focus on performance against their Key Performance Indicators (KPIs).