Chamber and committees

We are working closely with all NHS Boards to support implementation of the CAMHS specification to improve the service provided to children, young people and families, as well as improve performance across CAMHS. We remain committed to supporting all Boards to meet the standard that 90% of patients start treatment within 18 weeks of referral.

Local CAMHS teams continue to respond well to demand, with 1 in 2 children and young people referred to CAMHS starting treatment within 6 weeks, compared to 12 weeks pre-pandemic. In the first half of this year, we have seen the best national performance against CAMHS waiting times since the 18 week standard was introduced in 2014.

Recognising that performance does still vary across Health Boards, we continue to provide enhanced support to those Boards not on track to meet the standard. This includes providing access to professional advice, ensuring they have robust improvement plans in place and monitoring their implementation. This is in addition to a programme of routine engagement with all 14 territorial Health Boards.

We have directly allocated £120 million to NHS Boards and Integrated Joint Boards for a new Enhanced Mental Health Outcomes Framework in 2024-25. The Framework provides a single, flexible funding stream to support continued improvements and better outcomes across a range of mental health and psychological services in line with the Mental Health and Wellbeing Strategy, including CAMHS and implementation of the CAMHS Specification.

We continue to work with NHS Boards to monitor the Service Specification’s implementation, to improve services and enhance support for children and young people and their families.

The full expanded version of Scotland's Migration Service will be launched on 19th November 2024.

The Health and Care (Staffing) (Scotland) Act 2019: Overview - Health and Care (Staffing) (Scotland) Act 2019: overview - gov.scot (www.gov.scot) commenced on April 2024, the Act places duties on Health Boards to ensure that at all times suitably qualified and competent individuals are working in such numbers as are appropriate for the health, wellbeing and safety of patients, the provision of high-quality care and the wellbeing of staff.

Under the Act, there is a Duty on Health Boards to submit a report on how they complied with their legislative requirements. Following this, Scottish Ministers must publish these reports alongside setting out how they have taken into account and plan to take into account, in their policies for the staffing of health service, the information included in the combined report. The first Health Board Annual Reports are due 30 April 2025.

In addition to our investment in policing, to strengthen our approach to address violence, in May 2023, we published a Violence Prevention Framework for Scotland. This sets out our strategy to prevent violence, and where it does occur, to reduce the harm. The Framework takes a public health approach to tackling violence, with a focus on prevention at a primary, secondary and tertiary level. By using the research and available evidence, in collaboration with our partner organisations we can target those most at risk of experiencing violence (victim and perpetrator), as early as possible.

Through the Framework’s Action Plan, we are delivering a range of activity to prevent and divert people away from violence, supported by over £2m investment this year.

Funding is supporting partner organisations to carry out a range of activities in schools, hospitals and across communities to prevent and respond to people at risk of experiencing or engaging in violence. This activity is being taken forward by the Scottish Violence Reduction Unit, Medics Against Violence, YouthLink Scotland, Education Scotland and Police Scotland Youth Volunteers.

A progress update outlining some of the activity carried out over the first year of the Framework was published on 11 September 2024.

Whilst the Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters including staffing requirements are in the first instance the responsibility of the relevant NHS board. Recruitment is a matter for health boards who will take into account turnover, retention, absence rates and budgets when making recruitment decisions. This can mean that vacancies fluctuate across boards and by specialism. It is for health boards to ensure safe and effective staffing levels, and recruit to these to provide services.

Tackling all forms of violence including knife crime is a key priority for this government.

Law enforcement and prosecution are essential in our overall approach to tackling violence, including knife crime. In addition to this, Scotland’s Violence Prevention Framework uses a public health approach to address violence, including knife crime, that focuses on identifying and tackling the underlying root causes of violence. We want to prevent people from picking up a knife in the first instance.

Through the Framework and our partner organisations, a range of activity is being taken forward to divert people away from violence, including reducing knife crime. This includes supporting and monitoring the effectiveness and progress being achieved on the following;

• YouthLink Scotland’s No Knives, Better Lives programme which provides training to practitioners and engages directly with young people on the risks and consequences of violence including knife crime.
• Medics Against Violence’s schools education programme, which delivers violence prevention lessons within schools and other settings.
• The Scottish Violence Reduction Unit are working within communities to provide violence prevention training including the carrying and use of weapons.

We will also utilise national statistics to monitor levels of handling offensive weapon crimes, which includes knife carrying and would hope to maintain the improvements we have seen over the longer term.

As part of implementation of the Framework, we committed to developing a Measurement Framework which will monitor high-level progress towards the Framework’s vision over the long term. This will be published following publication of the findings from the 2023-24 Scottish Crime and Justice Survey in 2025, thereby aligning it with the very latest national data available on violence victimisation.

Whilst the Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters including staffing requirements are in the first instance the responsibility of the relevant NHS board. Recruitment is a matter for health boards who will take into account turnover, retention, absence rates and budgets when making recruitment decisions. This can mean that vacancies fluctuate across boards and by specialism. It is for health boards to ensure safe and effective staffing levels, and recruit to these to provide services.

Funding allocated to its violence reduction strategy* are as follows:

The Scottish Government does not have any role to play in operational matters that fall to Police Scotland and Crown Office and Procurator Fiscal Service (COPFS) when considering allegations of criminal offences under dangerous dogs legislation. In addition, the Scottish Government does not have any role in the decision making of the independent court when it considers how to dispose of cases.

Within this context, the information requested is not held by the Scottish Government.

Scottish Government officials are continuing to engage with Police Scotland, COPFS, local authorities and Scottish SPCA about the impact of enforcing and implementation of the new safeguards on XL Bully dogs.

The Scottish Government recognises the value of social care support to all who require additional support in living independently at home or in the community.

Under the Social Work (Scotland) Act 1968 local authorities and Health and Social Care Partnerships have a duty to assess the social care support needs of people and decide, in light of that assessment, whether to arrange any services, and if so, which services.

We know that the system needs to work better for everyone in Scotland and we are continuing to work with partners and people with lived experience on ongoing improvement and reform.

These statistics show the fewest amount of people waiting for a social care support assessment this year – a reduction of 12% since January.