We expect NHS Boards to follow the National Child and Adolescent Mental Health Services (CAMHS) specification, which includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service.

Some of these services are likely to be community based and we continue to invest £15 million per annum in funding to these supports, which will continue through the local government finance settlement from 2025-26. Local authorities report that nearly 83,000 children, young people and their family members accessed community-based mental health support between July 2023 and March 2024. Alongside this, we are ensuring access to counselling services in all secondary schools, and continue to support local authorities with £16million a year.

Appropriate redirection and alternative support will vary across NHS Boards depending on the services available locally, and the needs of the child or young person involved. While we have made significant progress in improving mental health and wellbeing services for children and young people since 2018, we continue to work closely with Boards to understand the reasons for non-accepted referrals and to ensure that the criteria in the CAMHS specification are being met.

Additionally, Public Health Scotland has started publishing data from the CAMHS and Psychological Therapies National Dataset (CAPTND), including referrals to CAMHS by sex, age and SIMD as well as reasons for referral not being accepted. Health Boards are also working with PHS and Directors of eHealth to enable the collection and publication of additional information this year.

CAPTND is still under development, and any inferences or conclusions drawn from this data should be treated with caution. Work is ongoing between NHS Boards, Public Health Scotland, and the Scottish Government to improve the consistency and completeness of the information.

The Scottish Government have not issued any guidance in relation to enforcement or prosecution of the sale of illegal vapes.

In 2025-26 the Ministerial element of all Ministers' pay remains frozen at 2008-09 levels. This is the seventeenth consecutive year in which Ministerial pay has been frozen. In 2025-26, it is estimated that, as a result of the Ministerial pay freeze, Ministers will contribute £166,000 to public spending from their own pay packets. This is on top of the estimated £2.23 million Scottish Ministers contributed to public spending from their own pay packets between the start of the pay freeze on 1 April 2009 and 31 March 2025.

The Scottish Government is responsible for setting the overall policy direction of mental health services, and for working with and funding NHS Health Boards and local authorities to ensure they plan and deliver appropriate local services. The design and management of these services is for local NHS Boards and local authorities to decide, and each will have their own arrangements in place.

CAMHS is a specialist mental health service and is not the correct service for children seeking a diagnosis for a neurodevelopmental condition, unless they have a co-existing mental health condition. For many young people, it is more likely that a neurodevelopmental pathway will ensure that the right help and support is provided. This approach is intended to ensure that young people who need support for their mental health from CAMHS are able to receive it in a timely manner, and also that specialist neurodevelopmental support is available whenever needed

We are committed to ensuring that children and young people have the opportunity to learn about substance use and its impact on life choices and health. Curriculum for Excellence already provides the opportunity to explore the risks associated with a variety of substances including alcohol, medicines, drugs, tobacco and solvents. We recognise that education alone will not resolve the harmful abuse of substances, but it is an important strand within a broad range of measures across communities that are designed to tackle this issue.

There are no plans to introduce information on the dangers of methanol poisoning to the school curriculum. We do not take a prescriptive approach to the curriculum in Scotland and it is up to individual schools and local authorities to design approaches to help them deliver relevant and engaging learning.

Following the announcement in December 2023, Education Scotland has been leading on development and delivery of the new Curriculum Improvement Cycle (CIC). This represents a planned and systemic approach to strengthening the curriculum to ensure it remains forward looking, and supports more consistent teaching and learning experiences and improved attainment and achievement of our children and young people. The CIC, which covers all curricular areas including Health and Wellbeing (HWB), is considering all curricular areas and key aspects – including the subject area of HWB, where work is already underway, drawing on robust interrogation of evidence and a co-design process with practitioners and wider stakeholders.

The Public Health Scotland CAMHS waiting times statistics capture children and young people who meet the CAMHS criteria. We continue to see a significant and sustained improvement in CAMHS waiting times, despite continuing high demand from children and young people who need mental health support.

The CAMHS waiting time statistics do not include children seeking a neurodevelopmental assessment unless they have a comorbid mental health condition because they do not meet the CAMHS criteria. This is stated in the publication of CAMHS statistics.

CAMHS is a specialist mental health service and is simply not the appropriate service for children and young people seeking diagnosis of a neurodevelopmental condition, unless they are seeking support for a co-existing mental health condition. For many young people, support through a neurodevelopmental pathway will be more appropriate.

The Scottish Government recognises that transport noise is a concern, can be distressing, and has an impact on health and well-being. That is why we are working with our partners – including Police Scotland - to implement a range of actions to reduce noise. These are set out in Transport Scotland’s Transportation Noise Action Plan.

Direct measurement of noise levels for enforcement is a new and emerging technology. Police Scotland do not currently have this capability. However, Transport Scotland are working actively with partners to determine its effectiveness, and potential application. Otherwise, it is for Police Scotland to deploy specialist noise equipment as they see fit. While there are no measured legal limits to road noise for vehicles in use, it is illegal to modify the exhaust system to make a vehicle noisier after it has been ‘type approved’. Police Scotland can also take action if a vehicle’s silencer doesn’t work in the way it was designed or if someone is driving in a way that creates too much noise.

The Scottish Government fully recognises the need for improved access to detoxification services. This is an issue we are keen to see addressed through our strategy. Improving access to effective detoxification services is essential to ensure people can access help to reduce or stop drinking safely, avoiding acute withdrawal.

We are seeing more residential rehabilitation providers being able to offer in-house detox to prepare people for rehabilitation.

We are working with providers and other partners to discuss a wider set of residential harm reduction support – this includes stabilisation, crisis care, detox and long-term care for issues such as alcohol-related brain damage.

Our forthcoming National Specification for alcohol services will emphasise the requirement to provide a full range of services, including detox.

The Low Emission Zone (LEZ) Support Fund has allocated £13,775,000 to households and businesses within 20km of any LEZ in Scotland since 2020. To date £7,684,695 has been paid out to households in Scotland.

There was no set allocation per city, to households or to businesses. This allowed flexibility to respond to demand dependant on applications received each year.

I can advise that £464,688 of this funding has been awarded to households within 20km of the Aberdeen LEZ.

I can confirm we will provide an update on the roll-out of the Health and Social Care app in Summer 2025 as set out in our Operational Improvement Plan, as well as in the answer to question S6W-35982 on 28 March 2025.

All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx