Chamber and committees

The Scottish Government recognises the importance of all people with mental health problems, including those with Huntington disease, getting the right help, at the right time, and in the right place.

The core mental health standards set clear expectations for health boards to ensure referrals to community health teams and psychiatry are equitable, clear and prioritise those most in need. They also require services to reduce barriers to access, provide clear referral criteria, and ensure collaboration between staff and agencies to support individuals with complex conditions like Huntington’s disease.

Decisions on referrals may consider clinical appropriateness and service-specific criteria. Where referrals are declined from general psychiatry or community mental health teams a full explanation should be offered for this decision, and alternative pathways offered wherever possible and appropriate.

The regulation of private equity funds in the UK is overseen by the Financial Conduct Authority (FCA), ensuring compliance with financial and investment laws and is therefore a reserved matter.

The development of the National Treatment Centre in Livingston is currently paused therefore there are no revised project costs.

The Scottish Government established the Psychiatry Recruitment and Retention Working Group as committed in the Mental Health Workforce Action Plan (November 2023) to address recruitment and retention challenges facing psychiatry in NHS Scotland.

The working group is actively considering the pipeline of trainee doctors as well as issues such as the use of locum staff and how we can encourage and support applications to permanent positions within NHS Health Boards. We also continue to invest heavily in our future consultant workforce and have created additional training places in psychiatry.

Representatives from the Royal College of Psychiatry in Scotland and the Senior Medical Managers in Psychiatry Group are critical partners in this work.

The working group is due to report to Ministers with recommendations in Spring 2025.

Published national statistics on CAMHS waiting times captures children who meet the CAMHS criteria. Children who require neurodevelopmental support are not reported in these statistics unless they have co-morbid mental health issues. We do not currently collect data on length of waits for neurodevelopmental services centrally.

However, the Scottish Government are working closely with NHS Health Boards and Local Authorities to improve services and support for children and young people and their families and will continue to ensure long waits are appropriately addressed, as well as continue to provide tailored support to NHS Health Boards.

Our National Neurodevelopmental Specification Children and young people - national neurodevelopmental specification: principles and standards of care - gov.scot places an expectation on NHS and Children’s Services to work together to provide the support required by children and families, which may include assessment, diagnosis or other intervention. The Specification makes clear that support should be put in place to meet the child or young person’s requirements when they need it and should not be dependent on a formal diagnosis.

This year we have provided health boards with £123 million to support improvements across a range of mental health services, including neurodevelopmental services. We have also provided local authorities with over £65 million since 2020 to fund community-based mental health supports and services for children and young people aged 5-24 (26 if care-experienced) and their families, including supports for neurodiverse children and young people.

Spend on locum psychiatrists is managed locally by NHS Health Boards. It is our expectation that Boards should always be seeking to secure best value whenever they enter into arrangements regarding use of locums.

We recognise that the use of temporary staff in an organisation as large and complex as NHS Scotland will always be required to ensure vital service provision. However we are taking forward work in partnership with NHS Health Boards, overseen by two national oversight groups, to agree measures designed to reduce our reliance on agency staff, with a view to filling more shifts with staff in either NHS substantive or bank roles.

To address specific challenges in the recruitment and retention of permanent psychiatrist posts in Scotland, we have established a Working Group which is actively considering locum usage and complements the work ongoing nationally. The working group will make a series of recommendations and is due to report to Ministers in Spring 2025.

The minutes for the 18 April 2024 and 24 October 2024 meetings of the Joint Working Group on Sources of Local Government Funding and Council Tax Reform are available on the Group webpage. The webpage can be accessed at the following link, Local government finance sources and council tax reform: joint working group - gov.scot.

The Scottish Government does not hold FTE data on contractors. Information on the headcount of contractor staff whose information is captured in the Human Resources Management Information System statistics are available on the quarterly published statistics on Scottish Government workforce. (Scottish Government workforce statistics - gov.scot).

I refer the member to the answer to question S6W-34339 on 28 February 2025. 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.

The principles of a health service free at the point of need are sacrosanct, and we are protecting this through our Budget which will provide a record £21.7 billion for health and social care. This includes £200 million to clear waiting list backlogs and improve capacity – ensuring nobody waits more than 12 months for a new outpatient appointment or inpatient/day-case treatment by March 2026. We will deliver over 150,000 extra appointments and procedures in the coming year.

We have already made significant progress against our investment of £30m in 2024-25 to drive targeted action to address the longest delays. To the end of January, Boards are reporting delivery of 75,500 against a plan of 64,000 appointments and procedures, including hip and knee replacement surgeries.