Chamber and committees

No assessment has been made if the impact on business revenues in the Highlands as a result of ScotRail’s temporary timetable.

We do recognise that the current temporary timetable is causing inconvenience and frustration to travellers, especially to people who need early and late services to get to and from work, and those sectors and businesses in the economy that depend on people being able to travel in the evenings. However, ScotRail conducted its formal review on 3 June and as a result, more services particularly in the evenings are now being added back into the timetable. In addition with the positive progress made on pay negotiations with ASLEF in Scotland, it is to be hoped more services will be added back in the near future.

No formal consultation by (a) Transport Scotland and (b) ScotRail took place with (i) workers and (ii) unions before the temporary timetable was implemented. ScotRail utilised the time available to them, during this challenging period, to compile the temporary timetable which is aimed at providing the best possible service to as many passengers as possible with the available resources. The major determining factor is driver availability by rostered hours, location and with the necessary competencies, which fluctuates daily.

I refer the member to the answer to question S6W-08835 on 17 June 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

Transport Scotland has not held any discussions with (a) ScotRail and (b) NHS Highland regarding how to ensure that people living outside of the Inverness area are able to travel to medical appointments by public transport without requiring an overnight stay.

Since it was established in April 2020, there have been 88 successful claims to the Mother and Baby Unit (MBU) Family Fund. NHS Greater Glasgow and Clyde and NHS Lothian do not hold comprehensive information about a claimant’s home Board. Since April 2020:

? 32 families made a claim to NHS Greater Glasgow and Clyde MBU, with an average amount claimed of £303.

? 56 families made a claim to the NHS Lothian MBU, with an average claim of £250.

Since the start of the Perinatal and Infant Mental Health Programme Board we have invested over £18m in improvements to services and support for parents, infants and families across Scotland. This includes £5.5m for development of specialist Community Perinatal Mental Health services.

Funding levels for each Board have been primarily based on the gaps identified in Delivering Effective Services Report – Perinatal Mental Health Network Scotland and further shaped through discussions with each Board to ensure funding meets local need. As the we progress the programme of work, allocations are transitioning to an NRAC share which is the Scottish Resource Allocation formula used to distribute funding to NHS Boards.

Initial development funding was provided to two Health Boards in the North of Scotland in 2019-20. Funding was then rolled out to all mainland Boards in 2020/21 and all Boards received an allocation in 2021-22.

Following conclusion of the current Programme Board in March 2023, £8m per annum has been earmarked as recurring funding to Health Boards to support the sustainability of perinatal and infant mental health services across Scotland. This includes £5m specifically for specialist Community Perinatal Mental Health services.

Please see the following tables for a breakdown of funding allocated per Board for specialist Community Perinatal Mental Health services for the last 3 financial years.

The information requested on Health Board admissions to Mother and Baby Units is not held centrally. However, Mother and Baby Units in NHS Greater Glasgow and Clyde and NHS Lothian may have this data available through local data systems. Both Mother and Baby Units also participate in the Clinical Audit System referenced in S6W-08970 on 20 June 2022 which supports Mother and Baby Units in further developing and improving the provision they offer.

Additionally, the Scottish Government Perinatal and Infant Mental Health Programme Board is looking at this question as part of the work following the Mother and Baby Unit (MBU) Inpatient Provision Consultation which closed on 31 May 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

It has been agreed that some patients based in Tayside and receiving radiotherapy for breast cancer will have to travel for their treatment to their next nearest cancer centre, in Edinburgh, Glasgow or Aberdeen. Patients required to travel will be fully supported, with travel and accommodation costs covered by the Health Board.

NHS Tayside have been working closely with Oncology teams across all four Cancer Centres in Scotland to ensure that patients in need of treatment are prioritised appropriately. Discussions about mutual aid have taken place between Chief Executives and Medical Directors and the national oncology taskforce is looking at national approaches to the management of oncology.

The mutual aid provided has been agreed on the basis that there will be no adverse impact on patient care in NHS Grampian.

The Mother and Baby Unit (MBU) Inpatient Provision Consultation closed on 31 May 2022. While more detailed work on the outcomes of this consultation is underway, we are expecting NHS Grampian and NHS Forth Valley to enter into contractual agreements with a Mother and Baby Unit in line with the other territorial Health Boards.

The Perinatal and Infant Mental Health Programme Board and Perinatal Mental Health Managed Clinical Network Scotland will provide support to Boards in setting up these arrangements. We are in the process of meeting with MBU host Boards and NHS Forth Valley and NHS Grampian to discuss how to best ensure access for women and their infants.

Until these arrangements are in place, women residing within any Health Board area in Scotland are still able to access the specialist regional provision in a Mother and Baby Unit if clinically appropriate. Admission is based on clinical need rather than geography.

There is currently specialist perinatal mental health provision in every mainland Health Board. We are working intensively with Boards to build their provision to the levels outlined in Delivering Effective Services . As of May 2022, there were 12 Health Boards with specialist community perinatal mental health teams, eight of which were fully established. These are: Borders, Dumfries and Galloway, Fife, Forth Valley, Greater Glasgow and Clyde, Lanarkshire, Lothian and Tayside.

We are working closely with other Boards to ensure that services will be fully established by March 2023. This includes island Boards where regional working as well as Board level provision is a key priority area.