Chamber and committees

There is no national collection of waiting times for adult diagnosis of ADHD. Such collection is conducted at the level of Health and Social Care Partnerships (HSCPs), and is not aggregated nationally.

However, the Scottish Government established the National Autism Implementation Team (NAIT), in partnership with Queen Margaret University, to support Health and Social Care Partnerships to consider best practice and improve service in the redesigning of autism diagnostic services.

In May 2023, NAIT published a review of waiting times for neurodevelopmental assessment in Scotland for adults , conducted between October 2021 and May 2022. These assessments include those for autism and ADHD.

This review found that, while the median overall waiting time for a diagnosis in adults was 252 days, aligning with the recommended timeframe, under half (47%) of individual assessments met the 252-day time standard, indicating that some individuals experience longer waiting times.

The 2020 Programme for Government included work to consider a National Clinical Pathway for ADHD. That work has now been completed and the Feasibility Study was published in January 2021 by the National Autism Implementation Team (NAIT).

Following on from the study, the Scottish Government provided funding of £650,000 for a 12-month pilot in four HSCP areas - Fife, Borders, Lanarkshire and Highland. The findings of the pilot were published in March 2023. We have accepted the full recommendations of the report and are now working with NAIT on implementation.

The Crown Office and Procurator Fiscal Service are in the process of finalising a comprehensive list of all Specialist Reporting Agencies, which will be made available within the next three months.

The Scottish Government is working closely with Samaritans Scotland, as one of our key partners driving the delivery of the suicide prevention Creating Hope Together strategy, to better understand help seeking behaviour and increase signposting to local and national support. We recognise that there may be benefits for some mental health patients in accessing Samaritans’ listening services alongside NHS care.

At present, Samaritans provide pre-printed freepost envelopes in prison settings as part of their broader work to support people in prisons. However, while there is no specific scheme to provide pre-marked envelopes within hospitals, any individual can write to them for free by marking an envelope “FREEPOST SAMARITANS LETTERS”.

Samaritans can also be contacted 24/7 by phone for free on 116 123 and by email at [email protected]. They aim to respond to all emails within 24 hours.

We will continue to work alongside Samaritans Scotland to support any plans to further promote and expand access to its listening services within the NHS estate.

Migrant workers are essential contributors to our communities, public services, and vitally help address skills shortages.

Scotland’s Fair Work Action Plan sets out actions to become a leading Fair Work Nation by 2025.

The Scottish Government have funded the Worker Support Centre since 2022 to provide free and confidential support to seasonal migrant workers so that more of them understand their workplace rights and how to exercise them. RSABI (founded as the Royal Scottish Agricultural Benevolent Institution) provides practical, emotional, and financial support to all people involved in the Scottish agricultural industry.

Control over employment and industrial relations legislation is currently reserved to the UK Parliament; while this remains the case, we will continue to use our Fair Work policy to drive up labour market standards for workers across the Scottish labour market.

I have asked Teresa Medhurst, Chief Executive of the Scottish Prison Service (SPS), to respond. Her response is as follows:

SPS recognise the importance of those in our care maintaining contact with family and friends coupled with their ability to access support services such as the Samaritans.

Last summer SPS rolled out in cell telephony throughout our estate, which continues to support the positive mental health and wellbeing for those we care for and enables access to the Samaritans free of charge, 24 hours per day.

Any envelopes not marked with the “Freepost Samaritans Letters" address are being removed from use in establishments.

Under planning legislation set out in The Town and Country Planning (Scotland) Act 1997 (the 1997 Act) it is a breach of planning control to carry out any development, including the installation of replacement windows, without the required planning consent.

When a planning authority consider that a breach of planning control has occurred in their area, the planning authority has a range of powers available to them to ensure that the breach is rectified. These powers extend to requiring that any changes to the appearance of a building or land be reversed and the property in question restored to its original state prior to the unauthorised development taking place. Should any person responsible for the unauthorised development fail to comply with enforcement measures, the planning authority has the power to enter the land and carry out the required remedial work themselves, with the costs of such work being recovered form that person. Additionally the planning authority can seek to prosecute that person through the Scottish Courts with the maximum fine on summary conviction currently set at £50,000.

In the case of unauthorised works to a listed building, in addition to any action taken under the 1997 Act, the owner may also be subject to enforcement action under the Town and Country Planning (Listed Buildings and Conservation Areas) (Scotland) Act 1997. Again, they can be required to carry out any remedial work and can be liable to conviction with a fine of up to £50,000 on summary conviction.

The Scottish Government recognises the importance of confirming funding allocations to partners as early as possible. We are working closely with NHS 24 to agree funding requirements for their mental health services in 2024-25, including for Breathing Space, and will confirm funding thereafter.

His Majesty's Revenue and Customs (HMRC) release accredited official statistics estimating the value of the UK's regional trade in goods, covering both exports and imports. These can be accessed at the following address: uktradeinfo.com/trade-data/regional/ . These statistics include estimates for Scotland and are updated on a quarterly basis.

The Scottish Government provides further analysis of this data which is available on the Scottish Government website: Total trade in goods - Scotland's International Goods Trade: Quarter 3 2023 - gov.scot (www.gov.scot)

The latest report available to date is for quarter three in 2023. This shows that, when looking at the total export value of goods in the year ending quarter three 2023 compared to the year ending quarter three 2019, Scotland's goods exports have increased by 2.1% to £35.1 billion. When looking at Scotland's onshore economy (excluding oil and gas), goods exports have risen by 17.3% over this period, to £23.7 billion.

The Scottish Government also produces estimates of exports which include both goods and services in the accredited official statistics publication Export Statistics Scotland (ESS), Exports statistics Scotland 2021 - gov.scot (www.gov.scot) . The latest statistics currently available in this release are for calendar year 2021. These statistics show that the value of Scotland's international exports was 11.5% lower in calendar year 2021 compared to calendar year 2019, at £31.3 billion (excluding oil and gas).

Differences between these sources of export estimates are described in the Export Statistics Scotland Methodology, Other sources of trade data - Export Statistics Scotland: methodology - gov.scot (www.gov.scot) . It is important to note that none of the data sources mentioned above account for the effect of inflation on estimates of the value of exports.

Over the period referenced, Scotland's export performance has been significantly impacted by the shocks of Covid-19, the detrimental impact of existing the EU and the subsequent trade deals, of which negotiations are not devolved. In fact, our analysis shows that in 2019 Scottish exports were growing consistently in all directions - to the rest of the UK, the EU and the rest of the world, and we have clear evidence that is no longer the case, with Brexit resulting in Scotland’s trade in goods to the EU being 12% lower in 2021, the first year of the UK-EU Trade and Cooperation agreement.

The Scottish Government remains committed to supporting exporters and continues to work with its enterprise agencies to deliver A Trading Nation, our export growth plan. Trade results produced by Scottish Development International, one of our main delivery agencies, showed that the support it provided to companies across Scotland in Financial Year 2022-23 will result in £1.73 billion of planned international sales over the next three years – a 20% increase compared to Financial Year 2021-22. This trade support enabled Scottish firms to enter 301 new markets, with a focus on the United States, Germany, Singapore and the UAE. As part of this, 335 new products and services left Scotland for these markets in that year.

Whilst the main objective of safer drug consumption facilities (SDCF) is to provide medical attention in the case of an overdose there is also a significant body of evidence for the important role SDCFs play in reducing the sharing of injecting equipment. This reduces the risk of HIV and hepatitis C transmission.

The SDCF in Glasgow will provide people who inject drugs, including cocaine, with sterile injection equipment, advice on injecting technique and other vital harm reduction advice. Current approaches to harm reduction with regards to injecting cocaine will be discussed with academics and presenters from the Cocaine & Crack Cocaine Conference on 4 June 2024.

The Latest data from Public Health Scotland indicate that sexual acquisition is the most common exposure category for new HIV diagnoses in Scotland, however people who inject drugs remain at risk of HIV and other blood borne viruses.

There has been a downward trend in diagnoses among people who inject drugs following the peak of the outbreak in NHS Greater Glasgow & Clyde in 2015.

The effectiveness of interventions implemented at the height of the outbreak underline the importance of continuing to promote HIV testing, delivery of treatment and care, provision of harm reduction measures and awareness raising initiatives to this particularly vulnerable group.

SDCF provide a further opportunity for delivering these vital interventions and could therefore contribute to ending new transmissions of HIV in Scotland by 2030.

The Armed Forces Pension Scheme and benefits including the War Pension Scheme are wholly reserved to the UK Government and are assessed and administered by Veterans UK on behalf of the Ministry of Defence. The Scottish Government is therefore unable to intervene on those matters. Nevertheless, the Scottish Government has previously been made aware of people experiencing issues with their pensions and Scottish Ministers wrote to former Ministers for Defence People and Veterans at the Ministry of Defence in 2021 and 2022 highlighting this. I will raise this again at my next meeting with the UK Minister for Veterans Affairs.