Chamber and committees

The Scottish Government has committed to deliver the National Transitions to Adulthood strategy as part of the 2021 Programme for Government and within this Parliamentary term. Our priority is to start early discussions with disabled children and young people to have their voices clearly heard across developing policies that impact on their daily lives, which we plan to undertake by January 2022. In addition we will review responses to the National Care Service consultation on the inclusion of children's social work and social care services as a route to reduce complexity and improve transitions and support for those that need access to a range of services.

We will carry this out in the context of wider work that has a direct impact on these children and families including United Nations Convention on the Rights of the Child (UNCRC) / United Nation Convention on the Rights of People with Disabilities (UNCRPD), Getting It Right For Every Child (GIRFEC) Refresh, the Promise, the Review of Additional Support for Learning Implementation on Support for Learning: All our Children and All their Potential , Fair Work, and Mental Health.

There are a number of reasons why a referral may not be accepted which include: insufficient information, does not meet the health board provider referral criteria, service unavailable, consent issues, patient refused service. This data is not consistently collected by all Health Boards. A new core dataset, the CAMHS and Psychological Therapies National Dataset (CAPTND) is currently being developed by Public Health Scotland. Public Health Scotland are working with all Health Boards to ensure this data collection is of sufficient quality to report on in full.

Children and young people whose referral is not accepted by CAMHS are sensitively and appropriately signposted to a more suitable service within their community. The Scottish Government accepted all of the recommendations in the 2018 Audit of Rejected Referrals Report 2018.

In addition, we have implemented a National CAMHS Service Specification, which sets out the standards of service that children, young people and families can expect from CAMHS across Scotland and have provided funding to support Boards to implement the specification. The specification includes a clear expectation that services should have appropriate re-engagement policies in place.

The information requested is not held centrally.

Children and young people whose referral is not accepted by CAMHS are sensitively and appropriately signposted to a more suitable service within their community.

We are committed to improving the availability of community mental health and wellbeing services for children and young people. This year we have provided local authorities with an additional £15 Million to fund over 200 new and enhanced supports and services for 5 -24 year olds. These services are expected to set up links to local CAMHS with signposting the minimum expectation and direct referral to community services the aspiration. The recently published Scottish Government and Scottish Green Party shared policy programme commits to doubling the budget for community based mental wellbeing services for children and young people to £30 million.

In addition, we have implemented a National CAMHS Service Specification, which sets out the standards of service that children, young people and families can expect from CAMHS across Scotland and have provided funding to support Boards to implement the specification. The specification includes a clear expectation that services should have appropriate re-engagement policies in place.

No information is collected on how many specialist dementia beds have been available in each year since 2007, either nationally or broken down by NHS Board.

The North Berwick to Edinburgh rail route is electrified, and therefore is already providing zero emission transport. The services have been upgraded by making use of this government’s significant investment in the new, green electric Class 385 trains for Scotland.

The breakdown of Child and Adolescent Mental Health Services (CAMHS) workforce is published on a quarterly basis through the NHS Education for Scotland (NES) CAMHS Workforce publication. This data can be found on the NES Turas Data Intelligence platform and provides a breakdown of staffing per NHS Board in CAMHS, including breakdown of professional role.

In May 2021, we allocated £16.4 million to support NHS Boards to implement the National CAMHS Service Specification. In addition, on 14 September, we announced £10.83 million funding to further support the implementation. Through this funding, NHS Boards have started to recruit additional staff to implement the Specification and to build professional capacity to support children and young people with neurodevelopmental support needs. NHS Boards will recruit a variety of staff in different roles, based on individual service needs.

The Scottish Government is actively working with partners and people with lived experience to develop Scotland’s approach to self-harm; this is a commitment in the Mental Health Transition and Recovery plan.

In developing our approach we are considering how best to deliver our objective to ensure compassionate, trauma informed responses to people in distress who self-harm, whilst also reducing stigma.

Our initial work on self-harm included commissioning Samaritans Scotland to undertake research, which resulted in the publication of ‘Hidden too long: uncovering self-harm in Scotland’ ( https://media.samaritans.org/documents/HiddenTooLong_uncoveringself-harminScotland.pdf ). In line with that research, we have continued to engage with partners and people with lived experience to better understand the prevalence and nature of self-harm. Through the Mental Health Recovery and Renewal fund, work is being commissioned to pilot self-harm support services, develop a website to support people who self-harm and design a programme of learning for professionals. Crucially, this research, engagement and evaluation from pilots will inform our policy approach.

In May 2021, we allocated £16.4 million to support NHS Boards to implement the National Child and Adolescent Mental Health Services (CAMHS) Service Specification. In addition, on 14 September, we announced £10.83 million funding to further support the implementation. Through this funding, NHS Boards have started to recruit additional staff to implement the Specification and to build professional capacity to support children and young people with neurodevelopmental support needs.

The Scottish Government is not responsible for the recruitment of NHS staff. It is NHS Boards’ responsibility to recruit workforce. The Scottish Government has provided guidance to NHS Boards, through the National CAMHS Service and Neurodevelopmental Specifications, on the appropriate roles and professionals expected to be employed within Boards.

Information on how many people have received a dementia diagnosis in each year since 2007, broken down by NHS board, is not collected or held centrally.

The following table shows the number of people screened for diabetic retinopathy in each month between January 2019 and July 2021. The Diabetic Eye Screening (DES) programme was paused between 30 March 2020 and 6 July 2020. When screening resumed, those at high risk of developing diabetic retinopathy were prioritised and invited first.

It is important to note that the following data is management information and has not been subject to the necessary quality checks carried out for an official publication.