Chamber and committees

Getting it right for every child (GIRFEC) commits to providing all children, young people and their families with the right support at the right time, and where extra help is needed this can include a personalised child’s plan, which might contain therapeutic support, depending on the circumstances.

This year, we have also initiated a Whole Family Wellbeing programme of activity to help transform the delivery of holistic family support. This includes investing £32 million through Children’s Services Planning Partnerships and supporting them in driving this work at the local level. This is to ensure that all families, including adoptive and foster care families, can access support based on their needs, where and when they need it.

All local authorities have a legal duty to provide support to meet the needs of people who have been adopted and their families. We provided £128,000 this year for specific therapeutic support, namely to Adoption UK Scotland for the TESSA programme which provides therapeutic input for adoptive families, and to Health in Mind to run a Trauma Support Service for people affected by historical adoption practices, as well as implementing peer support for both groups and individuals.

The Scottish Government continues to work closely with COSLA to find a way forward on the introduction of a Scottish Recommended Allowance for foster and kinship carers.

I refer the member to the answer to question S6W-13151 on 6 January 2023. 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

In 2022-23, we distributed £32m across all Children’s Services Planning Partnerships (CSPPs). The purpose of this funding was to build local service capacity for transformation and to support the local scaling of existing transformational practice of holistic whole family support. This is being provided on a recurring, multi-year basis to 2025-26.

A package of activity aimed at supporting local transformation has commenced, including establishing collaborative partnerships between 3 CSPPs and a dedicated, multi-disciplinary national support team for transformation. A Learning into Action network is also being established. The aim is to ensure that all CSPPs are supported to come together to share learning and approaches, facilitate peer support, collaborate, and have solution focused discussions around the barriers and opportunities around whole system change in holistic family support.

Whole Family Wellbeing Funding (WFWF) is being used to support the resource and staffing requirements of this work; as well as the commissioning of external evaluation. This will evaluate the implementation and initial impacts of the programme to help shape and develop activity across WFWF going forward. Additionally, research has been commissioned to support continuous improvement of the transformation support provided to the CSPPs as well as to generate learning about how transformational capability is built. The final costs associated for this work in 2022-23 will be confirmed following the end of the financial year.

Multi-year funding allocations are also being finalised which will support wider transformational activity across Scottish Government portfolios which will support the preventative, person-centred ambitions and outcomes of the WFWF.

This data is not centrally available; aggregated data for Child and Adolescent Mental Health Service (CAMHS) Waiting Times is sent to PHS from each NHS Board. It does not contain any information specifically on the number of young people removed from waiting lists, it reports on the number of referrals for young people to services, numbers waiting to start treatment and total waiting, and then numbers for those who started treatment and those who’s referral was rejected / not accepted (with both outcomes resulting in them being removed from the waiting list).

Table 1 shows the number of young people that started treatment – i.e. resulting in them being removed from waiting lists - and Table 2 shows the number that were not accepted for treatment therefore removed from waiting lists. The figures are presented by NHS Board of Treatment and relate to the financial years 2014-15 to 2021-22.

Data from 2012 has been published on the Information Services Division website, but data prior to 2014 is from a period when the aggregate dataset in development and is not regarded as reliable compared to more recently collected data. All data presented in Tables 1 and 2 has been previously published, however the data presented has been newly extracted and analysed to take account of subsequent data resubmissions to provide the most accurate figures. Therefore figures below may differ slightly to previously published figures for some years.

Table 1: People who started treatment in CAMHS from April 2014 to September 2022, by NHS Board of Treatment.

n September 2021, the Scottish Government published the National Neurodevelopmental Specification for Children and Young People which sets out seven standards for service providers to ensure that children and young people, who have neurodevelopmental profiles with support needs, receive the support that they require. The Neurodevelopmental Specification is purposefully inclusive and includes support for those with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD), as such there is no separate guidance for ASD and ADHD.

A neurodevelopmental diagnosis is not required in order for a child or young person to receive support that meets their needs. For many children and young people, such support is likely to be community or school based, and should be quickly and easily accessible.

To support implementation of the Neurodevelopmental Specification, we have provided funding to NHS Boards to build capacity to provide access to specialist neurodevelopmental professionals.

In March 2022, funding was also provided to allow five local areas to take forward Tests of Change on the implementation of the Neurodevelopmental Service Specification, specifically to test and implement aspects of the Standards and Principles of Care outlined in the Specification. Learning and evidence will be shared from these Tests once concluded to support other local partners to implement the Specification successfully.

The standards outlined within the National Neurodevelopmental Specification will continue to be reviewed on a regular basis in light of any new research and recommendations made to Scottish Government, particularly in relation to learning emerging from the Neurodevelopmental Tests of Change.

I provided figures in my previous response to S6W-12191 on the number of delayed discharges from hospital under the requirements of the Adults with Incapacity Act, which related to the guardianship process. All patients whose discharge from hospital is delayed by the application process for a guardianship are recorded under Code 9.

The Scottish Government is progressing a range of actions with partners to expedite AWI discharges from hospital to ensure that, once medically fit, patients can be cared for in a setting that is most appropriate for their needs. This includes:

• reviewing the guardianship process to identify opportunities to reduce timescales for the processing of applications;
• working with partners at a national level to disseminate good practice to local areas;
• providing targeted advice and assistance to Health and Social Care Partnerships (HSCPs), working with them to identify improvements to the process.

The Scottish Government does not hold this information centrally.

The Mental Welfare Commission (MWC) for Scotland has safeguarding duties in relation to people who are subject to the protection of the Adults with Incapacity (Scotland) Act 2000. This duty includes monitoring the use of welfare guardianship orders to determine how and for whom the AWI Act is being used. Hearings take place within 28 days of the application being submitted to the court. The Commission is notified of the date of an Adults with Incapacity hearing in court and also the date the order is granted. The most recent AWI monitoring report (covering 2021-22) was published by the MWC in October 2022. A link to the report can be found on the MWC website.

The Scottish Fuel Poverty Advisory Panel (“the Panel”) is an independent advisory Non-Departmental Public Body (NDPB). The Panel’s secretariat can be contacted by emailing [email protected] for the requested information, as this information is not held by the Scottish Government. However, my officials were invited for a part of the most recent meeting of the Panel on 28 November for a discussion on the Fuel Poverty and Heat in Buildings Strategies.

Our approach to supporting people who have a terminal illness is demonstrated in the Social Security (Scotland) Act 2018, which introduced a new definition of terminal illness. Rather than imposing an arbitrary life expectancy, the clinical judgement of the person’s doctor or nurse is relied upon. This allows people who have been diagnosed as having a terminal illness to receive fast-tracked access to Child Disability Payment or Adult Disability Payment

It is already the case that people who receive a disability benefit in relation to their terminal illness may be eligible to receive a Winter Heating Payment, where they otherwise meet the criteria for eligibility for the Payment. Any further developments to Winter Heating Payment including amendments to eligibility criteria will be considered once the new benefit is being delivered and its initial evaluation is complete.