Chamber and committees

The Scottish Government is working to ensure that all neurodivergent people, including those with ADHD, have access the support they need.

The Scottish Government and the National Autism Implementation Team launched a Neuro-affirming Community of Practice Community of Practice in October 2023. This Community of Practice is being developed to ensure that healthcare professionals are better equipped to understand the wants and needs of neurodivergent people, including people with ADHD. There has been positive engagement across health boards.

Education Scotland supports the implementation of inclusive practice for all children and young people, including those who may experience the characteristics of ADHD. A formal diagnosis of ADHD is not required for a child or young people to be provided with appropriate support through the staged level of intervention approach.

Additionally, last year resources on ADHD were published on Education Scotland’s website, covering the common features, positive traits and challenges of ADHD. This was accompanied by a webinar, attended by over 300 individuals.

The Scottish Government is not currently planning on establishing an attention deficit hyperactivity disorder (ADHD) taskforce.

The Scottish Government commissioned a feasibility study into a National clinical ADHD Pathway. The final report of this study published in 2021 and found that a multi-disciplinary neurodevelopmental approach, inclusive of ADHD, rather than a condition specific approach, was needed.

In response to this finding the Scottish Government provided funding for adult neurodevelopmental pathway trials. Following the adult neurodevelopmental pilots, a final report was published in March 2023 outlining what is required to provide a multi-disciplinary neurodevelopmental approach across Scotland. The Scottish Government has accepted the recommendations and we are working with NAIT on implementation.

Additionally, aligned to this neurodevelopmental approach, the Scottish Government is taking forward proposals for a Learning Disabilities, Autism and Neurodivergence bill to help better protect the rights of people with learning disabilities and neurodivergent people, including people with ADHD. The consultation ran from 21 December 2023 to 21 April 2024.

I refer the member to the answer to question S6O-03144 on 29 February 2024 which is available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/official-report/search-what-was-said-in-parliament .

I refer the member to the answer to question S6W-26620 on 25 April 2024. 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 1 September cut-off date for the shingles programme has been in place since the introduction of the programme in 2013. At that point it aligned the offer of shingles vaccine with seasonal flu vaccinations.

The cut-off date ensures that only those eligible for vaccination within the current year’s programme as recommended by the Joint Committee on Vaccination and Immunisation (JCVI) are included, and assists NHS Boards with planning and delivery locally, drawing up cohort lists (determined by date of birth) and the management of vaccine supply. It also supports the catch up programme for those who are aged 71-79 years who have not previously been vaccinated but remain eligible.

The Medium-Term Financial Strategy (MTFS) sets out the Scottish Government’s strategy for delivering fiscal sustainability, the economic and fiscal outlooks for the next five years and key fiscal risks over the medium term.

The MTFS was due to be published on Thursday 30 May. The MTFS was due to published as part of a suite of publications including the draft Tax Strategy, and the Infrastructure Investment Plan Annual report, which will include the reset of the pipeline. However, as a result of the resignation of the previous First Minister these will need to be postponed. This decision was based on several factors, with key policy decisions unable to take place to meet agreed deadlines with the Scottish Fiscal Commission (SFC), who were due to provide updated fiscal and economic forecasts alongside the MTFS on 30 May.

We recognise the vital role these documents play in allowing this Parliament to conduct pre-Budget scrutiny and will communicate a new date for publication as soon as possible. We have also asked the SFC to pause work on developing its forecasts, with this recommencing once a new date has been agreed.

Eligibility for the programme was recently expanded to allow some individuals to get protected at an earlier age. To deliver the programme effectively, NHS Boards will offer the programme on a phased basis over 10 years meaning by 2033 the vaccine will be routinely offered to everyone aged 60 and over.

Since 1 September 2023 the following groups have been eligible:

• People who were aged 65 or 70 years on 1 September 2023
• People aged 71–79 years who have not previously been vaccinated
• People aged 50 years or over, about to start immunosuppressive therapy
• People aged 50 years or over, with a severely weakened immune system
• People aged 18 years or over who have received a stem cell transplant
• People aged 18 years or over who have had CAR-T therapy

This phased approach is based on the advice of the Joint Committee on Vaccination and Immunisation (JCVI) and to support NHS Boards to deliver the programme alongside other immunisation programmes.

There are no plans to expand eligibility any further at this stage. As with all vaccination programmes, the JCVI keeps its recommendations under review. If at any time the JCVI updates its recommendations around the shingles vaccination the Scottish Government will give this due consideration.

The Scottish Government does not collect data on the number of people who have applied for a free personal care package, but have died before receiving it.

It is the local authority’s responsibility to assess each person and consider whether their needs call for the provision of social care services. Local authorities set their eligibility threshold based on local guidance, and it may not be consistent across local authorities. However, those at critical or substantial risk are more likely to receive them sooner, than those who are assessed as moderate or low risk.

The Scottish Government is a member of the Save a Life for Scotland (SALFS) Partnership. Through SALFS, work is ongoing to increase the strategic placement of defibrillators in Scotland.

The Scottish Government have provided funding to support the Resuscitation Research Group’s development of a tool to help defibrillator guardians make informed decisions about where to place their device in order to have most impact.

In order to maximise defibrillator availability they are usually best mounted on the outside of buildings, and placed in unlocked cabinets. SALFS partners work with defibrillator guardians across Scotland to encourage such placement and availability.

In order to maximise defibrillator availability, they are usually best mounted on the outside of buildings and placed in unlocked cabinets.

We accept that it is likely that locking defibrillator cabinets introduces an additional delay for bystanders attempting to retrieve a defibrillator and lowers the likelihood of successful application prior to arrival of emergency services.

It is the decision of the defibrillator guardian whether to place their device in a locked or unlocked cabinet. There is limited evidence as to whether using locked cabinets will affect the likelihood of vandalism, however, we understand that communities who fundraise to purchase and place a defibrillator wish to safeguard this important investment. The British Heart Foundation has helpful information online your-guide-to-being-a-defib-guardian.pdf (bhf.org.uk) about being a defibrillator guardian and steps individuals can take to look after their device.

If guardians do purchase a locked cabinet, it is vital to ensure that the local ambulance service knows the access code, and this can be supported by registering the defibrillator on The Circuit - the national defibrillator network .