Chamber and committees

This Government has delivered the highest spending, and more teachers, per pupil than any other UK nation. It is the responsibility of individual local authorities to manage their own budgets and to allocate the total financial resources available to them, on the basis of local needs and priorities, having first fulfilled their statutory obligations and the jointly agreed set of national and local priorities.

Schools and local authorities are encouraged and supported to consider innovative ways to ensure there are a wide choice of courses available to their learners. It is for them, working together with partners, to plan course choices in their areas. Expansion of course choice is reflected in the growth of vocational provision for young people in the senior phase. There has been a year on year increase in the number of school leavers attaining vocational qualifications at level 5 and above of the Scottish Qualifications & Curriculum Framework since 2014. The latest attainment stats reflect an increase from 7.3% in 2013/14 to 26.1% in 2020/21.

The Scottish Government is committed to implementing the National Neurodevelopmental Specification: Principles and Standards of Care for Children and Young People, published in September 2021, which specifies service standards that all children’s services should follow, to ensure access to support is effective and consistent across Scotland.

In 2021-22, through our Mental Health Recovery and Renewal Fund, we allocated around £40 million to NHS Boards across Scotland to improve their Child and Adolescent Mental Health Services (CAMHS) and Neurodevelopmental services for children and young people.

The Scottish Government understands that delivering service improvements can only be achieved with the right workforce capacity and capability. Therefore to support this, £3.06 million from the Mental Health Recovery and Renewal Fund was allocated to NHS Boards in 2021-22 to build professional capacity within Boards to support children and young people with neurodevelopmental support needs.

Against a backdrop of a 6% increase in NHS Psychology staffing in 2021, we are also working in collaboration with NHS Education for Scotland and NHS Boards to undertake a UK level National Psychology Recruitment drive. In addition, we are increasing the student intake for Psychology Masters and Doctorate training programmes and creating new roles, and Enhanced Psychology Practitioners in primary care, community, early years, and schools. These professionals can support the delivery of the National Neurodevelopment Specification, including contributing to diagnosis, but also importantly in training and support for universal services and delivering family support interventions tailored for children and young people with neurodevelopmental support needs.

Alongside the important role played by psychologists, other registered health and social work professionals can be trained in Autism Spectrum Disorder (ASD) diagnostic tools such as Autism Diagnostic Observation Schedule (ADOS), and provide ASD assessment, contributing to diagnosis. Diagnosis is recommended from at least 2 professionals using a number of information sources, including parental reports.

The Scottish Government national standard is that 90% of children and young people should start treatment within 18 weeks of referral. The publication for CAMHS waiting times for the quarter ending December 2021 can be found at Publications - Public Health Scotland .

Table 1 shows the total number of patients seen for first treatment following referral to CAMH Services in NHS Lanarkshire and the percentage seen within 18 weeks for the latest published data for quarter ending December 2021.

Table 1 : Total number of patients seen and waiting times from referral to treatment, quarter ending 31 December 2021, NHS Lanarkshire

Engagement is ongoing with industry, academia and other interested stakeholders in the expansion of NHS Scotland capabilities for genomics. Over the coming months we will be expanding the membership of our Scottish Genomics Leadership Group (SGLG) and relevant work streams to include a wider pool of stakeholders than those currently on the SGLG. This expanded structure will consider the recommendations from the Genetic Major Service Review as well as considerations for further genomics expansion.

The Scottish Medicines Consortium (SMC) currently provides early information to National Services Division (NSD) on cancer medicines in clinical development that are expected to require a companion diagnostic through regular horizon scanning reports; these are also discussed at regular meetings between the SMC and NSD. To support financial and service planning, the SMC also provides Health Boards – in confidence - with information on medicines that may require a companion diagnostic through regular forward look reports which include emerging new medicines, including Advanced Therapy Medicinal Products (ATMPs).

The Scottish Government recognises that physical bank branches provide an important service for many individuals and businesses across Scotland. The closing of branches in Scotland raises concerns around access to cash and banking services - particularly for rural communities, vulnerable individuals and digitally excluded customers

I engage regularly with the banking sector through bilateral ministerial meetings and the Financial Services Growth and Development Board, engagements in which concerns around the ability for consumers to access cash and banking services are raised. Following the Lloyds Banking Group (LBG) announcement in March to shut 19 Bank of Scotland branches, I met with LBG representatives to discuss their decision and Governments concerns on the potential impacts on affected communities.

The responsibility for the regulation of the financial services industry is reserved to the UK Government and Scottish Ministers are unable to intervene in the commercial decisions made by banks. HM Treasury announced their intention last year to legislate on “access to cash” and in the Queen’s Speech on 10 May 2022, “ensuring continued access to cash across the UK” is referenced as an intended outcome of the Financial Services and Markets Bill.

The Scottish Government is ready to work constructively with the UK Government on this matter to ensure that Scotland’s communities have fair access to convenient, local cash and banking services.

Coronavirus (COVID-19): guidance on the extended use of face masks and face coverings in hospitals, primary care and wider community healthcare was updated on April 14th 2022 to reflect the change from legislation to guidance for the wider use of face masks and face coverings in public spaces, and to align with the updated Scottish Winter (21/22 Respiratory Infections in Health and Care Setting Infection Prevention and Control (IPC) Addendum.

The updated guidance for staff and patients/visitors reaffirms the continued use of face masks in healthcare settings. Staff (in hospital, primary care and community healthcare) providing direct care are strongly recommended to continue to wear Type IIR fluid resistant surgical masks (FRSMs) at all times while on shift.

Staff in non- clinical areas are strongly recommended to wear a FRSM (or their own face covering) when not seated at a desk.

Out- patients and visitors are strongly recommended to wear a face covering when attending health and community healthcare settings. Face masks are provided at the entrance to hospitals for any individual who requires one.

Section 5.1.5 of the Scottish Winter (21/22 Respiratory Infections in Health and Care Setting Infection Prevention and Control (IPC) Addendum sets out the current recommended PPE requirements for Healthcare workers across the NHS (hospital, primary care and community healthcare).

The safety of staff in health and social care settings is our top priority and spending decisions on pandemic PPE are, at every stage, led by clinical need and current guidance. Work on implementing a joined-up public sector procurement arrangement which will provide Scotland with a resilient and secure pandemic PPE supply for the long term is being taken forward at pace.

The Scottish Government is committed to supporting and empowering women and girls to reach their full potential through our sustainable and inclusive economic growth ambitions.

In our recently published Best Start, Bright Futures: Tackling Child Poverty Delivery Plan 2022-26, we committed to building on existing work to remove barriers to employment, taking a strategic and intersectional approach to tackling employment inequalities. We know that the voice of lived experience is vital in developing and implementing policy to tackle poverty, and will continue to work with partners in the delivery of this plan.

To incorporate understanding of women’s experiences, we will be working in partnership with our key stakeholders and partners, as well as key advocacy groups who work directly with parents in the priority families groups outlined within the Tackling Child Poverty Delivery Plan. We have committed to establishing a Parental Lived Experience Panel in Summer 2022, to help inform our activity around employability. This will build on the on the success of our existing Lived Experience Panel, which has been invaluable in co-designing No One Left Behind, and aligns with our wider commitments to embedding the Scottish Approach to Service Design in employability. Work is also underway to develop a lifetime skills offer to support individuals and businesses to develop the skills needed now and in the future, and as these proposals are developed, we will link with key expert groups to inform the process.