Chamber and committees

Community views are an essential part of informing future service options. The community feedback gathered at engagement events in Kilcreggan on the 1st of October, Dunoon on the 2nd of October, and Gourock on the 3rd of October, along with the online user survey outcomes, is currently being analysed as part of the appraisal of the possible options. No decisions on the future service design of the Gourock-Dunoon and Gourock-Kilcreggan routes have been made at this stage.

I refer the member to the answer to question S6W-31114 on 15 November 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 Gourock Dunoon Kilcreggan Infrastructure and Vessels Programme is working to develop resilient vessel and port design options. Preferred vessel options will be considered as part of the associated business case and any investment in new vessels and infrastructure will be subject to value for money and affordability considerations.

The National Specification includes requirements for Boards to fully engage with children, young people and families and to gather outcome data against these standards, including experience of service, and to report performance, quality and governance.

While there are no current plans to carry out a specific evaluation, we are working closely with all NHS Boards to support implementation of the CAMHS specification and to improve the service provided to children, young people and families, as well as improve performance across CAMHS. We remain committed to supporting all Boards to meet the standard that 90% of patients start treatment within 18 weeks of referral. We continue to provide enhanced support to those Boards not on track to meet the standard, providing access to professional advice, ensuring they have robust improvement plans in place and monitoring their implementation.

As a result of the difficult decisions which had to be taken through the Emergency Budget review, recruitment of the 1,000 additional roles to support community mental health resilience, ensuring every GP Practice has access to a mental health and wellbeing service has not yet commenced. We have already prioritised significant investment to build mental health capacity in primary care through Action 15 of the Mental Health Strategy 2017-2027 and the Primary Care Improvement Fund.

We remain committed to delivering increased mental health and wellbeing capacity in primary care and the Mental Health and Wellbeing Delivery Plan sets out a range of actions to achieve the ambition in the Mental Health and Wellbeing Strategy to drive a shift in the balance of care across mental health to ensure a focus on prevention and early intervention in the community, including a focus on providing high quality mental health care within General Practice.

The Scottish Government recognises the value of social care support to all who require additional support in living independently at home or in the community.

Under the Social Work (Scotland) Act 1968 local authorities and Health and Social Care Partnerships have a duty to assess the social care support needs of people and decide, in light of that assessment, whether to arrange any services, and if so, which services.

We know that the system needs to work better for everyone in Scotland and we are continuing to work with partners and people with lived experience on ongoing improvement and reform.

These statistics show the fewest amount of people waiting for a social care support assessment this year – a reduction of 12% since January.

Since the Audit of Rejected Referrals was published in 2018, Scottish Government has undertaken a wide range of work to implement the recommendations in the report and take forward whole systems reform of children and young people’s mental health services.

One of the key actions we have taken to address the recommendations is to develop a CAMHS Service Specification: Child and Adolescent Mental Health Services (CAMHS): NHS Scotland National Service Specification (www.gov.scot) published on 2 February 2020, to set out clear standards for all CAMHS services in Scotland. This outlines how CAMHS services should be delivered and what young people and their families can expect from CAMHS. The National CAMHS specification includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service, such as those provided by our community-based supports.

The subsequent publication of the Neurodevelopmental Specification in September 2021 also addresses actions from the Audit of Rejected Referrals and ensures that children and young people who have neurodevelopmental profiles with support needs, receive support that better meets their needs, based on the Getting It Right For Every Child (GIRFEC) approach.

Another action to address key findings in the report was establishing community mental health and wellbeing services across Scotland. Not all children and young people need specialist services like CAMHS, which can lead to referrals not being accepted. This is why we are providing local authorities with £15m per annum to fund community-based mental health supports for children, young people and their families. Local authorities report that, in the first half of 2023, more than 58,000 children, young people and their family members accessed community-based mental health support.

In addition, we have recently seen the best national performance against CAMHS waiting times since the 18 week standard was introduced in 2014. 1 in 2 children and young people referred to CAMHS now start treatment within 6 weeks, compared to 12 weeks pre-pandemic.

The Audit of Rejected Referrals highlighted that improved patient-level data was required to provide further insight and intelligence into system performance. Therefore, the Scottish Government has also commissioned national patient-level data to help with service planning and improvement, for measuring the true impact of investment, and for telling the stories of people seeking and receiving treatment in CAMHS. Directors of eHealth have been commissioned to upgrade data systems supporting CAMHS to enable the collection of patient-level data. This work is ongoing.

In parallel, and responding to recommendations in the report, Public Health Scotland have started publishing data from the CAMHS and Psychological Therapies National Dataset (CAPTND), including referrals to CAMHS by sex, age and SIMD as well as reasons for referral not being accepted. Boards are also working with PHS and Directors of eHealth to enable the collection and publication of additional information in 2025.

While we have made significant progress in improving mental health and wellbeing services for children and young people since 2018, we continue to work closely with Boards to understand the reasons for non-accepted referrals and to ensure that the criteria in the CAHMS specification are being met. The Joint Strategic Board for Child and Family Mental Health provides oversight across all areas of children and families’ mental health, with the aim of ensuring we continue to improve and develop services to help children and young people in Scotland.

XL Bully owners in Scotland had from 1 April 2024 to 31 July 2024 to apply to the Scottish Government for a Certificate of Exemption for their XL Bully dog, to allow them to legally keep their dog. Under the relevant legislation that set these dates, the time period for applications for a Certificate of Exemption to keep an XL Bully dog has closed.

The only means by which an exemption can be granted now is as follows.

The XL Bully dog is on the list of prohibited dogs under the Dangerous Dogs Act 1991.

Following the passing of the Dangerous Dogs (Amendment) Act 1997, it continued to be the case that it is a criminal offence to own a prohibited type of dog, but following a conviction the court has discretion in sentencing so that a dog of this type is not always required to be destroyed where an owner was found to have kept a dog in breach of the legislation.

The court can, as an alternative to ordering the destruction of the dog, authorise a person owning such a dog to be able to apply to place the dog on the Index of the Exempted Dogs. Only courts can direct that an owner can be authorised to apply for a dog to be placed on the Index of Exempted Dogs.

The Scottish Government does not have any role to play in the decision making of the independent court when it considers how to dispose of cases, but will of course consider any application for exemption on the back of any court direction that would permit the owner of an XL Bully dog to apply to Scottish Ministers to seek a Certificate of Exemption.

We are working closely with all NHS Boards to support implementation of the CAMHS specification to improve the service provided to children, young people and families, as well as improve performance across CAMHS. We remain committed to supporting all Boards to meet the standard that 90% of patients start treatment within 18 weeks of referral.

Local CAMHS teams continue to respond well to demand, with 1 in 2 children and young people referred to CAMHS starting treatment within 6 weeks, compared to 12 weeks pre-pandemic. In the first half of this year, we have seen the best national performance against CAMHS waiting times since the 18 week standard was introduced in 2014.

Recognising that performance does still vary across Health Boards, we continue to provide enhanced support to those Boards not on track to meet the standard. This includes providing access to professional advice, ensuring they have robust improvement plans in place and monitoring their implementation. This is in addition to a programme of routine engagement with all 14 territorial Health Boards.

We have directly allocated £120 million to NHS Boards and Integrated Joint Boards for a new Enhanced Mental Health Outcomes Framework in 2024-25. The Framework provides a single, flexible funding stream to support continued improvements and better outcomes across a range of mental health and psychological services in line with the Mental Health and Wellbeing Strategy, including CAMHS and implementation of the CAMHS Specification.

We continue to work with NHS Boards to monitor the Service Specification’s implementation, to improve services and enhance support for children and young people and their families.

The Scottish Government does not have any role to play in operational matters that fall to Police Scotland and Crown Office and Procurator Fiscal Service (COPFS) when considering allegations of criminal offences under dangerous dogs legislation. In addition, the Scottish Government does not have any role in the decision making of the independent court when it considers how to dispose of cases.

Within this context, the information requested is not held by the Scottish Government.

Scottish Government officials are continuing to engage with Police Scotland, COPFS, local authorities and Scottish SPCA about the impact of enforcing and implementation of the new safeguards on XL Bully dogs.