Chamber and committees

We are engaging closely with our sector wide stakeholder group and taking an evidence-based approach to developing and delivering actions to support Scotland’s childcare profession that include consideration of gender, pay and wider working conditions. This builds on the important work the Scottish Government has led to make Fair Work central to the delivery of the expansion of funded early learning and childcare (ELC).

In 2016, before the ELC expansion to 1140 hours, approximately 80% of practitioners delivering funded ELC in private and third sector services were paid less than the real Living Wage. The investment to support sustainable rates, and the ELC real Living Wage commitment has led to increases in pay across private and third sector services. Our Financial Sustainability Health Check, published 31 July 2023, reports that 81% of funded ELC providers in the private and third sector are now paying the real Living Wage to either all staff or staff delivering funded ELC.

In 2024-25, the Scottish Government has provided local authorities with an additional £16 million to increase pay for staff in the private and voluntary (PVI) sector who are delivering funded ELC to at least £12 per hour from April 2024. This commitment could result in a £2,000 increase in the gross salary annual salary of a full-time childcare worker.

This demonstrates our commitment to the Fair Work agenda, as we remain the only part of the UK to provide funding to allow ELC staff in the PVI sector to be paid the real Living Wage.

Another key action we are taking forward is implementing a process for monitoring progress with providers paying the real Living Wage and re-establishing the ELC Fair Work and Real Living Wage Implementation Group.

These are critical steps towards addressing the recruitment and retention issues facing the sector today.

It is the responsibility of local Health and Social Care Partnerships (HSCPs) to put in place services to meet local needs, including the needs of adults with ADHD. Alongside this, the Scottish Government is engaged in work nationally to improve access to ADHD diagnosis in Scotland.

The Scottish Government funds Scottish Autism’s Autism Advice Line which is staffed by advisors who are trained and experienced in working with autistic people and their families. The Advice Line is open Tuesday – Friday, 10am-4pm. There is also a live chat facility, which you can access via the chat bubble at the bottom right hand corner of Scottish Autism’s website .

We also provide £1m of funding to several organisations via our Adult Autism Support Fund (AASF). Formal diagnosis is not required to access support from the new fund, which is directed at adults who currently receive very little local funding. The service is delivered in partnership with national charities and autistic led organisations, with Inspiring Scotland appointed as fund managers.

There are many other organisations across Scotland that run initiatives that support adults awaiting assessments for autism and/or ADHD. These initiatives do not require formal diagnoses as a prerequisite for access.

Following the announcement of major new childcare commitments in the 2023-24 Programme for Government, the Scottish Government is re-considering the approach to publication of the strategic framework for the early learning and school age childcare profession. In the mean time we are continuing to work with the Framework Steering Group and other partners to support delivery of the actions developed as part of the original plan.

We have already provided local authorities with an additional £16 million in 24-25 to increase pay for staff in the private and voluntary (PVI) sector who are delivering funded early learning and childcare (ELC) to at least £12 per hour from April 2024. This demonstrates our commitment to the Fair Work agenda, as we remain the only part of the UK to pay ELC staff in the PVI sector the real Living Wage.

In addition, we are progressing our commitment to growing the childminding profession by 1,000 and have funded the Scottish Childminding Association to develop a new national three-year programme of childminder recruitment and retention. We have also implemented a Protection of Vulnerable Groups (PVG) fee waiver scheme for everyone joining the sector in fiscal year 2023-24 and launched a new national portal for continuous professional learning, which includes mental health and wellbeing resources.

We will continue to work with representatives from across the sector to understand key priorities for the ELC profession and how we can best support retention and recruitment.

The Scottish Breast Screening Programme Statistics 2022-23 report confirms that a greater percentage of women experiencing socio-economic deprivation have attended screening for the three year period 2020-23 when compared to the last reporting period.

While this is a positive trend, the Scottish Government continues to ensure work is carried out to address inequalities in uptake and access to screening. The Scottish Government has committed £3 million since 2021 to tackle inequalities in the programmes. This has supported Health Boards to develop initiatives to meet local needs, develop better data capabilities so interventions can be more targeted and work to raise the profile of screening among specific groups. In 2024-25, an additional £1 million will be provided to build on this work.

This funding will support the Scottish Equity in Screening Strategy, which was published July 2023 with Screening Oversight and Assurance Scotland, and provides direction and focus to tackling screening inequalities.

In addition to this, the Executive Summary & List of Recommendations - Scottish Breast Screening Programme: major review - gov.scot (www.gov.scot) published in 2022 noted recommendations to address breast screening inequalities. The Breast Screening Modernisation Board, chaired by Dr Marzi Davies, is currently taking forward these recommendations.

The Scottish Government funds the National Autism Implementation Team (NAIT) to support local areas to improve their neurodevelopmental support and diagnosis for adults; this includes diagnosis for both autism and ADHD. Since we accepted the recommendations of the Adult Neurodevelopmental Pathways report last year, we have provided £567k for implementation to the NAIT. Nine of the 14 NHS Health Boards in Scotland now have Adult Neurodevelopmental Pathway Strategic Groups and five have a current Local Action Plan. Progress in this area remains a priority.

NAIT also published guidance in April (2022) regarding the prescribing of ADHD medication to adults following a private sector diagnosis in Scotland which can be read here .

NAIT’s guidance was constructed in consultation with practising psychiatrists, the Royal Colleges of Psychiatry and General Practice, as well as individuals with ADHD.

This guidance helps clarify the roles and responsibilities of both NHS staff and non-NHS providers.

I refer the member to the answer to question S6W-27778 on 10 June 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

There is no national collection of waiting times for adult diagnosis of ADHD. Such collection is conducted at the level of Health and Social Care Partnerships (HSCPs), and is not aggregated nationally.

However, the Scottish Government established the National Autism Implementation Team (NAIT), in partnership with Queen Margaret University, to support Health and Social Care Partnerships to consider best practice and improve service in the redesigning of autism diagnostic services.

In May 2023, NAIT published a review of waiting times for neurodevelopmental assessment in Scotland for adults , conducted between October 2021 and May 2022. These assessments include those for autism and ADHD.

This review found that, while the median overall waiting time for a diagnosis in adults was 252 days, aligning with the recommended timeframe, under half (47%) of individual assessments met the 252-day time standard, indicating that some individuals experience longer waiting times.

The 2020 Programme for Government included work to consider a National Clinical Pathway for ADHD. That work has now been completed and the Feasibility Study was published in January 2021 by the National Autism Implementation Team (NAIT).

Following on from the study, the Scottish Government provided funding of £650,000 for a 12-month pilot in four HSCP areas - Fife, Borders, Lanarkshire and Highland. The findings of the pilot were published in March 2023. We have accepted the full recommendations of the report and are now working with NAIT on implementation.

Badgers and their setts are protected under the Protection of Badgers Act 1992 as amended by the Wildlife and Natural Environment (Scotland) Act 2011.

NatureScot, the licensing agency in Scotland, may consider issuing licences under the Protection of Badgers Act 1992 to undertake actions for a specific purpose, such as to prevent serious damage by badgers to agriculture.

Recent research investigating reports of badger predation on lambs on Scottish farms was undertaken in 2022 and 2023 by Science and Advice for Scottish Agriculture (SASA), in conjunction with NatureScot, Scottish Land and Estates, and the National Farmers Union Scotland, The research found that whilst the results cannot fully rule out the occurrence of badger predation, they strongly suggest that foxes are most likely to be responsible for the majority of lamb predation events on Scottish farms. A copy of the report of this research can be found at:

https://www.nature.scot/doc/naturescot-research-report-1345-investigating-role-badgers-meles-meles-lamb-predation-scottish-farms

I refer the member to the answer to question S6W-27426 on 28 May 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 .

Through Scottish Enterprise, the Scottish Government has regular discussions with Scotland-based vehicle manufacturers, including bus manufacturers, about opportunities for hydrogen fuel cell and other types of zero emission vehicles in the UK and international markets.