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Displaying 654 contributions
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
That can certainly happen in strategy development. When that has happened, we have tried to reach out to those stakeholder groups to ensure that we have a strong relationship as we go forward. I can think of a couple of stakeholder groups with which we have a stronger and closer relationship now, having worked together, than we had in the early days.
As you have heard from each and every one of us, we think that suicide is everyone’s business. We want absolutely everyone, particularly marginalised communities, to be part of the solution and to feel involved. We do not want them to feel left on the outside, and we do not want to impose on them a one-size-fits-all solution. We are keen to work with anyone.
I am not sure whether the committee has had closed evidence sessions. Obviously, we are keenly observing your inquiry, but I do not think that we have seen that evidence. If, during your session with people with lived experience, particular issues came up that we need to be aware of, we are keen to hear about them. We want to work with people, and we think that the work that the committee is doing is really helpful. We are keen for the Parliament to scrutinise the work that we are doing, and we are keen to improve and to do the best job that we can, so we will take any pointers that you have for us.
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
You have heard us all mention the challenging financial backdrop. Against that, however, we are fully committed to doubling suicide prevention funding to £2.8 million by 2026, and we are well on track to achieve that. The allocation for 2024-25 is £2.6 million, which is very close to the target figure.
That is against a backdrop of increased investment in mental health and wellbeing as a whole, as well as specific investments—I have not mentioned the distress brief intervention programme. It is important that we see the investment in suicide prevention as part of the whole landscape of mental health investment and suicide prevention itself as part of the core work of mental health. All our investments in mental health in general and in specific programmes such as distress brief intervention have an impact on suicide prevention.
To date, we have invested £24 million in distress brief intervention. I do not know whether you have heard much evidence about it, but it provides timely, compassionate support for people in distress. It is not intended to be suicide prevention work, but when we evaluated it, we found that, for one in 10 people, access to the programme had reduced the risk of suicide. It is really impactful and about 62,500 people in Scotland have accessed it.
You have to be referred to distress brief intervention by front-line staff—those working in ambulances, NHS 24, the police and so on—and when I recently met the staff who can make such referrals, I heard them talk very powerfully about the programme’s impact on the ground. It reduced their own distress in dealing with difficult situations, because they had a powerful, impactful and effective tool that they could utilise in really distressing situations and when faced with people in distress. The programme has been rolled out almost all over the country and within the next few months it will have been rolled out everywhere.
The programme came up in a parliamentary debate last week, when we were talking about the police’s role in responding to people in distress. Distress brief intervention can be deployed by telephone operators when people phone the police, and it can save police time. It is a really impactful programme; again, it is not part of our specific suicide prevention work, but I am very confident that it is having an impact. It is important that we look at the suicide prevention budget within the work that is going on as a whole.
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
We have a national suicide prevention advisory group, which provides an independent assessment of progress to Government and COSLA every year, and it highlights any adjustment or redirection of our priorities that may be needed. The membership of that advisory group reflects a broad range of sectors that are leading work on the social determinants of suicide, such as poverty and care experience, with partners who are working in key sectors affected by suicide, such as the criminal justice sector. We have a broad group, and my impression is that they are constructive critics who are not afraid to hold power to account. That will be useful, particularly given the financial constraints that we are all aware of, in ensuring that our focus remains exactly where it needs to be.
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
I will ask Morag Williamson to come in on that, but that is a conversation that is still going on across Government. We have found ourselves in very difficult times in the past number of years, but we expect to get back on a sustainable footing at some point.
The other thing that we do is provide support. In the discussion around men’s sheds, you heard a commitment from the Government to helping them to get on to a more sustainable footing than they are currently, so that they are more resilient in future years than they have been up until now.
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
I am happy to start, and I think that Morag Williamson will probably want to come in and contribute a little as well.
A number of things are significantly different. One is that tackling inequalities, which will be of particular interest to this committee, is ingrained as part of the core work in the new strategy, whereas, in previous strategies, there was recognised increased risk in communities who experienced inequalities, but there was a challenge in how to respond to that. We have built the tackling of inequalities in with the bricks of this strategy, and we hope that that work will deliver for those particular communities. Of course, often, people do not experience just one inequality, and that overlap has a particular impact.
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
I begin by welcoming the committee’s inquiry. Tragically, suicide continues to impact all parts of society, so we all have a role to play in preventing suicide. That includes us individually as MSPs and collectively as a Parliament. Suicide is, indeed, everyone’s business. I strongly believe that we must all talk more openly about suicide and deepen our understanding of its complexity. By doing that, we can tackle the stigma that surrounds suicide and help to find new ways to support people when they have thoughts of suicide.
I am very proud of the work that is happening right across Scotland to reduce suicide and I want to record my personal thanks to everyone who is already playing their part in helping to keep people safe and to support their recovery. I am impressed with the volume and range of evidence that the committee has already considered and I am pleased that our creating hope together suicide prevention strategy, has been described as “innovative” and “ambitious.” The strategy was developed through Scotland-wide collaboration with communities and the many partners who are working to prevent suicide. Listening to people with lived experience of suicide was key, as was learning from the past 20 years of suicide prevention in Scotland and around the world. That helped us to understand how Scotland’s approach could be more progressive.
First, the strategy recognises the importance of creating societal shifts, which we describe as outcomes, so that our environment protects against suicide, we are all better equipped to respond to someone who may be suicidal, and that anyone who is or has been affected by suicide in any way gets the right support. Secondly, we must tackle the inequalities and life circumstances that increase suicide risk, which are often called “social determinants”. Those include people living in poverty, experiencing homelessness, or living with addiction; people having care experience; having been in prison; and being LGBT, neurodivergent, or coming from some minority ethnic communities.
Much of Government’s policy and investment are already addressing those factors by, for example, tackling child poverty through our progressive Scottish child payment; addressing unemployment through our multimillion-pound investment in employability services; supporting people who are affected by substance use through our national mission; and improving Scotland’s mental health and wellbeing through the delivery of our mental health and wellbeing strategy, including through evidence-based approaches such as our world-leading distress brief intervention programme and action on self-harm. Although those policies are already helping to prevent suicide, we are going further by actively weaving suicide prevention into wider action across Government and society.
I will talk about our progress on delivering our strategy. Our first annual report will be published this summer, with an assessment from our national suicide prevention advisory group, whose members represent and advocate for many of the groups that are disproportionately affected by suicide.
I will touch on a few highlights. We have improved suicide awareness and the availability of peer support across our communities, used clinical evidence and our “Time Space Compassion” approach to suicidal crisis to drive improvements in statutory services and created new systems to capture data and evidence so that we can seize every opportunity to intervene and support someone who is suicidal. For example, we have introduced a suicide review and learning system.
The progress has been achieved thanks to our new collective delivery model, suicide prevention Scotland, which brings together partners and communities across Scotland to collaborate and learn about suicide prevention. It also includes our strategic outcomes lead partners, Samaritans Scotland, Scottish Action on Mental Health, Penumbra, Change Mental Health and Public Health Scotland, which are bringing their valuable leadership and expertise to bear to support delivery.
Looking ahead, our delivery plan for 2024-25 will be published shortly. That plan will continue the breadth and pace of work, including our drive to meet the needs of people who are at higher risk of suicide. It is backed by a significant commitment to double our investment in suicide prevention to £2.8 million by 2026, which is well on track. The wider financial context is extremely challenging, and I am sure that we will discuss how Government is continuing to prioritise mental health.
I thank our lived and living experience panels, whose unique insights continue to direct all our work. I restate the strategy’s aim, which is for any child, young person or adult who has thoughts of taking their own life or is affected by suicide to get the help that they need and feel a sense of hope.
I put on record the correct annual cost of the suicide bereavement support service, which is £309,688 in 2024-25.
I look forward to our discussion and the outcome of the inquiry, which is welcome.
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
It is clear that poverty increases suicide risk—the link between the two is clear—and it is very challenging to tackle poverty in this environment. We have had 14 years of austerity. That political choice, which was made in Westminster, has had a profound impact on our public services and on our welfare system. Then we had the pandemic, which has stretched the health and social care system. We have also had Brexit, which has had a profound impact on our economy and on our societies. As we have come out of the pandemic, we have faced a cost of living crisis. There are real challenges in tackling poverty.
However, despite that, we in Scotland are taking measures that are making a difference. We are all very proud of the Scottish child payment, which prioritises money going into families with young children, recognising the profound impact that poverty has at an early age. That has lifted 100,000 children out of poverty. Obviously, that is a very long-term investment, and it is not a specific suicide prevention measure, but tackling poverty is a suicide prevention measure—make no mistake about it.
I have spoken openly before, particularly when I was the Minister for Public Health, Women’s Health and Sport, about the challenge of the interventions that we make here in Scotland, as it feels like we give with one hand and it is taken away with another. We have one hand tied behind our back, because the focus and approach is so different from our Westminster Government. That makes tackling poverty very challenging.
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
You have given me the opportunity to talk about the mental health and wellbeing communities fund, which is, as you say, a small sum of money. It has been £15 million per year since 2021 and, in the first two years of the fund, nearly 3,500 grants were dispersed, so we are talking about very small sums of money sprinkled like stardust across the country and doing really impactful, magical work.
The beauty of that fund is that it works closely with communities. It goes through a third sector interface, which means that it goes through people who really know what is happening in the community. I take pleasure in the fact that, everywhere I go, I can see the impact of that money in literally every community in Scotland.
I will fight for that money to continue, as you might expect, but I am pushing against an open door because we recognise the impact that it has and it meets a number of our targets. It is not solely about suicide prevention; it is about strengthening communities and, by doing that, we can achieve a huge number of our aims as local and central Government.
Equalities, Human Rights and Civil Justice Committee
Meeting date: 28 May 2024
Maree Todd
At Government level, there is certainly a recognition that our third sector organisations need to be valued and supported, and that multiyear funding would be a way of improving their sustainability. They spend a great deal of energy living hand to mouth and lose a lot of talent because of the way that they are funded. There was a commitment within Government to move towards more sustainable and longer-term funding, but then the pandemic hit, and there has been a challenge in getting back on course for that.
There is no lack of understanding at Government level of how difficult that is for our third sector organisations, and there is no lack of appreciation for the incredible and impactful work that they do. However, getting from the emergency footing that we have been on in the past few years to that more sustainable—
Health, Social Care and Sport Committee
Meeting date: 6 February 2024
Maree Todd
Given the challenging financial context that we face, I am happy that we have been able to increase the rates by 6.68 per cent. An additional £11.5 million is being invested through the local government settlement to do that. It is for local authorities to make decisions on how they spend their funding at the local level.