Seòmar agus comataidhean

I refer the member to the answer to question S6W-08835 on 17 June 2022. 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

No formal consultation by (a) Transport Scotland and (b) ScotRail took place with (i) workers and (ii) unions before the temporary timetable was implemented. ScotRail utilised the time available to them, during this challenging period, to compile the temporary timetable which is aimed at providing the best possible service to as many passengers as possible with the available resources. The major determining factor is driver availability by rostered hours, location and with the necessary competencies, which fluctuates daily.

There is currently specialist perinatal mental health provision in every mainland Health Board. We are working intensively with Boards to build their provision to the levels outlined in Delivering Effective Services . As of May 2022, there were 12 Health Boards with specialist community perinatal mental health teams, eight of which were fully established. These are: Borders, Dumfries and Galloway, Fife, Forth Valley, Greater Glasgow and Clyde, Lanarkshire, Lothian and Tayside.

We are working closely with other Boards to ensure that services will be fully established by March 2023. This includes island Boards where regional working as well as Board level provision is a key priority area.

Since it was established in April 2020, there have been 88 successful claims to the Mother and Baby Unit (MBU) Family Fund. NHS Greater Glasgow and Clyde and NHS Lothian do not hold comprehensive information about a claimant’s home Board. Since April 2020:

? 32 families made a claim to NHS Greater Glasgow and Clyde MBU, with an average amount claimed of £303.

? 56 families made a claim to the NHS Lothian MBU, with an average claim of £250.

It has been agreed that some patients based in Tayside and receiving radiotherapy for breast cancer will have to travel for their treatment to their next nearest cancer centre, in Edinburgh, Glasgow or Aberdeen. Patients required to travel will be fully supported, with travel and accommodation costs covered by the Health Board.

NHS Tayside have been working closely with Oncology teams across all four Cancer Centres in Scotland to ensure that patients in need of treatment are prioritised appropriately. Discussions about mutual aid have taken place between Chief Executives and Medical Directors and the national oncology taskforce is looking at national approaches to the management of oncology.

The mutual aid provided has been agreed on the basis that there will be no adverse impact on patient care in NHS Grampian.

A national Perinatal Mental Health Dataset for specialist Community Perinatal Mental Health services (as well as Mother and Baby Units and Maternity/Neonatal Psychological Interventions services) has recently been launched by the Perinatal Mental Health Managed Clinical Network. It is currently being rolled out across Health Boards. The dataset builds upon a previous Clinical Audit System which reported on a limited number of clinical indicators for Mother and Baby Units. The Perinatal Mental Health Dataset will include a range of indicators of clinical activity, recorded by local specialist teams. It will be used to support local service development and quality improvement. The dataset will act as a tool to support Health Boards with local improvement in service planning and delivery, enabling them to understand and respond to local need.

The Transition & Recovery Plan, published in October 2020 and backed by an additional £120m of funding, is transforming services, with a renewed focus on prevention and early intervention. A key commitment in the Transition and Recovery plan is to support the collaborative development, implementation and assessment of quality standards for mental health services. To help ensure that services deliver and measure Psychological Therapies in a more standardised way across Scotland, a new national standard for Psychological Services and Therapies is currently under development with a publication date of Summer 2022.

As part of our investment in Mental Health and Wellbeing in Primary Care Services we will ensure that local planning groups, and in particular local primary care mental health services, are fully aware of the resources and services available for perinatal mental health and are supplied with clear guidance on how to support women and families in accessing these services. This will include support to access wider mental health support hubs, groups and helplines.

Developing specialist Community Perinatal Mental Health teams across every Health Board has been a priority since the start of the Perinatal and Infant Mental Health Programme Board. Since 2019 we have invested over £5.5 million to establish specialist community perinatal mental health teams in every area of Scotland. This is in addition to investment in other specialist services such as infant mental health services and maternal and neonatal psychological interventions (MNPI).

To support Health Board areas to use this funding to develop local services, the Perinatal Mental Health Managed Clinical Network Scotland have developed a number of supporting resources. These include service development guides, care pathways and role descriptors.

We have also recruited a Perinatal and Infant Mental Health Service Development Advisor to work closely with Boards to support them in their implementation of specialist services.

Finalising the establishment of specialist perinatal mental health provision across all Health Boards in Scotland is a priority for the final year of the Programme Board. Every NHS Board area has an Executive Lead driving forward the programme of work and both strategic and implementation groups are also in place.

The Mother and Baby Unit (MBU) Inpatient Provision Consultation closed on 31 May 2022. While more detailed work on the outcomes of this consultation is underway, we are expecting NHS Grampian and NHS Forth Valley to enter into contractual agreements with a Mother and Baby Unit in line with the other territorial Health Boards.

The Perinatal and Infant Mental Health Programme Board and Perinatal Mental Health Managed Clinical Network Scotland will provide support to Boards in setting up these arrangements. We are in the process of meeting with MBU host Boards and NHS Forth Valley and NHS Grampian to discuss how to best ensure access for women and their infants.

Until these arrangements are in place, women residing within any Health Board area in Scotland are still able to access the specialist regional provision in a Mother and Baby Unit if clinically appropriate. Admission is based on clinical need rather than geography.

The information requested relating to non-Mother and Baby Unit adult mental health inpatient admissions during the pregnancy or the postnatal period is not held centrally. However, the Scottish Government Perinatal and Infant Mental Health Programme Board is looking at this question as part of the work following the Mother and Baby Unit (MBU) Inpatient Provision Consultation which closed on 31 May 2022.

Since the start of the Perinatal and Infant Mental Health Programme Board we have invested over £18m in improvements to services and support for parents, infants and families across Scotland. This includes £5.5m for development of specialist Community Perinatal Mental Health services.

Funding levels for each Board have been primarily based on the gaps identified in Delivering Effective Services Report – Perinatal Mental Health Network Scotland and further shaped through discussions with each Board to ensure funding meets local need. As the we progress the programme of work, allocations are transitioning to an NRAC share which is the Scottish Resource Allocation formula used to distribute funding to NHS Boards.

Initial development funding was provided to two Health Boards in the North of Scotland in 2019-20. Funding was then rolled out to all mainland Boards in 2020/21 and all Boards received an allocation in 2021-22.

Following conclusion of the current Programme Board in March 2023, £8m per annum has been earmarked as recurring funding to Health Boards to support the sustainability of perinatal and infant mental health services across Scotland. This includes £5m specifically for specialist Community Perinatal Mental Health services.

Please see the following tables for a breakdown of funding allocated per Board for specialist Community Perinatal Mental Health services for the last 3 financial years.