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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.

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.

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.

It is not possible to undertake an assessment of the impact on emissions from road vehicles as a direct result of the reduced ScotRail timetable. There is not specific data available on any change in road vehicle kilometres that could be attributed to reduced rail services.

Transport trends data since 16 May 2022 show a fall in rail travel of 14% and an increase in concessionary bus patronage and car use, both by 1% in the same period.

I refer the member to the answer to question S6W-08784 on 14 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

Following the pause on all adult screening programmes in March 2020, due to COVID-19, the Scottish bowel screening programme resumed issuing home testing kits from 12 October 2020. All those who were due to be sent a bowel screening kit during the pause were sent one after the programme restarted.

Bowel screening continues to operate in line with pre-COVID performance; the same number of invitations are being issued. However, because of COVID-19, individuals have been receiving their bowel screening kits 6 months later than in previous screening rounds. This is likely to continue until the end of the year, at which point all screening kits will go back to being issued 2 yearly as in the pre-Covid period. It should be stressed that invitations for first screenings (which are issued to participants as they turn 50 and become eligible for the programme) have continued to be sent out on time since the programme restarted and have not been affected by the pause.

As test kits are posted nationally, there is no variation on delays across the programme, and therefore it is not possible to provide figures broken down by Health Board.

We continue to emphasise the importance of being aware of the signs and symptoms of cancer, and to report any concerns to a GP as soon as possible so that these can be investigated. More information on the symptoms of bowel cancer can be found on the NHS Inform website at: https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-adults/bowel-cancer#signs-and-symptoms-of-bowel-cancer

From the outset, the Scottish Government’s decision-making on the COVID-19 vaccination programme has been guided by the expert advice provided by the Joint Committee on Vaccination and Immunisation (JCVI) and senior clinicians.

It is presently anticipated that spring boosters will continue to be offered to those currently eligible according to JCVI guidance until 30 June 2022. On 19 May 2022 the JCVI issued interim advice regarding the autumn 2022 COVID-19 boosters.

Prioritising those most at risk has been our approach from the outset. The JCVI interim advice is to offer the autumn 2022 vaccination to the following individuals:

Residents in a care home for older adults and staff working in care homes for older adults;

Frontline health and social care workers;

All those 65 years of age and over; and

Adults aged 16 to 65 years in a clinical risk group.

This is based on an ongoing review of all the available evidence including infection rates, hospitalisation, mortality data and evidence of vaccine waning.

There is a clinical referral route available for clinicians to refer anyone who they identify as requiring additional dose(s) of vaccine or a different dosing schedule for clinical reasons (in keeping with eligibility as recommended by JCVI), on a case by-case-basis.

This is interim advice and the JCVI will continue its ongoing review and provide the eligibility criteria for the autumn 2022 booster in the near future and we stand ready to implement any further decisions on eligibility made by the JCVI.

The R100 Scottish Broadband Voucher Scheme (SBVS) is a key strand of R100 programme delivery. As of May 2022, 1,847 properties on Shetland were eligible for a voucher worth up to £5,000 through the R100 SBVS.