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Historically Scotland has a relatively high number of mental health beds per 100,000 of the population and lower levels of bed occupancy (compared to the rest of the UK).

However, we are aware of recent pressures on the availability of psychiatric beds, exacerbated by the continuing impact of seasonal illness and COVID-19 on staff capacity. Officials have developed a support and engagement plan across mental health services. This will include routine engagement with NHS Boards, with additional support for those with the highest rates of delayed discharge.

We are continuing to invest record amounts into mental health provision across the country, to ensure the needs of the population are met effectively, safely, and in a timely fashion – this includes advancing our aspiration for care to be person centred and delivered in the community wherever appropriate.

The vast majority of spending on mental health is delivered through NHS board budgets – and this is not directly affected by the Budget reprioritisation. Between the Scottish Government and NHS boards we expect spending on Mental Health to be well in excess of £1.3 billion in financial year 2023-24.

Historically Scotland has a relatively high number of mental health beds per 100,000 of the population and lower levels of bed occupancy (compared to the rest of the UK). However, we are aware of recent pressures on the availability of psychiatric beds, exacerbated by the continuing impact of seasonal illness and COVID-19 on staff capacity in both inpatient and community settings.

Officials have developed a support and engagement plan across mental health services. This will include routine engagement with NHS Boards, alongside access to professional advice and tailored support for those NHS Boards with the highest levels of delayed discharge.

We remain fully committed to delivering the Coming Home recommendations, and to support public bodies to reduce inappropriate hospital stays and out-of-area placements experienced by people with learning disabilities and complex care needs.

The National Digital Platform continues to undergo development, with core components that will enable individual access, such as standards-based data storage and integration, access controls and user authentication for the workforce now largely in place.

However, the Platform itself will not provide patients digital access to their medical records or the ability to book appointments, rather it will power the underlying data requirements and systems integration for digital services that are public facing. Examples of such services include the Scotland-wide national vaccine service, where patients could access their vaccine information and book appointments through systems that relied on the capabilities of the National Digital Platform. Additionally the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) digital application, which is designed, delivered and deployed on the National Digital Platform is currently live in two Boards, and being implemented in several others. The Platform is also being used to power the developing OpenEyes Ophthalmology electronic patient record and the development of a Stroke Assessment tool.

A more detailed update on the National Digital Platform, along with detail on how patient access to their medical information and how appointments will be able to be booked online, will be provided to the Health, Social Care and Sport Committee in February 2024 in response to their correspondence on 05 December related to electronic patient records.

LED parapet lighting installations are currently in place and attached to the Carnoustie Street, West Street and Eglinton Street flyovers on the M74 motorway in Glasgow.

Transport Scotland’s Operating Company for the Glasgow area, Amey Ltd, has identified some faults in these assets as part of their ongoing inspection regime. Amey is currently developing a programme for these repairs and I have asked officials at Transport Scotland to provide with a further update by the end of January.

The Scottish Government commissioned NHS Education Scotland (NES) to develop and run the National Digital Platform. The following table details spend incurred by NES by financial year on the design, development, and support for the National Digital Platform (NDP) since the initial commission in 2018.

We are engaging with the Royal College of Psychiatrists, and other stakeholders, to ensure that the issues identified and recommendations made in the recent ‘State of Nation: the Psychiatric Workforce in Scotland’ report are considered as part of our ongoing work to implement the new Mental Health and Wellbeing Workforce Action Plan.

As part of work already underway, we have established a Psychiatry Working Group to consider how we can better support the recruitment and retention of psychiatrists in NHS Scotland. This Working Group are actively considering the issues raised in this report.

In addition to this, in 2022-23 we increased the number of Core Psychiatry training places by a further ten. This year we will fund another 15 Core Psychiatry training places. We also continue to work with NES and the Royal College of Psychiatry to encourage medical students to consider a long-term career as a psychiatrist.

The most recent publication of Mental Health Workforce data (5 December) shows that under this Government and since 2007, the number of Psychiatric Consultants across All Specialities in NHS Scotland has increased by 18.6% to 535.5 whole time equivalent posts.

Official designations of party affiliations are held in one central system and shared across many other parliamentary systems. There are technical considerations about making this change across these systems, including the fact that the change would not be retrospective. Parliamentary officials will explore options with you as to how the designation could be represented in an appropriate manner.

Information on the incidence or occurrence of rare conditions such as cystic fibrosis is not held centrally by the Scottish Government, however, it is estimated that approximately 900 people in Scotland have cystic fibrosis.

I refer the member to the answer to question S6W-23215 on 11 December 2023. 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.

Financial planning for the significant challenges our public finances continue to face took place in advance of the Deputy First Minister and Cabinet Secretary for Finance's update on the 2023-24 in-year budget changes on 21 November.

The difficult decisions which have had to be made have allowed us to help balance the Scottish Government's budget while still progressing implementation of our mental health and wellbeing strategy from a revised direct budget of £260.3 million.

The in-year budget changes impacted on a number of planned new programmes which could not proceed as anticipated. Planned increased funding to existing programmes were also not able to be progressed.

Despite the savings made, we have continued to focus on delivery of our mental health and wellbeing strategy and recently published delivery plan, which includes commitments around mental health services and specific programmes of work around learning disability and autism, and cross-cutting trauma work.

Financial planning to address the significant challenges our public finances face took place in advance of the Deputy First Minister and Cabinet Secretary for Finance's update on the 2023-24 in-year budget changes on 21 November.

The difficult decisions which have had to be taken, have allowed us to help balance the Scottish Government's budget, while still progressing implementation of our mental health and wellbeing strategy from a revised direct budget of £260.3 million.

As set out in the Scottish Public Finance Manual grant payments should not be made in advance of need.