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The Scottish Government recognise that people in rural areas can experience particular challenges in relation to their mental health and wellbeing.

We have a specific focus on rural communities within the Communities Mental Health and Wellbeing Fund. Across the first two years of the Fund, over 700 awards have been made to projects supporting people disadvantaged by geographical location (including rural areas).

We have also provided £50,000 per year to fund the National Rural Mental Health Forum managed by Change Mental Health. The Forum focuses on exchanging knowledge, experience and learning about mental health and wellbeing in rural areas, enabling it to better understand and support rural communities.

We are committed to supporting rural mental health services to develop their workforce and increase service provision. We also provide tailored support to those Boards with the longest waits to ensure that those who need care can receive it in a timely manner, including regularly engaging with remote and rural Boards, providing access to professional advice.

In introducing dental payment reform from 1 November, we have rightly sought to place greater focus on preventive treatment, including detailed clinical advice on the importance of self-care for good oral health.

During routine check-ups, and where a dentist deems it clinically appropriate, an individual may receive enhanced preventative advice as part of a treatment plan. This must include a physical demonstration of toothbrushing techniques and has been introduced to better support individuals in maintaining their own oral health between appointments. This activity attracts a claimable fee for dentists – to cover the costs of their time and any equipment used to teach patients – and therefore there is a related charge for those patients who are not eligible for free NHS dental care.

Figures in the following table show the gross General Dental Services budget and respective spend for the previous four financial years.

• Information on 2023-24 spend is not available at this time and will be published as part of the overall Scottish Government consolidated accounts to be laid in Parliament later this year.

The Scottish Government is not responsible for authorising any company or organisation to drive under blue light conditions.

The Scottish Government remains committed to supporting and improving eating disorder services across Scotland and ensuring everyone receives the best possible care and support from our health services. It is essential that someone who is diagnosed with an eating disorder receives a thorough assessment and gets the right care and treatment for every aspect of their illness as soon as possible.

That is why in 2023-24, we directly allocated £55.5 million to Health Boards via the Mental Health Outcomes Framework. The Framework aims to enable continued improvements to mental health services, including eating disorder services, in line with the aims of the Mental Health and Wellbeing Strategy Mental health and wellbeing strategy - gov.scot (www.gov.scot) and associated specifications and standards.

Whilst this Government sets the strategic policy direction for mental health workforce development within NHS Boards, the direct recruitment of staff and operational decisions about individual services are the responsibility of each NHS Board. Workforce and service planning is conducted by Health Boards according to the needs of their populations.

Independent dentists and dental bodies corporate make claims for items of treatment provided under NHS General Dental Services. As part of the claims process, patient charges, where appropriate, are also recorded. Practitioner Services of National Services Scotland reimburses claims on behalf of NHS Boards, and data on activity is summarised and published under quarterly official statistics by Public Health Scotland.

The Scottish Government is committed to enhancing smart integrated ticketing and has set out its intention to develop a new national integrated ticketing system for public transport in Scotland, across all modes of transport, to enable a system that can used for all elements of a journey.

To support delivery of this, the recently established National Smart Ticketing Advisory Board (NSTAB) which comprises operators, transport authorities, user groups and technical experts, is set to advise Ministers on the future of smart ticketing in Scotland, including on technological standards to enable smart integration between modes. The NSTAB is currently developing their work programme for the next 3 years.

FAIRTIQ has engaged with NSTAB and will present on their smart integrated ticketing solution at an upcoming board meeting. FAIRTIQ is one example of a ticketing platform provider, and it is expected that NSTAB will consider the full range of options available for Scotland and their respective implications on cost and infrastructure. Any resulting public procurement of a new ticketing system will be required to follow public sector procurement processes to ensure best value for money.

The Scottish Government, NSTAB and stakeholders will continue to work closely together on developing these options, in order to best determine the method of delivering a new national integrated ticketing system.

The Scottish Government acknowledges that there is the need for better access to NHS diagnostic assessment and support for people who may have ADHD, and that private assessments can lead to issues with accessing pharmaceutical interventions. We expect, however, local support for people with ADHD to not be diagnosis dependent, but rather be based on needs.

NAIT published guidance on Prescribing ADHD medication to adults following private sector diagnosis in Scotland in April 2022. The guidance was drafted in consultation with practising Psychiatrists, the Royal Colleges of Psychiatry and General Practice and individuals with ADHD.

NAIT’s guidance highlighted, for a Shared Care Agreement to work properly everyone involved must communicate effectively. A Shared Care Agreement is an agreement between a patient, their GP and a specialist service, which can include a private diagnosis service. Recommendations from specialists for ongoing prescribing on the NHS need to be made at an NHS consultation with an NHS specialist.

The Scottish Government is taking forward proposals for a proposed Learning Disabilities, Autism and Neurodivergence bill to help better protect the rights of people with learning disabilities and neurodivergent people, including people with ADHD. The consultation ran from 21 December 2023 to 21 April 2024 and we are currently analysing the responses we received.

We are taking forward a number of steps to address issues around vacancy levels for psychiatry posts.

Through the Psychiatry Working Group we are actively looking at how we can better support the recruitment and retention of psychiatrists in NHS Scotland.

We also continue to work with NHS Education for Scotland and The Royal College of Psychiatrists in Scotland to encourage medical students to consider a long-term career as a psychiatrist. This work includes the ‘Choose Psychiatry’ campaign, undergraduate taster sessions and improved psychiatric placements at Foundation level. 10 additional Core Psychiatry posts were created in 2022, followed by another 15 in April 2023. As part of this year’s expansion we will be adding a further 12, along with 2 extra run-through training posts in both Intellectual Disability and Child & Adult Psychiatry (16 posts in total).

Recruitment into Core Psychiatry has improved drastically in recent years. With the exception of one unfilled post in 2020, 100% of entry level posts have now filled for the fourth consecutive year (up from 63% in 2018).

The most recent publication of Mental Health Workforce data (5 March 2024) shows that under this Government and since 2007, the number of Psychiatrist Consultants across All Specialities in NHS Scotland has increased by 16.7% to 527.0 whole time equivalent posts.

Special medicines or ‘specials’ refer to unlicensed medicinal products that should only be supplied to meet the special clinical needs of an individual patient. An unlicensed medicinal product should not be supplied where an equivalent licensed medicinal product is available. Responsibility for deciding whether an individual patient has “special needs” which a licensed product cannot meet is a matter for the prescribing clinician responsible for their care. Examples of “special needs” include an intolerance or allergy to a particular ingredient, or an inability to ingest solid oral dosage forms. These examples are not exhaustive.

The Scottish Government has no role in designating ‘specials’. Regulation for the licensing, quality safety and efficacy of medicines is currently reserved to the UK Government and is the responsibility of the Medicines and Healthcare products Regulatory Agency (MHRA).