Questions and answers

Question reference: S6W-23935

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Friday, 15 December 2023
Current Status: Answered by Fiona Hyslop on 9 January 2024

To ask the Scottish Government whether it will revise the Scottish Transport Appraisal Guidance (STAG) model for future rail infrastructure investment, in light of patronage projections for the reopening of Stow, Galashiels and Tweedbank stations on the Borders Railway reportedly having been underestimated for the first year of opening by, respectively, 313%, 330% and 681%.

Transport Scotland keeps forecasting methodology under review to ensure best practice. The Borders Railway business case demand forecasts were based on modelling that was informed by surveys of residents regarding their potential use of the line. This resulted in forecasts that underestimated demand from Borders stations and overestimated demand from Midlothian stations.

Rail demand forecasting has developed considerably since the demand forecasts for the Borders Railway business case were first developed in 2008. A post-opening hindcast from the South East Scotland Transport Partnership (SESTran) Regional model for those Borders stations gave forecasts within 30% of actual demand. Where available, Transport Scotland recommends to promotors the use of Regional models for new station demand forecasts .

Question reference: S6W-23951

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Friday, 15 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, in light of Public Health Scotland data confirming that the percentage of frontline NHS spend allocated to mental health services was 8.78% in 2021-22, whether it is still on track to meet its commitment to allocate 10% of NHS spend to mental health services by the end of the current parliamentary session.

We continue to work towards delivery of the commitment that at least 10% of frontline health spending will be dedicated to mental health by the end of this parliamentary session.

The NHS Recovery Plan 2021-2026 Annual Progress Update published in December 2023 confirmed that NHS expenditure on mental health rose from £1.25bn in 2020-21 to £1.3bn in 2021-22, an increase of £51.5m or 4.1% - representing 8.8% of total NHS expenditure.

Question reference: S6W-23950

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Friday, 15 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, further to the finding in the publication, NHS Recovery Plan 2021-2026 Annual Progress Update 2023, that the percentage of frontline NHS spend allocated to child and adolescent mental health services (CAMHS) is currently 0.66%, whether it is still on track to meet its commitment to allocate 1% of NHS spend to CAMHS by the end of the current parliamentary session.

We continue to work towards delivery of the commitment that at least 1% of frontline health spending will be dedicated to mental health services for children and young people by the end of this parliamentary session.

The NHS Recovery Plan 2021-2026 Annual Progress Update published in December 2023 confirmed that NHS expenditure on Children and Adolescent Mental Health Services rose from £88m in 2020-21 to £97.6m in 2021-22, an increase of £9.3m or 10.6% - representing 0.66% of total NHS expenditure.

Question reference: S6W-23954

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 19 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, further to the letter of 21 November 2023 from the Cabinet Secretary for Finance to the Finance and Public Administration Committee, whether the in-year budget changes set out in the letter will impact the delivery of its commitment to spend 1% of frontline NHS spend on child and adolescent mental health services (CAMHS).

The majority of spending on mental health is delivered through NHS board budgets, and this is not directly affected by the in-year budget changes impacting on the direct mental health programme budget. 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.

We are working with partners towards delivery of the commitment to increase spending on child and adolescent mental health services to 1% of the total frontline NHS budget by the end of this Parliamentary session in 2026. We will continue to work with NHS Boards to monitor delivery through the Scottish Health Service Costs Book and the process of setting and monitoring priorities in Annual Delivery Plans.

Question reference: S6W-23955

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 19 December 2023
Current Status: Answered by Maree Todd on 9 January 2024

To ask the Scottish Government, further to the letter of 21 November 2023 from the Cabinet Secretary for Finance to the Finance and Public Administration Committee, whether the in-year budget changes set out in the letter will impact the delivery of its commitment to spend 10% of frontline NHS spend on mental health services.

The majority of spending on mental health is delivered through NHS board budgets, and this is not directly affected by the in-year budget changes impacting on the direct mental health programme budget. 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.

We are working with partners towards delivery of the commitment to increase spending on mental health services to 10% of the total frontline NHS budget by the end of this Parliamentary session in 2026. We will continue to work with NHS Boards to monitor delivery through the Scottish Health Service Costs Book and the process of setting and monitoring priorities in Annual Delivery Plans.

Question reference: S6F-02713

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Monday, 08 January 2024
Current Status: Taken in the Chamber on 11 January 2024

To ask the First Minister what urgent steps are being taken to address reports of a mental health crisis with an increase in calls to the NHS 24 Mental Health Hub.

Question reference: S6W-23811

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 12 December 2023
Current Status: Answered by Maree Todd on 8 January 2024

To ask the Scottish Government, further to the answer to question S6W-23424 by Maree Todd on 11 December 2023, what planned new programmes cannot proceed as anticipated as a result of the in-year budget changes set out by the Deputy First Minister and Cabinet Secretary for Finance on 21 November 2023.

Difficult decisions have had to be made to allow us to balance the Scottish Government budget while still progressing implementation of our mental health and wellbeing and other strategies 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. This included programmes related to Mental Health and Primary Care; regional CAMHS developments; full implementation of Coming Home; full implementation of the new Mental Welfare Commission Patient Records System; and improving prisoner mental health.

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.

Question reference: S6W-23812

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Tuesday, 12 December 2023
Current Status: Answered by Maree Todd on 8 January 2024

To ask the Scottish Government, further to the answer to question S6W-23424 by Maree Todd on 11 December 2023, what programmes were expected to receive increased funding which now cannot be progressed as a result of the in-year budget changes set out by the Deputy First Minister and Cabinet Secretary for Finance on 21 November 2023.

Question reference: S6W-23715

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Friday, 08 December 2023
Current Status: Answered by Maree Todd on 5 January 2024

To ask the Scottish Government which four child and adolescent mental health services (CAMHS) services had not yet managed to effectively eliminate long waits as of June 2023, as referenced in its publication, NHS Recovery Plan 2021-26: Annual Progress Update 2023, and when it expects those services to eliminate such waits.

Statistics published on 5 September 2023 covering quarter ending June 2023 show that NHS Forth Valley, NHS Highland, NHS Lanarkshire and NHS Orkney did not effectively eliminate their long waits (where 4% or fewer of all waits are over one year).

However, statistics published on 5 December 2023 covering quarter ending September 2023 show that NHS Forth Valley, NHS Lanarkshire and NHS Orkney have now effectively eliminated their long waits (where 4% or fewer of all waits are over one year).

We continually monitor CAMHS waiting times performance and backlogs and are directing tailored support to those Boards with the longest waits, including NHS Highland, providing access to professional advice, ensuring they have robust improvement plans in place and monitoring their implementation.

We have commissioned all Boards to submit performance trajectories up to March 2024, including a timeline for clearing long waits. These will be updated annually and used to inform further targeted improvement work to ensure all Boards consistently meet the CAMHS waiting times standard.

Question reference: S6W-23740

Asked by: Paul Sweeney, MSP for Glasgow, Scottish Labour
Date lodged: Friday, 08 December 2023
Current Status: Answered by Maree Todd on 5 January 2024

To ask the Scottish Government what its response is to the finding in the Carers Scotland report, State of Caring 2023, that over a quarter of unpaid carers said their mental health is bad or very bad, rising to 37% for those in receipt of Carer's Allowance.

We know that many carers experience mental, physical, employment and financial impacts as a result of their caring role. We must ensure adequate support for carers, particularly those most at risk of poorer health, to ensure their wellbeing and sustain them in their role.

The Mental Health and Wellbeing Strategy Delivery Plan and the Workforce Action Plan were published jointly with COSLA in November 2023. Actions in the Delivery Plan cover a wide spectrum, from maintaining good mental wellbeing, to support in communities, to ensuring specialist services are available whenever needed.

The Mental Health and Wellbeing Workforce Action Plan recognised the valuable role of carers and set out actions to improve carer awareness training for the workforce and access to wellbeing support for carers. Equality Impact Assessments have been published for both the Delivery Plan and Workforce Action Plan.

Our National Wellbeing Hub provides advice for unpaid carers, with information and resources to support carers to look after their mental health and wellbeing.

The National Specification for Psychological Therapies and Interventions was published in September 2023. It aims to improve the quality of the delivery of psychological therapies and interventions so that people accessing help, including unpaid carers, have positive experiences.

Support for carers is one of the aims of the recently published Core Mental Health Standards, which includes signposting to support and resources when needed. These standards were developed with the input of individuals with lived experience, including carers and set out clear expectations for what services will provide and to let individuals, their families and carers know what they can expect from a secondary mental health service. We want to support secondary mental health services which enable people to receive the right information, support, care, intervention, or service for their needs

Another key aim of the standards is that they are meaningful and measurable. National data sources will be used to monitor how well the standards are being met. Where areas for improvement are identified, support will be provided to local areas to ensure that safe and quality services are provided. The standards will also aim to ensure services are measuring key outcomes for patients, including carer experience.

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