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We are working with all NHS Boards to support them to implement the National Neurodevelopmental Specification: Principles and Standards of Care , including working with NHS Lanarkshire through regular engagement.

NHS Education for Scotland CAMHS Workforce data, published 6 September 2022, showed an increase of 17% in CAMHS community staffing in NHS Lanarkshire compared to March 2021. This CAMHS workforce data includes Neurodevelopmental staffing.

The Scottish Government is aware that those experiencing poor mental health are more likely to smoke, and to smoke more, than those with good mental health. Reducing the inequalities caused by higher rates of tobacco use among this group is an important area of consideration and one is being looked as part of our revised Tobacco Action Plan due to be published in Autumn 2023.

Our vision is to have a Tobacco-Free Scotland through lowering smoking rates in our communities to below 5% by 2034 and to create a generation of young people who do not want to smoke, with all the health and economic benefits that follow. We are developing an expert group that will be reporting on smoking cessation services early next year. We are also committed to working with our NHS cessation coordinators and pharmacy colleagues across Scotland to refocus and remobilise these services to ensure we are reaching those in our communities who are in most need of support to quit.

Work is also ongoing to develop a new Mental Health and Wellbeing Strategy. We have received a broad range of evidence and views through our engagement to date, including through our public consultation, which closed on 9 September and received around 500 responses. These will be carefully considered over the coming months as we continue our work with stakeholders to shape the Strategy and Delivery Plan.

Making the Future contains two substantive references to the Land Reform Bill.

One (under “Strategic Priorities) welcomed the publication of the consultation on the Bill https://www.gov.scot/publications/land-reform-net-zero-nation-consultation-paper/ published 4 July 2022).

The second was a recommendation: that “An ambitious Land Reform Bill should tackle concentrations in ownership and enshrine transparency, equality and public good into the future of Scotland’s land use.”

The measures put forward in the consultation for inclusion in the Bill aim to achieve these objectives. They will do so within the context of Article A1P1 of the European Convention of Human Rights, and the devolved settlement.

The consultation closed on 30 October 2022. Responses to the consultation, and the views of the Just Transition Commission, will be carefully considered as the proposals set out are developed.

The Scottish Government does not currently hold information on cessation support services, available in each NHS board area. However, The Scottish Government are developing an expert group that will be reporting on smoking cessation services early next year. We are also committed to working with our NHS cessation coordinators and pharmacy colleagues across Scotland to refocus and remobilise these services to ensure we are reaching those in our communities who are in most need of support to quit.

In addition, we encourage anyone wishing to stop smoking to contact the free NHS stop smoking service: 'Quit Your Way Scotland' helpline on 0800 84 84 84 to speak to an advisor. Alternatively, local pharmacies can also offer a range of therapies and interventions to help quit tobacco products.

The Scottish Government does not hold data on the current average waiting time for a care home place.

Information on the number of delayed hospital discharges by reason for delay (including care home placement) and length of delay is available on the Public Health Scotland website (See Excel download for standard delays, tab 4) :

Delayed discharges in NHSScotland monthly - Figures for September 2022 - Delayed discharges in NHSScotland monthly - Publications - Public Health Scotland

However, this will not include those awaiting a care home placement who are in the community, nor those awaiting a placement for whom their discharge is not delayed.

The Scottish Government does not hold all data on the current average waiting time for a care home place, therefore no assessment can be made.

The Scottish Government’s Chief Scientist Office operates open competitive funding schemes for applied health research projects and fellowships across the wide range of NHS and health challenges in Scotland.

These schemes continue to operate and are open to consideration of applications addressing priorities for research conditions that effect menstrual health. Applications to these schemes are assessed through independent expert peer-review with funding recommendations made by independent expert committees.

A number of research projects on menstrual health including fibroids and endometriosis, have been funded through these schemes in the past.

In partnership with Wellbeing of Women, this year we are jointly funding a £250,000 research call which aims to develop improvements into treatment and management options for endometriosis. The funding will be awarded in December 2022, fulfilling our medium term commitment in the Women’s Health Plan to commission research into endometriosis.

The Women’s Health Plan also includes a long term action to establish a Women’s Health Research Fund with the aim of closing gaps in scientific and medical knowledge in women’s health for both sex specific and non sex-specific conditions.

Significant work has been done by COPFS, toxicologists and pathologists to address this issue. Since the beginning of 2021, there has been no backlog of toxicology reports. In some cases, the toxicology analysis requires to be supplemented by further scientific testing to assist the pathologist in establishing the cause of death. The dedicated team established by COPFS in November 2021 continues to manage the submission of the final post mortem reports which then require to be considered by Procurators Fiscal.

In this reporting year, over 90% of final post mortem reports have been received within 12 weeks of the date of post mortem and the number of reports still to be processed by COPFS has been substantially reduced from a peak figure of almost 2200 in December 2021 to 356 the week commencing 20 October 2022.

COPFS aims to conduct its investigation and advise the next of kin of the outcome within 12 weeks of the initial report of the death in at least 80% of cases.

Reporting years 2020-21 and 2021-22 saw increases in deaths reported to COPFS of 44% and 40% respectively, reflecting a combination of factors including, but not restricted to, excess deaths attributable directly to COVID-19, local GPs having less contact with patients in the community and being unable to certify deaths, and changes in the process of dealing with and reporting deaths in the community.

The number of cases requiring further investigation, because no cause of death was immediately apparent, has therefore increased, with 7085 post-mortem examinations instructed in 2021-22, an increase of 742 on the previous year. The following table shows the numbers and percentage of deaths requiring further investigation for the last two reporting years and the first two quarters of the current year.

Progress against the published performance target is monitored regularly and has improved significantly this reporting year.

Data specific to Years of Working Life Lost (YWLL) for liver disease is not routinely published. Scottish Burden of Disease data published in Sept 2021 showed that for liver disease (cirrhosis and other chronic liver disease) the number of years of life lost (YLL) have fallen from 37,467 in 2016 to 32,279 in 2019. This is around 2.9% of all YLL reported in the 2019 study (1,100,944).

We know that 60 per cent of liver disease is caused by alcohol misuse and we are working on initiatives that will support communities across Scotland to reduce alcohol consumption.