Seòmar agus comataidhean

I refer the member to the answer to question S5W-24134 on 18 July 2019.. 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

The Autism and Learning Disability Team engages regularly with HSCP leads across Scotland on their strategic approaches and why it is so important for them to increase capacity for autism diagnostic services and to redesign services which are sustainable. We do this on an individual basis and also through the networks of Social Work Scotland.

HSCPs are aware of the actions identified in the current “Towards Transformation” plan for autism and learning disabilities. This includes action on post diagnostic support for adults and the piloting in 4 HSCP areas of a single adult neurodevelopmental pathway. We continue working with the National Autism Implementation Team (NAIT) who help build capacity and expertise, acting as a bridge between national strategy and its implementation at local level by providing a hub of professional autism support and information. The Scottish Government provide funding to a number of charities to provide post diagnostic support locally, linking with HSCP service leads.

HSCP leads are linked into our leadership and engagement framework in partnership with people with lived experience focusing on the topic of mental health. In addition, we will be working with HSCPs as we scope out the work towards a Bill to introduce a commissioner for Autism, learning disabilities and people with neurodivergence.

We have engaged extensively with people with neurological conditions, and organisations which represent them, throughout the development of Adult Disability Payment. Also, during the process of passing the Social Security (Scotland) Act 2018, it was decided that private sector health assessments would not take place in the devolved social security system. Social Security Scotland makes entitlement decisions based on the individual’s account of the impact of their disability or condition and other supporting information. This includes information from people’s wider support network, in order to understand the full range of needs someone with a neurological condition has over a period of time.

Social Security Scotland do not carry out any functional examinations because they do not provide reliable information, particularly in relation to neurological conditions as needs can fluctuate over time. Instead, consultations are a conversation between the practitioner and the client, starting from a position of trust.

Adult Disability Payment launched as a three phased pilot starting with new claims being accepted in a small number of local authorities from 21 March. Phases two and three of the pilot have been rolled out with new claims being accepted from additional local authority areas from 20 June and then 25 July ahead of the full national launch on 29 August.

(a) Social Security Scotland has proactively promoted Adult Disability Payment through national and local media activity, stakeholder communications, social media along with more direct targeted activity. Although media and social media activity has been carried out on a national basis, the more direct marketing has been targeted to areas where Adult Disability Payment is available. Targeted activity in pilot areas has included campaigns across radio, social media, digital and local press print adverts. We are taking learning from campaigns running in the pilot areas and will build on this insight when promoting the payment on a national level.

Awareness raising has also included the delivery of an extensive series of stakeholder engagement events to inform third sector and public sector stakeholders of the roll out of Adult Disability Payment. To support stakeholders a range of marketing materials including leaflets, posters and factsheets are available. Versions of these materials are available in different formats such as easy read, British Sign Language (BSL) and language translations.

(b) Plans are in place for media activity at national launch and continue targeted marketing activity throughout this financial year to drive take up and awareness. This activity will target people through TV, radio, print adverts, out of home advertising, online adverts and social media. Social Security Scotland will also continue to work closely with public sector services and third sector organisations to promote this payment.

People in Scotland with existing UK Government disability assistance awards (Personal Independence Payment (PIP) or Disability Living Allowance (DLA)) will not be asked to go through an application process again. They will be transferred automatically to Social Security Scotland and will receive written notification in advance of that happening so they know what to expect.

As of 19 July 2022 we had issued 79 letters to people receiving Personal Independence Payment to let them know the transfer of their award to Adult Disability Payment has begun. These cases were selected as part of our small Personal Independence Payment to Adult Disability Payment pilot. Once Adult Disability Payment launches nationally on 29 August, we will begin selecting large numbers of Disability Living Allowance and Personal Independence Payment awards for transfer.

We have also developed and are delivering a strategic communication and engagement plan for case transfer. This includes a series of stakeholder roadshows to key stakeholders as well as stakeholder newsletters. We have also included case transfer messaging in our Adult Disability Payment communications such as media releases, opinion pieces, social media posts on Scottish Government and Social Security Scotland channels and paid for marketing campaigns that have run in the pilot areas. Paid for activity has covered radio, social media, digital and print. We will continue implementing this communication and engagement plan as the case transfer process continues.

Case transfer is a joint programme between the Scottish Government and the Department for Work and Pensions. We aim to have safely and securely transferred the awards of everyone living in Scotland in receipt of devolved disability and carer benefits currently delivered by the Department of Work and Pensions to Social Security Scotland by the end of 2025.

From 29 August 2022, adults in Scotland in receipt of Disability Living Allowance will have their awards moved to Adult Disability Payment if they would otherwise have been asked by the Department for Work and Pensions to apply for Personal Independence Payment. Final policy is still being developed on moving the awards of all other adults currently in receipt of Disability Living Allowance.

We have undertaken significant engagement with people who have lived experience of energy limiting conditions and organisations which represent them. Adult Disability Payment has been designed to be inclusive and accessible for people with energy-limiting conditions. Applications can be made through a choice of channels and the questions are relevant to people with fatigue and fluctuating conditions. Social Security Scotland makes entitlement decisions based on the individual’s account of the impact of their disability or condition and other supporting information, including from people’s wider support network. This is particularly helpful for people who may have difficulty accessing a diagnosis or treatment.

Consultations between a client and a health and social care practitioner employed by Social Security Scotland will only be held when necessary. Examinations, such as asking clients to touch their toes, will not be used as they do not provide reliable information, especially in relation to energy-limiting conditions. Social Security Scotland case managers also stringently apply the reliability criteria. This means that entitlement decisions must take into account the full impact fatigue has on individuals when completing activities, including any recovery time needed afterwards.

People will have their Disability Living Allowance award selected for transfer to Adult Disability Payment if they would otherwise be required to claim Personal Independence Payment. These will be individuals that were under 65 on 08 April 2013 and, after 29 August 2022, report a relevant change of circumstances, are due to have their award renewed, or that ask to have their award transferred.

We estimate that approximately 3,000 people in Scotland could see their Disability Living Allowance awards transferred to Adult Disability Payment between 29 August 2022 and 29 August 2023.

There are additional treatment options for selected groups of people with COVID-19 who are thought to be at high risk with a prioritised clinical condition, as well as those taking part in registered clinical trials related to COVID-19. The high risk group does include those with rare neurological conditions such as:

• multiple sclerosis
• motor neurone disease
• myasthenia gravis
• Huntington’s disease

The decision on whether to prescribe a medicine for a patient is entirely for their clinician. Information on the arrangements for direct access to COVID-19 treatments in Scotland can be found at: Coronavirus (COVID-19): Treatments | NHS inform .

High risk individuals who have been diagnosed with chronic neurological disease are now included in the clinical risk group of the autumn/winter booster programme as advised by the Joint Committee on Vaccination and Immunisation (JCVI).

The following groups will be offered an additional booster dose from Sept 2022:

• residents in a care home for older adults and staff working in care homes for older adults
• frontline health and social care workers
• all adults aged 50 years and over
• those aged 5 to 49 years in a clinical risk group, including pregnant women
• those aged 5 to 49 years who are household contacts of people with immunosuppression
• carers aged 16-49 years

Letters will be sent out to the first eligible groups next month with appointments beginning in Sept. Discussions on the details of the delivery timetable are underway with health board partners. More information will be made available in due course.

Scottish Ministers cannot commission the Migration Advisory Committee (MAC) to consider changes to the Shortage Occupation List (SOL).

The Scottish Government responded to recent reviews of the SOL with detailed evidence on labour market shortages and how the SOL could more suitably meet Scotland’s distinct needs. We also provided evidence calling for the permanent addition of social care roles to the SOL with key roles subsequently added to the List as per the MAC’s recommendation.

Scotland has distinct population challenges, the January NRS population projections reinforce the need for a migration policy tailored to our needs. We remain dependant on a UK Government immigration system that fails to address Scotland’s distinct demographic, labour market and economic challenges. We need a responsive system that allows us to decide how to accommodate our distinct labour market needs.

Given the changes to the UK immigration system, the role of the SOL must be reviewed so that there is clarity as to its purpose and benefits. The Scottish Government must also be given a formal role in determining occupational shortages in Scotland.