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In our response to the Scottish Mental Health Law Review we committed to establish a Mental Health and Capacity Reform Programme to further enhance and protect human rights within legislation, policy and practice. This includes a commitment to enhance carers’ rights and role in practice through further developing and promoting carer awareness training for staff working with people with mental or intellectual disability across health and social care settings, by 2026.

These actions will also be set out in the Mental Health and Wellbeing Workforce Action Plan, which will be published in Autumn 2023.

We have funded NHS Education for Scotland (NES) to develop three training modules for the health and social care workforce, including those working with mental or intellectual disability across health and social care settings, to help them to identify, include and support unpaid carers. We expect those to be launched by the end of 2023.

Rather than permanent monitoring, which is the common approach for water companies in England, Scottish Water worked with SEPA to carry out a comprehensive Scotland-wide environmental study programme to assess and model the impacts of its assets on water quality. The programme was undertaken during the 2015 to 2021 investment period with an investment of £40m. These studies supported identification and prioritisation of River Basin Management Planning objectives, which were published at the end of 2021.

The computer models Scottish Water developed allow it to understand when CSOs will spill, under what rainfall conditions and the impact those spills will have on the environment. Instead of taking the approach of English water companies, targeted monitoring is being put in place to support the information already obtained from the models and to support operational performance. The Scottish Government is supportive of this evidence based and proportionate approach by Scottish Water. We also support their decision to invest inn widening monitoring by installing 1,000 new spill monitors by the end of 2024 with an investment of up to £70m.

Scottish Water’s Improving Urban Waters Routemap commits it to publishing near real-time spill data for all monitored CSOs by December 2024. The data collected by the 1000 new monitors will support SEPA’s and Scottish Water work to prioritise investment where it will most benefit our environment and communities. Continued investment by Scottish Water contributes towards Scotland’s water quality being at its highest level ever, with 87% of the water environment rated as good or better, up from 82% six years ago. Scotland’s River Basin Management Plan sets out objectives, including those for Scottish Water, aiming to improve water quality to 92% of the water environment to be in good or better condition by 2027.

Public Health Scotland produces a range of reports on sexual health data, which include breakdowns by demographic characteristics where this is appropriate and feasible. There are no imminent plans to change any of the demographics reported on in these publications.

We have allocated £48.6 million of supplementary funding to Boards this year via the Mental Health Outcomes Framework to improve the quality and delivery of mental health and psychological services for all. This is in addition to £36.7 million allocated to Health Boards via the Outcomes Framework in 2022-23, and the total package of core funding that Health Boards receive.

We recognise that not all children and young people need specialist services like CAMHS and that many can access more suitable support in their local community. This is why we are providing local authorities with £15m per annum to fund community-based mental health supports for children, young people and their families.

We have also invested £36m in our Communities Mental Health and Wellbeing Fund for adults over two years, with approximately 3,300 grants being made to local organisations across Scotland. A further £15m committed in 23-24.

The new National Specification for the delivery of Psychological Therapies and Interventions is due to be published at the end of this month. It sets out what patients can expect following a referral and details the whole system approach including early intervention options that services should offer. This includes offers of evidence based digital therapies, which are accessed by around 5,000 people in Scotland annually.

The Scottish Government is contacted by a wide range of organisations and individuals on various policy issues, and we are committed to ensuring everyone in our society can live with dignity and enjoy their rights in full. Within mental health, we work closely with a range of human rights and equalities bodies through the Mental Health Equality and Human Rights Forum. This meets monthly and provides a space for human rights organisations to discuss and influence the development of mental health.

In addition, we have recently committed to establishing a Mental Health and Capacity Reform Programme following on from the recommendations of the Scottish Mental Health Law Review, which considered how we could give further effect to human rights within mental health. The Programme will drive action to improve the way human rights are put into practice across mental health and incapacity law and policy, including care and treatment.

The Scottish Government is making available funding of £3 million over this financial year to support NHS Boards to increase the capacity of existing services providing support to people with long COVID, develop these in to more clearly defined pathways and to provide a more co-ordinated experience for those accessing support.

The individual delivery models being utilised and progressed by NHS Boards will vary, as they are tailored to local circumstances and needs. For example, some NHS Boards have developed single points of access for assessment and co-ordinated support from services including physiotherapy and occupational therapy. In other areas, the co-ordination role will be fulfilled by the primary care team based in the person’s local GP surgery.

The information requested is not held centrally by the Scottish Government.

The National Child and Adolescent Mental Health Services (CAMHS) Specification (published in February 2020) and the National Neurodevelopmental Specification for Children and Young People: Principles and Standards of Care (published in September 2021), set out the levels of service that children, young people and families can expect across Scotland.

This includes nationally agreed referral criteria, a first engagement appointment for all those that meet the criteria, and personalised and meaningful signposting for all those that do not require treatment .

The National Specification for the delivery of Psychological Therapies and Interventions is also due to be published this month and will set out what patients can expect following a referral, and detail the whole system approach including early intervention options that services should offer.

Patient care and service delivery are the statutory responsibility of local healthcare providers. NHS Boards are responsible for working with their partners to plan and provide health services which meet the needs of their populations.

When a patient has an experience that does not meet their expectations, they should contact their local Health Board at NHS Inform.

The Scottish Government remain committed to supporting all Boards to meet the standard that 90% of patients start treatment within 18 weeks of referral. We have allocated £48.6 million of supplementary funding to Boards this year via the Mental Health Outcomes Framework to improve the quality and delivery of mental health and psychological services for all. This is in addition to the £36.7 million directly allocated to Health Boards via the Outcomes Framework in 2022-23, and to the total package of core funding that Health Boards receive.

All NHS Scotland Boards are providing support for children and young people with long COVID.

Assessment and initial investigation is being provided by local primary care teams, who can give advice and guidance about the management of symptoms and any potential treatment options for these in the first instance. Primary care clinicians can refer to occupational therapy and physiotherapy for further support where appropriate. In cases where referral to secondary care is required, children and young people may be referred to general paediatric services for investigation and management.

NHS Inform is Scotland’s national health information service. Its aim is to provide the people of Scotland with accurate and relevant information to help them make informed decisions about their own health and the health of the people they care for.

NHS Inform has a dedicated long COVID microsite for people with ongoing symptoms after Coronavirus, setting out key information and sources of support for people impacted by long COVID.

This information is publicly accessible at www.nhsinform.scot/long-covid and comes in a variety of different languages and accessible formats to provide clear and accessible guidance to people living with long COVID on managing their symptoms.