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Work is currently underway to deliver our 2021-22 Programme for Government commitment that “by 2026, every GP Practice will have access to a mental health and wellbeing service, funding 1,000 additional dedicated staff who can help grow community mental health resilience and direct social prescribing”.

While each area has the flexibility to develop services to meet the needs of their own local communities, the Scottish Government has been clear on the need for multi-disciplinary teams who will provide assessment, advice, support and some levels of treatment for people who have mental health, distress or wellbeing needs.

These teams could include Occupational Therapists, Mental Health Nurses, Psychologists, Enhanced Practitioners, Peer Support Workers as well as linking to others such as those providing financial advice, exercise coaches, family support networks. Every service should ensure that it provides access to a link worker to support wellbeing.

This commitment builds on the significant progress that has already been made through Action 15 of the Mental Health Strategy 2017-27, where 356.1 WTE posts have been recruited to GP settings; and the Primary Care Improvement Fund, which at March 2022 has seen a total of 260 recruited.

I refer the member to the answer to question S6W-09352 on 12 July 2022. 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 Scottish Government published the Learning/Intellectual Disabilities and Autism: Towards Transformation Plan in March 2021. The plan looks at the actions needed to shape supports, services and attitudes to ensure that the human rights of autistic people and people with learning disabilities are respected and protected and that they are empowered to live their lives, the same as everyone else.

In the plan we have committed to work with Inspiring Scotland 'Support in the Right Direction' and other partners to ensure that more people with learning disabilities access their rights under the Social Work (Self Directed Support) (Scotland) Act 2013 to direct their own support. With the aim of providing as much freedom and choice in directing that support as they want in order to achieve their own outcomes.

We are also working with strategic partners such as Healthcare Improvement Scotland (HIS) who have been commissioned to gather and provide insights into different approaches to the redesign of learning disability day services and recognition of the challenges the COVID-19 pandemic has created for service users, their families and service providers, including where there are changes to delivery models away from building-based services.

Fair Start Scotland Service Providers offer specialist support for people with learning disabilities and those who are neuro-diverse, as well as the opportunity to access Individual Placement and Support (IPS) and Supported Employment where this would be of benefit to the individual.

IPS (Individual Placement and Support) and Supported Employment are integral parts of the Scottish employability support landscape. Independent reviews of each model within Fair Start Scotland were commissioned by the Scottish Government and are due to be published by autumn 2022. These reviews will allow us to build on success factors, whilst identifying areas for improvement to ensure the continuation of this vital element of support for individuals as they move towards and into work.

No methane inhibiting feed additive products have yet been approved for use in Scotland but the Scottish Government has been receiving interest from the livestock industry about the potential of such products. In their report last year the Suckler Beef Climage Group noted the potential of such products in reducing overall methane emissions.

It is likely that such products will be authorised on a GB basis due to the applications for the authorisation of a regulated food or feed product or process in GB. As such Scottish Government officials are working with other GB administrations to consider the best approach to strengthening engagement with industry on this topic to understand the potential of such new technologies in reducing greenhouse gas emissions.

In line with the requirements of the Scotland Act 1998, Boundaries Scotland must report its recommendations to Scottish Ministers by 1 May 2025. The timing of the review is otherwise a matter for Boundaries Scotland but it is likely that it will start the review this autumn with initial consultation taking place in the first half of 2023.

Proposals for future agricultural support will be co-developed with rural partners through the Agriculture Reform Implementation Oversight Board (ARIOB) and with wider civil society through a consultation in summer 2022 to inform the introduction of a Scottish Agriculture Bill in 2023.

The UK is currently experiencing the largest outbreak of avian influenza to date, which has affected commercial and backyard flocks of poultry and other captive birds, as well as wild birds, including our internationally important seabird colonies.

While maintaining high levels of biosecurity among domestic flocks helps protect against disease, addressing the disease among wild birds can pose significant challenges. The Scottish Government is taking the current situation very seriously and continues to work with a range of partner organisations to monitor and respond to the situation where action can be taken, recognising the importance of communication and coordination in preparedness and responses.

As part of the co-ordinated GB response to avian influenza, the Animal and Plant Health Agency (APHA) on behalf of Defra, the Scottish Government and the Welsh Government, carries out year-round surveillance, including testing of dead wild birds reported to Defra’s GB-wide national telephone helpline. This helps us capture information on the general location and strains of avian influenza that might be prevalent across Great Britain, as well as species affected.

Dedicated monitoring at key colonies can also assist in the response to the outbreak in wild birds, which is why we welcome the significant work by NatureScot, the National Trust for Scotland, RSPB Scotland, the Scottish Wildlife Trust and other partners to collect data on the number of dead wild birds located at key colonies, as well as monitoring apparent population changes.

Working with our partners, the Scottish Government will continue to review its response planning to current and future avian influenza outbreaks, based on the latest scientific advice and existing disease control measures. We will also be identifying with partner organisations whether anything else can be done to respond to the outbreak and improve the resilience of our internationally important seabird populations.

Infection Prevention control (IPC) measures remain important in care homes but with high levels of vaccination and new treatments, the risk of serious illness from COVID-19 has decreased and the protective measures in adult social care including care homes have reduced in response to this.

IPC measures to prevent spread and manage a range of infections are common practice in care homes and will remain of upmost importance during COVID-19 outbreaks, in the same way as they do for other infectious pathogens such as influenza outbreaks. Care home staff have worked incredibly hard to adopt IPC guidance throughout the pandemic.

We are currently reviewing the guidance on the extended use of face coverings by staff in adult social care including care homes. The review is in partnership with ARHAI Scotland, SG Clinicians and Public Health Scotland and is considering the risk of Covid-19 transmission, the current rates within the community and the impact of removing this final layer of protection could have on transmission to vulnerable people, and staffing resources, alongside the human rights and wider harms to individuals in receipt of care or support including individuals whom live in care homes. It is anticipated that this review will be completed by the end of July. As it has been throughout the pandemic, guidance will be updated in line with the results of the review.

COVID-19 Financial Support for Adult Social Care Providers has been in place since the outset of the pandemic and was intended as time-limited financial support as services navigated and responded to COVID-19.

In both 2020-21 and 2021-22, the Scottish Government provided additional funding for COVID-19 costs in full. In 2022-23, the Health and Social Care Portfolio is required to accommodate all further COVID-19 activity, including additional Test & Protect and Vaccinations costs, without any further UK Government consequentials.

Recognising that flexibility is still required for responding to pandemic pressures, we have committed to continuing elements of financial support beyond 30 June 2022, this includes: the Social Care Staff Support Fund until 30 September 2022; and financial support arrangements for testing and vaccinations until the 31 March 2023. In addition, the current local PPE Hub arrangements will continue until 30 September 2022.

The Scottish education system is set up in such a way that decision making is devolved to the most appropriate level, enabling local education authorities to make choices that meet their local circumstances and needs. It is for this reason that the Scottish Government does not prescribe the specific resources to be used in schools. Head teachers are empowered to make these decisions for themselves in liaison with their local authority.

As a result, it was Scottish Ministers' view that Scottish schools should be given the choice on whether their pupils should receive this book and have therefore advised UK Ministers that an ‘opt-in’ process for Scottish schools should be implemented. This is consistent with the approach being taken in Wales.

The various review strands are continuing to make progress. The review work will be proportionate and will be led by what is being found in the initial phases.

Review of Open Cases

Users of the system were asked to review their caseload of open cases, to look at prevalence of the risk scoring/level issue or the alcohol/drugs scoring issue. The Scottish Government have now completed that user led review of the nearly 12,000 cases that social work recognise as their open caseload on the system. Based on the responses by social work practitioners, they did not identify any immediate public protection risks related to these two scoring issues. The open cases review did substantiate that there are cases where the risk scoring levels have not matched. All the cases with the risk scoring error are also being reviewed by the Risk Management Authority (the RMA) as part of their determination of whether there was any material impact on the management of the case as a result of the scoring error.

The open cases review was also an opportunity for social work to identify any wider prevalence of the errors or any new system issues in respect of system functionality. There were not any new errors related to scoring identified through this route.

The open cases review identified some practice issues, around cases not being timeously closed on the system. Therefore, we are undertaking a further phase of this exercise to ensure that closed cases or cases in the process of being closed are indeed closed off on the system, and returns are completed for us on those. That work is likely to conclude in mid-August. Once that phase of work has been completed we will be able to provide a final picture of cases where either the risk scoring or the drugs/alcohol scoring issue (or both) were present. Those details will be cross checked against the RMA lists of affected cases, to consider if these need to be added into the RMA review of any material impact on the management of the case. Our expectation at the moment is that the open case review findings will largely tally with the RMA lists, but we cannot confirm that until the open case review process fully concludes for those cases needing closed off on the system.

The open cases review also provided an opportunity for social work to check and if necessary amend any entries that were not correct on the system. This work on amending individual cases was a key part of the work needed before the system can be brought back into operation. In the meantime, users of the system continue to make use of the paper based version of the process where LS/CMI is needed.

RMA led review work

The group continues to meet and will report on all phases. This will include recommendations and an action plan, to be communicated to Ministers and the Justice Committee. It is anticipated an update on the first phases of the review will be provided in August 2022 with all work now scheduled for completion by the end of October 2022. These timescales will be reviewed at each stage.

Phase 1

As previously reported to the Justice Committee by letter on 12 May 2022, phase one of the review is complete, which significantly reduced the number of cases that required further review.

Phase 2

Phase two commenced on 4 May 2022 and has involved Social Work, Scottish Prison Service, Parole Board for Scotland and MAPPA coordinators considering the material impact of how cases were handled. The timescale for this review was extended to allow for robust validation to be undertaken by agencies. There has been substantial collaboration by partners in order to provide returns and the RMA will be reviewing these in order that the LS/CMI review group can consider the outcome of the first two phases by August 2022. At this point the review group has agreed to review its terms of reference and provide interim findings.

Phase 3

The RMA, Care Inspectorate and HMIPS continue to develop the methodology and focus of the external validation which will provide assurance on each stage of the review. Subject to the outcome of phase two, this work is scheduled to commence in August 2022 and the review is expected to conclude in October 2022.

LS/CMI IT system

The Scottish Government appointed a third party provider to work alongside the managed service provider for the LS/CMI system. This was for the purpose of conducting an end-to-end review of the LS/CMI system prior to any re-introduction for use. The Discovery phase of that work is now largely complete, with areas of dysfunction within the system identified that we believe have led to the known scoring issues. This process has resulted in the production of a detailed functional specification of the system, along with updated user guides. It is likely that going forward, resuming use of the system will require some technical fixes, as well as some training and practice improvements. What will follow is a stage of triaging and remediation, to prioritise what will be done and applying the fixes.

The Scottish Government have also been in the process of tendering for a managed service provider for this system. This process pre-dated the discovery of the IT errors, and it was delayed as a result of the errors being found. Following announcement of the outcome of that process, it is likely that any triaging and remediation of the system will be conducted under the new contractual period, which, on current planning would likely begin in August.

While the review work has taken longer than originally envisaged, it is being conducted thoroughly, and with positive engagement from justice partners as these review demands are being managed on top of existing workloads.