Seòmar agus comataidhean

The final recruitment figures under Action 15 of the Mental Health Strategy 2017-27 will be published today, 12 July, at 10:30am, at Mental health workers: quarterly performance reports - gov.scot (www.gov.scot) . A total of 958.9 whole time equivalent mental health staff have been recruited in key settings over 4 years, significantly exceeding the original commitment for 800 additional workers.

The independent analysis report of the responses to the not proven verdict and related reforms consultation will be published today, 12 July 2022 and will be available at https://www.gov.scot/isbn/9781804356890 .

The consultation received 200 responses, of which 21 were from organisations and 179 from individuals, and these will also be published today, where we have permission to do so, at https://consult.gov.scot/justice/not-proven-verdict/ .

We must now give careful consideration to the full range of views received on these complex issues. The findings from this consultation analysis, along with a range of other information and evidence from engagement and consideration of the issues, will inform the decision making process on any potential recommendations for reform.

Any potential reforms will be considered alongside wider work, including the outcome of the current consultation on improving victims’ experiences of the justice system . That consultation includes consideration of those recommendations of the Lord Justice Clerk’s review on improving the management of sexual offence cases which require legislative change to implement.

We fully understand that women want mesh removal surgery undertaken by surgeons who enjoy their full confidence and a range of measures are now in place to ensure that this happens.

The Complex Pelvic Mesh Removal Service has been established in NHS Greater Glasgow and Clyde (GGC). This service assesses needs and where appropriate, and subject to shared decision making and informed consent, performs mesh removal surgery. The Service has undertaken a number of mesh removal surgeries since its designation, despite the impact of the pandemic on activity levels across the Health Service. To complement Scottish services women can also, if they so wish, request to be treated at one of the NHS England Specialist Centres.

In addition, and exceptionally, women now have the option to request to be referred on to one of two independent providers. A contract with Spire Healthcare, where Professor Hashim operates, was agreed earlier this year and arrangements for the first patients to travel to Bristol are underway. Furthermore, I am pleased to be able to announce today that a contract has been agreed with Gynaecologic and Reconstructive Surgery Ltd, Missouri, USA, where Dr Veronikis operates. NHS National Services Scotland will now work closely with NHS GGC and local Health Boards to facilitate the arrangements for those who wish to travel to the USA for mesh removal surgery.

It is expected that anyone seeking mesh removal from either Professor Hashim or Dr Veronikis first discuss this with their local clinicians within their own Health Board. If considered appropriate at that stage, and in line with a process agreed with the independent providers, they would then be referred to the Complex Pelvic Mesh Removal Service in NHS GGC for consideration by a full multi-disciplinary team (MDT). If it is agreed that surgery is appropriate, the patient can choose to be treated by the service already available in NHS Scotland or to be referred to a specialist NHS centre in England or to one of the independent providers. Each of these options will be available free of charge. I would encourage anyone who wishes referral to one of these services to make their wishes known to their clinical team, if they have not already done so.

Through the ClimateXChange centre of expertise the Scottish Government has received expert advice on the use of animal feed additives which have the potential to reduce methane emissions. This advice has suggested that more data are needed to assess the full potential of feed additives and feed materials in reducing methane emissions from livestock.

FSS and FSA are responsible for assessing animal feed safety in GB. Any new innovative feed material would be considered through the feed risk analysis process. For feed additives these are products that require to be authorised by the GB regulated product process before they can be sold and used in animal feed in GB and may only be used for the purpose stated in the authorisation. The FSA and FSS carry out the risk analysis process for regulated products such as feed additives and provide advice to Ministers who decide whether the product can be placed on the market in England, Wales and Scotland. Feed additives intended to reduce methane production in ruminants are new and highly innovative feed additives and within the GB regulated products application process are being categorised and risk assessed as; zootechnical feed additives under the functional group ‘as substances which favourably affect the environment’.

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.