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Seòmar agus comataidhean

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 16 June 2025
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Displaying 1147 contributions

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Public Audit Committee

Child and Adolescent Mental Health Services

Meeting date: 7 October 2021

Sharon Dowey

I will direct the first question to Mr Boyle, the Auditor General. Audit Scotland’s blog presents quite a bleak picture of performance in terms of access to child and adolescent mental health services, particularly given the significant investment that has been made. The blog says:

“But the picture today is similar to 2018, despite significant investment.”

Do we have any idea of the extent of the funding and whether we can track that spend against outcomes?

Public Audit Committee

Child and Adolescent Mental Health Services

Meeting date: 7 October 2021

Sharon Dowey

The Audit Scotland blog refers to a task force that was set up by the Scottish Government and COSLA in 2018, which concluded that earlier guidance and support was required for GPs, health visitors, school nurses and others. What guidance and support exists for those professions in 2021? What changes have been made?

That question is directed, in the first instance, at Dr Morton, after which Mr McKay from Unison might want to come in and anyone else who would like to comment.

Public Audit Committee

Child and Adolescent Mental Health Services

Meeting date: 7 October 2021

Sharon Dowey

The session 5 committee stated that the absence of basic data was a concern. I will read out some of the comments in that committee’s 2019 report on children and young people’s mental health. In relation to spending on CAMHS, the then Auditor General said that

“the numbers are so variable as not to be credible”.

Audit Scotland said:

“We saw gaps and problems throughout the system in terms of how the money is accounted for and, critically, in terms of what difference any of it makes to children. We have made a series of recommendations in the report that those things need to be sharpened.”

It also said:

“we understand that boards will choose which ones they want to measure, and that will make benchmarking very difficult.”

There is a common theme here.

In her response to that report, the then Minister for Mental Health outlined work that the Scottish Government was progressing with NHS National Services Scotland to improve the quality and scope of the available data. Considering that the report is now two years old, to what extent has the work been progressed?

Public Audit Committee

Child and Adolescent Mental Health Services

Meeting date: 7 October 2021

Sharon Dowey

Your comments are quite concerning, because they are the same as the comments that I have just read in the report that was published in 2018. That is why we are trying to look at where the money is going and whether we can measure what the outcomes are.

Mr McKay, would you like to comment?

Public Audit Committee

Child and Adolescent Mental Health Services

Meeting date: 7 October 2021

Sharon Dowey

Good morning. I am an MSP for South Scotland.

Public Audit Committee

Child and Adolescent Mental Health Services

Meeting date: 7 October 2021

Sharon Dowey

Thank you. Does anyone else want to come in?

Public Audit Committee

Child and Adolescent Mental Health Services

Meeting date: 7 October 2021

Sharon Dowey

Does anyone else want to come in?

Public Audit Committee

“Community justice: Sustainable alternatives to custody”

Meeting date: 30 September 2021

Sharon Dowey

Have they given any explanation at all of why there have not been any improvements?

Public Audit Committee

Section 23 Report

Meeting date: 30 September 2021

Sharon Dowey

It seems that the OECD’s report on its review of the curriculum for excellence has the potential to address many of the issues that the Auditor General raised. We understand that the Scottish Government has accepted the report’s recommendations in full, including the recommendation on improved data to deliver outcomes. In the absence of improved data, how is the Scottish Government addressing the educational outcomes of pupils who are currently in the senior phase of education and who will not benefit from future reforms?

Public Audit Committee

“Community justice: Sustainable alternatives to custody”

Meeting date: 30 September 2021

Sharon Dowey

On data and outcomes—about which our predecessor committee raised significant concerns—there is a recurring key audit theme about incomplete and poor-quality data, which prevents us from measuring the progress and success of a policy and whether it is delivering value for money. It is particularly frustrating that the impact of a lack of data was previously highlighted in Audit Scotland’s 2012 report, “Reducing reoffending in Scotland”. Are you aware of any improvements that have been made in that area over the past nine years?