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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 4 May 2021
  6. Current session: 13 May 2021 to 16 October 2025
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Displaying 1174 contributions

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Criminal Justice Committee

Policing Vulnerable People

Meeting date: 8 January 2025

Angela Constance

I will quote the outcomes from the work in North Lanarkshire with Q division of the police. I have visited the service. It has a triage opportunity whereby there is 24/7 access to a psychiatric liaison nurse. The result of that is that potential police attendance at A and E has reduced by 80 per cent. The North Lanarkshire community triage service has been used on 2,000 occasions. The latest figures for that are from 2023. It is a good demonstration of what can be achieved. It is a win-win for individuals, the police and the NHS, because there is a 24/7 service and people are referred to the appropriate service at the appropriate time.

I recognise the frustrations of the Association of Scottish Police Superintendents. I am not blind to those and I am not unsympathetic or insensitive in any way to them. However, 2025 is the crucial year for implementation. There is demonstrable progress, but it is clear that, without a whole-systems approach, organisational change will not happen on the ground.

The partnership development group, the action plan and the collaboration commitments are all about driving forward action and that whole-systems approach. Justice services do not operate in isolation, because you cannot pigeonhole people. To a great extent, how justice agencies interact and the service that they deliver depends on other services—social services and health services in particular. I hope that, by this time next year, the Association of Scottish Police Superintendents will feel more positive about the work and that it is making a demonstrable difference on the ground because 2025 will be a crucial year for embedding it and moving forward in outstanding areas.

Criminal Justice Committee

Policing Vulnerable People

Meeting date: 8 January 2025

Angela Constance

I am content that we have the right connections with regard to information internally in Government. Our job in Government is not only to collaborate and co-operate, but to challenge one another and ensure that colleagues are aware of any unintended consequences of work that they are pursuing in their area and the impact that it could have on others. I hope that that goes without saying.

All of my work is located in the justice vision, which places an obligation on me to contribute towards improving the physical and mental health and wellbeing of people who come into contact with the justice system. We know that, among those who come into contact with the system, there is an overrepresentation of vulnerable people and people with poor physical and mental health, so I have a direct interest in the work being led by health colleagues, just as they have a direct interest in my work, too. It is an obvious point, but we will of course keep the committee informed.

Criminal Justice Committee

Policing Vulnerable People

Meeting date: 8 January 2025

Angela Constance

It was remiss of me not to commend the committee for its on-going interest in and work on the issue. You have certainly helped to keep the wind behind the sails of the Scottish Government and all our partners.

You are absolutely correct that the demographic around vulnerability is indeed complex for policing partners and other services to deal with. Although we know from adult protection referrals that those struggling with mental health are the biggest single client group, there are a number of indicators of vulnerability, including learning disability, age and a whole host of other challenges. It is right that we recognise vulnerability in the broadest sense, but a sharp and forensic focus on mental health is particularly important.

I appreciate the recognition that, although we still have some way to go, we are shifting the dial, which is imperative for people who need to quickly access a service. We also need to ensure that policing resources are appropriately deployed because, at the end of the day, that will ensure that we reduce unnecessary demands on police officers.

The work on safe spaces is very interesting and complex. There are good examples of peer support in community settings. We know from the scoping work that, when the approach is prioritised and designed locally, it can become more of a reality of service delivery. There is a sense of reimagining and rescoping safe places, and ensuring that there is a wider spectrum of support. That should include non-clinical support, but we need to ensure that such support has the necessary links to clinical care. Safe places can be crucial in preventing an escalation of matters.

11:45  

It becomes more complex where we get into issues around the proximity of a safe place to A and E departments. The need varies geographically, so the type of formalised service that works, for example, in Glasgow—the city has a mental health assessment unit to which police can refer people on—might be different from what is needed in other areas of Scotland.

We always come back to issues of safe staffing and the ability to accommodate various population groups and people of different ages. It may be that tiered provision is required that can cater appropriately for different population groups. There is also the issue of how we ensure access in particular for those who are affected by substances.

The nuts and bolts of mental health provision relate to standards, care planning and risk assessment, safe staffing and what the procedures are when matters escalate. That work is in-depth and complex but potentially very important.

Colleagues in Government, in particular those working in mental health, are considering the next steps. Part of meeting the collaboration commitments will be to consider what is next, following the scoping work. We can perhaps look at a toolkit that supports local development. It is fair to say that there is still a fair amount of work to be done in the area.

Criminal Justice Committee

Policing Vulnerable People

Meeting date: 8 January 2025

Angela Constance

The short answer is that I do. I will expand on that in a moment, but I first want to acknowledge the scale of the issue and the demands that are placed not only on individual police officers but on Police Scotland at an organisational level.

The committee may have heard about the 100,000 calls received by Police Scotland in relation to mental health, and the fact that the vast majority of those calls involve no offence. I understand some of the frustrations that policing partners have, but I am encouraged in particular by the comments from the deputy chief constable. As we would expect, senior police officers always speak truth to power, so it is good to hear that the police are encouraged by the partnership working, in particular around the enhanced mental health pathway and the mental health index. Deputy Chief Constable Jane Connors talks about the central role of good collaborative partnership working and the value that has been placed on that.

On ASPS’s comments about policing having to lead, I agree entirely with HMICS that the issue requires a whole-systems approach. I very much support and understand the desire of ASPS and the Scottish Police Federation to see that organisational change on the ground, but we will get that only with partnership work and a whole-systems approach. It will not happen if services are working in isolation.

The partnership delivery group that is chaired by the Scottish Police Authority has significant policing input at the chief superintendent level, both from the policing together work and from the chief superintendent who is involved with local policing, as well as the individual who is head of service delivery. There is also substantial input from the Scottish Government, the Scottish Ambulance Service, NHS 24 and, in particular, the mental health unscheduled care network. I believe that we have the right buy-in across the services and, significantly, from a senior enough level.

I will give an example of where it is clear that actions and decisions have to be led by clinicians. When people are utilising the mental health index or accessing the out-of-hours mental health clinician, it is very clear that decisions on clinical issues, as you would expect, are made by clinicians, but they also have to arrange the care. There is greater clarity on who does what when, and that has to be welcomed.

Criminal Justice Committee

Policing Vulnerable People

Meeting date: 8 January 2025

Angela Constance

I would want to see the evidence for that. I am not trying to be facetious or pernickety, but if people communicate concerns of that nature to the committee, to other stakeholders or, indeed, to me, I would want to see the evidence. That speaks to the broader need for better data that tells us what we need to know about demand and impact.

Criminal Justice Committee

Policing Vulnerable People

Meeting date: 8 January 2025

Angela Constance

That is a very live issue that features in many of my discussions with the SPF and ASPS. It has always been very clear to me that, in the day-to-day work, cases that have a strong mental health feature and less of an offending behaviour feature place an additional obligation and demand on individual police officers, and that will have an impact on their wellbeing. There will also be a huge impact when there are emotionally charged, disruptive or difficult circumstances when things perhaps do not go well. There are instances that are particularly traumatic in their own right.

Police Scotland has an obligation as an employer, and the oversight of that principally comes through the Scottish Police Authority, although we all have an interest in the wellbeing of our police officers. You might have heard that Police Scotland has an employee assistance programme, in which £17 million has been invested. The programme has a focus on mental health and enhanced occupational health services. With that programme, Police Scotland is trying to take a preventative approach, by looking at assessments of resilience and stress risk, and recognising the day-to-day attrition and demands on police officers. There is also specific work through the trauma risk management programme for officers who have been exposed to particularly traumatic events.

Police Scotland is one of the first services in the United Kingdom to implement mandatory mental health and suicide intervention training for all officers. That is particularly important. It also offers a range of services to care for psychological, physical, social and financial wellbeing through the your wellbeing matters programme.

Criminal Justice Committee

Policing Vulnerable People

Meeting date: 8 January 2025

Angela Constance

Following the HMICS review, the mental health unscheduled care network took forward a lot of the work. It was led and supported by the Scottish Government, although I think that the original recommendation suggested that Police Scotland lead it—however, Police Scotland is a member of the mental health unscheduled care network.

The national review was completed in December last year. In a minute, I will ask Dr Cook to talk about the work on developing the national guidance and the template. The core purpose of that work was to ensure consistency across 14 health boards and to remove barriers to multi-agency working. Some of that is about training. The Police Scotland mental health task force has undertaken a full training needs analysis of the police workforce. One of the recommendations was to have more joint training for leaders across different sectors and about good communication and relationships on the ground.

The other purpose of the work on psychiatric emergency plans was to be crystal clear about roles and responsibilities when responding to issues. I ask Dr Cook to add a bit more flesh to that.

Criminal Justice Committee

Policing Vulnerable People

Meeting date: 8 January 2025

Angela Constance

The data dashboard that you heard evidence on earlier is owned by Police Scotland. That is an important piece of work, and we support Police Scotland’s work on it. My understanding is that it brought that part of its work to fruition, as it committed to do, by the end of last year.

Our focus in 2025 is on implementation, and I have to acknowledge the role of data in that, particularly in understanding the nature of demand and the geographical variation. It is about considering data, but not just police data in isolation. I have heard, and the committee may have heard, the chair of the Scottish Police Authority, Martyn Evans, speak often about how important it is that data systems across agencies speak to one another and are linked. That is important because, although data from Police Scotland will tell us, encouragingly, how many referrals have been made to the NHS 24 mental health hub, and although we can track how many adult protection referrals and distress brief intervention referrals police make, we want to know the whole picture and the journey for the patient or the person in distress.

We will continue to discuss with Police Scotland the data that it has collected. My officials are engaged in those discussions. In particular, we want to understand more about the methodology. Although it is very important that we understand the quantum and that X number of police hours are being redirected to other activity, that will not be the only measure of success. Part of the whole-systems approach is about getting folk the treatment and support that they need, which will in turn reduce demand on policing.

In short, I am saying that there is further work to be done across the agencies on data that can provide a bigger, whole-systems picture.

Criminal Justice Committee

Subordinate Legislation

Meeting date: 18 December 2024

Angela Constance

The purpose of the order is to make it clear that Police Scotland can access information on spent convictions for lower-tariff offences.

Criminal Justice Committee

Subordinate Legislation

Meeting date: 18 December 2024

Angela Constance

It is not as direct as that, because the courts—