Skip to main content
Loading…

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.  

Criathragan Hide all filters

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 20 July 2025
Select which types of business to include


Select level of detail in results

Displaying 3298 contributions

|

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

Thank you very much indeed. I think that you alluded to it, but, for the record, I ask you whether you accept all the key messages and recommendations in the report.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

You also spoke of financial challenges. We will get to those in more detail in the course of the meeting, but I have a question about the announcement in the past couple of weeks of another in-year budget cut to mental health services, which follows on from the in-year cut announced as a result of the emergency budget review last November, which was of the order of £38 million. The cut this year is £29.9 million.

The joint report states:

“Increasing the availability of mental health and wellbeing services in primary care could help to prioritise prevention and early intervention and decrease pressure on specialist services.”

How will the recently announced cuts, which include a reprofiling of mental health and primary care programmes, impact on those services?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

So, what spend has been postponed—I think that that was the expression used in the letter to the Finance and Public Administration Committee—from the mental health transformation fund?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

Is there not a bit of an implementation gap? The Government’s stated position is that it will increase mental health funding by 25 per cent and that 10 per cent of all NHS front-line spending will be on mental health, but things seem to be going backwards, not forwards, on both fronts.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

We will get on to data and evidence shortly.

One of the clear recommendations of the report that we are discussing concerns the fact that there is a great inequality in the impact of mental ill health. In one of the evidence sessions, we considered the impact on the minority ethnic community and other marginalised groups. Will taking money out of the mental health services budget not also have a disproportionately unequal impact on the communities that are most marginalised and probably most dependent on mental health services?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

There is a joint Convention of Scottish Local Authorities-Scottish Government mental health and wellbeing strategy that refers to the specific needs of minority ethnic groups. However, during the course of our inquires, we have been told that there is no action in the accompanying delivery plan to provide culturally sensitive mental health services. Can you explain why that is?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

Those groups have said to us that a plan does not exist.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

On that point, how do you respond to the evidence that we were given by Dr Srireddy from the Royal College of Psychiatrists in Scotland, who said:

“We made the shift, we shut the asylums and we have moved into the community—but then we kind of lost interest.”—[Official Report, Public Audit Committee, 16 November 2023; c 18.]

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

The Royal College told us about the reliance on locums and other members are going to ask about the workforce plan.

Dr Srireddy also said that governance has been a real challenge and spoke of fragmentation. You may not agree, but his view and his members’ perspective was that mental health was, in his words, an “afterthought”.

We also have a pretty clear message in the report from the Auditor General and the Accounts Commission, in which key message 3 says:

“The system is fragmented, and accountability is complex, with multiple bodies involved in funding and providing mental health services. This causes complications and delays in developing services that focus on individuals’ needs.”

Those are quite serious charges. How do you respond to those?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

Without batting in defence of homogeneity, we are looking for a bit of consistency, and there seems to be a very mixed picture across the country. That is why, as a committee, we wonder whether you have thought about some of the evidence that we took, in which there was a concern about the legal framework that integration joint boards, for example, operate in. Are you considering reviewing the governance arrangements to see whether they can be simplified, be made more effective, provide better value for money and be more accessible to the people who need the services?