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Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
The final word on this question goes to Christiana Melam. I am delighted to invite you to make the final contribution.
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
I will ask the first question to get us going. One of the striking things that is evident in the report is the impact that the Covid-19 pandemic and the cost of living crisis have had on the overall state of adult mental health. We are particularly interested in your perspective on the differences that you have seen, as a result of those factors, in the demand on the services that you provide. Chris Williams, do you want to kick us off?
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
That is helpful. We got evidence on that—very distinctive evidence on the final point—last week.
Christiana Melam wants to come in with a link worker’s point of view.
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
Thank you very much indeed.
I invite Anne Rowan or Mike Burns to come in. I do not know whether you have a perspective on that, from the point of view of community-based or charity-based intervention. What has happened to the demand on your services?
Mike Burns, what has happened over the past four years to the services that Penumbra Mental Health provides?
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
Thank you. We will bring you in during the course of the morning, because it is really valuable for us to hear about that direct, front-line experience.
I have a very particular question that I will ask Pavan Srireddy and Chris Williams to respond to, although it is fine if anyone else wants to chip in. One of the things that struck us in the report is that, despite the huge increase in demand, the number of psychiatry appointments appears to have decreased. Can you shed any light on the reasons for that? If you do not want to come in, that is fine, but I will start with Pavan Srireddy.
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
That is very helpful. Workforce planning is a recurring theme that the committee has to address.
Chris, I will bring you in.
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
That is very helpful. I now ask Graham Simpson to kick off his areas of questioning.
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
Good morning, everyone, and welcome to the 29th meeting in 2023 of the Public Audit Committee.
The first item for consideration is whether to take agenda item 3 in private. Do we agree to take that item in private?
Members indicated agreement.
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
Thank you. Anne Rowan, do you want to add anything to that?
Public Audit Committee
Meeting date: 16 November 2023
Richard Leonard
We have tried to tease that out with the Scottish Government when it has sat in front of us.
I was going to bring this up later, but I will bring it up now, because it seems to relate to what you said. We have been struck by exhibit 3 in the report, which is a graph that shows huge variation among health boards in the number of face-to-face appointments versus telephone or video appointments. It is not just about remote communities being more reliant on video and telephone appointments. There are stark contrasts. For example, in NHS Ayrshire and Arran, 86 per cent of psychological therapy appointments are face to face, with just 14 per cent being by telephone or video, whereas in NHS Lanarkshire—which I guess has a similar population demographic—just 32 per cent are face to face and more than two thirds are by video or telephone. Can you explain that variation?