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The information requested relating to non-Mother and Baby Unit adult mental health inpatient admissions during the pregnancy or the postnatal period is not held centrally. However, the Scottish Government Perinatal and Infant Mental Health Programme Board is looking at this question as part of the work following the Mother and Baby Unit (MBU) Inpatient Provision Consultation which closed on 31 May 2022.

For 2021-22 and 2022-23, I refer the member to the answer to question S6W-08999 on 20 June 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

Future year’s planned expenditure will be determined and set out in each year’s Scottish Budget.

Each financial year, NHS Boards are typically required to deliver a level of efficiency savings to deliver financial balance. Efficiency savings are how health boards ensure they are making the best possible use of public money and every penny of efficiency savings stays with the health boards.

We are working closely with all NHS Boards to address financial pressures facing the system, whilst ensuring that patient safety and Covid recovery remain the priority.

Section 40 of the Nationality and Borders Act 2022 amends section 24 of the Immigration Act 1971 to include a new offence of arriving in the United Kingdom without a valid entry clearance. The new offence comes in force on
‎ 28 June 2022.

There are no plans to introduce Lord Advocate’s guidelines in relation to the new offence.

Where the circumstances of alleged offending are reported to the Procurator Fiscal, prosecutors will decide on appropriate prosecutorial action, if any, on the basis of both the principles in the published Scottish Prosecution Code and, where relevant, the published Lord Advocate’s instructions for non-prosecution of victims of human trafficking.

An implementation timetable for the Health & Care (Staffing) (Scotland) Act 2019 has been published. Implementation will be a collaborative and iterative process with frontline staff, taking account of the learning from the pandemic whilst recognising the new environment within which services will now operate. The timetable sets out an intended full implementation date of April 2024.

A national Perinatal Mental Health Dataset for specialist Community Perinatal Mental Health services (as well as Mother and Baby Units and Maternity/Neonatal Psychological Interventions services) has recently been launched by the Perinatal Mental Health Managed Clinical Network. It is currently being rolled out across Health Boards. The dataset builds upon a previous Clinical Audit System which reported on a limited number of clinical indicators for Mother and Baby Units. The Perinatal Mental Health Dataset will include a range of indicators of clinical activity, recorded by local specialist teams. It will be used to support local service development and quality improvement. The dataset will act as a tool to support Health Boards with local improvement in service planning and delivery, enabling them to understand and respond to local need.

The Transition & Recovery Plan, published in October 2020 and backed by an additional £120m of funding, is transforming services, with a renewed focus on prevention and early intervention. A key commitment in the Transition and Recovery plan is to support the collaborative development, implementation and assessment of quality standards for mental health services. To help ensure that services deliver and measure Psychological Therapies in a more standardised way across Scotland, a new national standard for Psychological Services and Therapies is currently under development with a publication date of Summer 2022.

As part of our investment in Mental Health and Wellbeing in Primary Care Services we will ensure that local planning groups, and in particular local primary care mental health services, are fully aware of the resources and services available for perinatal mental health and are supplied with clear guidance on how to support women and families in accessing these services. This will include support to access wider mental health support hubs, groups and helplines.

Since the start of the Perinatal and Infant Mental Health Programme Board we have invested over £18m in improvements to services and support for parents, infants and families across Scotland. This includes £5.5m for development of specialist Community Perinatal Mental Health services.

Funding levels for each Board have been primarily based on the gaps identified in Delivering Effective Services Report – Perinatal Mental Health Network Scotland and further shaped through discussions with each Board to ensure funding meets local need. As the we progress the programme of work, allocations are transitioning to an NRAC share which is the Scottish Resource Allocation formula used to distribute funding to NHS Boards.

Initial development funding was provided to two Health Boards in the North of Scotland in 2019-20. Funding was then rolled out to all mainland Boards in 2020/21 and all Boards received an allocation in 2021-22.

Following conclusion of the current Programme Board in March 2023, £8m per annum has been earmarked as recurring funding to Health Boards to support the sustainability of perinatal and infant mental health services across Scotland. This includes £5m specifically for specialist Community Perinatal Mental Health services.

Please see the following tables for a breakdown of funding allocated per Board for specialist Community Perinatal Mental Health services for the last 3 financial years.

The pandemic has been the biggest shock our NHS has ever faced. It has necessitated the imposition of Infection Prevention Control measures in order to contain its spread, particularly prior to the vaccination programme being fully rolled out.

These IPC measures, which have recently been deescalated, changed the way GPs see their patients. The Scottish Government wants to see greater availability of face-to-face appointments and is working with the BMA and RCGP to ensure this happens as quickly as possible. However, Covid has not gone away yet, therefore some precautions remain in place. We are clear that where clinically necessary face-to-face consultations will always be available to those who need them.

We must continue to move toward a position where choice is being offered routinely, and the Scottish Government welcomes the GMC’s proposed changes to the Good Medical Practice guidance placing a greater emphasis on shared decision-making between GPs and their patients.

Many GP practices did offer patients video or phone consultations as well as in-person face-to-face consultations before the pandemic changed the balance and we expect a number of patients will wish to continue afterwards with video or phone consultations rather than travel to their GP practice. Ultimately, what is most important is that appointments are agreed through shared decision making, balancing patient choice and clinical judgement.

We continue to explore new ways and approaches to support people to, for example, upload an image of their skin condition for review. This can support people to seek advice in a way that best supports their needs and requirements whilst also ensuring they still have access to a face-to-face appointment.

All GP practices are expected to follow the Infection Prevention and Control Manual for in-person visits as well as their local Health Board's guidance.

We welcome Leukaemia Care’s report and its recommendations to improve patient outcomes. We are pleased to say that we are closely aligned to the recommendations found in this report. Our Scottish Referral Guidelines for Suspected Cancer, published in January 2019, ensure patients on active monitoring are accounted for in planning cancer care and support primary care clinicians in recognising cancer symptoms, including chronic lymphocytic leukaemia.

We continue to work with health professionals and the Scottish Primary Care Cancer Group to raise awareness of symptoms and promote referral best practice.

Alongside this work, funding of up to £2.5 million has been issued over 2021-22 and 2022-23 to support 12 pilot programmes across Scotland to deliver a single point of contact (SPoC) for cancer patients. This contact will support patients to discuss questions or anxieties related to their clinical care from the point of diagnosis, receive timely and accurate advice on their appointments, test and results, have the chance to discuss what non-clinical support may be available for them and their family following a cancer diagnosis, understand their treatment plan and expected timelines for treatment delivery, self-manage (aspects of) their condition, and access available services as appropriate following discharge.

Additionally, we have worked with the Scottish Cancer Coalition (SCC) to produce a patient leaflet to highlight the work of the charities which are members of the coalition and the support they can provide to patients.

NHS Boards understand and communicate with patients the importance of keeping as fit and healthy as possible while waiting for joint replacement surgery. To support patients waiting and recovering from surgery, Boards and partner organisations offer a range of support including pain management, mental health, physiotherapy, access to leisure services, weight management and financial support. Information and advice is also available through online platforms like NHS Inform.

We also work in close partnership with third-sector organisations who provide a wealth of knowledge and care though lived experience which many patients value. Charities such as Versus Arthritis also offer support to those awaiting treatment, including advice, information and practical help to manage the impact of musculoskeletal pain on people’s wellbeing. They also provide peer-led support such as walking groups and tai chi in local areas which enable people to improve their physical fitness and maintain their mental health and quality of life both before and after treatment.