Seòmar agus comataidhean

I refer the member to the answer to question S6W-13888 on‎ 27 January 2023. 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

A letter was sent to Health Boards from National Clinical Director on 30 December 2020 requesting that Wheelchair and Seating services maintain and replace wheelchairs used by veterans to at least a level commensurate with that issued to them at the time of their discharge, provided it is safe and continues to meet their clinical and wheeled mobility needs. It confirmed that any additional costs associated with servicing, maintaining, replacing – which are expected to be low – will be met by the providers.

To develop the Scottish Veterans Treatment Pathway, we are working with a range of partners, including the Scottish Trauma Network to understand what is required to most effectively treat and meet the needs of veterans and their families who have endured injury while in service.

NHS National Services Division operated the Scottish Veterans Care Network between November 2020 and March 2022.

A range of stakeholders were involved in shaping the Network. The Network’s primary focus was on the Mental Health and Wellbeing Action Plan (MHWAP). The delivery of the MHWAP is now being taken forward by a veteran led Implementation Board, and as such the Network has been stood down.

We recognise that veterans may have specific health needs as a result of their military service. Scottish Government works with key partners, including NHS Armed Forces and Veterans Champions to ensure that veterans are identified as a distinct group to ensure their needs are met within the healthcare system.

As a result of a project in NHS Fife, it was agreed at the UK wide MoD/ Department of Health and Social Care Partnership Board that a single code identifying veterans within primary care records be used.

In addition, as part of our commitment to establish a GP’s Armed Forces and Veterans Recognition Scheme, we have developed a training package for health and social care staff, working in general practices to help them understand the specific health needs that veterans can present with.

Last year we published ‘The Strategy For Our Veterans: Taking the Strategy Forward in Scotland – Our Refreshed Action Plan’ which sets out our commitment to obtaining data on veterans from the new Drug and Alcohol Information System (DAISy). DAISy includes a field identifier for veterans and will gather key demographic and outcome data on people who engage in drug and alcohol treatment services. This will provide useful data on the nature and scale of problem drug use among veterans across Scotland. We anticipate that Public Health Scotland will publish this data for the first time this year.

Up to date information on membership, remit and dates of meetings are available here Armed Forces Personnel and Veterans Health Joint Group - gov.scot (www.gov.scot)

Patient referrals and self-referrals to cCBT services from 2017 to 2022, by Board.

Costs for computerised cognitive behavioural therapies are paid at the national level rather than split between NHS Boards. National costs are provided in the following table.

We established the Digital Mental Health Programme in late 2020 to oversee ongoing development of cCBT and other digital mental health services. The development and expansion of digital services was supported by a national implementation team.

The number of available cCBT treatments has increased from 1 in 2019 to 27 in 2022. The introduction of self-referral treatments, Sleepio and Daylight have greatly increased access to digital treatments with 25,668 self-referrals in 2022, compared to 12,356 the year before.

These numbers continue to rise, with usage of cCBT programs increasing from 22,385 in 2020 to 66,163 in 2022. We continue to invest in the long term sustainability of digital therapies (including cCBT), including innovation, staff training, evaluation and inclusion.