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The Perinatal and Infant Mental Health Managed Clinical Network Scotland (PIMHNS) has developed a workstream ‘Parents as Patients’ to develop guidance around joined-up working (i) between perinatal/infant mental health services and other mental health services (e.g. general adult mental health, unscheduled care, liaison mental health), and (ii) between perinatal/infant mental health services and other relevant medical care services (particularly primary care and acute hospital care). The important role of the third sector will feature in both. Initial meetings of two Short Life Working Groups (SLWG) have taken place to progress these workstreams, along with amending the existing care pathways which were published in 2021 ( https://www.nn.nhs.scot/pmhn/wp-content/uploads/sites/11/2021/06/Care-Pathways-full.pdf ) .

Both SLWGs will focus on the themes of:

• Interfaces – to cover both care between specialist and general or universal services. This would also include principles of joint working and good practice.
• Education and training – to address knowledge of parent infant relationships and infant mental health needs as well as child protection issues and risks in relation to childbearing.

The final guidance and updated care pathways are due to be published in the final quarter of the financial year.

Advanced Nurse Practitioners are employed within a range of settings within Primary Care.

The 2023 General Practice Workforce Survey ( https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/general-practice-workforce-survey-2023/annual-report/?pageid=10709 ), reports that there are 553.7 whole-time equivalent (WTE) Advanced Nurse Practitioners (ANPs) employed by and working in General Practices.

Alongside this, the ‘Primary Care Improvement Plans - Implementation Progress Summary’ ( https://www.gov.scot/publications/primary-care-improvement-plans-summary-implementation-progress-march-2023/ ) reports that a total of 219.9 WTE ANPs employed by Health Boards within Urgent Care services.

The latest NHS Scotland Workforce data published by NES ( https://turasdata.nes.nhs.scot/data-and-reports/official-workforce-statistics/all-official-statistics-publications/05-march-2024-workforce/ ) shows that there are 4.8 WTE ANPs employed by the Scottish Ambulance Service, as well as 1.0 WTE ANP employed by NHS 24.

NHS Education for Scotland (NES) support the development and delivery of healthcare education and training for the NHS, health and social care sector and other public bodies. This includes the development of best practice guidelines as appropriate.

With regards to GP receptionists, NES published the Core Competency Framework for General Practice Administration Staff and Practice Managers in September 2023, which includes an accompanying learning needs analysis tools and training packages.

There has been no formal review of the provision of sexual health and wellbeing services for young people, however the Scottish Government is committed to ensuring that young people across Scotland have access to these services. In 2023 we published our Sexual Health and Blood Borne Virus (SHBBV) Action Plan, particular attention was paid to young people in the development of the plan. We have allocated multi-year funding to a range of projects to help deliver this goal, details of these projects were published alongside the SHBBV Action Plan.

In June 2021, the Scottish Government published a new professional learning resource for school staff aimed at providing essential learning required to support children and young people’s mental health and wellbeing https://www.cypmh.co.uk/

Education Scotland also offers a comprehensive suite of professional learning resources to support teachers in assessing, monitoring, and enhancing the health and wellbeing of pupils. These include trauma-informed training delivered to over 1,000 practitioners in collaboration with NHS Education for Scotland. Additional Education Scotland resources, such as the Cycle of Wellbeing and Positive Mental Wellbeing guide practitioners in fostering positive change, are also available.

The Inclusion, Wellbeing, and Equalities Professional Learning Framework , launched by Education Scotland in November 2023, further supports educators in building capacity and understanding across the four key themes of Inclusion, Rights and Equalities, Relationships and Wellbeing and Care.

In January 2022, the Scottish Government commissioned research to understand the outcome of primary care reforms for Scottish people. It commissioned a survey to assess public understanding, perceptions and experiences of primary care in the context of recent reforms and the COVID-19 pandemic. The report can be found here: https://www.gov.scot/publications/public-understanding-perceptions-primary-care-scotland-survey-analysis-report/pages/3/

To strengthen the evidence base on the national context for implementation of primary care multidisciplinary teams, including on patient experience and awareness, we have established a Phased Investment Programme. Through this programme, we will work with a small number of areas using an improvement science approach to demonstrate what a model multidisciplinary team can look like in practice and collect evidence on the impact of Multi-Disciplinary Team working which will then inform and support future long term investment.

Scottish Government is undertaking a range of actions to ensure healthy foods are available to and affordable for individuals living in areas of socioeconomic deprivation. This includes steps towards ending the need for food banks through our £1.8 million Cash-First Programme.

The programme will support eight public and third sector partnerships with four local authorities participating – Aberdeenshire Council, Fife Council, North Lanarkshire Council and West Dunbartonshire Council. This will strengthen urgent access to cash in a crisis and reduce the need for food parcels, meaning people can access the essentials they need whilst maintaining dignity.

Throughout 2023-24, we have also maintained funding levels for regional Community Food Networks so that they can continue to support people struggling to access healthier food options. The Networks help promote healthier diets in disadvantaged groups, whether that is due to lack of income, skills or cultural barriers. They provide a broad range of activities including: cooking classes, benefit checks, ‘grow-your-own’ food groups, cafés and food pantries.

Through funding the Healthy Living Programme, we are also helping convenience stores provide access to affordable healthier food options. More than two-thirds of the 2,300 strong Healthy Living Programme membership serves the most deprived areas of the country and ensures access to affordable, healthier food and drink in those communities.

In Scotland, youth work is recognised as being part of the wider professional sector known as Community Learning and Development (CLD).

Education Scotland offer professional learning which is open to all educators including CLD practitioners (Adult Learning, Community Development and Youth Work) across Scotland, such as the Educator Leadership Programme (ELP), Learning for Sustainability (LfS) & Building Racial Literacy (BRL).

The Education Scotland CLD team have also been working with YouthLink Scotland to support the development and implementation of joint work between teachers and youth workers, as part of a national SAC funded project https://www.youthlink.scot/education-skills/scottish-attainment-challenge/

Additionally, through Scottish Attainment Challenge and Pupil Equity Fund, at a local level, some local authorities are encouraging joint-training opportunities for teachers and CLD youth workers to facilitate greater understanding of the twin approaches to learning and skills development. These opportunities are based on the individual programme focus and are variable in duration, delivery style and formality.

NES published the Core Competency Framework for General Practice Administration Staff and Practice Managers in September 2023, which includes an accompanying learning needs analysis tools and training packages. The training packages include training resources specifically for GP receptionists.

The Scottish Government is: rolling out a new Community Glaucoma Service, which supports eligible patients with lower risk glaucoma and treated ocular hypertension to be discharged from hospital and registered with accredited community optometrists; and delivering UK-leading changes to the undergraduate optometry degree model, which will enable students to graduate as Independent Prescriber optometrists.

In relation to at-home diagnostic and treatment services, community optometry practices that provide NHS eye examinations to eligible patients in a domiciliary setting receive a General Ophthalmic Services eye examination fee as well as an additional visiting fee.