Seòmar agus comataidhean

I refer the member to the answer to the question S6W-34345 on 28 February 2025. 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

We expect NHS Boards to follow the National Child and Adolescent Mental Health Services (CAMHS) specification, which includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service.

Some of these services are likely to be community based and we continue to invest £15 million per annum in funding to these supports, which will continue through the local government finance settlement from 2025-26. Local authorities report that nearly 83,000 children, young people and their family members accessed community-based mental health support between July 2023 and March 2024. Alongside this, we are ensuring access to counselling services in all secondary schools, and continue to support local authorities with £16million a year.

Appropriate redirection and alternative support will vary across NHS Boards depending on the services available locally, and the needs of the child or young person involved. While we have made significant progress in improving mental health and wellbeing services for children and young people since 2018, we continue to work closely with Boards to understand the reasons for non-accepted referrals and to ensure that the criteria in the CAMHS specification are being met.

Additionally, Public Health Scotland has started publishing data from the CAMHS and Psychological Therapies National Dataset (CAPTND), including referrals to CAMHS by sex, age and SIMD as well as reasons for referral not being accepted. Health Boards are also working with PHS and Directors of eHealth to enable the collection and publication of additional information this year.

CAPTND is still under development, and any inferences or conclusions drawn from this data should be treated with caution. Work is ongoing between NHS Boards, Public Health Scotland, and the Scottish Government to improve the consistency and completeness of the information.

The Public Health Scotland CAMHS statistics capture children and young people who meet the CAMHS criteria. Children and Young People and their families who have requested support for their neurodevelopmental needs but do not meet the CAMHS criteria are not reported in these statistics.

However, the statistics do capture those children and young people who are on the waiting list and have mental health concerns comorbid with neurodevelopmental issues.

Data relating to the number of children waiting for a neurodevelopmental diagnosis is not currently nationally reported or published. However Health Boards should hold their own data on who is waiting for a neurodevelopmental diagnosis.

It is also important to recognise that not all children seeking a diagnosis will meet diagnostic criteria but may still have support needs. That is why our National Neurodevelopmental Specification makes clear that support should be put in place to meet the child or young person’s requirements when they need it and should not be dependent on a formal diagnosis.

We acknowledge that work is needed to improve the quality of data that we have on neurodevelopmental support and services, including a better understanding of current levels of need and the level of support children and young people currently receive.

We are working with Health Boards and local authorities to improve our understanding of what data is available, and how this could be used to support improvements for children and families.

I appreciate that the proposed closure of the main building at SRUC’s Elmwood campus will be deeply concerning for affected staff and students.

Although SRUC is an autonomous institution with responsibility for its own strategic and operational decision, I would expect them to ensure that they engage meaningfully with staff affected by these proposals, in line with our Fair Work principles and in doing so explore any alternative options which might see delivery of these courses remain in the locality.

I would also expect any affected students to be appropriately supported by SRUC throughout this period, and to receive timely information about the impact of any disruption on their studies and the options available to them.

We have provided local authorities with over £65 million since 2020 to fund community mental health and wellbeing services for children, young people and their families. This investment will continue with the baselining of £15 million per annum funding into the local government finance settlement from 2025-26.

The community-based supports and services are focused on prevention and early intervention, promoting positive mental health and wellbeing, and tackling emotional distress. Supports and services are available in every local authority area, and more than 300 have been put in place across the country, including supports for trauma, anxiety and depression. Local authorities have reported that nearly 83,000 people used the supports and services between July 2023 and March 2024, including more than 10,000 family members and carers.

In addition, we continue to provide £16 million a year to local authorities to ensure that all school pupils aged 10 and above have access to school counselling services, and local authorities have confirmed that services are in place across Scotland. We have also supported school staff to understand and recognise the range of mental health and wellbeing concerns that young people may experience through a professional resource, which complements 2021 guidance to support whole-school approaches to mental health and wellbeing.

The Child and Adolescent Mental Health Services (CAMHS) service specification highlights that all children and families should receive support and services that are appropriate to their needs. For many children and young people, such support is likely to be community based, and should be easily and quickly accessible. We continue to work with NHS boards to monitor the service specification’s implementation, to improve services and support for children and young people and their families.

We continue to invest in mental health services for children and young people and we have directly allocated £123 million to NHS boards and integration joint boards for a new enhanced mental health outcomes framework in 2024-25. The framework provides a single, flexible funding stream to support continued improvements and better outcomes across a range of mental health and psychological services in line with the Mental Health and Wellbeing Strategy, including CAMHS. The priorities for the funding this year are to continue delivering improvements in CAMHS, psychological therapies, eating disorders and neurodevelopmental services, as well as ongoing innovation and service reform for mental health services.

Although there is a clear legal framework within which allocation policies must operate, local authorities have considerable discretion within these constraints to develop their allocation policy and practice to meet the needs of the communities in which they operate.

The code of guidance on homelessness aims to guide local authorities in their duties to assist people who are threatened with or who are experiencing homelessness. It sets out that local authority staff should ensure that accommodation and services are offered on the basis of a thorough assessment of the applicant's support or health needs and that these needs are addressed in a holistic fashion. We remain committed to a fuller review of the code of guidance on homelessness, in consultation with stakeholders – including those who represent the interests of children – once the new homelessness prevention measures have been introduced.

The Scottish Social Housing Charter sets out the outcomes and standards that all social landlords should be delivering for their tenants and other customers. This includes an outcome (outcome 12) that describes what councils should achieve by meeting their statutory duties to people who are homeless or at risk of homelessness. Scottish Ministers will review the current charter in 2026-27 in consultation with stakeholders and this will provide an opportunity to ensure the charter continues to focus on matters that are important to tenants and others that use social landlord services.

A Scottish Government amendment to the Housing (Scotland) Bill will, if passed, confer a new power for relevant bodies to share information in connection with their new duties to prevent homelessness. This should help decision makers plan better services but will also mean that those seeking assistance do not have to share distressing information on multiple occasions with different services.

The Scottish Government published updated information sharing guidance in September 2022 as part of a suite of refreshed ‘Getting it right for every child’ (GIRFEC) policy and practice guidance, which is intended for practitioners and service leads in services that work with children, young people and families. This guidance promotes lawful, fair and proportionate information sharing that complies with all relevant legal requirements. The Scottish Government will continue to work in partnership with stakeholders to better understand local challenges around GIRFEC implementation, including information sharing, in order to strengthen its consistent, high-quality application across Scotland.

The National Care Service Bill, as introduced, contained two critical provisions, section 36 (information sharing) and section 37 (information standards), within part 2 of the bill to support our data and digital infrastructure across health and care in Scotland. Section 36, as introduced, sets out the power of Scottish Ministers, by way of regulations, to establish a scheme for sharing information in order that public health and social care services can be provided efficiently and effectively. This will allow safe, secure and efficient sharing of social care and health data across relevant care settings, including with the individual and will ensure up-to-date information is available to those who support and provide care.

The Scottish Government recognises the disruption a homeless household can experience when placed in temporary accommodation, and is aware of the problems that can arise if accommodation is located too far from the household’s employment, education and health services.

The Unsuitable Accommodation Order states that accommodation is unsuitable if it is not in the locality of facilities and services for the purposes of health and education which are being used, or might reasonably be expected to be used, by members of the household. The exception to this is if those facilities are reasonably accessible from the accommodation, taking into account the distance of travel by public transport or transport provided by a local authority.

It can be challenging for local authorities to place homeless households close to existing family and social networks due to the location of available properties and the high demand in particular areas. The risk assessment conducted as part of the housing support service and allocation process informs the offers of accommodation made.

Local authorities make efforts to accommodate homeless households so they can access the same services or types of services they have previously used. While it is preferable for households to continue to access the same facilities as they have in the past, this is not always possible. The Scottish Government’s code of guidance on homelessness makes clear that it is acceptable for local authorities to offer households access to similar facilities.