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There is no national collection of waiting times for adult diagnosis of ADHD. Such collection is conducted at the level of Health and Social Care Partnerships (HSCPs), and is not aggregated nationally.

However, the Scottish Government established the National Autism Implementation Team (NAIT), in partnership with Queen Margaret University, to support Health and Social Care Partnerships to consider best practice and improve service in the redesigning of autism diagnostic services.

In May 2023, NAIT published a review of waiting times for neurodevelopmental assessment in Scotland for adults , conducted between October 2021 and May 2022. These assessments include those for autism and ADHD.

This review found that, while the median overall waiting time for a diagnosis in adults was 252 days, aligning with the recommended timeframe, under half (47%) of individual assessments met the 252-day time standard, indicating that some individuals experience longer waiting times.

The 2020 Programme for Government included work to consider a National Clinical Pathway for ADHD. That work has now been completed and the Feasibility Study was published in January 2021 by the National Autism Implementation Team (NAIT).

Following on from the study, the Scottish Government provided funding of £650,000 for a 12-month pilot in four HSCP areas - Fife, Borders, Lanarkshire and Highland. The findings of the pilot were published in March 2023. We have accepted the full recommendations of the report and are now working with NAIT on implementation.

It is the responsibility of local Health and Social Care Partnerships (HSCPs) to put in place services to meet local needs, including the needs of adults with ADHD. Alongside this, the Scottish Government is engaged in work nationally to improve access to ADHD diagnosis in Scotland.

The Scottish Government funds Scottish Autism’s Autism Advice Line which is staffed by advisors who are trained and experienced in working with autistic people and their families. The Advice Line is open Tuesday – Friday, 10am-4pm. There is also a live chat facility, which you can access via the chat bubble at the bottom right hand corner of Scottish Autism’s website .

We also provide £1m of funding to several organisations via our Adult Autism Support Fund (AASF). Formal diagnosis is not required to access support from the new fund, which is directed at adults who currently receive very little local funding. The service is delivered in partnership with national charities and autistic led organisations, with Inspiring Scotland appointed as fund managers.

There are many other organisations across Scotland that run initiatives that support adults awaiting assessments for autism and/or ADHD. These initiatives do not require formal diagnoses as a prerequisite for access.

The Scottish Breast Screening Programme Statistics 2022-23 report confirms that a greater percentage of women experiencing socio-economic deprivation have attended screening for the three year period 2020-23 when compared to the last reporting period.

While this is a positive trend, the Scottish Government continues to ensure work is carried out to address inequalities in uptake and access to screening. The Scottish Government has committed £3 million since 2021 to tackle inequalities in the programmes. This has supported Health Boards to develop initiatives to meet local needs, develop better data capabilities so interventions can be more targeted and work to raise the profile of screening among specific groups. In 2024-25, an additional £1 million will be provided to build on this work.

This funding will support the Scottish Equity in Screening Strategy, which was published July 2023 with Screening Oversight and Assurance Scotland, and provides direction and focus to tackling screening inequalities.

In addition to this, the Executive Summary & List of Recommendations - Scottish Breast Screening Programme: major review - gov.scot (www.gov.scot) published in 2022 noted recommendations to address breast screening inequalities. The Breast Screening Modernisation Board, chaired by Dr Marzi Davies, is currently taking forward these recommendations.

The Scottish Government is aware of the guidelines issued by the Institute For Addressing Strangulation that have been endorsed by the British Association for Sexual Health and HIV Non-Fatal-Strangulation-Guidelines_AcuteEmergency_Feb24.pdf (ifas.org.uk) . We will continue to work with key partners, including the Scottish Health Protection Network, to consider how this guidance can be promoted and shared.

I refer the member to the answer to question S6W-27778 on 10 June 2024. 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

The location of critical policing facilities is an operational decision for the Chief Constable.

Police Scotland is currently in discussions with a number of partners around possible locations in Edinburgh, to ensure it can continue to provide a policing service that meets the needs of communities across the city, in the event that the Divisional headquarters at Fettes are closed.

It is for Police Scotland to assure itself on the condition of its estate, and to ensure it meets all health and safety statutory requirements, to support the wellbeing of officers, staff and the public.

The Scottish Breast Screening Programme Statistics 2022-23 show that more women than ever are attending breast screening appointments, and that uptake is increasing for most groups. It is important to note that uptake for women receiving their first breast screening invitation in 2022-23 was higher than any pre-COVID year since 2013-14, and was above the 10 year average of 70.8%. It is also above the standard uptake rate of 70%. Therefore, overall the picture for breast screening uptake is encouraging.

However, the Scottish Government recognises that there is still work to be done to improve uptake, including among those receiving their first invitation, and to meet the 80% achievable standard. We continue to work with the organisations responsible for breast screening to fully understand barriers to uptake, and to encourage all women to attend breast screening when invited. As part of this, we continue to ensure work is carried out to address inequalities in uptake and access to screening, having committed £3 million since 2021 to tackle inequalities in the programmes, which remains a priority. We will also provide £1 million funding for 2024-25.

The Breast Screening Review that was published in 2022 noted recommendations that seek to increase breast screening uptake. The Breast Screening Modernisation Board, chaired by Dr Marzi Davies, is currently taking forward these recommendations.

Following the announcement of major new childcare commitments in the 2023-24 Programme for Government, the Scottish Government is re-considering the approach to publication of the strategic framework for the early learning and school age childcare profession. In the mean time we are continuing to work with the Framework Steering Group and other partners to support delivery of the actions developed as part of the original plan.

We have already provided local authorities with an additional £16 million in 24-25 to increase pay for staff in the private and voluntary (PVI) sector who are delivering funded early learning and childcare (ELC) to at least £12 per hour from April 2024. This demonstrates our commitment to the Fair Work agenda, as we remain the only part of the UK to pay ELC staff in the PVI sector the real Living Wage.

In addition, we are progressing our commitment to growing the childminding profession by 1,000 and have funded the Scottish Childminding Association to develop a new national three-year programme of childminder recruitment and retention. We have also implemented a Protection of Vulnerable Groups (PVG) fee waiver scheme for everyone joining the sector in fiscal year 2023-24 and launched a new national portal for continuous professional learning, which includes mental health and wellbeing resources.

We will continue to work with representatives from across the sector to understand key priorities for the ELC profession and how we can best support retention and recruitment.

The Scottish Breast Screening Programme Statistics 2022-23 published by PHS confirm that uptake of breast screening is at its highest level. This means that more women with breast cancer are diagnosed at an early stage when it is more easily treatable and survivable.

Secondary data from this report shows the following number of women seen from 37 months in the respective years.

It is estimated that around 12,500 female practitioners and support workers who are working in private and third sector ‘day care of children’ settings that deliver funded ELC will benefit from Scottish Government investment to allow staff to be paid at least £12 per hour. This could result in a £2,000 increase in the gross salary annual salary of a full-time childcare worker.