Seòmar agus comataidhean

The NACCP last met in May 2021. As set out in the Implementation Plan for the Framework the NACCP has been replaced by the Pain Management Task force.

The Scottish Government does not hold this information centrally.

In Scotland, the Scottish Medicines Consortium (SMC) appraises the clinical and cost-effectiveness of newly-licensed medicines. Making decisions about whether or not to recommend routine access to new medicines is a complex task and the SMC bases its decisions on the best available evidence provided to it. Following a full submission from the submitting company, Aimmune Therapeutics, on 10 October 2022, the SMC published “not recommended” advice for Health Boards on the routine use of Palforzia ® in NHS Scotland. The submission received did not present a sufficiently robust economic analysis to gain acceptance by the SMC.

By way of an update, Aimmune Therapeutics has indicated its intention to make a resubmission to the SMC.If they do, information on the specific timelines for the reassessment will be available via the search facility available on the home page of the SMC’s website here . There is a fast-track resubmission option, which reduces the normal assessment timeline.

In the meantime, Health Boards have procedures in place using the Peer Approved Clinical System “PACS Tier Two” process, for clinicians to request the use of licensed medicines on a ‘case-by-case’ basis for individual patients, when the treating clinician considers that there would be significant clinical benefit for a patient.

No One Left behind and Fair Start Scotland are integral parts of the employability support landscape in Scotland and aim to support individuals, including veterans and their partners, to overcome barriers through person-centred tailored support, enabling them to access and sustain fair employment.

No One Left Behind supports those transitioning out of military service, to deliver local place based approach to facilitate easier alignment of employability support with existing local level support services including housing, health, justice and advice services to ensure that individuals can access the holistic packages of support that they need to move towards, into and to sustain employment.

Fair Start Scotland, our national employment support service, offers 12 to 18 months of tailored, person-centred pre-employment support, along with up to 12 months of in-work support available for individuals and their employers. Support includes access to workshops and guidance utilising the transferrable skills that people leave military services with.

In addition, The Veterans Employability Strategic Group brings together members from the UK and Scottish Government, agencies, Local Authority employability representatives, third sector organisations supporting veterans and employers with a specific aim to work together to enable smoother transition for those leaving military service and settling in Scotland. The need to ensure smoother transitions has been a focus of successive Scottish Veterans Commissioners and thus a priority for the Scottish Government and its agencies.

Greater partnership working between UK , Scottish and regional local partners has led to greater collaboration. For example, Skills Development Scotland (SDS) works closely with colleagues in the Career Transition Partnership (CTP) who are the Ministry of Defence’s official resettlement provider and are responsible for delivering the career and employment support as part of the transition from military service.

They have a memorandum of understanding with the Ministry of Defence, and CTP colleagues are aware of SDS as a referral route for clients requiring impartial career guidance. SDS Veterans leads have also delivered sessions to SDS colleagues and armed forces champions that inform colleagues of the CTP offer and the support available to service leavers from CTP for up to 2 years post discharge.

In November 2022, the Scottish Police Authority (SPA) Resources Committee approved Police Scotland's Initial Business Case for the introduction of National Body Worn Video, ahead of consideration by the SPA Board. Once approved by the Board, Police Scotland is expected to undertake a full procurement exercise this year which will provide more clarity on costs - both upfront purchase costs and ongoing costs.

The Scottish Government remains fully committed to using the resources available to support the vital work of Police Scotland in delivering effective and responsive policing across Scotland. We have invested over £11.6 billion in policing since Police Scotland was created in 2013 and we will invest a further £1.45 billion in 2023-24. Despite cuts to the Scottish Government capital budget, we have also continued to maintain the £45.5 million capital investment in the police asset base for buildings, vehicles and technology. Operational policing decisions on the introduction and use of body worn cameras and budgetary prioritisation remain matters for Police Scotland to decide, acting under the oversight of the SPA.

Myalgic Encephalomyelitis (ME) is a neurological condition as classified by the World Health Organisation’s International Classification of Diseases, 10th Revision (ICD-10). The ICD code for ME/CFS is G93.32, categorising it within disorders of the nervous system. As such this condition is covered by the Scottish Government’s Neurological care and support - framework for action 2020-2025 .

The safe treatment, health, and wellbeing of all those in custody is a key priority for this Government and it is vital that people who live in our prisons are supported. It is imperative that when problems do occur, individuals receive the necessary treatment, care and respect, in a timely manner.

When anyone arrives in custody, they will have a healthcare consultation with an NHS healthcare professional within 24 hours of arrival, to identify healthcare conditions, other vulnerabilities and medication requirements. Early assessment of health needs is vital and a range of related work is being progressed with partners to improve healthcare in custody and in relation to deaths in custody.

Preventing suicide and supporting people who self-harm are key areas of focus for the Scottish Prison Service in developing its Health and Wellbeing Strategy. We continue to work closely with NHS Boards, SPS and the National Prison Care Network to implement the healthcare recommendations from the Independent Review of Deaths in Custody, as well as the Suicide Prevention Strategy and Mental Health Transition and Recovery Plan.

Skills Development Scotland(SDS), the Scottish Government’s Skills agency, works closely with the Career Transition Partnership who have responsibility for delivering the career and employment support as part of the transition for those leaving military service.

SDS have delivered sessions on My World of Work (MyWOW) and all SDS advisers are aware of the wide range of training and education options available at all levels across Scotland. A dedicated page on the SDS MyWOW website acts as a signpost for a range of advice and support. This has also been included as part of SDS’ presentations to serving military as part of the personal resilience days.

In addition and to assist service leavers and veterans in understanding their transferable skills and to help plan their future learning journey, the Scottish Government has funded the Scottish Credit and Qualifications Framework (SCQF) to develop a Discovery Tool to help them align their skills and qualifications gained in service with comparable Scottish level qualifications. This is available through the SCQF or SDS MyWOW websites.

Work on developing the tool further to link to the college and universities sectors continues. The MOD's Enhanced Learning Credits (ELCAS) Scheme promotes lifelong learning amongst members of the Armed Forces, the scheme enables higher level learning of a nationally recognised qualification with an approved Learning Provider. We continue to work to improve the ELCAS offering and are making progress in understanding the institutional issues.

The Scottish Funding Council (SFC) continue to facilitate work with the Armed Forces and Veterans Community Group (AFVCG) and the Ministry of Defence’s Training, Educations, Skills, Resettlement and Recruitment (TESRR) and Careers Transition Partnership (CTP) with a proposal to have dedicated educational opportunities briefing sessions at CTP online workshops being approved. In Academic Year 2021-22 three online sessions were delivered and one face to face session. For Academic Year 2022-23 three CTP online sessions and two face to face sessions have been arranged.

The SFC on behalf of the Scottish Government have a dedicated web page with information and advice for people leaving military service. The web page is regularly reviewed and maintained, with updates when necessary. SFC Communications Teams uses social media channels to promote events linked to and relevant for veterans, service leavers, the armed forces and their families.

The Centre for Military Research, Education and Public Engagement (CMREPE) based at Edinburgh Napier University, has a focus for ‘developing a strong network of significant partnerships to enhance opportunities for military personnel active, transitioning and veterans in education and research activity.

In 2021 we increased the Scottish Veterans Fund to £500,000 per annum to provide greater support to veterans and their families. This year, 25 projects are supported by the Fund. This includes projects helping to combat social isolation, for example a programme of away days for veterans in and around the Huntly area from Networks of Wellbeing; and the establishment of a Cafe hub in Falkirk which offers support to veterans and their families by FirstLight Trust.

Our strategy ‘A Connected Scotland’ recognises that those in transitional phases, like veterans leaving the armed forces, can be more at risk of social isolation and loneliness. Our forthcoming social isolation and loneliness plan will set out our intent to engage with veterans organisations and use data and outcomes to understand how we can better support the armed forces community to strengthen social connections.

The most recent iteration of the Scottish Household Survey included the 2022 Census question on former service in the Armed Forces which, when combined with the Scottish Household Survey’s questions on loneliness and isolation, will improve considerably our understanding of social isolation across the veterans community. This will, in turn, help inform future policy and services.

The Scottish Government is committed to ensuring that all veterans living in Scotland are able to access the best possible mental health care and support.

Scottish veterans are able to access support from the two veteran-specific mental health and wellbeing providers, Combat Stress and Veterans First Point (V1P). This year we awarded £658,000 to V1P and £1,424,090 to Combat Stress to continue to provide mental health support to veterans.

Additionally, the Scottish Government has worked in partnership with See Me , providing £50,000 to tackle stigma and promote the importance of veterans seeking help for mental health issues.

The Veterans Mental Health & Wellbeing Action Plan was published in December 2021 and the Veterans Mental Health Implementation Board has now been established to take forward the actions to improve access to mental health services for veterans.