Seòmar agus comataidhean

The proposals in the Bill stem from the work and recommendations of the Scottish Land Commission. It found the most pressing land reform issues were in rural areas in relation to the scale and concentration of land ownership and the resultant impact on local communities.

While there will only be a small number of landholdings in the Central Scotland region which will meet the threshold tests in the Bill, the proposals allow for the amending of these thresholds in future, should monitoring suggest this is justified.

Published national statistics on CAMHS waiting times captures children who meet the CAMHS criteria. Children who require neurodevelopmental support are not reported in these statistics unless they have co-morbid mental health issues. We do not currently collect data on length of waits for neurodevelopmental services centrally.

However, the Scottish Government are working closely with NHS Health Boards and Local Authorities to improve services and support for children and young people and their families and will continue to ensure long waits are appropriately addressed, as well as continue to provide tailored support to NHS Health Boards.

Our National Neurodevelopmental Specification Children and young people - national neurodevelopmental specification: principles and standards of care - gov.scot places an expectation on NHS and Children’s Services to work together to provide the support required by children and families, which may include assessment, diagnosis or other intervention. The 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.

This year we have provided health boards with £123 million to support improvements across a range of mental health services, including neurodevelopmental services. We have also provided local authorities with over £65 million since 2020 to fund community-based mental health supports and services for children and young people aged 5-24 (26 if care-experienced) and their families, including supports for neurodiverse children and young people.

This year, we allocated £123 million to NHS Boards to improve the quality and delivery of mental health and psychological services, including neurodevelopmental services, for both adults and children and young people.

Baselining this funding within NHS Board’s core budgets from 2025-26 will allow NHS Boards and IJBs greater stability and improved longer term financial planning, increasing their ability to support longer-term sustainable improvements and reform.

The Scottish Government is also providing more than £16.2 billion in financial year 2025-26 for Health Boards to deliver front line and other key services.

We are continuing to work closely with NHS Boards and other partners, including local authorities and the third sector, to develop and redesign services to improve access to diagnosis and support.

For example, we know that 78% of autistic adults supported have reported improved wellbeing as a result of accessing community support services funded through our £1 million Autistic Adult Support Fund. The £15 million we have invested annually in local authority community-based mental health supports has also benefitted many neurodiverse children and young people.

Spend on locum psychiatrists is managed locally by NHS Health Boards. It is our expectation that Boards should always be seeking to secure best value whenever they enter into arrangements regarding use of locums.

We recognise that the use of temporary staff in an organisation as large and complex as NHS Scotland will always be required to ensure vital service provision. However we are taking forward work in partnership with NHS Health Boards, overseen by two national oversight groups, to agree measures designed to reduce our reliance on agency staff, with a view to filling more shifts with staff in either NHS substantive or bank roles.

To address specific challenges in the recruitment and retention of permanent psychiatrist posts in Scotland, we have established a Working Group which is actively considering locum usage and complements the work ongoing nationally. The working group will make a series of recommendations and is due to report to Ministers in Spring 2025.

The Scottish Government established the Psychiatry Recruitment and Retention Working Group as committed in the Mental Health Workforce Action Plan (November 2023) to address recruitment and retention challenges facing psychiatry in NHS Scotland.

The working group is actively considering the pipeline of trainee doctors as well as issues such as the use of locum staff and how we can encourage and support applications to permanent positions within NHS Health Boards. We also continue to invest heavily in our future consultant workforce and have created additional training places in psychiatry.

Representatives from the Royal College of Psychiatry in Scotland and the Senior Medical Managers in Psychiatry Group are critical partners in this work.

The working group is due to report to Ministers with recommendations in Spring 2025.

Ministers and Scottish Government officials regularly meet with the leadership of all NHS Boards to provide support and scrutiny whilst reinforcing national priorities, including further action to reduce waiting times.

Scottish Government officials do not routinely engage with speciality clinical directors in territorial boards. They do meet with the Scottish Association of Medical Directors with representation provided by the Executive Medical Director for each board, both special and territorial rather than individual clinical directors.

In addition, the Scottish Government commissions the Centre for Sustainable Delivery (CfSD) manage a Rheumatology Specialty Delivery Group, which includes nominated multi-disciplinary representation from all Health Boards providing Rheumatology services.

Finally, Scottish Government officials and the CfSD national planned care team meet monthly with Chief Operating Officer and/or Acute Directors from all mainland Health Boards to review performance and delivery across all Planned Care specialities, including rheumatology. Meetings with island Boards are generally on a bimonthly basis.

Growing the economy is one of the Scottish Government's top priorities, and Scotland's regional economies, and Regional Economic Partnerships (REPs), are key to delivering this. We are committed to building a resilient and equitable economy where all regions can thrive and contribute to national prosperity.

This includes supporting our regions to develop their own regional economic strategies. These are led by the regions themselves, allowing the aims and priorities to specifically respond to regional needs and opportunities. Many REPs now have published and well-established strategies, setting their direction cohesively, and strongly demonstrating their plans for economic growth which enables clearer prioritisation and decision-making when seeking targeted support.

As outlined in our NHS Recovery Plan 2021-2026 annual progress update, published 18 December 2024, our five National Treatment Centres are expected to deliver an additional 20,000 procedures per annum once fully operational.

However, with the 2025-26 Budget proposing an additional £100 million to target long waits, coupled with efficiencies, we will see activity and capacity increase accordingly. Work is underway with Boards and partners to finalise plans and I would expect to see National Treatment Centre capacity increase to well over 30,000 procedures annually.

The following data provides the requested breakdown. Please note, for workforce purposes, the Scottish Government People Directorate defines a contractor as temporary workers, typically brought in under a service contract which has been let to an organisation to deliver a specific product.

A contractor is one subset of our wider Contingent Worker classification.

A Contingent Worker is defined as non directly employed workers that are engaged in any capacity for the Scottish Government, such as contractors, inward secondment and temporary agency workers.

Please also note that workforce data is held within DG areas rather than by Ministerial portfolios.

Headcount of Contingent Workers recorded as Contractor by DG

The Joint Working Group on Sources of Local Government Funding and Council Tax Reform continues to consider the analysis pertaining to all aspects of the Consultation on the Council Tax Treatment of Second and long-term Empty Homes, and whether there could be further increases to the Council Tax premium, which would require primary legislation. I will keep Parliament updated on those considerations.

The Group also intends to review the data collected on second and & long term empty homes. The Council Tax premium on second homes was introduced on 1 April 2024, and therefore has only been in effect for 10 months. Information on second homes and empty properties (as at September 2025) will be collected and published later in the year.