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The Scottish Government is working with NHS Boards, community partners, and the National Autism Implementation Team (NAIT) to improve access to diagnosis, by supporting local health partners to develop, enhance and redesign existing local neurodevelopmental services.

We are working with NAIT to implement Adult Neurodevelopmental Pathways across Scotland. By implementing a single diagnostic pathway for autism and ADHD, and by adopting a stepped care model, we hope to ensure that diagnostic and post-diagnostic support is provided in a timely and effective fashion.

In setting up of the DBI pilot programme in 2017, the Scottish Government created a dedicated DBI Central team to support and monitor implementation of this innovative programme. The Central team works closely with Public Health Scotland to provide monitoring reports to Government (and wider partners), and this evidence has informed the expansion of the programme across Scotland over the last eight years.

In addition to routine monitoring, the Government has commissioned two independent evaluations of the DBI programme to review its impact. The first evaluation relates to the original pilot phase of DBI (for over 18s) Distress Brief Intervention Pilot Programme evaluation: findings report - gov.scot (www.gov.scot) and the second relates to the NHS24 expansion https://www.gov.scot/publications/evaluation-extended-distress-brief-intervention-programme-summary-findings/

Both evaluations confirmed that DBI is a highly effective model in supporting people in distress, with 90% reporting that their distress levels continued to decrease and that they felt it had given them the tools and skills to manage their distress. Additionally, evaluation suggests that, in around 10% of referrals, DBI support has helped prevent suicidal thoughts, or even suicide. Additionally, feedback from frontline services suggests that DBI helps ensure they can help people to access the support they need, easing pressure on frontline services.

A further independent evaluation, relating to how effective DBI is for under 18s, is underway, and is expected to report to the Scottish Government in June 2025.

To enable a smooth expansion of the DBI programme, we have used improvement science and an active learning approach.

The DBI programme has now supported over 78,000 people across Scotland (as of November 2024).

In total, between June 2020 and May 2024, initial contact was not made within 24 hours for 216 people out of 58,657 referrals (less than 0.4%). The following table breaks this down by percentage due to the small number of cases in each area.

The Scottish Government is currently working on a National Treatment Specification for Alcohol and Drug Treatment in Scotland.

This document will be informed by numerous sources including the forthcoming UK Clinical Guidelines for Alcohol Treatment and the recently published Public Health Scotland review into Alcohol Brief Interventions as well as key independent reports such as Scottish Health Action on Alcohol Problems (SHAAP) report, Exploring the delivery of alcohol-related health advice in dental practice settings: A scoping review.

Officials will work closely with colleagues within Primary Care including the team of the Chief Dental Officer to ensure that the National Treatment Specification fully reflects the importance of dentistry as an integral part of Scotland’s alcohol treatment provision.

ScotRail Trains Limited is a train operating company that is publicly owned by Scottish Rail Holdings (a Non-Departmental Public Body) on behalf of the Scottish Government. ScotRail is not an Agency of the Scottish Government.

The guidance quoted by the Member relates to questions about Scottish Government Agencies. The relevant guidance has been correctly followed when preparing an answer to question S6W-32555.

Applying the fit and proper person test in the Environmental Authorisations (Scotland) Amendment Regulations 2025 to all four of SEPA’s regulatory regimes will assist in keeping criminals and illegal operators out of the waste management industry.

The Scottish Government currently has no plans to introduce a centralised fee for multi-agency involvement in environmental authorisations. SEPA is Scotland’s environmental regulator, responsible for granting environmental authorisations, and regularly consults and updates the Environmental Regulations (Scotland) Charging Scheme 2018 for fees and charges.

Scotland’s first Rapid Cancer Diagnostic Services (RCDSs) – established within existing NHS infrastructure – are operational in NHS Ayrshire and Arran, NHS Dumfries and Galloway NHS Fife, NHS Lanarkshire and NHS Borders.

Our Programme for Government has committed to establishing a further Rapid Cancer Diagnostic Service in NHS Forth Valley, bringing our national total to six. It is expected the RCDS in NHS Forth Valley will start accepting referrals by Spring 2025.

Colleagues in the Centre for Sustainable Delivery continue to engage with Health Boards across NHS Scotland and regional cancer networks, such as the North Cancer Alliance, to extend Rapid Cancer Diagnostic Services. We are committed to achieving population based coverage by 2026.

A clinical refresh of the Scottish Referral Guidelines for Suspected Cancer is currently underway to help ensure the right person is on the right pathway at the right time. The guidelines are due to be published in Spring 2025. A new guideline will now be included for those patients presenting with symptoms that do not follow the specific tumour referral pathways, ensuring that patients across NHS Scotland who present with non-specific symptoms of cancer will have a clear Urgent Suspicion of Cancer referral route. This non-specific symptom guideline is closely aligned to the referral route for those who are referred to a Rapid Cancer Diagnostic Service (RCDS).

SEPA has been preparing for implementation of the new regulatory framework for several years, investing in new systems, people, processes and support mechanisms to ensure a smooth transition in November 2025.

Implementing the Environmental Authorisations (Scotland) Amendment Regulations 2025 and bringing the integrated authorisation framework into effect is identified as a key priority in its 2024-27 Corporate Plan.

A dedicated project implementation team has been working since 2023 to support the work that needs to be done before the draft Regulations come into force. This team comprised of technical, IT and legal expertise apply robust project management principles towards developing risk mitigations and contingencies that might arise.