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CMAL and CalMac each have 1 island-based person sitting on their board of directors.

The Health and Care (Staffing) (Scotland) Act 2019: Overview - Health and Care (Staffing) (Scotland) Act 2019: overview - gov.scot (www.gov.scot) commenced on April 2024, the Act places duties on Health Boards to ensure that at all times suitably qualified and competent individuals are working in such numbers as are appropriate for the health, wellbeing and safety of patients, the provision of high-quality care and the wellbeing of staff.

Under the Act, there is a Duty on Health Boards to submit a report on how they complied with their legislative requirements. Following this, Scottish Ministers must publish these reports alongside setting out how they have taken into account and plan to take into account, in their policies for the staffing of health service, the information included in the combined report. The first Health Board Annual Reports are due 30 April 2025.

In addition to our investment in policing, to strengthen our approach to address violence, in May 2023, we published a Violence Prevention Framework for Scotland. This sets out our strategy to prevent violence, and where it does occur, to reduce the harm. The Framework takes a public health approach to tackling violence, with a focus on prevention at a primary, secondary and tertiary level. By using the research and available evidence, in collaboration with our partner organisations we can target those most at risk of experiencing violence (victim and perpetrator), as early as possible.

Through the Framework’s Action Plan, we are delivering a range of activity to prevent and divert people away from violence, supported by over £2m investment this year.

Funding is supporting partner organisations to carry out a range of activities in schools, hospitals and across communities to prevent and respond to people at risk of experiencing or engaging in violence. This activity is being taken forward by the Scottish Violence Reduction Unit, Medics Against Violence, YouthLink Scotland, Education Scotland and Police Scotland Youth Volunteers.

A progress update outlining some of the activity carried out over the first year of the Framework was published on 11 September 2024.

The current maximum legal noise level for fireworks is defined in UK-wide legislation, the Pyrotechnic Articles (Safety) Regulations 2015.

While we recognise that some retailers label fireworks as silent or low noise consultations with various stakeholders had confirmed that no formal standard or specification exists to identify or differentiate these products.

We are keen to stay informed about advancements in this area, and I have written to the new UK Government to request a meeting to discuss possible updates to fireworks regulations on a UK wide basis. I recognise we share the goal of enhancing community safety and wellbeing, and I plan to address noise as part of these discussions.

Within the powers available to us, we have taken a series of proportionate, evidence-based steps to strengthen the law around access to and use of fireworks.

Since the Audit of Rejected Referrals was published in 2018, Scottish Government has undertaken a wide range of work to implement the recommendations in the report and take forward whole systems reform of children and young people’s mental health services.

One of the key actions we have taken to address the recommendations is to develop a CAMHS Service Specification: Child and Adolescent Mental Health Services (CAMHS): NHS Scotland National Service Specification (www.gov.scot) published on 2 February 2020, to set out clear standards for all CAMHS services in Scotland. This outlines how CAMHS services should be delivered and what young people and their families can expect from CAMHS. The National CAMHS specification 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, such as those provided by our community-based supports.

The subsequent publication of the Neurodevelopmental Specification in September 2021 also addresses actions from the Audit of Rejected Referrals and ensures that children and young people who have neurodevelopmental profiles with support needs, receive support that better meets their needs, based on the Getting It Right For Every Child (GIRFEC) approach.

Another action to address key findings in the report was establishing community mental health and wellbeing services across Scotland. Not all children and young people need specialist services like CAMHS, which can lead to referrals not being accepted. This is why we are providing local authorities with £15m per annum to fund community-based mental health supports for children, young people and their families. Local authorities report that, in the first half of 2023, more than 58,000 children, young people and their family members accessed community-based mental health support.

In addition, we have recently seen the best national performance against CAMHS waiting times since the 18 week standard was introduced in 2014. 1 in 2 children and young people referred to CAMHS now start treatment within 6 weeks, compared to 12 weeks pre-pandemic.

The Audit of Rejected Referrals highlighted that improved patient-level data was required to provide further insight and intelligence into system performance. Therefore, the Scottish Government has also commissioned national patient-level data to help with service planning and improvement, for measuring the true impact of investment, and for telling the stories of people seeking and receiving treatment in CAMHS. Directors of eHealth have been commissioned to upgrade data systems supporting CAMHS to enable the collection of patient-level data. This work is ongoing.

In parallel, and responding to recommendations in the report, Public Health Scotland have 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. Boards are also working with PHS and Directors of eHealth to enable the collection and publication of additional information in 2025.

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 CAHMS specification are being met. The Joint Strategic Board for Child and Family Mental Health provides oversight across all areas of children and families’ mental health, with the aim of ensuring we continue to improve and develop services to help children and young people in Scotland.

XL Bully dog owners had from 1 April 2024 to 31 July 2024 to apply to the Scottish Government for a certificate of exemption for their dog, to allow them to continue to legally own the dog.

The Scottish Government continues to work through a small number of cases where XL Bully dog owners have met the legal requirement to apply before 31 July 2024, but still require to provide additional information in order for their exemption application to be processed and granted.

For all applications that were received by the Scottish Government where there is evidence that confirms the legal requirement to apply for exemption through the application process, successful completion of the form, and confirmation of the application fee payment in relation to that application, the Scottish Government approved the application for exemption.

Following the closure of the exemption window for when exemptions could be sought direct from the Scottish Government, the only way that now exists for an XL Bully dog to be added to the Index of Exempted Dogs is through a court authorised application.

Separately, XL Bully owners who took the decision to have their dog euthanised could claim up to £200 compensation from the Scottish Government. The Scottish Government had to receive any claim for compensation by 30 September 2024 with owners seeking compensation required to make the necessary arrangements by 31 July 2024. The Scottish Government received and approved 35 claims for compensation following arrangements being made for the euthanisation of an XL Bully dog.

Where an XL Bully dog owner has decided to have their dog euthanised without seeking compensation from the Scottish Government, the Scottish Government would not be advised by the owner. Therefore, the number of claims for compensation sent to the Scottish Government does not provide the total number of XL Bully dogs euthanised.

As with all services for children and young people, CAMHS and the community mental health and wellbeing services work within the context of a multi- agency system and the Getting it right for every child (GIRFEC) model and principles. At the heart of the GIRFEC process is an assessment of need and creation of a single child’s plan. The meeting at which the joint (multi-agency and multi professional) plan is agreed is called The Child’s Plan meeting. Anyone involved with the child or young person can call a Child’s Plan meeting, and all relevant children’s services and others are involved.

Latest available data published in February 2024 by Public Health Scotland in the Scottish Health Service Costs book confirmed that NHS expenditure on child and adolescent mental health rose from £97.9 million in 2021-22 to £114.8 million in 2022-23, an increase of £16.9 million or 17% - representing 0.75% of total NHS expenditure.

We continue to work with NHS Boards and Integration Joint Boards towards delivery of the commitment that at least 1% of their frontline health spending will be dedicated to child and adolescent mental health by the end of this parliamentary session.

I refer the member to the answer to question S6W-31114 on 15 November 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 Scottish Government continues to call on the UK Government to overturn their decision to limit eligibility for Winter Fuel Payments.

The decision was taken without consultation and has forced us to review the way in which the Pension Age Winter Heating Payment (PAWHP) will be delivered.

Nonetheless, the PAWHP will make a significant contribution towards the heating expenses of low-income, pension-aged island households.

Since December 2022, we have also provided £3.4 million in support of island households through the Islands Cost Crisis Emergency Fund.