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The Scottish Government have invested heavily in Child and Adolescent Mental Health Services (CAMHS) in recent years, which is why CAMHS staffing has increased by 59.1% in the last decade of this Government (+553.8 WTE). CAMHS workforce data is publicly available in NHS Education for Scotland (NES) Turas Data Intelligence at: NHS Scotland Workforce Data.

We work closely with all NHS Boards to help improve their performance across CAMHS, including to reduce their waiting times. Despite ongoing pressures, local CAMHS teams continue to respond well to demand, with statistics showing one in two children and young people referred to CAMHS start treatment within 6 weeks.

Whilst the Scottish Government sets the strategic policy direction for the NHS in Scotland, operational matters including staffing are in the first instance the responsibility of the relevant NHS Board. Decisions depend on the service needs of each board taking account of national, regional and local priorities, and we expect NHS boards to plan and provide safe, effective and high-quality care, in line with their statutory service provision and workforce planning responsibilities.

The Health and Care (Staffing) (Scotland) Act 2019 commenced in April 2024 and aims to be an enabler of high-quality care and improved outcomes for service users in both health and care services by helping to ensure appropriate staffing for high quality care. The legislation does not prescribe minimum staffing levels or fixed ratios and does not advocate a ‘one size fits all’ ratio, which would be inflexible to local needs, based on a fixed point in time, and not consistently reflective of workforce, case mix or dependencies.

To better support workforce planning across NHS Scotland, in collaboration with NES Data Group & Centre for Workforce Supply (CWS), we have developed a workforce planning data modelling tool, which sits on the TURAS data intelligence system. The tool will enable greater understanding of the timing and size of current and projected workforce demand at a local, regional, and national level.

We also undertake a robust student intake planning process to determine the target number of pre-registration students to which Scottish universities should recruit in the following academic year to meet estimated future workforce demands. The process involves significant input from key stakeholders from across the education sectors, including Council of Deans of Health Scotland, NHS Education for Scotland (NES), NHS Board Planners, and Unions.

We will continue to work with our key partners to ensure the Health and Care (Staffing) legislation is implemented effectively across NHS Boards, including within CAMHS services.

The Scottish Government notes the report commissioned by ASLEF and its findings. Every worker should be able to work with dignity and this includes having an access to toilet facilities. The report findings are for train operating companies, as employers to consider.

In my response to question S6W-30360 on 9 October 2024 I said “funding has enabled a concentrated effort to eradicate the last remaining isolated population of grey squirrels in the North East of Scotland.”

I should clarify that the last remaining, isolated population of grey squirrels in the North East of Scotland is found in the City of Aberdeen.

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 remains focused on increasing the number of places at medical schools to meet the future demands of NHS Scotland while also ensuring there are sufficient educational and training places of appropriate quality in NHS Scotland for our undergraduates and trainee doctors. In line with this between Academic year (AY) 2015-16 and AY 2024-25 the Scottish Government has increased the annual intake of medical places in Scottish universities from 848 to 1,417, representing an increase of 67%. These increases include funding Scotland’s first Graduate Entry Medical programme (ScotGEM), introducing the innovative HCP MED course and GP track courses. The Scottish Government also remain committed to promoting Widening Access (WA) to medicine raising the total number of available places from 60 places in available in AY 2020-2021 to 115 in AY 2024-25.

The Scottish Government and our partners remain dedicated to bringing innovative and structural change to this complex issue and remain fully committed to reducing drug deaths and harms.

On 31 October, Audit Scotland published a report on alcohol and drug services which acknowledges that we have improved national leadership and made significant progress in tackling Scotland’s longstanding issues with drugs and alcohol. Notably, through significant investment and innovative action in our National Mission, including sustaining a record £112 million for Alcohol and Drug Partnerships (ADPs) this year, as well as innovative initiatives such as piloting a Safer Drug Consumption Facility in Glasgow, which will open early in the new year.

Through the National Mission to date we have:

• Supported over 300 grassroots community organisations through the £65 million Corra National Drug Mission Funds
• Driven improvement in services with 90% of Alcohol and Drug Partnerships assessed as having implemented Medication Assisted Treatment standards 1-5, and 91% of standards 6-10 assessed as partially implemented as of July 2024
• Helped widen access to lifesaving naloxone with 77% of people at risk of overdose estimated to have access to a Take Home Naloxone kit as of June 2024
• Seen a 21% increase in residential rehabilitation beds since 2021 (513 beds as of September 2024) due to our £38 million residential rehabilitation capacity investment.
• Made £1.5 million available for investment in Planet Youth - a whole community approach for substance use prevention
• Provided £480,000 per year since 2023 to support additional trainee placements on Scottish Drugs Forum's 'National Traineeship' which supports people with lived and living experience to undertake an SVQ and access a paid work placement.

Alongside these important practical steps to making improvements to front line services our whole system approach is driving change across mental health, stigma, workforce and children and families, and the Charter of Rights which was published on 11 December, will support people affected by substance use to know and understand their rights in accessing support services.

The five-year National Mission is now in the final stages of delivery, and we have begun to work with partners to ensure long-term strategies are managed smoothly through to the next parliament. The ongoing independent evaluation of the National Mission being undertaken by Public Health Scotland (PHS) will help to ensure these strategies are underpinned by robust evidence.

Some positive progress has been made in implementing the recommendations of the Adult Neurodevelopmental Pathways report, which aims to provide local single pathways for adult autism and ADHD, including diagnosis and support.

4 Health Boards are undertaking strategic planning to aid implementation. Separately, 2 Boards with established adult autism pathways are working to incorporate ADHD diagnosis and support into those pathways.

However, the Scottish Government recognises that we have more to do to ensure that progress on implementation is maintained.

We are aware that there are differing approaches between NHS Boards in establishing local single pathways for adult autism and ADHD, including approaches that are less neuro-affirming with higher diagnostic thresholds.

We will continue to work with NAIT to encourage these Boards to take approaches aligned to the adult neurodevelopmental pathways report and look to fully implement the recommendations of the report.

The UK Government Apprenticeship Levy is a reserved tax on employers which was implemented by the UK Government. Scotland receives a proportionate share of tax revenues via the block grant as per the Fiscal Framework agreement with UK Treasury.

On 14 November 2016, the UK Government announced the Scottish Government’s settlement from the UK Apprenticeship Levy based on a population share of projected revenue for the first three years only.

Since 2020-21 the Scottish Government has not received a direct allocation of apprenticeship levy revenue. Scotland receives a share of funding calculated through the Barnett Formula as part of the block grant and has no direct control or responsibility for the operation of the apprenticeship levy, this means the Scottish Government has no direct control over levy funds or their distribution.

Prior to 2020-21, the notional funding for the levy was spent on a range of apprenticeships, workforce development and pre-employment support, meaning businesses had access to a range of both direct and indirect support. We do not hold information on the number of businesses who accessed funding from the Apprenticeship Levy.

International marketing activity undertaken by the Scottish Government as Brand Scotland, is measured by a comprehensive suite of metrics that determine whether the associated SMART objectives have been met. These objectives are set each year according to the purpose of the activity, the level of spend available and the tactics it will use.

They include digital reach through social and digital channels and audience engagement with the content but more importantly additionally consider the strategic outcomes and impact on these audiences, such as perception change or an increase in consideration by target audiences.

The Scottish Government launched the EU Settlement Scheme in 2019 to support EU/EEA citizens, their employers and service providers following the decision of the UK Government to require EU citizens who were residing in the UK prior to the ending of freedom of movement to apply for the UK Government’s EU Settlement Scheme in order to continue living, working and studying in the UK.

The main aim of the Stay in Scotland campaign was to support EU citizens to secure their right to stay in Scotland through the EU Settlement Scheme. The UK Government publishes figures on the number of applications to the EU Settlement Scheme by nationality, region and local authority. The aim of the Stay in Scotland campaign was therefore to maximise the number of successful applications from EU citizens in Scotland.

Scotland is Now was the creative platform that formally launched the Brand Scotland Partnership on 11 April 2018, seeking to establish a new narrative for positioning Scotland internationally that would more effectively challenge certain perceptions that could limit opportunities.

The Brand Scotland Partnership consists of the following organisations: VisitScotland, Scottish Enterprise/SDI, Creative Scotland, Scotland Food and Drink, HIE, Universities Scotland and the Scottish Government.

The Brand Scotland Strategic Partnership is a collaborative initiative that seeks to grow Scotland’s profile with international audiences and increase consideration as a place to live and work, study, visit and do business.

The Scottish Government routinely publishes marketing spend annually and figures for international marketing spend which would all have been delivered as Brand Scotland, can be accessed here: Marketing spend - gov.scot (www.gov.scot)