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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 21 August 2025
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Displaying 2341 contributions

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Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

Your report says that access to a range of mental health services dipped during Covid and that it has, by and large, gone back to pre-pandemic levels, but not for psychiatry services. Do you have any views on why the number of psychiatry appointments has decreased while other services have recovered to their pre-pandemic levels?

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

Is there a diagnostic pathway for adults with attention deficit hyperactivity disorder? I ask that because I have a number of constituency cases, and there appears to be no such pathway. Can colleagues help us with that query? Is any work going on to try to address that?

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

There is a really interesting table in the report about access to services through digital means. As usual, it highlights quite a difference across Scotland in whether consultations are digital or face to face. I was taken by the NHS Ayrshire and Arran figure being the highest in Scotland for face-to-face consultations. Will you offer us a few ideas on what is going on there? Why is the situation so varied across Scotland? Is there any observed impact on the difference between face-to-face and digital consultations?

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

I was just looking at the table in your report again, and it shows that the pictures in Orkney and Shetland are almost opposite to each other on digital or face to face; they seem to be polar opposites. In the Western Isles, the number of telephone and video appointments is incredibly high compared with the number of face-to-face ones. There are even differences between rural settings and the islands; there are very different pictures. Anyway, I will leave that query for another time.

My last question relates to another point in your report. In paragraph 29, you say that the Government issued its planning guidance to IJBs as part of its plans for improvement in mental health and wellbeing care services and that we expected a further publication in April 2022, but it has not yet appeared. Can you offer some more comments on that, and tell us when we might expect it?

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

I thank everyone for their responses to those questions.

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

Good.

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

That is really helpful. The area is very difficult to pin down. Are we saying that GPs need to be more skilled to be able to deal with those needs, or do they need access to those skills to be brought into their practices a bit more closely?

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

Do you see that mixed hybrid model of face to face and digital continuing for the foreseeable? Do you see it becoming the norm that there is a choice available to people? It sounds as though it is not really a choice but a necessity to provide digital access.

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

Good morning, Auditor General and colleagues. I have a range of questions to put to you, but I would first like to stick with the GP issue that Graham Simpson asked about. The report refers to a comment from the Royal College of General Practitioners that

“GPs need more support to address the mental health needs of patients.â€

It is as stark as that. Some comments in the focus groups showed that people seem to prefer the support that they get from their GP rather than from psychiatric services. Somewhere else in the report, it talks about access to mental health officers and the fact that, although the funding is there, it is not being taken up. A whole range of issues is swirling around.

Stephen, can you say a wee bit more about your understanding of that particular issue and what the GPs are actually asking for?

Public Audit Committee

Section 23 Report: “Adult mental healthâ€

Meeting date: 28 September 2023

Willie Coffey

Do you have a date for the publication of the guidance?