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Throughout the development of the Scottish Government and COSLA’s Mental Health & Wellbeing Strategy, we engaged with NHS Boards, Integration Joint Boards, professional bodies, third sector and equalities organisations, and many other partners and stakeholders covering interests across the whole mental health system. This was invaluable in helping to shape the Strategy and subsequent Delivery and Workforce Action Plans.

As an example of feedback from professional bodies following the Strategy’s publication, the British Psychological Society issued a statement supporting the direction of the Strategy, saying they are encouraged by its focus on a promotion of positive mental health, early intervention and prevention, and provision of support. The BPS have welcomed our ‘mental health in all policies’ approach which recognises that factors such as poverty, housing and employment can all have an impact on people’s mental wellbeing. They state that looking holistically at the whole person, considering not just psychological factors but also the social determinants of health, is the right approach.

We will continue to engage widely with medical professionals and other stakeholder groups on future refreshes of the Delivery Plan. This will ensure that we continue to develop actions that make further progress towards the Strategy’s outcomes.

Financial planning to address the significant challenges our public finances face took place in advance of the Deputy First Minister and Cabinet Secretary for Finance's update on the 2023-24 in-year budget changes on 21 November.

The difficult decisions which have had to be taken, have allowed us to help balance the Scottish Government's budget, while still progressing implementation of our mental health and wellbeing strategy from a revised direct budget of £260.3 million.

As set out in the Scottish Public Finance Manual grant payments should not be made in advance of need.

As part of the annual Homelessness in Scotland publication, the Scottish Government releases national statistics on the number of households assessed as homeless or threatened with homelessness by former armed forces status. Table T22 in the main tables, in the supporting documents of the most recent publication, provides data from 2018-19 to 2022-23. These statistics are available here:

Additional statistics about veteran homelessness in Scotland, including the number of homelessness applications by former armed forces status, is available here:

Note, these figures have been rounded to the nearest 5 for disclosure control purposes and totals may not sum due to rounding.

The Scottish Government remains committed to improving mental health service provision in primary care settings. The newly published Mental Health and Wellbeing Delivery Plan sets out our ambition to drive a shift in the balance of care across mental health to ensure a focus on prevention and early intervention in the community, including a focus on providing high quality mental health care in General Practice, by:

• Working collaboratively to improve access to support, assessment and treatment in primary care mental health and wellbeing services. This will include the development of multi-disciplinary teams in general practice, and maximising the role of community mental health teams, digital provision and NHS 24 to make access simpler and quicker, aligning care and quality with the Getting it Right For Everyone (GIRFE) principles. We will produce an initial report on progress, which will include equality impacts, by November 2024;
• Publish guidance on measuring and evaluating outcomes from mental health and wellbeing services in primary care by the end of 2023. This includes data indicators for protected characteristics and deprivation; and
• Continue to include primary care and community mental health as priorities within the Mental Health Outcomes Framework.

We will work with partners, including primary care stakeholders, to progress this ambition.

Additionally, as at 12 July 2022, 958.9 whole time equivalent (WTE) mental health roles have been filled using Action 15 funding, including 356.1 WTE posts in GP practices. Having met and exceeded the Action 15 commitment, the Scottish Government has continued to fund the roles that were recruited to.

By March 2023 186 WTE mental health workers had been recruited under the Primary Care Improvement Fund (PCIF). The PCIF also funds Community Link Workers (CLWs) as part of primary care multi-disciplinary teams (MDTs) and, at March 2023, more than 308 WTE CLWs were in post supporting GP practices. We are investing almost £190 million (£170m plus Agenda for Change Uplifts) in the Primary Care Improvement Fund in 2023-24, for the ongoing development of primary care multi-disciplinary teams and we have committed to the PCIF being £170m plus Agenda for Change uplifts in future years.

The Scottish Government measures progress against the commitment to increase GP numbers using headcount data as this provides an accurate number of GPs registered on the Performers List in Scotland at the time the data is collected. Currently whole-time equivalent data is calculated as an estimate, based on returns from General Practices through the General Practice Workforce Survey.

The latest publication can be found here:

The Scottish Government uses both headcount and whole-time equivalent data to inform workforce planning to increase GP capacity.

Ending homelessness continues to be a key priority for the Scottish Government. Our ambition can only be achieved through a shared public responsibility when government and partners all play their part.

With that in mind, I met with the Scottish Veterans Commissioner on 30 November and have agreed a number of actions to raise the profile of veterans’ housing and homelessness issues with relevant stakeholders such as local authorities and social landlords.

I have also discussed with the Minister for Veterans how we can work together to provide support to veterans and their families and I have invited him to join the Ministerial Oversight Group on Homelessness, which brings together ministers from a range of portfolios across the Scottish Government to identify the actions required to prevent and end homelessness, including for veterans.

As previously set out in the response to S6W-16651 on 21 April 2023 recruitment of the 1,000 additional roles to support community mental health resilience, ensuring every GP Practice has access to a mental health and wellbeing service has not yet commenced. The re-profiling of spend means that recruitment for this programme continues to be paused in 2023-24. We have already prioritised significant investment to build mental health capacity in primary care through Action 15 of the Mental Health Strategy 2017-2027 and the Primary Care Improvement Fund, with funding for posts continuing in 2023-24.

We continue to focus on delivery of our mental health and wellbeing strategy and recently published delivery plan, which includes commitments around mental health in primary care.

All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at /chamber-and-committees/written-questions-and-answers

The Scottish Consultants Contract is designed to ensure that Consultants who work within NHS Scotland have time for supporting professional activities. How much time received is based on working patterns and forms part of the job planning process they undertake with their employers.

The time that is dedicated to supporting professional activities can be used for research, teaching, training and supervising Junior Doctors.

Infrastructure on the UK rail network, including level crossings on the West Coast Mainline, is a matter for Network Rail, therefore Network Rail would be best placed to provide this information.

Network Rail advises that all level crossings fully meet the operational and safety requirements and regularly undergo the required risk assessment programme.

Infrastructure on the UK rail network, including lines speed and capacity, is a matter for Network Rail, therefore Network Rail would be best placed to provide this information.

Network Rail advises it is currently looking to understand the implications of the Prime Minister’s HS2 announcement made in October and how this might affect journey times in the medium to long term.