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Mental health and psychosocial support is an integral part of care for people who suffer from cystic fibrosis and the Scottish Government continues to invest in the mental health workforce to increase its capacity and capability. NHS Scotland’s Mental Health Nursing, Psychology and Children and Adolescent Mental Health Services (CAMHS) staffing numbers were at a record high on 31 March 2022. The number of psychology staff has doubled (105.9%) and the number of staff within CAMHS has almost doubled (95.6%).

Our overall investment includes £9 million in 2021-22 for psychological services to grow the applied psychology and psychological therapies workforce. Further funding will be provided for 2022-23 to support services to provide psychological care to all clinical areas of care detailed in the psychological services and therapies standard.

The Scottish Government has committed to develop a long term Mental Health Workforce Plan in the first half of this Parliament to ensure that, by 2026, 10% of frontline NHS budget is invested in mental health with 1% directed specifically for children and young people.

More broadly, the Scottish Government is committed to working to improve outcomes for people with rare conditions, including Cystic Fibrosis. We are developing an Scottish Action Plan for Rare Disease based on the four priorities of the UK Rare Disease Framework: faster diagnoses, increased awareness, better care co-ordination, and access to specialist treatments and care.

We are currently undertaking a refresh of the Social Security Programme Business Case and we will publish an updated version by the end of this year, which will include a refreshed delivery timetable and updated cost estimates.

The Scottish Government is committed to tackling gender inequality and embedding a human rights approach to tackling child poverty.

Our second Tackling Child Poverty Delivery Plan, , is underpinned by extensive impact assessments – informed by consultation with stakeholders and individuals with direct experience of poverty. This includes an presenting summary consideration across policies and proposals included with the Plan focusing on how policies may impact, either positively or negatively, on different sections of the population in different ways, through the lens of Protected Characteristics, which includes sex. The above along with our , , , and , helped inform development of the Plan and will continue to guide its implementation and delivery.

As set out in ‘ Best Start, Bright Futures ’, we are committed to focusing on the impact of all interventions through the lens of our six priority families and will seek to ensure that systems work for these families in particular. This includes a substantive focus on lone parent households, the majority of whom are headed by women, and mothers under the age 25 both of which are at greatest risk of poverty and encapsulate many of the inequalities affecting women more broadly. This includes barriers relating to entering and sustaining employment, childcare, housing and transport.

Through this focused approach, we will be able to drive down levels of child poverty whilst delivering significant progress on our wider equality and human rights ambitions – particularly in relation to advancing equality and human rights for women, disabled people and minority ethnic people.

We are committed to continue to engage with our partners, including gender representative stakeholders and women with experience of poverty, to ensure an intersectional and gendered approach is embedded in the development, implementation and monitoring of the actions set out in the plan. This includes, for example, establishing a Lived Experience Panel in Summer 2022, with members from each of the six priority family groups, including young mothers and lone parents, to help inform our employability policy.

Article 26 of the UN Convention on the Rights of Persons with Disabilities ( ) sets out several obligations relating to habilitation and rehabilitation.

These obligations have the stated aim of enabling “persons with disabilities to attain and maintain maximum independence, full physical, mental, social and vocational ability, and full inclusion and participation in all aspects of life”, through timely access to “multidisciplinary assessment of individual needs and strengths” to “support participation and inclusion in the community and all aspects of society.”

The Scottish Government are committed to ensuring that people who have had a stroke receive the best possible care as quickly as possible. We know that early assessment of rehabilitation need following an acute stroke, and the delivery of rehabilitation by a multi-disciplinary team, are important elements of improving outcomes and these are priorities within the Scottish Stroke Improvement Plan (2014).

Through the Scottish Stroke Improvement Programme (SSIP), NHS boards are required to demonstrate their provision of access to acute therapy assessment, access to inpatient stroke therapy, access to community stroke therapy and the availability, by days per week, of community therapy input.

Article 26 also requires the provision of appropriate training for professionals working within habilitation and rehabilitation, as well as the “availability, knowledge and use of assistive devices and technologies, designed for persons with disabilities”.

Through SSIP reviews, NHS boards are also required to demonstrate that health and social care staff in hospital and community settings are trained to a level appropriate for their involvement in stroke care. Where appropriate, highly-trained specialist staff involved in the rehabilitation process are best placed to advise on the provision of assistive devices and technology that may be of benefit to people affected by stroke.

The most recent Scottish Stroke Improvement Programme annual national report ( ), which includes data from the Scottish Stroke Care Audit (SSCA), was published on 29 June 2021.

This annual report reflected the impact of the COVID-19 pandemic on the provision of stroke services, as well as the incredible work that NHS Scotland staff in stroke services continued to deliver in unprecedented circumstances.

This report shows us the high level of care provided for stroke patients throughout the Covid-19 pandemic. It is positive that, despite the pandemic, performance improved in a number of key areas.

We remain focused on ensuring that people who have had a stroke receive the best possible care as quickly as possible to enable them to live longer, healthier and independent lives.

The Scottish Stroke Improvement Programme Lead, who conducts the annual review process, meets with NHS boards on behalf of Scottish Government. This engagement allows us to understand the provision of stroke services, including training and staff capacity across NHS boards, and where challenges or opportunities for sharing good practice exist.

Scottish Government representatives also sit on the National Advisory Committee for Stroke (NACS), where specialists from NHS boards across Scotland provide expert advice and recommendations relating to Scottish Government policy for the provision of stroke care. NACS has recently developed the Progressive Stroke Pathway ( ), which was published on 22 March 2022. This document sets out an ambitious vision of what a progressive stroke service in Scotland should look like.

The rehabilitation sub-group of NACS, which is made up of specialists across a range of disciplines from various NHS boards in Scotland, played an important role in helping to shape the Progressive Stroke Pathway recommendations relating to stroke rehabilitation services. On the back of this input, the Progressive Stroke Pathway makes a number of recommendations relating to the provision of stroke care, and the contributions of appropriate training and staff capacity in helping deliver this.

We will continue to engage regularly with these specialists from across Scottish NHS boards as we move into the implementation phase, considering the recommendations made in the Progressive Stroke Pathway.

The Scottish Stroke Improvement Programme Lead, who conducts the annual review process, meets with NHS boards on behalf of Scottish Government. This engagement allows us to understand the provision of stroke services, including training and staff capacity across NHS boards, and where challenges or opportunities for sharing good practice exist.

Scottish Government representatives also sit on the National Advisory Committee for Stroke (NACS), where specialists from NHS boards across Scotland provide expert advice and recommendations relating to Scottish Government policy for the provision of stroke care. NACS has recently developed the Progressive Stroke Pathway ( ), which was published on 22 March 2022. This document sets out an ambitious vision of what a progressive stroke service in Scotland should look like.

The rehabilitation sub-group of NACS, which is made up of specialists across a range of disciplines from various NHS boards in Scotland, played an important role in helping to shape the Progressive Stroke Pathway recommendations relating to stroke rehabilitation services. On the back of this input, the Progressive Stroke Pathway makes a number of recommendations relating to the provision of stroke care, and the contributions of appropriate training and staff capacity in helping deliver this.

We will continue to engage regularly with these specialists from across Scottish NHS boards as we move into the implementation phase, considering the recommendations made in the Progressive Stroke Pathway.

The Scottish Government does not hold information containing a detailed breakdown of stroke rehabilitation services provided in individual health boards.