³ÉÈË¿ìÊÖ

Breathing Space is operated by NHS24 to provide free and confidential support for people experiencing low mood, depression and anxiety. The phone line operates between 6pm-2am on weekday evenings and from 6pm Friday to 6am Monday. The web chat is available Monday to Friday from 6pm to 2am and on Saturday and Sunday from 4pm to 12 midnight. Around 9,500 people are supported by Breathing Space each month, which is typically split between around 95% accessing the helpline and 5% using the web chat function.

The technical issues affecting the Breathing Space web chat function over the last few weeks have now been fully resolved, and NHS24 has assured Scottish Government that if has robust monitoring plans in place to ensure any future issues are identified, and resolved, quickly.

During the period of disruption to the web chat service, the Breathing Space phone lines were unaffected; users were advised via the Breathing Space website that the telephone service remained available. Those with pressing mental health issues also continued to have 24/7 access to the Mental Health Hub through NHS24’s 111 service.

The Action Plan reflects on the strong evidence of what we know works and builds on the firm foundations of best practice to reduce delayed discharges and overall hospital occupancy and reasserts the Scottish Government’s commitment to responding to the many challenges that still exist over the coming winter.

On 24-hour delays, while we absolutely need to work to reduce these instances, it is important to emphasize that these figures represent a fraction (0.6%) of all attendances to Emergency Departments in this period. The patients experiencing these waits will, in the main, be those who require admission and are waiting for a bed in a ward. They will have been triaged and seen by a doctor.

Following the planned conclusion of two previous governance structures, the Perinatal and Infant Mental Health Programme Board and the Children and Young People’s Mental Health and Wellbeing Joint Delivery Board, the Scottish Government and COSLA have agreed to progress this work through a new combined strategic board. This new strategic board will retain a strong focus on perinatal and infant needs and ensure that there is good integration with provision for older children, young adults and families. Embedding an equity led approach is also a key part of this work. We are currently working with key partners to agree membership.

The first meeting of the new strategic board is planned for later this year. Further information will be available on the Scottish Government website in due course.

Over the summer we have started work to design the Mental Health and Capacity Reform Programme. We intend to publish an initial implementation plan in early 2024. This will include information about the activities that will be taken forward during the first 18 months (from October 2023 - April 2025) to help to achieve the programme aims.

By summer 2024 we will have developed our programme ‘blueprint’ and ‘route-map’ to reform. This will set out in more detail how we will deliver the programme, as well as how we will monitor progress over the longer term.

The Mental Health (Care and Treatment) (Scotland) Act 2003 provides for rigorous safeguards in respect of individuals’ human rights. Sometimes compulsory treatment needs to be carried out on an emergency basis and consent from a Mental Health Officer (MHO), in addition to authorisation from a medical practitioner, plays an important safeguarding role in these cases.

However, the 2003 Act also recognises that there may be occasions where the urgency of the situation is so great that it would not be practicable for such consultation to take place. In such cases, the practitioner must inform hospital managers who must then inform the Mental Welfare Commission and notify the relevant authority of the reasons why it was impracticable to consult and seek the consent of an MHO.

Whilst we acknowledge that for some of the 60% of cases mentioned the urgency of the case will explain the lack of MHO consent, we also recognise that MHO capacity is a contributing factor. While it is the responsibility of Local Authorities to ensure they have the appropriate levels of MHOs in place, the Scottish Government felt it was necessary to intervene, and since 2019, we have provided additional funding, as well as working with COSLA and other partners to progress a range of actions to improve workforce capacity and MHO training.

In this financial year we have made available an additional £3.71 million to local authorities to build additional MHO capacity. This will help reduce the number of emergency detentions taking place without the additional safeguard of MHO consent.

The Mental Health and Capacity Reform Programme considers how we can update and modernise mental health and capacity legislation to better reflect international human rights standards regarding safeguards. We will continue to work closely with the Mental Welfare Commission on this.

The Scottish Government has received the report from NHS National Services Scotland on the options appraisal process on Mother and Baby Unit provision in Scotland. It is intended to publish the report once those options have been fully considered and next steps determined.

Professor Anna Glasier is Scotland’s independent Women’s Health Champion, and her remit encompasses all of the aims of the Women’s Health Plan.

There are many other issues and conditions that are important to women and their health, and there is a range of work under way to help women affected by dementia.

This includes the Scottish Government’s New Dementia Strategy, published in May 2023. The Scottish Government is also working together with COSLA and a lived experience panel, which includes women with a diagnosis of dementia, to agree priorities for the first delivery plan for the strategy, which will be published in January 2024.

The priorities for any future Women’s Health Plan are not yet determined. Consideration for future areas of focus and priorities will be informed by evidence and developed in collaboration with women and girls, a women’s health lived experience group, clinical experts and relevant stakeholders.

The Scottish Government recognises the disruption and harm that retail crime does to both businesses and the individuals who work there. We support the work of our Justice partners to tackle this, including through the innovative Scottish Partnership Against Acquisitive Crime strategy. This strategy is led by Police Scotland, together with other organisations, including retailers, and outlines a partnership approach to the prevention, deterrence and enforcement of a range of crimes including shoplifting.

The Criminal Proceedings National Statistics for 2021-22 were published on the 24th October 2023. These include the first partial year of activity for the earliest opening period under the Act (from August 2021 to March 2022). Due to this, some caution should be exercised in interpreting the figures. Over August 2021 to March 2022, 26 individuals were convicted in court where the main charge was a crime or offence under the Retail Workers Act. The type of sentences received included custodial (13 individuals), community-based (9), a financial penalty (3) or another sentence type (1).

The Criminal Proceedings National Statistics for 2022-23, which will represent the first full reporting year of activity under the Act (from 1st April 2022 to 31st March 2023) will be published in 2024. Separate to this, data about the number of charges (not people) resulting in a conviction has been extracted from the management information used to publish the Scottish Government Justice Analytical Services Criminal Disposals Dashboard (Source: ). This shows there were 543 charges under the Retail Workers Act that received a criminal conviction in court from August 2021 up to March 2023.

We seek to ensure that people can access vaccination appointments as close to home as possible. Health Boards continue to recognise and support the needs of rural communities in planning and delivering the winter vaccination programme.

Health Boards continue to use outreach options to provide vaccination in rural areas. This winter, community pharmacies, ‘pop-up’ clinics and support from Scottish Ambulance Service mobile unit teams have been used to improve access and reduce travel distances.

Most Health Boards aim for a maximum travel distance of 10 miles or a travel time of 15-30 minutes and always consider public transport routes when choosing vaccination venues.

Community support and local transport solutions are utilised where possible in order to support those with additional barriers. Boards are also able to utilise local intelligence and provide flexible options including some weekend and evening appointments.

When booking their vaccination, I would encourage people to continue to check the online portal or call the national vaccination helpline as new appointments do become available regularly.