Holyrood committee: Very difficult to assess the effectiveness of mental health spending in Scotland’s NHS

HOLYROOD’s Health Social Care and Sport Committee has said it is disappointed by an ongoing lack of transparency in data gathering and analysis, which makes it very difficult to assess the effectiveness, or otherwise, of the Scottish Government’s approach to mental health spending.

The findings are part of the Committee’s Pre-Budget Scrutiny 2026-27, which this year focused on mental health spending. Spending on mental health services now stands at around £1.5 billion and has risen in recent years.

The Committee acknowledge there is general support for the priorities set out in the Scottish Government’s Mental Health and Wellbeing Strategy and accompanying Delivery Plan, but regrets that it remains very difficult to identify links between those priorities and how mental health budgets are spent.

It calls on the Scottish Government to provide additional data to illustrate how and to what extent mental health budgets can be linked back to the priorities identified.

The Committee is calling on the Scottish Government to provide data on actual spend on mental health services to allow for better evaluation and to help inform spending decisions.

While acknowledging the current landscape is complicated, even more so as a result of the integration of health and social care, the Committee say the Government must do more to provide detailed analysis of current spending to inform current and future policy.

Clare Haughey MSP, Convener of the Health, Social Care and Sport Committee, said: “Our pre-budget scrutiny this year has been focused on the Scottish Government’s spending on mental health but what we have found is that issues of transparency, data availability and analysis has limited our ability to effectively scrutinise policy and funding.

“More importantly, this limits the Government’s ability to understand the effectiveness of funding for mental health services and where spending could be better targeted to improve outcomes.

“We’re calling for more transparency, and better data and analysis to improve evaluation and to better inform spending priorities.

“Better data capture and analysis could also help inform preventative approaches to mental health funding and highlight areas where ring-fenced funding could be effective. We look forward to the Scottish Government responding to our report.”

The reported negative impact of a lack of long or even medium-term certainty around budgets is also highlighted and the Committee is seeking reassurance from the Scottish Government that the Spending Review can provide a degree of long-term certainty for services and the third sector.

Health and social care is the largest portfolio area in the Scottish Government’s budget, accounting for over £21 billion of spend, equivalent to around a third of the entire Scottish budget. Within this total, spending on mental health services now stands at around £1.5 billion and has risen in recent years.

Holyrood committee launches call for views on mental health budget

The Scottish Parliament’s Health, Social Care and Sport Committee is seeking views on the Scottish Government’s mental health spending for 2026-27, as part of its pre-budget scrutiny.

The Committee is considering the effectiveness of current spending and whether investment is aligned with the right priorities.

In 2023-24, mental health services received £1.5 billion in funding—equivalent to 9% of total NHS expenditure. The Committee is now seeking views on whether this level of investment is appropriate, how spending decisions are made, and the extent to which preventative approaches are being supported.

The Committee is particularly interested in:

  • The adequacy and transparency of current mental health spending;
  • Evidence of preventative investment in mental health;
  • Whether national priorities—such as CAMHS, suicide prevention, and community-based support— are the right priorities for mental health investment and to what extent these priorities are reflected in mental health service delivery.

The Committee’s scrutiny takes place ahead of the publication of the Scottish Budget, expected later this year, and aims to inform Scottish Government’s spending decisions while they are still in development.

Speaking as the call for views was launched, Clare Haughey MSP, Convener of the Health, Social Care and Sport Committee, said: “It’s vital people dealing with mental health issues are able to access appropriate and effective care, support and treatment.

“That’s why we are scrutinising the funding for these services and ensuring any money spent is going to the right places to help people get the support they need.

“Through this call for views, we want to hear from individuals, professionals and organisations about what’s working, what’s not, and where investment should be focused for the greatest benefit.

“Your insights will help us hold the Government to account and ensure that mental health services are properly resourced and effectively delivered.”

The call for views closes on 15 August 2025.

Read the questions and submit your views on Citizen Space