Patients in mental health crisis twice as likely to spend 12-hours or more in Emergency Departments than other patients

A new report from The Royal College of Emergency Medicine finds that patients presenting with mental health problems are twice as likely to spend 12-hours or more in Emergency Departments than other patients.

National data show that nearly one in eight (12%) mental health patients presenting to an Emergency Department in crisis face a 12-hour stay from time of arrival, compared with nearly one in 16 (6%) of all attendances.

A recent SNAP survey of Emergency Departments found that more than one third of clinical leads reported patient stays of 72 hours or more in the last week, for patients with mental health needs.

‘Mental Health Emergency Care’ is the latest report in our series of explainers looking at the web of issues facing Emergency Departments. The report highlights that while patients with mental health presentations account for a very small proportion of Emergency Department attendances, they spend a disproportionate amount of time waiting for a mental health bed if they need admission.

Often, it is the patients who are most unwell and vulnerable that wait the longest. Those of greatest concern are patients waiting for a mental health bed, patients waiting for an assessment under the Mental Health Act, and Children and Young People presenting in crisis.

The prevalence and complexity of the mental health needs of children and young people increased during the pandemic, while capacity is struggling to meet surging demand.

Half of Emergency Departments in England reported waits of 12 to 24 hours for a child or young person to see a specialist mental health professional, despite the accepted standard for adults being a one hour wait to be seen.

If admission is needed, 46% of Emergency Departments reported that children and young people will wait more than 48 hours for a bed, with two respondents reporting a wait of five days in the Emergency Department.

The report looks in detail at factors contributing to these long waits, such as the reduction in mental health beds, inadequate numbers of children and adolescent mental health professionals, and poor organisation of professionals to assess patients under the Mental Health Act. It also examines the consequences for patients and departments and makes wide reaching recommendations.

Commenting on the findings of the report, Dr Katherine Henderson, President of the Royal College of Emergency Medicine, said: “The system is failing patients who present to Emergency Departments in mental health crisis.

“Those waiting the longest are children and young people, patients waiting for admission to a bed, and patients waiting for assessment under the Mental Health Act. It is unacceptable.

“We know long waits in a busy and crowded environment are harmful for any patient, but for these patients it can cause deep distress and upset and worsen their mental state. We must do more to ensure that these patients are seen, treated, and directed to the right care quicker.

“These patients presenting to Emergency Departments are extremely vulnerable, they are in crisis and seeking Emergency Care, yet are left waiting for hours and even days, before being treated and admitted.”

The explainer also shows that the UK has only 37 psychiatric beds per 100,000 population – far lower than the OECD average of 71 psychiatric beds per 100,000 population – and that since 1987, over 48,000 NHS mental health beds have been cut in England, with 5,000 mental health beds having been cut since 2011 alone.

Dr Henderson said: “Data show that bed occupancy at mental health trusts averaged nearly 90% between 2017-20, 5 percentage points higher than the recommended 85%. The NHS mental health bed numbers are clear; capacity does not meet demand.

“While the move towards a provision of community mental health care has been positive, the cuts to emergency mental health care beds have been devastating. Now, the most vulnerable and desperate patients are truly suffering.

“We urgently need to see an increase in mental health bed capacity, so we are able to admit these patients to a bed and provide the care they urgently need. We regularly hear heart-breaking stories of young people being admitted a long way from their home and family.

“We urge the new Prime Minister and new Health Secretary to prioritise Mental Health care provision in Emergency Departments, especially ahead of winter.

“We are failing these patients and they are suffering; our report and supporting survey show the extent of this crisis. We need urgent action now. To ensure we are able to quickly and effectively help vulnerable patients in crisis the government must increase mental health bed capacity in Trusts.

“Capacity for Children and Adolescent Mental Health Services (CAMHS) is especially important, and CAMHs should be expanded to 24/7 so that children and young people can be assessed and triaged whenever they present at Emergency Departments, rather than face long waits for these services to open.”

Report into Mental Health Tribunal for Scotland recommends changes to ensure patients’ voices are heard

Pioneering study heard from patients, named persons, practitioners and tribunal members

An Edinburgh Napier University-led study, funded by the Nuffield Foundation, into stakeholder experiences of the Mental Health Tribunal for Scotland (MHTS) has recommended several ways it could improve its processes and decision-making.

Addressing the influence of clinicians, encouraging participation of patients and offering more support for named persons are among the suggestions put forward in the report.

The MHTS was set up authorise and review compulsory psychiatric measures under the 2003 Mental Health (Care and Treatment) (Scotland) Act 2003 and began operating in October 2005. The legislation is underpinned by human rights-based principles which govern the way that the MHTS makes its decisions about compulsory psychiatric care and treatment.

This study is the first of its kind since the Tribunal’s formation and heard from patients, their named persons, MHTS panel members, lawyers, independent advocates and health and social care professionals.

The timing of the study’s report means that its findings will be used to help inform the Scottish Mental Health Law Review, which is due to publish its recommendations on Scottish mental health, capacity and adult support and protection law this autumn.

Jill Stavert, Professor of Mental Health and Capacity Law at Edinburgh Napier University said: “Our study revealed several areas of agreement across all participant groups on how the Mental Health Tribunal operates and evidence of considerable caring goodwill on the part of the Tribunal and health and social care practitioners.

“However, there were certain areas where the experience and perceptions of patients and Tribunal panel members was not shared, particularly surrounding patient perceptions of their ability to participate during tribunal hearings.

“An important test whether human rights principles are effective is not only whether they are given effect by state authorities, such as tribunals, but also the extent to which they are felt to be given effect by rightsholders such as patients.”

Some of the report’s recommendations include, among others, addressing perceptions of the influence of clinicians and diversity issues, supporting patient participation, and supporting named persons more.

Professor Stavert continued: “Some of these, we consider, should be addressed by the Tribunal itself while others are for other bodies to take up.

“This is very important as human rights requirements increasingly require active respect for the rights of persons with psychosocial, cognitive and intellectual disabilities.”

Report exposes “frightening” reality of cost of living crisis

A new report from Citizens Advice Scotland (CAS) details the breadth and depth of the cost of living crisis, with soaring energy bills driving “frightening” demand for advice around food insecurity.

The charity is publishing a quarterly cost of living analysis looking at advice demand. It found that in more than 1 in 10  utilities cases, the client also required advice around food insecurity such as a food bank referral.

Comparing the first quarter of this year to the previous financial year, the analysis also shows soaring views of online advice in energy areas such as:

At the same time, online page views relating to cost of living issues has increased massively, with “Get help with bills” increasing 122%. The page “Struggling with living costs” has seen a 67% increase, meanwhile views of “Food banks and other crisis help” is up 33%.

Across the CAB network itself, last year 26% of all utilities advice related to cost of living or income crisis measures. In the first quarter of this year that had grown to 35%.

Last year 36% of finance and charitable support advice was food bank referrals or shopping vouchers. In quarter one of this year this had grown to 45%.

The report also analyses demand across demographics, and finds that council rented tenants and those out of work, or unable to work, are seeking advice related to the cost of living at higher levels than other groups.

The charity is warning that this increased demand is before the impact of  a “toxic cocktail” this winter of the energy price cap going up, higher inflation, and increased interest rates.

Citizens Advice Scotland Chief Executive Derek Mitchell said: “The Citizens Advice network gives a wraparound service when people come to us for advice because people have complex problems and need help with multiple issues. Our data tracks the patterns and connections between the advice we are giving out and the problems society faces. What we are seeing is frankly frightening.

“More than one in every ten people seeking help with an energy issue also requires help with food insecurity. Let’s be absolutely clear what that means – some people face the prospect of freezing or starving this winter.

“This crisis is affecting everyone, but some people are especially at risk – our data shows higher demand for advice from council tenants, those out of work and those unable to work. That to me suggests broad support alone will not be enough – there needs to be targeted help for the vulnerable.

“We are seeing these issues before a toxic cocktail this winter of soaring energy bills, growing inflation and higher interest rates. People are hanging on by their finger tips and it’s the summer – how are they expected to cope when the temperature drops and bills rise?

“CABs are here for people during this crisis. We helped 171,000 people last year and a further 2.5 million checked our online advice. We are for everyone regardless of background or circumstance and it’s so important people understand we are here for them with free, confidential and impartial advice. We don’t judge, we just help.

“That help though, needs to be back up by policymakers delivering the kind or urgent and significant policy interventions to help people. Make no mistake, this is a challenge on a scale of the 2008 financial crisis or the 2020 pandemic, and will require solutions to match that.”

Missing in Action: Committee publishes scathing report into withdrawal from Afghanistan

Today, the Foreign Affairs Committee publishes the Government’s response to the Committee’s report “Missing in action: UK leadership and the withdrawal from Afghanistan”.

The Foreign, Commonwealth & Development Office (FCDO) states that “there are fundamental lessons to learn” from the withdrawal, and that it is “determined to raise standards” in preparing for and responding to future crises.  

In its report, published in May, the Committee criticised “evasive, and often deliberately misleading” answers from the FCDO, and stated it had “lost confidence in the Permanent Under-Secretary, who should consider his position”. The FCDO responds that “at no stage have Ministers or officials sought to mislead the Committee deliberately” and reiterates its “sincere apologies” for “inadvertently providing misleading evidence”.  

In response to the Committee’s criticism of the “Special Cases” evacuation scheme, for Afghans who supported the UK effort without being directly employed by the UK Government, the FCDO concedes that the scheme had “many shortcomings”,  was “poorly communicated”, and that prioritisation of cases was “far from perfect”.

The response states that there were “staffing gaps in some teams for some periods” during the evacuation, and that “the impact of the crisis on staff welfare was significant”. 

The Committee criticised the department’s approach to two whistleblowers who gave evidence to the inquiry, and called for the FCDO to review its processes for officials to register concerns.

The FCDO states that it has “recently reviewed its whistleblowing policy against industry best practice”, and that the department “would not penalise, any member of staff for raising concerns in line with the procedures and with the law”. 

Chair of the Foreign Affairs Committee, Tom Tugendhat MP, said: “The fall of Afghanistan to the Taliban, and our failure to manage the consequences, leaves a black mark on Britain’s record. This is a tragedy, first and foremost, for the Afghan people, who are now suffering through a humanitarian crisis and the return of a brutal and oppressive regime.  

“After two decades of direct involvement, the UK has a duty people of Afghanistan. I am pleased to see that the Foreign Office agrees with so many of the Committee’s recommendations on the need to engage with, not isolate, Afghanistan. Disengaging will only punish ordinary Afghans, who have suffered enough. 

“It is clear that leadership within the Foreign Office fell desperately short before, during and after the UK’s withdrawal from Afghanistan. The UK’s allies in the country were left with false hope of rescue, while junior Foreign Office staff members were forced to make life and death decisions without proper support. They should never have been put in this position.

“I would like to thank again the brave whistleblowers who came forward for their contribution to exposing these facts. 

“I am pleased that the Foreign Office has acknowledged and accepted many of the criticisms put forward in the Foreign Affairs Committee’s report. This disaster has exposed serious failings in the department and I hope that this response signals the start of a sincere attempt to remedy these failures.”

Member of the Foreign Affairs Committee, Chris Bryant MP, said: “The UK’s withdrawal from Afghanistan was one of the biggest reversals of a British foreign police in decades and the Foreign Office’s handling of it was chaotic, fatally undermining the public’s trust in the Government’s ability to execute foreign policy – or to give an honest account to Parliament.  

“The information we received from the Foreign Office on the Nowzad case in the course of the inquiry varied between intentionally evasive and deliberately misleading. This response fails again to clarify or explain the inconsistencies in their statements to the Committee.

“Our report called on the political and diplomatic leadership of the Foreign Office to make a fresh start and re-commit to transparency and positive engagement with Parliament after this experience. Judging by the continuing evasions in this response, they are not listening. 

“So far we have had few signs that the Foreign Secretary and the Foreign Office are able to learn valuable lessons from this experience. If this continues, we risk another catastrophe further undermining our standing on the world stage.”

Energy bills crisis: Government must act now, says new report

  • New report calls on Government to update its energy bills support to help the most exposed households and consider introducing a social tariff. 
  • Negligent energy regulator Ofgem enabled now bankrupt energy firms and inexperienced CEOs to increase energy bills further.
  • A national homes insulation programme is the permanent solution to bringing down bills and should be launched urgently. 

The Government should immediately update its package of support to help households with soaring energy bills before the cost-of-living crisis grips even harder following October’s energy price cap increase, according to a new report by the Business, Energy and Industrial Strategy Committee. 

It comes as people are feeling the squeeze of 40-year high inflation of 9.4% – to which the cost of energy is a big contributor – as wage increases struggle to keep up. 

Support package out of date 

The Government’s Energy Bills Support Scheme provides a £400 discount on energy bills in October for every household, a £650 means-tested one-off payment to eight million low-income households, £150 for those on disability benefits and £300 for pensioners. This was designed when the forecast for the October price cap was £2,800.

With wholesale energy prices continuing to rise industry experts now estimate that the price cap could increase to £3,244 in October, when the NEA forecast one in three (8.2 million) households face fuel poverty. A further rise is expected in January and MPs on the Committee warn that the size of the package has been ‘eclipsed by the scale of the crisis’.  

Social tariff and support for vulnerable people 

They also raise concerns that the current scheme does not sufficiently target low-income households and those in vulnerable circumstances, with the £400 discount going to some bill payers who don’t need it and repeatedly to people who own multiple homes. The Committee urges the Government to ensure that any update to its support scheme is better targeted at customers who need it the most.  

As low-income households struggle to pay their energy bills and get deeper into debt, MPs call on the Government to work with energy suppliers to develop a scheme to help households pay off debts over a longer period.  

In the longer-term, the report calls out the injustice of vulnerable people, who are unable to pay their energy bills, being moved on to more expensive prepayment meters.

The report labels this as “unacceptable” and urges the Government to consider replacing the market-wide price cap with a discounted social tariff for vulnerable customers, and a relative tariff for the rest of the market – that caps the difference between the cheapest and most expensive tariffs a supplier offers. 

Committee Chair Darren Jones said, “Once again, the energy crisis is racing ahead of the Government. To prevent millions from dropping into unmanageable debt it’s imperative that the support package is updated and implemented before October, when the squeeze will become a full-on throttling of household finances and further tip the economy towards recession.  

“We were told by a number of witnesses, ‘if you think things are bad now, you’ve not seen anything yet’. This Winter is going to be extremely difficult for family finances and it’s therefore critical that public funds are better targeted to those who need it the most.  

“It’s an injustice that the poorest households continue to pay higher energy costs because they’re on prepayment meters. This must end and a social tariff should be brought forward. 

“Ultimately, Ministers know that the long-term solution is to reduce our need for energy through insulation works that keep our homes warm in winter and cool in summer. If the Government is really taking this energy crisis and the country’s net zero targets seriously it will come forward with a bold, fully funded, national home insulation program before the end of the year.” 

Ofgem and market regulation 

Billpayers have been left to pick up the tab for supplier failures, while recent reports show bosses of at least defunct suppliers could be in line for windfalls of tens of millions. The collapse of 30 suppliers since April 2021 (29 at time of writing the report) is expected to add £94 onto energy bills.

This could increase if the Government is unable to recover the cost of running the special administration of Bulb through its sale and decides that billpayers must pick up the costs, something the report says should be paid for through general taxation.

Ofgem’s incompetence over many years enabled inadequately resourced and inexperienced founders to start energy companies. It failed to supervise regulated companies, which in turn took high risk decisions including not hedging properly and using customers money to offer unsustainable prices that undercut well run energy companies. Ofgem failed to use its existing powers and didn’t bring action against energy suppliers even when it was clear that they should have done.  

Ministers and regulators believed deregulation would drive competition, but it instead left an over- exposed and unregulated market which ultimately crashed, costing taxpayers billions of pounds. This market failure is only comparable to the banking crisis of 2008, according to MPs.  

Ofgem is pressing ahead with a major package of regulatory reform to reverse its previous shortcomings and shore up the financial resilience of the market, but the Committee remains sceptical of Ofgem’s ability to undertake this task. If measures are poorly designed and executed, they risk further destabilising the market and distorting competition. 

Insulating homes to permanently reduce demand 

Helping customers pay their energy bills is not a sustainable position for Government and volatile gas prices are expected to be a longer-term concern for the country. It is therefore urgent and essential that Ministers bring forward a fully funded, national campaign to insulate people’s homes – street by street, community by community – in order to reduce the country’s demand for energy.  

This report urges the Government to stop announcing short-term policies and moving existing budgets around and instead fully fund a national retrofit programme that businesses, homeowners, and tenants can invest and take part in.  

Such a programme is required not just to reduce the cost of energy in winter but to also keep homes cool in extreme heat, reduce the cost of cooling as well as heating, and help the country hit its net zero targets as set out in the Committees previous report on Decarbonising heating in homes

New report shows urgent action is needed to stop traffic fumes contributing to dementia

Environmental campaigners say bold action to limit polluting traffic is needed as a new report showing the links between air pollution and dementia is released.

The report, published yesterday (25 July 2022) by COMEAP, the UK Government’s Committee on the Medical Effects of Air Pollutants, suggests the most likely way that pollution impacts cognitive impairment is through circulation. Air pollutants, particularly small particles, can affect the heart and blood vessels, including the brain.

Environmental campaigners say that the Scottish Government and local councils are not taking enough action to reduce pollution from transport and other sources. Earlier this year, research by Friends of the Earth Scotland showed that Scotland breached air quality limits in 2021 after a historic low in 2020 due to the pandemic.

Friends of the Earth Scotland’s transport campaigner Gavin Thomson said: “Today’s report from the UK Government is further evidence that air pollution is devastating for human health, and it’s really worrying to see the links with dementia being strengthened.

“We have known for a long time that traffic fumes cause asthma and heart conditions, and evidence has been growing about the risk that tiny particles – from exhaust fumes, tyres and brakes – pose to our cognitive health. It is particularly dangerous for young children, the elderly, and people with pre-existing health conditions.

“Four cities in Scotland will soon have small clean air zones limiting polluting vehicles from the city centre. This is the first action we’ve seen to tackle air pollution but it’s nowhere near enough. To improve air quality in our communities and neighbourhoods, we need significant investment in public transport so that everyone can access it, while providing more space for walking, wheeling and cycling.”

1240 Edinburgh households take part in The Big Plastic Count

100 BILLION pieces of plastic packaging are estimated to be thrown away by UK households every year

81,272 pieces of plastic were thrown away in one week by 1240 households in Edinburgh, according to the UK’s largest ever survey of household plastic waste.

For one week in May, just under 100,000 households across the UK – nearly a quarter of a million people – counted their plastic packaging waste and sent their results to Greenpeace and Everyday Plastic as part of The Big Plastic Count. 

On average, each UK household threw away 66 pieces of plastic packaging in one week, with Edinburgh households being in line with this average. UK-wide, this amounts to an estimated 3,432 pieces per household when applied over a year.

Therefore, nearly 100 billion pieces of plastic packaging are estimated to be thrown away by UK households every year, with just 12% likely to be recycled in the UK. More of the UK’s household plastic waste (17%) is being shipped overseas than being recycled at home.

Almost half (46%) of the UK’s household plastic waste is being incinerated whilst the remaining 25% is buried in landfill.

83% of the plastic recorded was from food and drink packaging waste, with the most common item being fruit and vegetable packaging.

Marlena from Leith said: “I’m horrified to learn that just 12% of the plastic we produce is likely to be recycled, and that the rest ends up as pollution.

“I sort my plastic waste and recycle what I can, but it’s clear that this system can’t cope with all our waste, and that it’s up to Government and big brands to reduce the amount of plastic being produced in the first place.

“According to my plastic footprint, I use around 50 bits of plastic a week. 89% of that is for food and drink alone. Most of this plastic is designed to be used once and then thrown away. If supermarkets reduced the amount of fruit and vegetable wrapping, we could really cut down on plastic waste.”

This year, the government is starting to decide on legal targets to reduce waste. Greenpeace Edinburgh is calling on the Government to set legally binding targets to almost entirely eliminate single-use plastic, starting with a target of a 50% cut in single-use plastic by 2025.

Alternatives should be affordable, reusable and accessible, including to those with disabilities. Greenpeace Edinburgh volunteers are also calling for a ban on the dumping of our waste onto other countries, and for a UK-wide moratorium on new incineration capacity. 

Graphics to illustrate the findings of the Big Plastic Count. The country’s largest ever survey of household plastic waste can reveal that nearly 100 billion pieces of plastic are binned in the UK every year, with just 12% likely to be recycled.

Marlena continued: “When we were out and about in the Meadows and Portobello talking to local residents about The Big Plastic Count, people were really keen to take part, and to find out what really happens to the plastic they put into the bin or to the recycling bag. 

“So I’m pleased that Edinburgh North and Leith MP Deidre Brock spoke at the results event in Parliament this week, and urge all of our local MPs to call on the Westminster Government for the ambitious plastic reduction targets that we urgently need”.

SCOTLAND’S SOCIAL CARE RIP OFF

STUC: WHY SCOTLAND CAN’T AFFORD PRIVATISED SOCIAL CARE

The Scottish Government’s approach to their new National Care Service has been declared “untenable” by Scotland’s largest trade union body.

Launching their report ‘Profiting from care: why Scotland can’t afford privatised social care’, the Scottish TUC (STUC) has accused the Scottish Government of “falling glaringly short” in their plans for a transformative National Care Service.

The trade union organisation, representing unions from across health and social care, is calling for the Scottish care home estate to be transferred out of private ownership in totality.

Research within the STUC report reveals that Scotland’s large private social care providers are associated with lower wages, more complaints about care quality, and higher levels of rent extraction than public and third sector care providers.

Under current Scottish Government plans, the proposed National Care Service would remain “ownership neutral”, embedding a role for the private sector in social care.

The research finds:

• Nearly 25% of care homes run by big private providers had at least one complaint upheld against them in 2019/20, compared to 6% of homes not run for profit.

• In older people’s care homes, staffing resources are 20% worse in the private sector compared to the not-for-profit sector. • Privately owned care homes only spend 58% of their revenue on staffing, compared to 75% in not-for-profit care homes.

• Over the last six years, the public sector has paid on average £1.60 more per hour to care workers.

• The most profitable privately owned care homes take out £13,600 per bed (or £28 of every £100 received in fees) in profits, rent, payments to the directors, and interest payments on loans. This compares to £3.43 in every £100 in fees for the largest not-for-profit care home operators.

The report argues that a truly transformative National Care Service must be based on a not-for-profit public service, delivered through local authorities with an ongoing role for the voluntary sector.

Roz Foyer, STUC General Secretary, said: “Our new STUC research clearly shows that large privately owned care homes perform worse than not-for-profit care homes at almost every level. They are worse for those receiving care, worse for the workers providing care and worse for the taxpayer.

“It simply isn’t the case that Scotland can’t afford to buy out private care homes, we can’t afford not to. As it stands, the Scottish Government are falling glaringly short in offering the transformative shake up to social care Scotland badly needs.

“As the National Care Service Bill makes its way through Parliament, politicians must focus their attention on the kind of organisations we want to provide care for our citizens, not as seems to be the case just now, the centralisation of commissioning and outsourcing procedures.”

The recommendations have been backed by Care Home Relatives Scotland. The influential group, set up during the pandemic, have been working to strengthen relatives rights as a result of care home visitation restrictions during COVID-19.

Catherine Russell, Care Home Relatives Scotland: “This report should be essential summer reading for every member of the Scottish Parliament.

“The research findings endorse everything Care Home Relatives Scotland said in our response to the NCS consultation. Our fear is that millions will be spent on upheaval and reorganisation when the priority must be to focus on improvements and with resources on the frontline where they are desperately needed.

“We also share the STUCs grave concerns about the further marketisation of social care and community health services.

“As the report demonstrates, private homes are not the most cost effective or highest quality. They are extremely costly for residents who need to pay and the profit motive tends to drive down staff conditions.

“Scotland can and should find a better, fairer way to do things and this research will be a very useful contribution to that debate.”

Scottish Government: Delivering on child poverty commitments

Record investment of almost £8.5 billion was committed to support low income households between 2018-22, with almost £3.3 billion benefitting children.

The fourth annual progress report on child poverty, published yesterday, shows that all of the actions committed as part of the first Tackling Child Poverty Delivery Plan, Every Child, Every Chance, have been delivered.

The plan focused on three drivers of child poverty reduction – work and earnings, social security and household costs – and on the six priority family types at greatest risk of poverty, including lone parent families and families with a disabled adult or child.

Key achievements over the life of the plan (2018-22) include:

  • introduction of the Scottish Child Payment, with more than 1.2 million payments between February 2021 and March 2022 – a £58.6 million investment
  • increase in the number of real Living Wage accredited employers, with the proportion of people earning the real Living Wage or more rising from 80.6% in 2018 to 85.6% in 2021
  • increase in the funded hours for Early Learning and Childcare from 600 hours in 2018 to 1,140 hours in August 2021, saving families up to £4,900 per eligible child in 2021
  • delivery of 35,095 affordable homes, 25,562 of which were for social rent – supporting an estimated 11,585 households with children into affordable housing between 2018-22
  • extension of concessionary travel to all under 22s, with approximately 930,000 young people eligible for support – saving families up to £3,000 by the time their child turns 18
  • expansion of universal free school meals to children in primaries 4 and 5, saving families around £400 per child and increasing School Clothing Grant to at least £120 for eligible primary school children and £150 for those in secondary school in 2021

Social Justice Secretary Shona Robison said: “Over the last four years, we have strengthened the foundations of support for children and families and used our powers to support those most in need, particularly with the introduction of our new social security system.

“We are now supporting low income households, carers and helping disabled people lead independent lives through 12 benefits, seven of which are entirely new and not available anywhere else in the UK.

“We have made progress despite significant challenges. The pandemic and the continued impact of UK Government welfare reforms has disproportionately impacted the most disadvantaged and been severe. And, of course, households are all now facing the current cost of living crisis.

“That is why we remain determined to continue with our national mission to tackle child poverty.  Our second Tackling Child Poverty Delivery Plan for 2022-26, Best Start, Bright Futures, is ambitious and has a range of actions to support families both immediately and in the long term to deliver change.

“We will also continue to call on the UK Government to reverse their welfare reforms, including the two-child limit. Analysis shows that reversing them would put an estimated £780 million in the pockets of Scottish households in 2023-24 and help to lift 70,000 people out of poverty, including 30,000 children.”