Promote, Prevent, Provide: Scotland’s new mental health strategy published

A new strategy to improve the mental health and wellbeing of people across Scotland has been published.

The Mental Health and Wellbeing Strategy, published in partnership with the Scottish Government and the Convention of Scottish Local Authorities (COSLA), is built around three pillars of “Promote, Prevent, Provide”:

  • promoting positive mental health and wellbeing
  • preventing mental health issues occurring or escalating while tackling underlying causes
  • providing mental health and wellbeing support and care.

The strategy reflects views from more than 18 months of consultation, with a particular focus on the voices of lived experience and the role of inequalities. It details the standard of help people can expect, and outlines that it should be available locally where possible. It also recognises that specialist services are a crucial part of a high-functioning mental health system.

Social determinants and underlying causes of poor mental health have shaped the new approach, with a renewed focus on prevention and early intervention.

Mental Wellbeing Minister Maree Todd said: “Mental health does not just mean mental illness. It is important that we all maintain good mental wellbeing, and that we recognise there are many underlying social determinants, circumstances and inequalities that can affect people’s mental health.

“To deliver the ambitions of this strategy, and to create real and lasting change, we will need collaboration from a wide range of partners across Scotland including health boards, integration joint boards health and social care partnerships, as well as the third sector.

“This strategy has equalities at its heart. We have set out the outcomes we want to achieve so that we can be held to account for our progress and to show how this strategy is making a real difference to people’s lives. The accompanying Delivery Plan and Workforce Action Plan will be published in the autumn and will detail the work we will take forward to achieve those outcomes.”

Councillor Paul Kelly, Health and Social Care spokesperson for COSLA, said: “This strategy sets out an ambitious vision to improve the mental health and wellbeing of everyone in Scotland.

“Through the strategy and the associated delivery plan we seek to bring real change, ensuring for example, that our communities are equipped to support people’s mental health and wellbeing and  that there is  increased availability of timely and effective care, support and treatment.  

“We know that working collectively presents the best opportunity to achieve these goals and bring lasting change. We are committed to working in partnership across spheres of government, with those with lived experience, those who deliver services, and our valued  partners and stakeholders, to realise this vision together.” 

Gordon Johnston, Chair of Voices of Experience (VOX Scotland), said: “We welcome the new strategy and we are particularly heartened by the meaningful involvement of our members and people with lived experience of mental health conditions throughout the development of this.

“It is positive to see the strategy outline outcomes and priorities which reflect our members’ feedback and needs regarding timely and effective support, better informed policy shaped by people with lived experience, greater community resources and the expansion and improvement of services for those in distress and crisis.

“We also look forward to the publication of the delivery plan and continuing to work with the Scottish Government on the implementation of the new strategy.”

Mental Health and Wellbeing Strategy

Charities Regulation Bill passed

Strengthening charity law and maintaining public trust

The Scottish Parliament has voted unanimously to pass the Charities (Regulation and Administration) Bill.

The Bill will improve the accountability and transparency of charities and increase the powers of the independent Scottish Charity Regulator (OSCR).

Social Justice Secretary Shirley-Anne Somerville said: “The charity sector plays a vital role in society and support for charities is high amongst the public who volunteer and donate to thousands of charities across the country.

This legislation makes practical improvements and updates to existing charity regulation increasing transparency and to help ensure public trust is maintained.

“Scottish charities have a combined income of £14 billion each year so it is crucial that the way they are regulated remains fit for purpose. These reforms will support the effective regulation of charities, helping them to have the best possible environment to thrive.

“I am delighted that the Parliament has unanimously backed this legislation from the start.”

Provisions in The Charities (Regulation and Administration) (Scotland) Bill include:

  • updating the criteria for the automatic disqualification of charity trustees and extending them to individuals with specific senior management positions in charities
  • removal from the Scottish Charity Register of unresponsive charities that fail to submit statements of account
  • a requirement for all charities in the Scottish Charity Register to have and retain a connection to Scotland
  • a requirement on OSCR to publish the statements of account for all charities in the Scottish Charity Register
  • requirements on OSCR to include charity trustee names in the Scottish Charity Register, to keep an internal schedule of charity trustees’ details and to create a publicly searchable record of charity trustees removed by the courts

Slater announces new strategy to tackle litter scourge

Tougher sanctions for flytipping

Fines for flytipping will be more than doubled as part of a range of new measures to prevent litter and flytipping and support Scotland’s circular economy.

A new six-year National Litter and Flytipping Strategy sets out how national and local government, business, third sector, communities and individuals can work together to drive behaviour change, improve infrastructure and strengthen enforcement.

Also published is an action plan detailing specific actions and interventions to be progressed by the Scottish Government and its partners and agencies in the first year.

Key measures include:

  • Fines for flytipping to be more than doubled to £500
  • Introduction of new powers to impose a fine on the registered keeper of a vehicle from which a littering offence is committed
  • A new national online litter hub to provide information, advice and support to community groups and other relevant local organisations on tackling litter and littering behaviour
  • Dedicated support for private landowners, including funding for trials, to help deter and deal with flytipping affecting their land
  • Increased action to detect and disrupt flytippers, especially unregistered waste carriers advertising online, such as proactive engagement with online platforms and dedicated SEPA activity to tackle rogue operators

Minister for Green Skills, Circular Economy and Biodiversity, Lorna Slater, said: “Scotland is a beautiful country and we all have a responsibility to keep it that way. This Government makes no apologies for taking bold action on tackling litter and flytipping, which is a blight on our streets, communities and countryside, as well as threatening our natural environment and wildlife.

“This strategy will drive further change in behaviours and the delivery of services. Enforcement is a key theme, and the strategy sets out robust commitments, including raising fixed penalty notices for flytipping to £500 and considering increasing fines further if required.

“It is part of a wider package of measures to tackle Scotland’s throwaway culture, including becoming the first nation in the UK to ban some of the most problematic single-use plastics, a commitment to introduce a charge on single-use cups, the introduction of a Deposit Return Scheme, and reform of extended producer responsibility for packaging.”

The Strategy has been developed in partnership with Zero Waste Scotland, Keep Scotland Beautiful and Scottish Environment Protection Agency following engagement with other key partners and stakeholders, including local authorities and landowners, and has been informed by responses to consultations.

National Litter and Flytipping Strategy and 2023-24 Action Plan.

Advancing children’s rights

Update on incorporating UN Convention into Scots law

Amendments to legislation incorporating the UN Convention on the Rights of the Child will deliver a clear, coherent and workable Bill that provides some valuable protections for the rights of children in Scotland.

The UNCRC (Incorporation) (Scotland) Bill was passed unanimously by the Scottish Parliament in 2021 but certain provisions within it were later ruled outwith the parliament’s legislative competence at the Supreme Court.

The Bill requires all Scotland’s public authorities to take proactive steps to protect children’s rights and gives children, young people and their representatives a new ability to use the courts to enforce their rights.

Changes will be brought forward after the parliamentary recess which will mean public authorities will only be required to comply with the UNCRC requirements when delivering duties under powers in an act of the Scottish Parliament.

Social Justice Secretary Shirley-Anne Somerville told Parliament that this is the only way to minimise the risk of a further referral to the Supreme Court, while also minimising the complexity for those using the legislation. However ministers will continue to call for the UK Government to adopt the convention into UK law.

Ms Somerville said: “These proposals will result in a Bill that provides valuable protections for children’s rights and that does so in a way that is legally sound and is clear for users.

“It will also allow us to begin our journey to legislate for children’s rights and wider human rights and provide a solid legal foundation on which to build in the future. That would become easier if there was political commitment in Whitehall to legislate for children’s rights.

“Once again we find the democratic will of this Parliament blocked by Westminster. It remains true that the simplest way to secure protection for children’s rights, in Scotland and across the UK, and to do so as fully as possible, is for the UK Government to incorporate the UNCRC into UK law.”

Statement by Shirley-Anne Somerville on the UNCRC (Incorporation)(Scotland) Bill

Edinburgh College staff strike over compulsory redundancies

Members of the Educational Institute of Scotland – Further Education Lecturers’ Association (EIS-FELA) at Edinburgh College yesterday took the first in a series of days of strike action in response to compulsory redundancies at the College.

The EIS-FELA Branch at Edinburgh College has had an active strike mandate in place for some weeks in pursuit of a dispute regarding compulsory redundancies, which has been successful in reducing the number of jobs under threat, through negotiation.

The EIS wrote to the College Principal last week urging further talks. Despite this, the College has rejected the appeal of one member of the lecturing staff against compulsory redundancy as of 30th June.

EIS General Secretary, Andrea Bradley said, “The EIS-FELA Branch at Edinburgh College has been left with no option but to proceed with strike action today in the face of wilful intransigence by the management of the College.

“Given the size and scope of Edinburgh College as an organisation, the EIS would have anticipated meaningful discussions and offers of retraining or upskilling for the colleague who faces unemployment as of Friday. 

“Despite retraining or upskilling being raised on several occasions by EIS representatives, and despite a so-called recruitment freeze having been abandoned, these discussions have not taken place, thereby limiting suitable alternatives to redundancy for the colleague who also happens to be an EIS Branch Rep.”

Ms Bradley continued: “It is difficult to fathom how such a large college, which delivers such an array of courses, would be unable to avoid this redundancy situation, especially as teaching hours seem to be available on college timetables for next term, based upon information received by the EIS.

“Spurious excuse after excuse has been made by the College as to why the work cannot be offered to the lecturer in question, appearing that the College cares more about targeting union reps and testing the water on compulsory redundancies of lecturers in the sector rather than ensuring the delivery of quality education and Fair Work for lecturing staff.

“The Scottish Government is culpable in this situation too. They have dealt major blows to Further Education in Scotland in the form of flat cash funding settlements and the recent withdrawal of £26 million of funding for FE.

“Lower than predicted student numbers, coupled with the cost-of-living crisis are also causing financial strain within the sector, yet the Scottish Government has sat back and watched these pressures mount towards the implementation of limited voluntary severance schemes and the very real threat of large numbers of compulsory redundancies in two colleges – City of Glasgow and Edinburgh.

“EIS-FELA, supported by the EIS itself, will not stand by and allow the livelihoods of our members to be threatened in this way. Strike action will continue post-summer unless an acceptable resolution can be reached.

“In the case of Edinburgh College, this should not be anything like the problem that the College has chosen to make it.”

Minimum Unit Pricing has ‘positive impact’ on health

Report concludes policy has saved lives and cut hospital admissions

Public Health Scotland (PHS) has today published the final report on the independent evaluation of the impact of minimum unit pricing (MUP) for alcohol in Scotland. Evidence shows that MUP has had a positive impact on health outcomes, including addressing alcohol-related health inequalities.

It has reduced deaths directly caused by alcohol consumption by an estimated 13.4% and hospital admissions by 4.1%, with the largest reductions seen in men and those living in the 40% most deprived areas.

MUP led to a 3% reduction in alcohol consumption at a population level, as measured by retail sales. The reduction was particularly driven by sales of cider and spirits through the off-trade (supermarkets and shops) products that increased the most in price. Evidence from a range of data sources shows that the greatest reductions were amongst those households purchasing the most alcohol, with little impact on households purchasing at lower levels.

For those people with alcohol dependence there was limited evidence of any reduction in consumption and there is some evidence of consequences for those with established alcohol dependence on low incomes, that led them to prioritise spending on alcohol over food. At a population level there is no clear evidence of substantial negative impacts on social harms such as alcohol-related crime or illicit drug use.

The evaluation report shows that while the impact on alcoholic drink producers and retailers varied depending on the mix of products made or sold, there is no clear evidence of substantial negative impacts on the alcoholic drinks industry in Scotland as a whole.

Clare Beeston, Lead for the evaluation of MUP, Public Health Scotland said: “We have seen reductions in deaths and hospital admissions directly caused by sustained, high levels of alcohol consumption, and this is further evidence that those drinking at harmful and hazardous levels have reduced their consumption.

“MUP alone is not enough to address the specific and complex needs of those with alcohol dependence who will often prioritise alcohol over other needs, and it is important to continue to provide services and any wider support that addresses the root cause of their dependence.

“Those living in the most socioeconomically deprived areas in Scotland experience alcohol-specific death rates at least five times greater than those living in the least deprived areas. Alcohol-related disorders are a leading contributor to health inequalities in Scotland.

“Overall, the evidence shows that MUP has had a positive impact on improving health outcomes, including alcohol-related health inequalities, and can play a part in addressing the preventable harm that affect far too many people, families and communities.”

Dr Nick Phin, Director of Public Health Science, Public Health Scotland said: “Public Health Scotland is committed to evidence-informed policy, and we are confident in the validity of the robust research published today. The evidence in our report is consistent with earlier research on minimum pricing elsewhere.

“Public Health Scotland is confident that MUP is an effective mechanism to reduce alcohol-related harm in Scotland and we support the continuation of MUP beyond April 2024.”

View the ‘Evaluating the impact of Minimum Unit Pricing for alcohol in Scotland’ report

Drugs and Alcohol Policy Minister Elena Whitham has welcomed research from Public Health Scotland which concludes that Minimum Unit Pricing (MUP) has saved lives, reduced hospital admissions and had a ‘positive impact’ on health.

In their final report of a series, researchers said that ‘robust, independent evaluation’ and the best-available, wide-ranging evidence drawing on 40 independent research publications, showed that MUP has been effective in its main goal of reducing alcohol harm with the reduction in deaths and hospital admissions specific to the timing of MUP implementation.

This follows a study published in March by PHS and University of Glasgow showing MUP reduced alcohol consumption by 3%, deaths directly caused by alcohol consumption by 13.4% and hospital admissions by 4.1%. compared to what would have happened if MUP had not been in place.

Ms Whitham said: ““We’re determined to do all we can to reduce alcohol-related harm and, as this research demonstrates, our world-leading policy is saving lives, reducing alcohol harms and hospital admissions. Just one life lost to alcohol-related harm is one too many and my sympathy goes to all those who have lost a loved one.

“MUP has also contributed to reducing health inequalities. The study found the largest reductions in deaths and hospital admissions wholly attributable to alcohol consumption were seen in men and those living in the 40% most deprived areas.

“We know that additional support is needed for some groups, including those dealing with alcohol dependence and issues such as homelessness. That’s why, alongside MUP, last year £106.8 million was made available to Alcohol and Drugs Partnerships to support local and national initiatives. We will now carefully consider this research as part of ongoing work on reviewing MUP.”

£72 million health hub welcomes Cabinet Secretary

New £72 million Glasgow health and social care hub welcomes Cabinet Secretary Michael Matheson

Cabinet Secretary for NHS Recovery, Health and Social Care, Michael Matheson MSP has taken part in the ‘Topping Out’ Ceremony for a new £72 million health and care hub in Glasgow.
 
Mr Matheson joined Professor John Brown CBE, Chair of NHS Greater Glasgow and Clyde, at the new North East Hub site on Friday (23rd June).
 
Delivered through a partnership between, NHS Greater Glasgow and Clyde, Glasgow City Health and Social Care Partnership, Glasgow City Council and Hub West Scotland, and built by BAM Construction, the new health and care centre will be a true community asset and has been designed to offer a range of services, providing Community, Clinical, Office and Training accommodation for both NHSGGC and Glasgow City HSCP.

Mr Matheson said: “I am pleased to be able to visit this Hub as an example of the state-of-the-art facilities we are continuing to invest in, with £578 million committed for health infrastructure and assets in 2023/24.
 
“Facilities like this are key to supporting people to access the care they need close to home and to our commitment to building an NHS fit for the future with world class amenities, including the network of National Treatment Centres.
 
“This Hub will also contribute to our mission to be as environmentally sustainable as possible to meet our responsibilities in countering the climate crisis.”
 
The hub, which is set to open in 2024, will improve access to services and better integrate health and social work services and the voluntary and charity sectors.

The facility will host three GP practices, as well as specialist services to support children, adult community care groups, older people, mental health, addictions, criminal justice homelessness services and health improvement activity – all delivered by a range of public and third sector organisations.
 
The North East Hub will be Scotland’s first working net zero carbon health and social care facility and the site will also offer community space, including a café and Parkhead Library.


 
Professor Brown said: “We are delighted to have been joined by Michael Matheson MSP, Cabinet Secretary for NHS Recovery, Health and Social Care for the official Topping Out ceremony at the North East Hub.
 
“This is a hugely exciting project for the North East of Glasgow and is not only the largest primary care development in NHSGGC, but it is also Scotland’s first net zero carbon health and social care facility, making it a beacon for sustainability while improving public services for those living in the local area.
 
“By bringing services together in one place, alongside so many community projects, people will be able to access the support they need more efficiently, helping to improve population health and tackle the causes of inequality in healthcare.”
 
Councillor Chris Cunningham, City Convener for Health, Care and Caring and Older People, said: “Today marks the next step into the delivery of what will be a fantastic community asset for the north-east of Glasgow, bringing together key services in one location. 
 
“The end result is an ambitious new centre, a hub that will bring services and facilities together to build an incredible asset for the area. Our ambition is to ensure that everyone in Glasgow can lead healthier and more fulfilled lives and the new hub and the services it will provide will help us to achieve that.
 
“This is a great example of co-locating services and partnership working, and will offer a one-stop-shop for a range of services from the city council, Glasgow Life and Health and Social Care Partnership.”

A recent report on design and build of the new hub has revealed the project’s carbon impact rating will come in well under the benchmark target set out in the Net Zero Public Sector Buildings Standard.
 
The findings come following a Zero Waste Scotland Embodied Carbon and Circular Assessment which calculates the embodied carbon emissions in the built environment based on a number of key indicators along the project’s build – from resource extraction through to transport, processing and construction.
 
The report found the North East Hub was particularly strong in areas in relation to waste management, with a concerted focus on recycling at all stages of the project. The project was also praised for building in future flexibility to its design.
 
Iain Marley, Hub West Scotland’s Chief Executive said “We are delighted to see the excellent progress being made on site on this, our tenth project and most ambitious health project so far under the highly valued partnership with NHS Greater Glasgow and Clyde and Glasgow City Council.
 
“Our thanks also go to the professional team across our supply chain and to BAM Construction for all their commitment to quality and value for money.

“The building will be completed on schedule in summer 2024 and the project is already bringing significant value and benefits to local communities: so far over £11M of social value has been delivered through our education; employment; wellbeing; volunteering and SME development programmes and this will be added to over the future months.”

Increasing access to diabetes technology

£350,000 funding to speed up delivery

Life-changing technology that reduces the risk of complications for people with type 1 diabetes will become more widely available thanks to additional funding.

The Scottish Government has invested a further £350,000 to accelerate the distribution of Closed Loop Systems.  The technology is considered the most significant development in type 1 diabetes treatment in recent years and can transform lives, particularly for children and young people.

Closed Loop Systems help people improve their glycaemic control and in turn reduce the likelihood of complications, which at their most serious can include blindness, renal failure, and amputations; as well as unplanned admissions to hospital.

The investment will see a dedicated team created by the national Centre for Sustainable Delivery at NHS Golden Jubilee to support NHS health boards to rollout the technology faster and more efficiently across Scotland.

Public Health Minister Jenni Minto said: “There’s no reason why someone living with type 1 diabetes shouldn’t live a long and healthy life, but some people find managing their condition difficult.

Diabetes technologies make the process easier and can enhance people’s quality of life. That’s why we’re aiming to provide access to Closed Loop Systems at the earliest opportunity and are working with NHS boards to improve access.”

National Diabetes Lead Professor Brian Kennon said: Closed Loop systems are truly transformative technologies and help reduce the day-to-day burden of trying to optimise type 1 diabetes control.

“Creation of a dedicated team to help support the adoption of Closed Loop Systems and standardise our approach to access across Scotland will help ensure that our healthcare system is well placed to realise the massive advantages that these innovative technologies offer.”

MS Victoria: Council Statement

The City ouncil has agreed to write to the UK Government about their decision to use the cruise ship to accommodate asylum seekers.

Council Leader Councillor Cammy Day said: “Over the last year and a half, we’ve shown solidarity with, and support for, thousands of Ukrainian refugees who have fled Russia’s illegal war on Ukraine, as we have for Syrian, Afghani and, most recently, Sudanese refugees.

“Thankfully most of us will never experience the horrors these communities have faced, and we remain absolutely committed to supporting them in whatever way we can.

‘As Ukrainian refugees continue to disembark MS Victoria following the Scottish Government’s decision to end its use next month, we were extremely surprised to be contacted by the Home Office about their intentions to commission the ship to house asylum seekers. All the more surprising given their previous advice that it would be impossible for it to remain. 

‘We were not consulted on this and urgently require further details from the UK Government on their plans. I know the Scottish Government and COSLA are in the same position and, having written jointly to the Minister of State for Immigration, Robert Jenrick MP, we’ve yet to receive a satisfactory response to our questions and concerns.

‘The fact that Forth Ports, who own the dock and have said they can’t accommodate the ship, haven’t yet been contacted sums up the complete lack of engagement by the Home Office.

‘The potential consequences for the Council in terms of the pressures on our services – and the city as a whole – are severe and, barring robust partnership discussions involving NHS, police, and other colleagues, we will continue to oppose these plans in the strongest terms. 

‘Many of these people have risked their lives to make it to Europe and what they need is recognition and rights, not an unknown future without the support they so desperately need.

‘While the MS Victoria has been a place of refuge for many Ukrainian people, until we have adequate reassurances from the UK Government regarding welfare and ongoing engagement and support, we cannot allow it to become a floating prison for asylum seekers.’

A Home Office spokesperson said: “The Home Office has a statutory obligation to provide accommodation for asylum seekers who would otherwise be destitute while we consider their claim.

“The significant increase in illegal, unnecessary and dangerous Channel crossings has put our asylum system under incredible strain and made it necessary to continue to use hotels to accommodate some asylum seekers.

“We are committed to making every effort to reduce hotel use and continue to engage with local authorities as early as possible whenever sites are used for asylum accommodation.”

The decision was taken at Thursday’s Council meeting; the motion: 8.11 and addendum can be read on CEC’s website. A webcast recording can also be watched online.

All change for education qualifications? Hayward review published

Considering the future of qualifications and assessment

The views of teachers will be key to Scotland’s education reform journey, Education Secretary Jenny Gilruth has said, as a major report on qualifications and assessment is published.

Professor Louise Hayward’s report following her Independent Review of Qualifications and Assessment (IRQA) recommends reform of the current senior school phase, including the creation of a new Scottish Diploma of Achievement (SDA).

The report, along with the recent Withers Review of the Skills System and National Discussion on Education, sets out the case for significant change across the sector. The Scottish Government will now consider the recommendations made in these reports and respond in due course.

Ms Gilruth said: “I am very grateful to Professor Hayward and members of the review group for the time and effort they have given to bring this report together.

“These recommendations for reform could amount to a radical shift in Scottish education. As Cabinet Secretary I need to be certain that these changes are the right ones for Scotland’s young people – and I am determined that the voices of teachers will be central to this process.

“Scotland has a proud educational tradition – the challenge now is to build on that success and deliver reform which ensures we have a coherent education and skills system that supports children and young people to reach their potential.

“Ultimately we must judge everything we do by those criteria. I will work together across parties to improve educational outcomes – this is a prize worth striving for, to ensure we get this right for the next generation.”

Key recommendations of the Hayward report include:

  • adopting the SDA (Scottish Diploma of Achievement) as a graduation certificate for all senior phase educational settings
  • the end of exams in S4 and a wider range of assessment methods used in Highers and Advanced Highers
  • a digital profile for all learners which allows them to record personal achievements, identify and plan future learning

Professor Hayward said: “This report offers the potential to provide learners with a more valuable senior phase experience, teachers with the resources to do the job properly and colleges, employers and universities with better information about learners’ achievements.

“It would not have been possible without the support and hard work of the Independent Review Group and the vital contributions from schools, colleges, universities, employers, parents, and young people from across the county.

“I’d like to thank them all for their assistance and taking the time to support the work.”

The Scottish Government’s detailed response to the IRQA will be considered alongside wider reform activity being taken forward following the National Discussion , the Review of the Skills Delivery Landscape , the forthcoming Purpose and Principles for Post-School Education, Research and Skills, and establishment of the new national education bodies.

 The SDA would be awarded to school leavers when achievements are recognised in each of three elements. The Programmes of Learning element would focus on individual courses, while the Project Learning would focus on learning in practice and may look at areas such as climate change, migration or artificial intelligence while the Personal Pathway would allow a learner to reflect on learning through social, cultural, economic and well-being perspectives. 

Legislation to establish new education bodies will be introduced only after Ministers have considered the findings of recent reviews, though work continues in this area.  Recruitment for a new chair of the Scottish Qualifications Authority will begin shortly. Recruitment for a independent HM Chief Inspector of Education will also be progressed.

The IRQA was commissioned and announced in October 2021 by the then Cabinet Secretary for Education and Skills Shirley-Anne Somerville.