Thank you, convener, and happy new year to you and everybody on the committee.
I am grateful for the opportunity to speak about some of the work that I have outlined in my correspondence to the committee, and for the opportunity to principally focus on policing and mental health. In relation to mental health concerns, the Scottish Government believes that there should be no wrong door to accessing unplanned or urgent mental health support, and that anyone in need of that support must receive the right care in the right place at the right time.
At the outset, however, it is only right that I acknowledge that not everyone who may have a mental health-related concern is vulnerable or in distress. There are many circumstances not related to mental health in which a person may be classed as vulnerable, unable to protect themselves or at risk of harm and exploitation.
It is also important to acknowledge that distress can be a normal response to life-challenging situations, and that does not mean that everyone experiencing distress will need formal mental health intervention. In any and all of those circumstances, individuals should be able to access the service that is best placed to meet their needs.
However, there are undoubtedly continued concerns about the demand that mental health-related calls in particular place on policing. We are working with partners, including Police Scotland, to improve individuals’ experience of accessing support and to ensure that resources are deployed appropriately to reduce unnecessary demands on police officers.?
Since 2021, we have been working with partners, including health boards and Police Scotland, through the mental health unscheduled care network to improve the mental health unscheduled care response and to ensure that those in need of urgent or unplanned mental health care are directed to the most appropriate service and receive support quickly. That is being facilitated by the 24/7 availability of a mental health clinician in every health board for those who require urgent mental health assessment or an urgent referral to local mental health services. Those clinicians are available to front-line services, including Police Scotland, through local community triage pathways.
Through the development of the enhanced mental health pathway, we have enabled Police Scotland’s command and control centres to direct calls from individuals who have been identified as needing mental health advice and support to NHS 24’s mental health hub. In her update to the Scottish Police Authority in November, the chief constable acknowledged the impact of the pathway in helping to reduce demands on officers: 10,611 referrals to NHS 24 have allowed 54,328 officer hours to be redirected to other duties.
More broadly, we are working with a number of partners to deliver the actions in the mental health and wellbeing strategy’s first joint delivery plan and workforce action plan, which were published jointly with the Convention of Scottish Local Authorities. They seek to create real and lasting change in the country’s mental health, with a whole-systems approach that has a renewed focus on prevention and early intervention.
In its thematic review of mental health demand on policing, HMICS recognised that mental health is a multifaceted issue that needs an effective whole-systems partnership response. HMICS set out a number of recommendations for Police Scotland, the Scottish Police Authority and the Scottish Government. As part of our commitment to implement the review’s recommendations, the Scottish Government, the Scottish Police Authority and Police Scotland have established a partnership delivery group, or PDG, which is working across organisational boundaries to identify and deliver support to individuals that can be delivered in a person-centred and trauma-informed way.
I am pleased to inform the committee that those on the group have worked together to support the Scottish Government to develop a framework for collaboration. The framework, which will very shortly be published, aims to promote—crucially—a multi-agency collaborative approach to improving local distress pathways. Alongside the framework, a mental health and policing action plan will be published, outlining numerous collaborative commitments across sectors, which will further bolster the PDG’s aim of improving the multi-agency approach to mental distress.
I extend my heartfelt thanks and gratitude to our partners for their support in developing the framework and collaborative commitments, and I acknowledge the tireless efforts of all those who continue to contribute to the delivery of mental health services, including our ambulance, policing and third sector partners, whose roles are crucial.
In all of this, partnership working is undoubtedly the key that will unlock many shared challenges. It is only by working together that we can deliver real, lasting and meaningful change. The Scottish Government remains fully committed to continuing the partnership approach that has been so crucial to the development of the framework and collaborative commitments, particularly as we move forward to implementation.