We are all in the process of learning how to live with Covid-19. To say that a full national lockdown was tough is perhaps putting it mildly, but the introduction of temporary measures now will also be really challenging for people across the country. It shows that the road to recovery from the pandemic will not be linear or straightforward. We have all been through a lot and the importance of mental health and wellbeing has never been clearer.
It has been difficult enough to maintain good physical health during the pandemic and lockdown, but the experience will also have been immensely draining psychologically for many of us. I doubt that there is a single one of us who has not thought of our own mental wellbeing, or worried about that of others, at some point during 2020. The effects could include feeling down or anxious. People might have needed to be signposted to support, and levels of distress might have increased. There will also be cases of more serious mental illness.
Throughout this year, mental health has continued to be an absolute priority for the Scottish Government. We have been proactive in our approach and have announced a range of additional support. Reflecting how fundamental the issue of mental health is, today we have published our transition and recovery plan, “Mental Health—Scotland’s Transition and Recovery”. Given that the Parliament will debate the new temporary measures straight after my statement, the focus on mental health and wellbeing is very apt. The document lays out the Government’s response to the mental health impacts of Covid-19 and addresses the challenges that the pandemic has presented, and will continue to present, for the population’s mental health.
I want to speak about the process of developing the plan. From the beginning, we have known that it would be crucial to develop a full understanding of the mental health effects of the pandemic. In April, we established the mental health research advisory group to ensure that our response would be led by a robust understanding of evidence and data. The advisory group has followed closely research developments across the globe, and has provided us with timely and expert advice on how Covid-19 is impacting on mental health.
As well as embedding evidence at the heart of our approach, we have been determined to work collaboratively. A prerequisite for us was to hear at first hand about the effects that the pandemic was having. We have striven to reach mutual agreement on key areas in which we need to progress work. We have done so through sustained engagement with a stakeholder group that has met regularly over the past six months. I extend my sincere thanks to everyone who has contributed so passionately to that work. The organisations that have been involved have included, among others, the Scottish Association for Mental Health, the Mental Health Foundation, the Royal College of Psychiatrists, the Mental Welfare Commission for Scotland, Unison, Penumbra, Samaritans and voices of lived experience.
Echoing what we heard, we have structured the document around key themes. I hope that members will see that the plan is comprehensive—it contains more than 100 actions. To take some examples, we have included sections on whole population mental health. We want everyone across Scotland to remain engaged with and informed about mental wellbeing, including the need to reduce stigma, which is of critical importance.
We have concentrated on how the pandemic might impact on employment, including the impact that it might have on people who are in uncertain employment, those who might have been made unemployed as a result of lockdown and those who are currently trying to find a job.
We know that children and young people have been particularly affected, and we have laid out a range of actions to respond to the needs of our young citizens. Those actions cover emotional wellbeing, the support that is available in education settings and the route into specialist mental health services when those are needed.
We also recognise that older people have been just as impacted, as have those who are at higher risk because they have a long-term health condition or a disability. Many of those people have been shielding, which has been exceptionally difficult. In all those cases, we believe that further targeted action is needed to support good mental wellbeing.
We know how important specialist mental health services are and will continue to be. We have laid out our approach for the recovery and renewal of child and adolescent mental health services and psychological therapies. That includes a programme of enhanced improvement support. We will also work with NHS Boards to ensure that they are able to respond to any increase in demand over the coming months.
We now have a unique opportunity to focus on improving the quality of those services. We will make use of data, evidence and digital technology, where that is appropriate, as well as implementing a set of quality standards. We also know how vital the mental health services are that others—local authorities, health and social care partnerships and the third sector—provide. Those services will continue to be central to how we meet demand.
Through the pandemic, we have driven national action and worked with partners to promote examples of good practice across the country. The clear your head campaign has become nationally recognised. We have expanded NHS 24’s mental health hub so that it now provides telephone support for people 24 hours a day, seven days a week. We have established mental health assessment centres, rolled out the distress brief intervention programme nationally and launched PRoMIS, the national wellbeing hub for health and social care staff, unpaid carers, volunteers and their families.
The plan outlines how we will build on success stories such as those, but it is really important to recognise that what we have laid out in the document is not set in stone. The situation remains fluid, as developments this week have too clearly shown.
I started by saying that the road to recovery will not be linear. That is likely to mean that different types of mental health need will emerge as time passes, and that will affect the extent to which further targeted measures are needed. Our response, as laid out in the plan, will be flexible and adaptable and will continue to evolve over the short, medium and long term and to be informed by the work of the mental health research advisory group. Our on-going use of evidence and data will be key.
As well as our stakeholders, I thank members across the chamber for their constructive input over the past few months. During the Government’s statement on mental health in June, I listened carefully to the priorities that members raised, which included the help that was available in schools, bereavement support, the importance of the third sector, and issues that can affect women, in particular during the perinatal period.
I hope that members will see their input from June specifically reflected in the plan and I look forward to working with colleagues as we move into its implementation and delivery phase. The focus on implementation is crucial: our plan is comprehensive and ambitious, but it is the work that we do now to deliver it that will make the difference.
We do not yet have all the answers for some of the emerging issues that we have identified—no single person or organisation does. The situation is not unique to Scotland; populations across the world face it as well. We will therefore continue our close work with stakeholders and voices of lived experience to develop detailed implementation plans where necessary, and introduce comprehensive governance to ensure that progress is made towards each action.
One of our commitments is for our third sector partners to be embedded in this process: we will ensure that that happens, because their involvement will be fundamental to our success. We will also closely involve those with lived experience to ensure that our commitments will make a real, positive and lasting difference to people’s lives. We will establish an equality stakeholder forum to ensure that equalities issues and a focus on rights are firmly at the heart of our approach.
Finally, I will briefly address the relationship between the plan and our parallel work on dementia, autism, and learning disabilities. Reflecting the critical importance of each of those issues, we are working with partners to develop a separate national Covid-19 dementia transition and resilience plan. That will build on our pandemic response for people with dementia and their families, as well as on our three dementia strategies to date. Work is on-going at a national and local level and across all sectors, and will continue when we come to the implementation phase of the new plan.
We also want to address the barriers and inequalities that exist for the autism and learning and intellectual disabilities populations—issues on which Covid-19 has shone a light. We are developing an additional framework and will shortly start national engagement. We will involve people with lived experience and organisations across sectors and publish that framework in December.
I once again thank everyone who has contributed to the development of the plan—our partners, stakeholders and MSPs alike—and I look forward to working together as we face, and respond to, the further challenges that lie ahead. Our transition and recovery plan sets out how we will do that and it will ensure that the mental health of the people of Scotland continues to be a fundamental consideration in our Covid-19 response. I commend the plan to the Parliament.