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Chamber

Meeting of the Parliament 28 May 2025

28 May 2025 · S6 · Meeting of the Parliament
Item of business
Neurodevelopmental Conditions

The Scottish Conservatives support the motion and will vote for it.

As a clinician, I have seen first hand the growing numbers of families that are coming through my door worried sick about their children’s development or mental health. They are exhausted from hitting brick walls when they try to get help. They are not asking for miracles; they are asking for assessments that do not take years, for teachers who understand their child’s needs and for support that actually shows up when it is needed, not an age after the crisis has already hit.

We are absolutely in a mental health emergency, and the lack of effective support for neurodevelopmental conditions such as ADHD and autism is making it worse. Covid accelerated demand, but let us be honest: these cracks were there before the pandemic. Children are now waiting up to four years for assessments; a 12-year-old will be assessed when he sits his national 5s. We also know that, in some health board, services have simply shut their doors to new referrals.

I do not need to tell anyone here what that does to families. Parents are left feeling ignored, and young people lose confidence, fall behind in school and, in too many cases, develop more serious mental health issues as a result.

The SNP says that it is investing in mental health, but we have got a postcode lottery for services—and behind every postcode is a child, a parent, a family, a teacher and a GP trying to hold things together without the right tools.

The number of special teachers has gone down, and special schools have been shut. In my Glasgow region, East Park school has delivered outstanding specialist education for the most challenging children with special needs on the same Glasgow site for more than 150 years, but its £1.3 million grant is ending, throwing the school into crisis.

As for mainstream schools, they are expected to do more with less while more than 40 per cent of pupils now have additional support needs. The SNP also quietly shelved its proposed learning disabilities, autism and neurodiversity bill.

We in the Scottish Conservatives believe that all that must change—and that it must do so urgently. We want there to be clear national pathways for assessment and treatment, proper investment in CAMHS and local neurodevelopmental teams. Shared care arrangements should be reinstated where appropriate so that people who are diagnosed privately are not abandoned by the NHS. We want schools to be equipped to support neurodivergent pupils from the start, not only after problems escalate.

We need to stop managing crisis and start delivering early joined-up care that gives children the best chance to thrive and parents the reassurance that the system is on their side, not working against them.

I move amendment S6M-17670.2, to insert at end:

“; believes that years of Scottish National Party (SNP) administration mismanagement have led to over 3,000 children and young people waiting to start mental health treatment; acknowledges that the Scottish Government pledged £55.5 million in 2023-24 to improve neurodevelopmental and mental health services, but that inconsistent referral processes and widespread delays remain; recognises that some NHS boards, such as NHS Tayside, have stopped all new referrals for attention deficit hyperactivity disorder (ADHD) and autism child and adolescent mental health services (CAMHS) due to increased demand for assessments; notes that children and adults alike have faced waits of up to 201 weeks for autism and ADHD assessments, with regions like Grampian and Tayside reporting delays of four years or more; understands that thousands of children last year waited for neurodevelopmental assessments, with 7,650 children in Greater Glasgow and Clyde alone waiting to be screened; agrees with the Royal College of Psychiatrists, which said that the growing demand for neurodevelopmental conditions services in Scotland poses a systemic risk to the sustainability of mental health services, and acknowledges that waiting times for neurodevelopmental assessments in Scotland are at risk of exceeding 10 years within the next few years if urgent reforms are not made by the Scottish Government.”

16:16  
References in this contribution

Motions, questions or amendments mentioned by their reference code.

In the same item of business

The Deputy Presiding Officer (Liam McArthur) LD
The next item of business is a debate on motion S6M-17670, in the name of Alex Cole-Hamilton, on addressing the inadequate provision for neurodevelopmental c...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
It gives me great pleasure to propose the motion that is before the Parliament. This is the kind of debate that I got into politics to lead, and I am sure th...
Sandesh Gulhane (Glasgow) (Con) Con
I declare an interest as a practising NHS GP. When patients come to see me, they are often desperate, and they come with a private diagnosis. There is nothin...
Alex Cole-Hamilton LD
I think that we all know—we have heard about it in several debates in the chamber—about the pressure that our hard-working GPs are under. I pay credit to San...
The Minister for Social Care, Mental Wellbeing and Sport (Maree Todd) SNP
I thank the Liberal Democrats for lodging the motion, which highlights the need to improve neurodevelopmental support. I acknowledge that the increase in th...
Alex Cole-Hamilton LD
Does the minister recognise that, although she is right that a diagnosis is not necessary just for support, it is definitely necessary for medication? In som...
Maree Todd SNP
Certainly. As a prescriber, I recognise the role of medication in the treatment of ADHD. It is not the only treatment, and neither is it the first-line treat...
Sandesh Gulhane (Glasgow) (Con) Con
The Scottish Conservatives support the motion and will vote for it. As a clinician, I have seen first hand the growing numbers of families that are coming t...
Paul Sweeney (Glasgow) (Lab) Lab
I thank the member for Edinburgh Western for allocating one of his party’s official Opposition day debates to a motion about the inadequate provision for neu...
Ariane Burgess (Highlands and Islands) (Green) Green
I, too, thank the Liberal Democrats for bringing forward this important debate, and I express my gratitude to staff across health, education and the third se...
The Deputy Presiding Officer LD
We now move to the open debate. 16:25
Willie Rennie (North East Fife) (LD) LD
It was once the case that middle-aged working men were placed on incapacity benefits. They were from post-industrial communities and they were stuck on incap...
Elena Whitham (Carrick, Cumnock and Doon Valley) (SNP) SNP
It is clear that we are facing significant challenges in how we support individuals with neurodevelopmental conditions in Scotland—challenges that demand not...
Annie Wells (Glasgow) (Con) Con
I am pleased to take part in this important debate and I thank Alex Cole-Hamilton and the Liberal Democrats for bringing it to the chamber. This is not the...
Claire Baker (Mid Scotland and Fife) (Lab) Lab
The motion sets out clearly the lack of provision for neurodevelopmental conditions and the impact that that is having. The significant waiting times for dia...
The Deputy Presiding Officer LD
The final speaker in the open debate will be Christine Grahame, who has up to four minutes. 16:42
Christine Grahame (Midlothian South, Tweeddale and Lauderdale) (SNP) SNP
I, too, welcome the debate and recognise the commitment of the Liberal Democrats to the subject. Diagnosis and referral for adults or children who are suspec...
Alex Cole-Hamilton LD
Will Christine Grahame give way?
Christine Grahame SNP
I will, if the Deputy Presiding Officer will give me a little bit of time back.
The Deputy Presiding Officer LD
Be very brief, Mr Cole-Hamilton.
Alex Cole-Hamilton LD
I understand what Christine Grahame says about people going private, but does she recognise that, if even a small proportion of those who are on waiting list...
Christine Grahame SNP
I always find it unfortunate when money is able to put people nearer the front of the queue. I do not say that to in any way insult the people who do that—it...
The Deputy Presiding Officer LD
We move to the winding-up speeches. 16:46
Ariane Burgess Green
The debate has certainly brought to light our urgent need to strengthen the way in which we support people with neurodevelopmental conditions across Scotland...
Carol Mochan (South Scotland) (Lab) Lab
I thank the Liberal Democrats for bringing the debate to the chamber. I agree with Ariane Burgess that it has allowed us to have a good look at an important ...
The Presiding Officer (Alison Johnstone) NPA
I call Stephen Kerr. 16:53
Stephen Kerr (Central Scotland) (Con) Con
It is nice to see you back in the chair, Presiding Officer. We have had a good debate. The frustrating thing about it is that we all seem to be agreeing with...
Christine Grahame SNP
Do you accept the point that I made in my speech that we should not park medication or assessments until a diagnosis is secured but consider interventions an...
The Presiding Officer NPA
Always speak through the chair.
Stephen Kerr Con
Of course I agree with Christine Grahame on that subject. All practical means should be used to alleviate the suffering and confusion that people feel when t...