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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

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 neurodevelopmental conditions in Scotland. I know that our constituents’ access to mental health services is an issue that is close to the heart of many members across the chamber and is one that is reflected in our casework.

It is a matter of fact that this Government has overseen a decline in mental health service quality across the country—and, given the amendment that it has lodged, it seems that it is unwilling to address and remedy that.

We are rightly concerned about the state of mental health services. Even though the Covid pandemic devastated Scotland’s already overstretched mental health services, we find ourselves in a position in which funding is still not being allocated properly to realise best value, waiting lists keep growing, private diagnoses are increasing unnecessarily and service after service is cut across Scotland, with the buck passed to local authorities and ministers washing their hands of the situation.

We need to recognise that we did not build back better. Indeed, it has just been crisis followed by crisis, leading to more broken lives and distressed families across Scotland. A point that we often forget when we talk about funding and percentages is what the Scottish Government’s goal of spending 10 per cent of NHS funding on mental health services and 1 per cent of its funding on CAMHS is supposed to mean. That is not meant to be just an abstract numerical target. It is supposed to mean security of funding for mental health practitioners; the end of waiting times that are measured in months and years rather than weeks; and a Scotland where support is available for those who need it, not just those who can afford private healthcare, where children’s mental health is a priority, not an afterthought, and where getting it right for every child is the reality.

Let us remember that real people are affected by the Government’s failure. We know that people with ADHD are five times more likely to attempt suicide and that self-harm is higher in those with ADHD and emotional dysregulation. Every delay in diagnosis and every failure to intervene early is a decision that might lead to far worse outcomes for the individual who is involved. There is a price to be paid for this Government’s failure, and that price falls on the heads of those who are most unable to pay it. That is why the Labour Party is happy to support the motion, which our amendment seeks to strengthen by calling on the Government

“to publish data on the number of patients with neurodevelopmental conditions who are being removed from CAMHS waiting lists.”

We know there is a real danger that children and adolescents are falling through the gaps and that the current data collection is not able to accurately capture the situation. We therefore need to see a step change in how the Scottish Government collects its data so that the statistics reflect the experience on the ground and are not just a contrived mathematical construct that allows ministers to say, “Job well done,” and ignore the unacceptable reality that is faced by our constituents and is reflected in our casework.

We know that the Government is failing adolescents and children across Scotland. We see that in our inboxes. In Glasgow, we have seen waiting times increase, vital services such as the Notre Dame Centre for children being shut, and more and more responsibilities being placed on the shoulders of teachers and school counsellors to fill the gaps that have been left by funding shortfalls and by a more general deprioritisation of mental health, which we have seen through the cuts to the integration joint boards and health and social care partnerships. That is simply not good enough, and it is not good enough for ministers to shirk responsibility for the consequences of these funding cuts and place it a local authority level.

It is right that the Parliament recognises the mental health crisis that is presided over by the Government and calls for urgent action by that Government to take place quickly. We are happy to support the motion, and I hope that all members will join Labour in supporting our amendment to call for better data collection for those who are removed from CAMHS waiting lists.

I move amendment S6M-17670.1, to insert at end:

“, and calls on the Scottish Government to publish data on the number of patients with neurodevelopmental conditions who are being removed from CAMHS waiting lists.”

16:20  
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...