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Committee

Criminal Justice Committee 18 February 2026 [Draft]

18 Feb 2026 · S6 · Criminal Justice Committee
Item of business
Policing and Mental Health
Stephen Gallagher Watch on SPTV
First, the framework for collaboration was published in February 2025, a month after the last committee meeting on the subject, and with that came the collaborative commitments. We are talking about a journey of improvement, and you are right to highlight that it has taken place over a period of time.Let me talk for a moment about partnership working with the police and the various systems and hand-offs that are appropriate there. I will set that within the slightly wider context of what we are trying to achieve with the mental health and wellbeing strategy, in which we have a focus on combating and reducing stigma, on the prevention of mental ill health and on supporting people in communities, as well as on improvements to services. You are right to highlight that there has been significant investment over a period of time across the whole spectrum of the mental health service offer.Prevention is an important aspect of all our work. We have invested £164 million, part of which has been spent on investment in services for children and young people in the community—£15 million per year of that money is baselined into the local government settlement—and £15 million goes through third sector organisations, third sector interfaces and down into local communities to support adults with their mental health and wellbeing.Moving on to stigma reduction, I think that you will be aware of our see me campaign work with Scottish Action for Mental Health and its impact in reducing the stigma around mental health issues. Finally, there is also the significant development agenda for services.In the period that you mentioned, which takes us back to 2020, we stood up the mental health hub within NHS 24 and, in recent years, we have extended it to provide 24/7 coverage. The hub now reaches 10,000 people a month. In other words, more than 120,000 people per year use the hub, which did not exist previously, as their gateway into mental health service provision.The adult prevention schemes that I mentioned reach 300,000 adults in Scotland per year, while the latest figure for children’s services is that more than 60,000 children receive support through children and wellbeing support services. We have also been developing services as part of the implementation of the mental health strategy, as well as working through the interfaces between existing services and the new services that we have established. It takes time and partnership working to identify what can be improved and then to work on those improvements, but that is what we are committed to doing.What have we achieved? I have probably touched on a few of those achievements when I talked about the establishment of the mental health hub. Something that I have not mentioned yet, but which I know is contained in Caroline Lamb’s letter to the committee, is the creation of the enhanced mental health pathway, which connects Police Scotland to the mental health hub. Around 300 to 350 calls per month go from Police Scotland contact centres to the hub, through which a range of services can be accessed. I should also say that, under the programme for government for 2025-26, we have a commitment to expand the offer of the mental health hub to allow direct access to psychological interventions, and we hope that that will allow another 1,700 interventions per year.We have supported the establishment of safe spaces, but I will not go into that in any detail, as I know that the committee spent considerable time talking about the safe space approach at its previous meeting. We have resourced triage car services with the Scottish Ambulance Service in Inverness, Dundee and Glasgow, and those pilots are currently being evaluated. Our review of psychiatric emergency care plans was completed in December, and we are now working on guidance that will go to partners and the NHS.Our distress brief intervention programme, which is a key facet of the support that we can give to people who appear to be in distress, has reached a landmark 100,000 referrals. Incidentally, the community model of distress brief interventions achieves a 9 per cent referral rate from front-line policing. Policing can also access distress brief interventions through a national pathway that is available as part of the transfer that I mentioned between police control centres and the mental health hub. Finally, more than 2,000 front-line police officers in Scotland have been trained at level 1 distress brief interventions.I could go on, but I hope that that gives the committee a flavour of some of the improvements that the mental health strategy has brought over the six-year period to which you referred.

In the same item of business

The Deputy Convener Con
Welcome back. Our next agenda item is evidence taking from a series of witnesses on one of the committee’s priorities for the current session—namely, policin...
Stephen Gallagher (NHS Scotland)
I am grateful to have the opportunity to attend today’s meeting in my role as the director of mental health at the Scottish Government to respond to the comm...
The Deputy Convener Con
Thank you. I am grateful to you and to all our witnesses for the submissions that they have sent in.I will open with a quick scene-setting question before we...
Stephen Gallagher
First, the framework for collaboration was published in February 2025, a month after the last committee meeting on the subject, and with that came the collab...
The Deputy Convener Con
It certainly does, and I am grateful for that information, but I am not sure that it quite answers my question about when the police will be able to take a “...
Sharon Dowey Con
Good morning. You mentioned the framework for collaboration, in which you say that you are promoting“a multi-agency collaborative approach to improving local...
Stephen Gallagher
I will start by talking about the community triage index that we launched in 2024, which is sometimes referred to as the mental health index. It is used by p...
Dr Robby Steel (NHS Scotland)
The number of times that the police are called by the general public to respond to an incident that fits the lay concept of a mental health emergency has not...
Sharon Dowey Con
You have spoken about pilots and trials. Stephen Gallagher mentioned the approach in Lanarkshire, and Dr Steel said that there is a pilot in Lothian, but if ...
Stephen Gallagher
The 24/7 access point that has been created—
Sharon Dowey Con
Sorry—did you say that it is being created? Is it not created yet?
Stephen Gallagher
It has been created, but the practice is not yet consistent across the country.
Sharon Dowey Con
Why is that?
Stephen Gallagher
That will be for a variety of reasons relating to how different services are configured. Dr Steel has explained to the committee what is currently working an...
Pauline McNeill Lab
Good morning, and thank you for your introductory remarks about all the work that you are doing. That was useful to hear.I want to continue with Sharon Dowey...
Stephen Gallagher
Again, I will defer to Dr Steel on that, but I guess that it would depend on the model; what comes out of the assessment and the dialogue about the severity ...
Pauline McNeill Lab
Why does that matter? If it is an NHS issue regardless, when the police officer takes the person to the NHS facility where they can best be treated, why woul...
Dr Steel
A year ago, I was in front of the committee with a different hat on; I was here as a professional liaison psychiatrist—a psychiatrist who works in an emergen...
Pauline McNeill Lab
Does that mean that no progress has been made in filling that gap? It seems to me that you are talking about something that is currently intangible.
Dr Steel
No, I am talking about the big picture. Let me bring it down to the small picture. At the moment, people contact the police when they are in distress. What w...
Pauline McNeill Lab
But it is not a police issue.
Dr Steel
No, it is not—
Pauline McNeill Lab
That is what I am struggling with. Do we agree that it is not a police issue?
Dr Steel
Yes. Oh—
Pauline McNeill Lab
But you are saying that it is not an NHS issue, so—
Dr Steel
The NHS does not view it as an NHS issue, and that is where people fall down. At present, there is very good provision in some places. In Tayside, there is t...
Pauline McNeill Lab
I do not feel that we are getting anywhere with what you are saying, to be honest. Our papers say:“The taskforce is also looking to build training to give po...
Dr Steel
The committee is looking at how we have ended up in a position where the police are the first point of call. The police will tell you that they are filling a...
Pauline McNeill Lab
I do not really understand what you are saying, to be perfectly truthful.
Dr Steel
Okay. Things like—