National Trauma Training Programme: FOI release

Information requested

1. In total, how much money has the Scottish Government invested in the National Trauma Training Programme since 2016?
2. A breakdown of how much money has been spent year-by-year since 2016?
3. Which person, or body, or organisation, is responsible for evaluating the progress and success of the National Trauma Training Programme, and what form does that evaluation take?

Response

I enclose a copy of all of the information you requested.

The answer to your question is as follows:

1) In total, how much money has the Scottish Government invested in the National Trauma Training Programme since 2016?

The National Trauma Training Programme (NTTP) was established in 2018. Since then, the Scottish Government has invested over £9.6 million to support the development and delivery of this Programme and the implementation of trauma-informed practice in Scotland. This includes a total of £1.6 million each year since 2021/22 shared across all 32 local authorities to work with community planning partners to further progress trauma-informed services, systems and workforces.

2) A breakdown of how much money has been spent year-by-year since 2016?

The following table provides a breakdown of how the £9.6 million has been allocated by the Scottish Government to a range of recipients each year since the NTTP was first established in 2018. Recipients include NHS Education for Scotland, the Improvement Service, local authorities and the third sector.

Year	Total
2018/19	£238,244
2019/20	£610,360
2020/21	£940,262
2021/22	£2,343,000
2022/23	£2,666,678
2023/24	£2,874,000
TOTAL	£9,672,544

3) Which person, or body, or organisation, is responsible for evaluating the progress and success of the National Trauma Training Programme, and what form does that evaluation take?

• Governance of the National Trauma Training Programme is provided by a National Steering Group (NSG), previously chaired by the Deputy First Minister, John Swinney (current chair is still to be confirmed). Members are cross-sector leaders, including from local government, justice, social work, housing, health, and education. The NSG provides leadership and strategic oversight for prioritisation and delivery of the NTTP and are provided with regular progress updates from the NTTP delivery partners, including NHS Education for Scotland (NES) and the Improvement Service (IS).
• The Trauma, ACEs and Resilience Unit in Scottish Government is responsible for managing delivery of the NTTP and for monitoring the agreed outcomes and deliverables of our main delivery partners. This is done through tailored grant offer letters and regular progress update meetings. In addition, to support our understanding of whether the NTTP has successfully helped to raise awareness of trauma and trauma-informed practice across the workforce, a baseline national workforce survey was commissioned by the Scottish Government in 2020/21. This will be repeated in future years.
• The training component of the NTTP is led by NES. It evaluates the success and impact of training in a range of ways. Success of high volume, low intensity training (for example, completion of e-modules) is evaluated through completion of formal assessment linked to intended learning outcomes upon completion of the module. Success of higher intensity face-to-face skills-based training at Skilled, Enhanced and Specialist levels involves analysis of changes in the self-rated confidence and knowledge and skills of attendees pre- and post- training. It can also involve a period of post-training observation and feedback on practice under supervision. The Scottish Trauma Informed Leaders Training (STILT) webinar is evaluated immediately after attendance, with attendees completing subjective ratings of the extent to which the training met each of the intended learning outcomes, as well as its overall utility and effectiveness. In addition, in 2021 NES commissioned an external provider to evaluate the 2 year impact of STILT on leaders (and their organisations) who had attended the original STILT training sessions in 2018.
• In 2019/20, the NTTP funded local authority delivery trials in Argyll and Bute, Glasgow and Midlothian to explore different authority-wide approaches to the roll out of trauma training and implementation support. An independent interim process evaluation was published by the Scottish Government in 2021 and a follow up evaluation is currently underway, due for publication in 2024.
• Indicators of success relating to implementation of the aims of the NTTP will vary hugely across different settings and services, depending on what they are designed to do or offer (for example, whether dental services, housing support or custody/prison). In essence, this means that longerterm evaluation of the impact of the NTTP cannot sit with any single body or organisation. To that end, NTTP national partners have been collaborating with experts by experience, experts by profession and local leaders to develop a self-assessment tool to support organisations to measure progress and impact of this work in their own organisation for their own outcomes. We anticipate that after publication in Autumn 2023, the Improvement Service and other key partners will support local authorities and their community planning partners to use this tool to measure the progress and impact of this work.

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