Mental Health and Wellbeing Leadership Board: delivery plan progress report 4 - September 2025

Actions Determined to be ‘Off Track’ or ‘Delivery Date Missed with Risk’

Ref: 1.1.2

Action: Form an anti-stigma collective to support innovation, share leadership and commitment to take forward the key actions identified by the expert group.

Lead: SG

Reason for RAG – Off Track: Progress on this action has been delayed due to reconsideration of the role, scope, and membership of the Delivery Collective. This delay was necessary to ensure clarity and alignment with existing work.

Mitigating Actions:

• Ongoing discussions with internal and external stakeholders to define the scope and value of the Delivery Collective.
• Work underway to align with mental health services actions in the MHAW delivery plan.
• First meeting planned for Autumn 2025.

Ref: 5.1.3

Action: Public Health Scotland will lead a collaborative programme of work throughout the life of this Delivery Plan to develop a whole systems approach to understanding and taking action in relation to the key social determinants of mental health. This will involve:

• Bringing together communities, practitioners and policy makers across the system to build a collective understanding of the social determinants of mental health.
• Having a focus on understanding and promoting primary prevention approaches.
• Identifying and testing specific actions for improving population mental health and reducing mental health inequalities.

Lead: SG

Reason for RAG – Off Track: The project is progressing but remains behind schedule and has not yet moved to identifying and delivering specific actions or promoting primary prevention approaches.

Mitigating Actions: Public Health Scotland is developing a joint internal workplan across relevant service areas to strengthen alignment and delivery, though this has required additional planning time.

Ref: 6.2.1

Action: Continue work with Health Boards to agree an initial timeline to deliver the CAMHS and Psychological Therapies National Data Set (CAPTND), with the aim of using the improved data to support improvements to CAMHS and PT services and to better understand the needs of those accessing them.

Lead: SG

Reason for RAG – Off Track: Updates to NHS Board IT infrastructure have been delayed, resulting in delays to full capture of CAPTND data. There have also been delays in analysis and quality assurance of data.

Mitigating Actions: This has been escalated and new governance and programme management is being agreed to ensure delivery in 2025/26.

Ref: 6.2.6

Action: Using the learning from the self-assessment of core standards, develop a specification for adult secondary care mental health services (inpatient, Community Mental Health Teams and associated services).

Lead: SG

Reason for RAG – Off Track: Work is paused due to limited staff capacity and a wider review of reform activity following the publication of the H&SC Services Renewal Framework and internal reorganisation.

Mitigating Actions: Not specified.

Ref: 6.5.5

Action: Continue to work with delivery partners to ensure patient experience is central to decision-making and governance processes in IJBs, NHS Boards and TSIs.

Lead: SG

Reason for RAG – Off Track: Currently no capacity identified to take this forward.

Mitigating Actions: None currently in place.

Ref: 7.1.3

Action: Scottish Government will establish a national strategic oversight group to support coherence across NHS Boards in the planning and delivery of Mental Health services at national and regional levels.

Lead: SG

Reason for RAG – Off Track: Development paused since February 2025; previous SG lead reassigned. Internal resource and funding needed to restart.

Mitigating Actions: None currently in place.

Ref: 8.1.3

Action: Address the key gaps in collected and reported data on forensic mental health services by putting in place an improved system of data collection and monitoring the outcomes for individuals receiving such services (Recommendations 5, 7, 8 and 20 of the Independent Review).

Lead: SG

Reason for RAG – Off Track: The recommendation was originally intended for a new board, which was not established. There is no budget or resource to progress.

Mitigating Actions: Focus on addressing delayed discharges in secure services to improve capacity and uphold human rights.

Ref: 9.1.3

Action: Support the work of the Adult Neurodevelopmental Specification working group which was established in September 2023.

Lead: SG

Reason for RAG – Off Track: This work was paused for review and has now restarted, with a meeting of key stakeholders in May.

Mitigating Actions: Funding to the National Autism Implementation Team to support Health Boards and stabilise services. Reorganisation of resourcing to take forward priorities relating to Adult ND, tying in closely with work on children and young people ND.

Ref: 9.2.1

Action: Roll out annual health checks for adults with learning disabilities across all NHS Boards, with all adults with learning disabilities offered a health check by end of March 2024

Lead: SG

Reason for RAG – Missed delivery date with risk: The ambition to offer annual health checks to all eligible individuals was not delivered by March 2024 due to challenges with mobilising a new service within Health Boards. However there has been a significant increase in the number of Annual Health Checks offered and completed (2024-25 delivery data to be published in August 2025), which is producing positive outcomes for people with learning disabilities.

Mitigating Actions: We continue to fund and work closely with Health Boards, supporting delivery via the National Implementation Group. Health Boards have been asked to include plans for delivery in their 2025-26 Annual Delivery Plans and the Minister wrote to all Health Board Chief Executives in January 2025 setting out her expectations for delivery of Annual Health Checks in line with the National Directions issued to Boards.