Oireachtas Joint and Select Committees

Tuesday, 30 May 2023

Joint Oireachtas Committee on Autism

Autism Policy: Discussion (Resumed)

Ms Jacqueline Campbell:

I may not be able to give the Deputy full answers to both of these questions. On the second question on respite, that generally tends to be available through local arrangements. Through the health and social care partnerships, local authorities would make respite arrangements in a way that people would be able to take advantage of them and that will likely vary across the country. We will probably come back to the Deputy with more information on respite because I do not have more information with me about the local arrangements.

Workforce planning is an area we have not really gotten into yet in Scotland. Part of the reason we did the pilot work on adult neurodevelopmental pathways was to look at what we might need to do around planning for the workforce in Scotland. We touched on some of the issues in the general workforce earlier, including how there might be a lack of knowledge and understanding and how we have to look at the training around that. That is one of the things we want to do.

Second, through the adult neurodevelopmental pathways work we have looked at which elements of the workforce should be doing that assessment support and diagnosis. Similarly for children and young people, there is not necessarily a need for a psychiatrist to be doing that work. The work we piloted and the additional work we want to do around that is specifically looking at other elements of our multidisciplinary team that can perform that role, particularly in the community setting. We have had some early discussions about primary care in Scotland. It is not feasible, with the constraints around primary care, to simply add in another workload of doing those assessments for GPs. However, there are things that have been trialled in Scotland that might be located within practices in primary care or in communities, where much better use is made, for example, of nurse-like services; allied health professional services; and occupational therapists and all of their goals and how they would be able to support people in that community setting. That is what we are looking at for adults. We are looking at how we can use those elements of the workforce.

That is some of the work we have looked at through the pilots and that is in the report that came out in February. Part of our next steps in thinking about how to take that report forward that is set out in the recommendations is what that then means around workforce and workforce planning. Often in Scotland the workforce that delivered on this work is the same workforce that is working in and around mental health. We are working with our colleagues who have been doing workforce planning in mental health to try to bring that together a bit. We are just at that point now and this is definitely one of the things that needs to be considered going forward.