A probe into serious abuse allegations at Carseview could impact a controversial shake-up of mental health services.
The first phase of a planned review, which will see general adult psychiatry acute admissions centralised in Dundee, is due to begin in June.
However, health chiefs say they are prepared to make changes if necessary,when the findings of an independent investigation into claims patients were pinned to the floor and mocked by staff at the Carseview mental health unit in Ninewells.
The Perth and Kinross Integration Joint Board heard preparatory work on the mental health review is already under way, with the first phase due to begin in June.
The plan was agreed in January 2018, following months of consultation and protest. Learning disability inpatient services will be provided at Murray Royal Hospital Perth, after services were transferred out of the outdated Mulberry unit at Stracathro in Angus.
The board was given an update by the four-person panel leading the review.
Conservative councillor Colin Stewart asked: “We’ve heard that we need to work quickly to address risks, but we are also told there are delays to the redesign programme.
“I understand there is going to be an interim report on the independent inquiry published later this month.
“Have you had any indication that there may be points raised for action in this report, that might have implications for the redesign programme?”
Arlene Wood, associate director for mental health, confirmed she had not had any feedback or update on the review. “The clear steer that we have had from the chief executive is that we continue, for now, on the quality improvement and redesign programme because we know there are inherent risks in the system and this work needs to happen,” she said.
“It would be remiss of us to wait for the report. If there are things raised that require us to change our course of action, then we would address that at the time.”
The board heard the heads of health partnerships in Dundee, Perth and Angus were working on a Tayside Mental Health Alliance, to tackle a range of challenges facing the sector.
Professor Keith Matthews, associate medical director for mental health services said: “It would be a mistake to underestimate how challenging the environment is for mental health services.
“We have issues with recruitment and there are emerging difficulties with retention of staff.”
He said the Scottish Government was attempting to address a national shortage of psychiatrists with an international recruitment campaign.
“Although many efforts are being taken to resolve these matters, the likelihood of anything being resolved soon are pretty low.”
He added there was a need to move away from a workforce reliant on high-cost agency work.
Tay Road Bridge chiefs have pledged to tackle the rising number of emergency incidents reported on the crossing after admitting they are “nowhere near where we need to be” on the issue.
Data analysis taken from the bridge’s official twitter account shows an annual rise in reports of police call outs, from 21 in 2016, 23 in 2017, to a peak of 28 this year.
Many of the closures are due to people attempting to harm themselves on the span.
Officials pledged at the start of 2018 to probe whether anything could be done to reduce the number of incidents on the route after campaigners pointed to similar efforts being made in cities around the world.
Stewart Hunter, chairman of the road bridge board, revealed his team have looked at ways of making physical alterations to the crossing but found no structural change could be made without compromising its integrity.
He said: “From my point of view, one person on the bridge is one too many so any trend showing the numbers increasing would be worrying. However, even if it was decreasing, I would still be concerned for those individuals.
“There are a number of reasons why the numbers have increased and mental health is part of it. I think it would be irresponsible to focus on one aspect and ignore others.
“The Scottish Government, Dundee City Council and our partners are working hard to tackle this issue and make sure the people who need help get it. But obviously, there is still a long way to go and we are nowhere near where we need to be.
“As far as what is the best way to tackle the increase, we need to make sure that individuals have all the support they need long before it gets to the stage where they are on the bridge. That is where we will actually make the difference.”
Mr Hunter paid tribute to the “unsung heroes” working on the bridge who respond immediately when emergency incidents are reported.
Figures obtained from the twitter account show motorists were subjected to 132 days of disruption on the bridge this year for police and other incidents, such as roadworks, breakdowns and closures due to high winds.
It appears March’s Beast from the East weather disruption had a significant impact on traffic with the month seeing 18 days impacted by delays, more than any other in 2018.
Mr Hunter said: “We have a planned programme of maintenance and the increase this year is just about where we are in the maintenance cycle. The bridge is inspected regularly and any issues found are fixed very quickly.”
The Dundee Fighting for Fairness report summarises how key issues affecting people in city are being tackled.
It was launched at the Steeple Church following months of research by the Fairness Commission, whose members met with people and families struggling to get by.
Among the recommendations are creating a single access point for all financial advice services in the city, preparing positive, anti-poverty messages and helping frontline staff including GP surgeries to raise awareness of the impact of poverty on mental health.
John Alexander, leader of Dundee City Council and chairman of the Dundee Partnership, said: “People and money, mental health and stigma are three of the main themes we are looking at because they have featured in all of the stories we have heard.
“We know that far too much poverty that exists in the city and this is one way to target some of the root causes of that – by involving people with real-life experience.”
Another recommendation aimed at tackling issues with mental health in the city is to create a 24/7 drop-in service offering clinical, non-clinical, therapeutic and peer support.
The commission had found that people reach crisis point outside normal working hours and cannot self-refer for support when they need it most. It was also found that services did not always treat people in poverty with respect.
The partnership recommended that guidance materials are developed to allow service providers to recruit and train staff with the right values.
On December 12, the recommendations will be presented to Aileen Campbell, Cabinet Secretary for Communities and Local Government.
The Scottish government has ordered a review of mental health services for young people in custody.
It follows recent deaths at Polmont Young Offenders Institution.
Sixteen-year-old William Lindsay died while on remand there in October and 21-year-old Katie Allan took her life in June while detained for a drink-driving offence.
Justice Secretary Humza Yousaf said the review would involve a mental health expert and HM Inspectorate of Prisons.
The review is expected to report back early next year.
It will look at mental health provision for young people entering custody, including background information ahead of their admission, reception arrangements, and ongoing support and supervision while in custody.
Mr Yousaf announced the review in a letter to the Scottish Parliament’s justice and health committees.
Health Secretary Jeane Freeman has also confirmed that NHS Forth Valley has already engaged with the Scottish Prison Service to assess and increase provision for people living at Polmont.
In his letter, Mr Yousaf said that although fatal accident inquiries would be undertaken into the deaths of William Lindsay (also known as William Brown) and Katie Allan “I have reflected on some of the more immediate questions raised particularly around the provision of mental health support and services for young people in custody”.
He said the review would look at relevant operational policies, practice and training and where practical, would also look at comparisons between the support and arrangements in place in secure care accommodation and HMP&YOI Polmont.
He added: “As with current formal inspection and independent monitoring arrangements for prisons, the review will include direct engagement with young people in custody about their experiences.
“The review will not consider the specific circumstances of recent cases which are the subject of current or future mandatory fatal accident inquiries.
“We are also aware of issues being raised about the information that is available about a young person’s history before decisions are taken that can lead to them being sent to custody or secure care. Separate consideration is being given to how best to look at these issues.”
Ms Allan, a 21-year-old geography student at Glasgow University, was convicted in March of a drink-driving offence which saw her injure a pedestrian and she was sentenced to 16 months in jail.
Stuart and Linda Allan said their daughter was bullied in Polmont YOI near Falkirk and lost more than 80% of her hair due to the state of her mental health. She died there in July.
They had called for a review of the Scottish prison system.
Mr Lindsay, who was also known as William Brown, was one of four deaths in the space of two days at Scottish jails last month.
An entry on the Scottish Prison Service (SPS) website states he was remanded at Glasgow Sheriff Court on Thursday 4 October.
He died on Sunday 7 October.
Lawyer Aamer Anwar, representing the families of Ms Allan and Mr Brown, said they cautiously welcomed the announcement of a review.
“The deaths of Katie and William were never inevitable, the system and the Scottish Prison Service (SPS) failed them,” he said.
“The families of Katie Allan and William Lindsay expect and demand a lot more to happen in the days and weeks ahead.
“Today is a good start, but the families hold Polmont responsible for suicides which took place, ultimately they failed in their duty of care.
“If this review is independent then the families wait to see the proof of that as they must be fearless in the questions they ask.”