Green MSP Ross Greer asks what progress is being made in making the link between expenditure and outcomes.

Julie Murray from East Renfrewshire Health and Social Care Partnership says it is a struggle and that national guidance is required.

Tory MSP Miles Briggs asks about single budgeting, as they do in Northern Ireland.

Judith Proctor from Aberdeen City Health and Social Care Partnership says in some measures Northern Ireland were not making as much progress in Scotland, when she last looked three or four years ago.

Councillor Peter Johnston says COSLA would not support single budgeting to new IJBs as it would be a total distraction.

Tory MSP Miles Briggs asks about auditing issues.

Judith Proctor from Aberdeen City Health and Social Care Partnership says there are a range of different services that IJBs have which creates different dynamics.

Ms Procter says there are complexities around the audit landscape which remains a work in progress.

Sharon Wearing from CIPFA IJB Chief Finance Officer Section says it is a key area in terms of shifting the balance of care.

Ms Wearing says it is a complex area but one where progress must be made and where bridging-funding would be useful.

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SNP MSP Tom Arthur asks how much will be required to shift the balance of care.

Julie Murray from East Renfrewshire Health and Social Care Partnership says there must be transitional bridging funding to achieve this.

Ms Murray says there needs to be upfront funding to create services, which could take five years.

Sharon Wearing from CIPFA IJB Chief Finance Officer Section says there is a lot of input from the government on how the budget can be spent and savings that can be made.

Ms Wearing says this was intended to protect IJBs.

She says ideally IJBs would want to set budgets before the end of March but timescales have been taken well beyond that.

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Judith Proctor from Aberdeen City Health and Social Care Partnership says as budget pressures hit relationships in the IJBs could become strained.

Ms Proctor says: "It is challenging."

She says, in terms of standing still, : "We're forecasting significant pressure on the budgets."

Using reserves affects the ability to transform the services she says.

Julie Murray from East Renfrewshire Health and Social Care Partnership says "to stand still next year we would need an additional £3m."

Ms Murray says "we will probably get £3m less."

"I don't think we do have enough money to stand still," she says.

Ms Murray says what has been delivered by East Renfrewshire Health and Social Care Partnership has been innovative but that is beginning to come to an end with current challenges.

SNP MSP Tom Arthur asks what can be done to improve collaboration within IJBs.

Councillor Peter Johnston from COSLA says NHS and council timetables were brought into alignment.

Mr Johnston says there is tremendous vision for health and social care integration but there are "major concerns that currently they have sufficient budgets to stand still", but face challenges in delivering the changes.

SNP MSP Tom Arthur says the cluttered landscape of performance budgets has been touched upon.

Mr Arthur asks if there is sufficient clarity in the government's outcome aims.

Councillor Peter Johnston from COSLA says there is clarity but that the way to achieve a national outcome will be different across the country.

Mr Johnston says local authorities need flexibility to achieve that outcome.

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In March we reported more than 100 children who began receiving specialist mental health care in the last three months of 2016 had waited more than a year to get help.

NHS Scotland figures, external showed that 4,222 patients started treatment from Child and Adolescent Mental Health Services (CAMHS) over the period.

Of these, 101 had waited 53 weeks or more for their specialist help.

Only 16 patients had to wait more than a year in the last quarter of 2015, the statistics showed.

The NHS in Scotland provides specialist mental health care for children and young people suffering from conditions including attention deficit hyperactivity disorder (ADHD), anxiety, behaviour problems, depression and early onset psychosis.

Image source, Thinkstock

Mental health campaigners have called for an urgent review into why so many young people in Scotland are being turned down for specialist treatment.

More than 7,000 children and adolescents had their mental health referrals rejected last year.

The Scottish Association for Mental Health (SAMH) described the figure as "astonishing".

The Scottish government has already said it will commission a review into rejected referrals.

Image source, Getty Images

More than 250,000 children in Scotland have no access to school-based counselling services, a BBC investigation has discovered.

It found that 14 local authorities had no on-site counsellors and provision by other councils was irregular.

The data revealed school counsellors dealt with thousands of cases including substance abuse, self-harm and depression in the past year.

A government review into school counselling services is now under way.

Unlike Scotland, counselling services were guaranteed in all secondary schools in Northern Ireland and Wales, external a decade ago.

Earlier this year the Scottish government launched a new mental health strategy, externalwhich stated that "support from teachers and other school staff can be vital in helping ensure the mental wellbeing of children and young people".

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Julie Murray from East Renfrewshire Health and Social Care Partnership says there are huge waiting lists for CAMHS (Child and Adolescent Mental Health Services) as the tier two support is not being invested in.

Ms Murray says there is an 18 week wait and the CAMHS service is under pressure.

SNP MSP Jenny Gilruth asks to what extent is there scope to get out of silos and work across of other areas such as education.

Ms Gilruth asks if there is scope for health to work with education on health and wellbeing.

Councillor Peter Johnston from COSLA says "yes" and that it is already happening.

Mr Johnston says it is not helpful for the Scottish government to say where the new 800 mental health workers should be based.

He says the extra funding and staff are welcome but where they are based should be a local decision.

Councillor Peter Johnston from COSLA says the difficulty is meeting the day to day requirements and at the same time deliver the transformational change.

Judith Proctor from Aberdeen City Health and Social Care Partnership says the full effect of cuts to the alcohol and drug budgets.

Councillor Peter Johnston from COSLA says it is clear that IJBs are making good progress but in order to do more to intervenes early requires more resources.

Mr Johnston says we need to recognise that cutting hospital beds to invest more in the community "is not a bad thing"

The number of drug-related deaths in Scotland last year totalled 867, a rise of 23% on 2015.

Numbers have been steadily increasing since 1995, when 426 fatal overdoses were recorded.

The latest statistics from the National Records of Scotland, external showed more than 70% of deaths were among people aged 35 or over.

Critics say the continuing rise calls into question the effectiveness of the Scottish government's drugs strategy.

However, the minister for public health, Aileen Campbell, said "unfortunately" the figures for Scotland were representative of a general trend of increasing drug deaths "across the UK and in many other parts of Europe".

Read more here.

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Lib Dem MSP Alex Cole-Hamilton says the COSLA paper is "pretty heavy stuff" in terms of where the government is going.

Mr Cole-Hamilton says drug deaths had risen by more than a third in Scotland, showing where money should be spent..

Julie Murray from East Renfrewshire Health and Social Care Partnership says in terms of the ADP (Alcohol and Drug Partnerships) allocations the funding was passed to health boards with a reduction.

Ms Murray says different ADP's and health and social care partnerships work in different way.

Tory MSP Brian Whittle says he welcomes the COSLA submission and the findings that sport is important for promoting good physical and mental health.

Mr Whittle asks if preventative health funding is sufficient.

Councillor Peter Johnston from COSLA says "we cannot look at the health and social care budget in isolation."

Mr Johnston says, in West Lothian, people can now be prescribed exercise at a fitness centre instead of drugs for depression.