Digital Mental Health Programme - Digital Therapies

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Key Details

Organisation Name

Scottish Government

Location

St. Andrew’s House, Regent Road, Edinburgh EH1 3DG
Scotland

eMHIC Member Status

Strategic Partner

At a Glance

Description

Evidence-based mental health treatments delivered via digital platforms, such as online CBT programmes, apps, or websites. They provide accessible, flexible support, either self-guided or clinician-supported, and complement traditional services within a blended, stepped-care approach.

Implementation Status

Scaling implementation

Having scaled nationally, expanding access, channels and populations. The focus now is strengthening governance, integrating platforms, and building on existing infrastructure for sustainability, whilst expanding into new workstreams.

Target Population

Adults and children & young people

Those with mild to moderate mental health difficulties, especially anxiety, depression and insomnia.

Impact & Outcomes

2025, and Nov 2020 to March 2026.
Outcomes are measured using national activity reporting (referrals/self referrals), platform/service utilisation, and national content analytics (NHS Inform). Clinical outcomes are strengthened through the national PROMs remote monitoring pathway and coordinated data reporting, enabling consistent evaluation and continuous improvement across boards and suppliers.
76,973
Total referrals in 2025
404,765
Total referrals since programme started.
37
Digital therapeutic programmes available.
47%
Clinically meaningful improvement rate.
81%
Sleep improvement after digital CBT.
76,973
Total referrals in 2025
404,765
Total referrals since programme started.
37
Digital therapeutic programmes available.
47%
Clinically meaningful improvement rate.
81%
Sleep improvement after digital CBT.

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Initiative Overview

The Current Gap

Digital mental health therapies address gaps in timely access, capacity, and equity within traditional mental health services. Demand for psychological support continues to exceed workforce capacity, resulting in long waiting times, geographical variation, and inconsistent access to early intervention. Many people with mild to moderate needs receive no support while waiting, or do not meet referral thresholds. Digital therapies help bridge this gap by providing scalable, evidence based, preventative and self management options that improve reach, choice, and continuity of care, while supporting service sustainability and reducing pressure on face to face services.

Digital mental health therapies are not a replacement for face to face care but a core part of a blended, stepped care system. Their success depends on continued workforce engagement, clear referral pathways, digital inclusion support, and consistent outcomes measurement. Ongoing national governance enables safe scaling, quality assurance and evaluation of emerging technologies, including AI enabled tools. The programme also provides a flexible foundation to respond to future demand, support prevention, and adapt services for priority populations such as children and young people, neurodiverse groups, and those experiencing health inequalities.

Our Solution

Digital mental health therapies provide a nationally coordinated, evidence based suite of digital treatments delivered across NHS Scotland. The programme offers both supported and self directed interventions, including online CBT and condition specific therapies, accessible via multiple referral routes and self referral to those with mild to moderate symptoms. Integrated with existing care pathways, the solution improves access, choice and early intervention, while supporting prevention, self management and recovery. It is scalable, inclusive and continually evolving, with strengthened governance, outcomes monitoring and integration into national platforms.

Key Features

1

Evidence Based Digital Therapies

Delivers validated treatments such as online CBT (e.g. SilverCloud, Sleepio) aligned with clinical standards.

2

Multiple Access Routes

Enables referral and self referral via NHS services, NHS 24, and third sector channels.

3

Scalable National Delivery

Supports consistent rollout across Scotland, including prisons and remote or rural communities.

4

Blended Stepped Care Model

Complements face to face care, offering early intervention while users wait or alongside traditional therapy.

5

Outcomes and PROMs Monitoring

Tracks outcomes using PHQ 9, GAD 7 and condition specific measures via remote monitoring.

6

Inclusive and Flexible Design

Supports diverse needs, including neurodiverse users, CYP, and people with limited access to in person services.

Collaboration in Action

Main Collaborators

  • image-7.png
NHS Scotland Boards
NHS 24
Public Services Delivery Scotland (PSD)
Healthcare Improvement Scotland (HIS)
Digital Health & Care Innovation Centre (DHI)
Head of Psychological Services Scotland (HOPS) and NHS Psychological Therapies Services
Connect Me, national remote monitoring programme
Near Me, national video consultation programme

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Key Learnings

Key challenges included variable readiness and capacity across health boards, requiring significant support for onboarding, workforce development and governance.

Embedding digital first approaches within traditional clinical pathways required cultural change and consistent referral processes.

Digital inclusion barriers limited access for some populations, while ensuring clinical safety, risk management and data protection remained critical.

Integration with existing systems and standardising outcomes measurement, including PROMs, across multiple services and suppliers required coordinated national oversight.
Delivering digital mental health at scale requires more than implementation—it demands sustained national capability.

A key learning is the need to balance innovation with ongoing management of established services, as legacy burden can constrain transformation.

Strong national coordination is critical to avoid fragmentation and maintain equity.

Investment in data, workforce, and infrastructure must be prioritised alongside digital inclusion.

Crucially, active monitoring and continuous optimisation are required to sustain adoption, quality, and long-term impact—not just initial rollout.
International collaboration accelerated access to evidence-based therapies and innovative delivery models, enabling rapid scale and safe implementation. However, success depended on combining global insight with strong national coordination.

A single national focal point ensured consistency, governance, and alignment with policy, while collaboration supported shared learning, evaluation, and adaptation to local population needs. This balance between international partnership and national leadership was essential to achieving scalable, equitable impact.

Looking Ahead

The next phase focuses on transitioning from programme-based delivery to a sustained national model. This includes scaling self-referral and supported pathways, strengthening data and governance infrastructure, and embedding continuous evaluation.

There will be a renewed focus on balancing legacy service management with innovation, enabling adoption of emerging technologies such as AI. Expansion into new populations and settings, alongside improved integration with wider digital health systems, will support increased reach, impact, and long-term sustainability.
There are significant opportunities to collaborate on scaling digital mental health services, advancing evaluation and evidence, and developing innovation pipelines. Partnerships are particularly sought in emerging technologies, digital inclusion, and service transformation at population scale. The programme offers a national platform for testing, learning, and adoption across diverse settings. Organisations across health, academia, industry, and the third sector are invited to engage.

Contact: Digital Mental Health Programme, NHS Scotland ([email protected]).
The ambition is a fully integrated, sustainable digital mental health ecosystem that delivers equitable, high-quality care at scale. This includes a permanent national capability spanning governance, workforce, data, and technology, enabling continuous improvement and innovation.

The future model will support seamless integration with wider health systems, proactive population health approaches, and the safe adoption of emerging technologies—ensuring digital mental health continues to evolve and deliver long-term impact for Scotland.
eMHIC Directory_Key Contacts (4)

Key Contact

Chris Wright
National Advisor for Digital Mental Health/Head of Programme Digital Mental Heal
Scottish Government

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