Our annual report 2025-26

Published today, the Mental Welfare Commission’s annual report outlines the impact of our work in protecting and promoting the rights of those we serve.

In 2025-26, we visited 139 services across Scotland. In addition to meeting with staff, we spoke with over 1,000 people and family members/carers who shared their views on the care and treatment they (or their relative) received.

This year, we have seen services deliver despite the ongoing challenges: sustained pressure from staffing shortages, rising demand, and fragmented resources. Within these constraints, change is happening.

Reflecting on the challenges that continue to face services across Scotland, Sandy Riddell, chair of the Mental Welfare Commission, said:

“Given the fiscal challenges, competing national priorities, and the Scottish Mental Health Law Review’s call for reform - the Commission’s role in advocating for the human rights of people with mental illness, learning disability, dementia, and related conditions is more critical than ever.

“While challenges remain and the pace of legislative reform is slow, the progress documented in this annual report shows that meaningful change is achievable through sustained effort and partnership.”

Julie Paterson, chief executive, Mental Welfare Commission, said:

“The breadth of our work is vast and would not be possible without the expertise, commitment, and dedication of our staff. We are hugely grateful to the people we meet - those who use mental health services, their families and carers, and the staff involved in their care - for trusting us enough to talk with us and tell us their experiences.

“We are proud to present this annual report and remain steadfast in our mission to continue to safeguard the welfare and rights of anyone made vulnerable by mental illness, learning disability, dementia, and related conditions.”