Chamber and committees

All 32 health, housing and social care partnerships in Scotland were asked to submit change plans to the Scottish Government by 28 February 2011. As of 7 March 2011, all 32 change plans have been received.

We have asked partnerships to agree Change Plans through local community planning arrangements and submit them to us by 28 February 2011 to enable a national overview report to be considered by the Ministerial Strategic Group on 15 March 2011.

To enable allocations to be made within the current financial year, we will work closely with partnerships to put agreed plans in place by June 2011 at the latest.

In early discussions, amounts ranged from £20 million to £140 million over the spending review period. The agreed position is £70 million for 2011-12, and subject to parliamentary approval over the spending review period, for this to be sustained for the following three years, giving at least £280 million, which is double the £140 million first mooted over the spending review period.

Copies of social work net expenditure 2007-08 “ 2009-10 are available from the Scottish Parliament Information Centre (Bib. number 52531).

The specific information requested is not available centrally.

Information, although limited, is available on the number of hospital stays where operation or procedures were not carried out following admission to hospital. The latest yearly published information on the number of cancelled operations or procedures is for 2009-10 and this data is provided in the following table.

Operations may be cancelled due a number of reasons such as a particularly high level of emergency admissions, staff sickness, the patient being unfit for treatment on admission or the patient having failed to follow pre-admission advice such as fasting before admission.

NHSScotland: Number of Hospital Stays where a Cancelled Operation or Procedure Not Being Carried out has been Recorded^1,2,3 in the Year Ending 31 March 2010

NHS Board of Treatment	Number
Ayrshire and Arran	1,444
Borders	147
Dumfries and Galloway	614
Fife	934
Forth Valley	145
Grampian	1,775
Greater Glasgow and Clyde	5,244
Highland	902
Lanarkshire	2,469
Lothian	1,606
Orkney	46
Shetland	76
Tayside	871
Western Isles	67

Notes:

1. Source ISD Scotland “ information derived from non-obstetric and non-psychiatric hospitals.

2. Up to six diagnoses (one principal and five secondary) are recorded on SMR01 returns. All six diagnoses positions have been used to identify cancelled operations. The following International Statistical Classification of Disease and Related Health Problems 10th Revision (ICD -10) code has been used to identify cancelled operations/procedures “ Z53; person encountering health services for specific procedure not carried out.

3. Cases were an operation or procedure was cancelled prior to the patient being admitted to hospital are excluded.

No changes to the current arrangements are proposed. Remuneration to community pharmacies for providing the Minor Ailment Service (MAS) will continue to be funded by the Community Pharmacy Global Sum. Reimbursement for products dispensed under MAS will continue to be met by territorial health boards'' drugs budgets.

The number of people who access the Minor Ailment Service (MAS) is not available centrally, however, the number of registrations can be found in the following table.

Total Number of Minor Ailment Service Patients Registered by Health Board in March 2007 to 2010

Dispensing NHS Board	March 20071	March 2008	March 2009	March 2010
Scotland	726,058	586,336	657,418	722,209
Ayrshire and Arran	88,806	58,246	62,818	69,742
Borders	17,315	11,564	15,672	16,221
Dumfries and Galloway	16,649	14,110	20,443	21,462
Fife	52,393	42,065	45,101	49,754
Forth Valley	32,678	33,403	36,910	38,427
Grampian	47,501	39,771	46,745	48,854
Greater Glasgow and Clyde	187,602	161,717	182,759	205,569
Highland	30,363	24,796	27,038	34,661
Lanarkshire	82,440	78,048	78,340	87,577
Lothian	99,950	73,386	95,681	102,311
Orkney	868	892	1,863	2,014
Shetland	964	932	827	1,348
Tayside	67,709	46,964	42,831	43,812
Western Isles	820	442	390	457

Notes:

1. Minor Ailment Service launched nationwide in July 2006 following pilot schemes in NHS Ayrshire and Arran and NHS Tayside.

2. Due to registration figures increasing and decreasing across months it is not possible to give an annual figure. Data given is for the month of March for 2007-10.

3. A patient being registered with a community pharmacy does not mean that they will use the service or measure how often.

Further information on the Minor Ailment Service can be found at the following address: www.isdscotland.org/isd/5033.html.

Total remuneration and reimbursement costs relating to the Minor Ailment Service (MAS) are provided in the following table:

Total Cost for Minor Ailment Service, by Health Board and Financial Year (£)

Dispensing NHS Board	2006-071	2007-08	2008-09	2009-10	2010-112
Scotland	7,803,211	11,304,601	14,557,024	16,225,626	8,541,116
Ayrshire and Arran	1,105,838	1,161,182	1,326,473	1,418,767	739,608
Borders	152,276	242,843	315,539	364,819	190,977
Dumfries and Galloway	177,340	292,021	399,526	447,702	231,920
Fife	448,516	748,425	955,404	1,052,149	549,701
Forth Valley	342,490	592,706	827,669	922,780	472,771
Grampian	564,372	906,767	1,266,435	1,405,013	730,917
Greater Glasgow and Clyde	2,154,662	2,977,423	3,818,020	4,334,572	2,301,435
Highland	332,560	550,882	753,525	879,870	459,598
Lanarkshire	728,682	1,260,609	1,618,629	1,810,831	975,549
Lothian	952,904	1,565,825	2,084,246	2,350,818	1,260,164
Orkney	11,352	19,035	28,993	43,119	24,040
Shetland	13,354	22,861	29,143	35,211	19,806
Tayside	806,883	946,741	1,109,467	1,133,115	571,401
Western Isles	11,984	17,281	23,957	26,861	13,229

Notes:

1. Minor Ailment Service launched nationwide in July 2006 following pilot schemes in NHS Ayrshire and Arran and NHS Tayside.

2. Financial Year 2010-11 data is to September 2010 only.

3. Total costs comprise the paid Gross Ingredient Cost (GIC) and Capitation Payments including adjustments.

4. Further information on the Minor Ailment Service can be found at the following address:

www.isdscotland.org/isd/5033.html.

The Cabinet Secretary for Health and Wellbeing wrote to you on 10 February 2011 pointing out that rather than a £400 million reduction in social care spending over this period there was in fact a £400 million increase.

Health boards already provide specialist services to prisoners. Responsibility for providing primary healthcare to prisoner''s healthcare will transfer from the Scottish Prison Service (SPS) to the health boards. The planned date for the transfer is the end of October 2011.

Funding for the provision of primary healthcare services will be transferred from SPS to the health boards.