Chamber and committees

The first release of the adult mental health benchmarking toolkit and dashboard is available on the Information Services Division website and can be found at:

http://www.isdscotland.org/Health-Topics/Quality-Indicators/National-Benchmarking-Project/Mental-Health-Dashboard.asp

We continue to develop the toolkit and as data improves we will add further indicators thus providing a tool to aid improvement of mental health services in Scotland by using a range of comparative information to compare key aspects of performance, identify gaps, identify opportunities for improvement and for monitoring progress.

The CAMHS benchmarking toolkit and dashboard is published by Information Services Division on a quarterly basis and can be found at:

http://www.isdscotland.org/Health-Topics/Quality-Indicators/National-Benchmarking-Project/child-and-adolescent-mental-health/

As data quality improves we will further develop the toolkit to include further Indicators. The data will act as a mechanism for ensuring enhanced quality, accountability and transparency.

We are also in the process of developing a dementia benchmarking toolkit and

dashboard with a view to publishing in late 2014.

The Mental Health Strategy sets out activity that will be delivered during the period 2012-2015. Implementation of commitments is planned to take place across this period, with some already completed, some underway, and others being delivered later in the strategy’s timescale.

The number of children admitted to adult psychiatric wards are:

*Please note the figures from the Mental Welfare Commission for 2012-13 are provisional.

The latest figures from the Mental Welfare Commission show the number of young people under the age of 18 who were admitted to adult mental health beds.

There are some reasons why it may not always be possible for a young person to be admitted to a specialist child and adolescent bed, for example, a crisis admission out of hours where there are concerns for the young person’s safety, or where a specialist facility might be a considerable distance from family support that could help recovery.

Most of these admissions are among young people aged 16 or 17 where an adult facility might in certain cases be clinically judged to be the more appropriate setting, but we nevertheless expect almost all children and young people admitted to adult wards to be discharged quickly or transferred to Child and Adolescent Mental Health Services (CAMHS).

We have introduced a data set to track progress in developing intensive community treatment teams and how the adolescent inpatient units are working. We are continuing to work with the CAMHS regional tier 4 networks to ensure that tier 4 services for children and young people are operating effectively and safely.

To meet the need of children and adolescents the North of Scotland are building a new 12 bed inpatient unit to replace the current 6 bed unit. This will increase the national bed base from 42 to 48 beds, and improve the quality of the estate. Work has already commenced onsite and it is expected that the new unit will be commissioned late 2015.

The Mental Health Strategy sets out activity that will be delivered during the period 2012-2015. Implementation of commitments is planned to take place across this period, with some already completed, some underway, and others being delivered later in the Strategy’s timescale.

The Scottish Government is aware that people may use alcohol as a means of coping when they are in distress or depressed. Discussions have been held with specialist services, Royal College of General Practitioners and primary care partners. These discussions have highlighted the need to develop robust methods of collecting and reporting data which can demonstrate that people are being asked about both alcohol and common mental health problems, and that they are being responded to appropriately.

Different methods of collecting this data are being developed and piloted by partners This workstream runs alongside the current alcohol brief interventions Standard work:

http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications-2013-06-25/2013-06-25-ABI-Report.pdf) for problem drinking.

The outputs from this stream of work will be linked to the Scottish Government 2013-2016 Suicide Prevention Strategy which identifies distress, depression and alcohol use as contributing factors to the complex picture of suicide in Scotland.

NHS Education Scotland (NES) are providing and evaluating e-learning modules to staff working in both primary care and mental health services to improve treatment options

The Implementation and Monitoring Group will review these projects and provide strategic direction and support.

The Mental Health Strategy sets out activity that will be delivered during the period 2012-2015. Implementation of commitments is planned to take place across this period, with some already completed, some underway, and others being delivered later in the strategy’s timescale.

The Scottish Patient Safety Programme-Mental Health (SPSP-MH) has seen a successful Phase 1 with broad engagement and some excellent pieces of work which show considerable promise in making mental health services in Scotland safer for patients. Phase 2 of SPSP-MH is now underway and all NHS Boards with inpatient units are involved and it is anticipated that over 60% of eligible wards will be participating by September 2014. NHS Orkney and NHS Shetland are also actively engaged. Examples of work to date have included routine debrief for patients, staff and those who witness restraint, management and monitoring of as required psychotropic medication, reducing time it takes to complete risk assessments on admission and the inclusion of safety briefs. During Phase 2 of the programme, all boards are being asked to use the patient safety climate Tool to ask patients what they feel about the safety of the wards they are in. This partnership initiative involves service users and carers, NHS boards and the voluntary sector. This survey will help individual wards, units and NHS boards to find out what needs to be changed and what is working well, with anticipated shared learning across the country.

The national standard for monitoring the physical health of people treated with clozapine was published on 12 July 2013. The standards and covering letter from the Chief Medical Officer are available at:

http://www.sehd.scot.nhs.uk/cmo/CMO(2013)12.pdf

The document defines minimum standards for physical health monitoring, in addition to manufacturer’s protocols, that should be applied to patients taking clozapine in Scotland.

The Mental Health Strategy sets out activity that will be delivered during the period 2012-15. Implementation of commitments is planned to take place across this period, with some already completed, some underway, and others being delivered later in the strategy’s timescale.

Initial work to support implementation of this commitment will be exploring with NHS boards how they are responding to the needs of people experiencing a first episode of psychosis. We have had initial discussions with the Royal College of Psychiatrists Medical Managers Group, and we will be discussing this with each NHS board during the next round of mental health implementation review visits.

The Mental Health Strategy sets out activity that will be delivered during the period 2012-15. Implementation of commitments is planned to take place across this period, with some already completed, some underway, and others being delivered later in the Strategy’s timescale.

Initial developments, led by a consultant psychiatrist from NHS Lothian, is underway and includes:

Developing advice on mainstreaming models of treatment of ADHD within general adult mental health services;

Drawing on professional and academic networks to identify opportunities to educate and inform wider workforce of service needs of people with developmental disorders, including ADHD;

Developing advice on current best practice for prescribing for people with ADHD;

Aligning this work with Autism Strategy to improve diagnosis, intervention and support to people with ASD in mainstream mental health services;

Developing advice on training requirements for NHS staff to achieve the above and contribute to development and delivery of training via contacts with NES;

Exploring links with Criminal Justice to improve support for people with developmental disorders such as ADHD presenting in crisis and who go on to offend;

Developing collaboration with the voluntary sector to assist in development of peer support for people with developmental disorders presenting in adult mental health services.

The Mental Health Strategy sets out activity that will be delivered during the period 2012-15. Implementation of commitments is planned to take place across this period, with some already completed, some underway, and others being delivered later in the strategy’s timescale.

The estimated cost of extending the entitlement of free school meals to children in primary 1 to 3 from January 2015 is £13 million in 2014-15 and £42 million in 2015-16. These figures were arrived at using a range of data aggregated at a national level and assumptions drawn from the evaluation of the previous pilot of free school meals in five local authority areas in 2007-08. This broad approach will be used as the basis of detailed discussions with COSLA which will factor in the distribution of the funding across Scotland.

The following table shows the total number of students who have graduated from a Scottish Higher Education Institution whose first, second or third teaching qualification gained subject was Physical Education. The total number includes students who completed Post Graduate Diploma in Education, Bachelor of Education or Combined Degree courses. The table displays numbers from the academic year 2003-04 to the most recent published data available for 2011-12.

Qualifiers to teach Physical Education at Scottish Higher Education Institutions, 2003-04 to 2011-12

Source: HESA Individual Student Records