Chamber and committees

The information requested is not held centrally. The Scottish Government expects NHS boards to have arrangements in place that ensures the safe and effective provision of good quality liaison psychiatry to acute hospitals and services, including to accident and emergency departments.

Details are as follows:

Table 1 - The number of patients formally¹ admitted to psychiatric hospitals in Scotland^2,3,4 that were referred from a GP⁵, 2010-11 to 2013-14

Year	Number of patients6
2010-11	382
2011-12	309
2012-13	366
2013-14	336

Information on psychiatric inpatients and day cases is recorded in Scottish morbidity record 04 (SMR04). Data on SMR04 is routinely published by financial year and 2013-14 is the latest year for which information is available.

1. Formal admissions are identified by using the admission status variable. This variable indicates the status of the patient at the time of admission to hospital with respect to the Mental Health Act (Scotland) 2003.

2. Includes all patients treated in Scottish hospitals.

3. Data from the State Hospital (Carstairs) have been excluded.

4. Data from the learning disability specialty have been excluded.

5. GP referrals are identified by using the "admission referral from" variable.

6. Patients are counted only once in each year even if they had more than one formal admission in that year.

A range of support services will be provided in partnership by NHS boards, local authorities and the third sector to meet the needs of families and carers of people living with an eating disorders, in line with statutory obligations and Scottish Government policy.

Examples include the provision of evidence based family therapy through NHS Scotland; the Scottish Government’s funding of national carer organisations providing accessible services to support carers and young carers; Scottish Government provision of nearly £34 million over 2008-16 for NHS board carer information strategies; and work being undertaken by NHS 24 to redesign and improve the provision of information to people cared for, and people caring for others including unpaid and young carers through the Carers Information Scotland service.

The information is not collected centrally. All NHS boards work in partnership to provide appropriate care, services and support to those living with an eating disorder on the basis of comprehensive, multi-disciplinary needs assessment.

The information is not held centrally. All NHS boards work in partnership to provide appropriate care, services and support in a range of settings to those living with an eating disorder on the basis of comprehensive, multi-disciplinary needs assessment.

The majority of people with an eating disorder will be treated in the community by specialist eating disorder or community mental health teams. A small number may need specialist psychiatric or acute inpatient care which can be provided through the two specialist NHS inpatient eating disorder units serving the north and south east of Scotland, or in general or adolescent psychiatry in mental health hospitals, and as appropriate in acute care.

Data on the specific numbers of referrals and declines is not provided to the Scottish Government. However the latest published data on the numbers of all referrals and referrals including those rejected referrals for psychological therapies and child and adolescent mental health services (CAMHS) by NHSScotland is available from the Information Services Division (ISD) reports on waiting times reports on CAMHS and psychological therapies.

These ISD reports are available online at:

CAMHS waiting times report: http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/2015-05-26/2015-05-26-CAMHS-Report.pdf

Psychological therapies waiting times report: http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/2015-05-26/2015-05-26-WT-PsychTherapies-Report.pdf

The number of newly qualified nurses recruited by the NHS each year since 2005, broken down by NHS board, is not held centrally.

However, in terms of current nursing staff levels, we are better equipped to deliver services than ever before. Under this government, the number of qualified nurses and midwives (including interns) working across NHSScotland has increased by 2,357.0 whole time equivalent – up 5.7 per cent to a record high.

In addition, the Scottish Government has provided £450,000 further investment over the next three years to attract 75 former nurses and midwives per year back into practice. Furthermore, in January 2015 the Scottish Government announced a third successive rise in pre-registration student nursing and midwifery intake, with a 3% increase for 2015-16 complementing the 6% increase for 2014-15.

The information requested is not collected centrally.

There are very good reasons why people are treated outside their board areas as specialist care is provided in the most appropriate environment, regardless of board boundaries. In many cases it is simpler for a patient to go to a hospital in a neighbouring board area, as it is nearer to their home. There are many other patients who start their care in their own area and are then referred to a regional centre for specialist treatment, for example to the Golden Jubilee Hospital as a national centre providing treatments such as heart transplants and cardiac bypass surgery.

As set out in the Pharmaceutical Price Regulation Scheme agreement between the Department of Health and the Association of British Pharmaceutical Industry, payment percentages are adjusted annually. The annual payment percentages for 2016 and 2017 are not yet available.

Information on psychiatric inpatient and day case discharges is recorded in Scottish morbidity record 04 (SMR04). Data on SMR04 is routinely published by financial year and 2013-14 is the latest year for which information is available.

Table 1: Number of patients¹ discharged from psychiatric hospitals in Scotland^2,3,4 who were treated in the same or different NHS board areas⁵ from the one in which they reside, 2005-06 to 2013-14.

	2005-06	2006-07	2007-08	2008-09	2009-10	2010-11	2011-12	2012-13	2013-14
Same NHS board	17,149	16,191	15,740	16,137	15,208	14,578	14,378	14,268	13,862
Different NHS board	803	832	923	885	780	805	855	793	799
Non-resident or unknown6	494	456	434	390	350	348	318	345	379

1. Patients are counted in every category they satisfy, so may be included in multiple rows for each year.

2. Psychiatric inpatient and day case activity is recorded in Scottish morbidity record 04 (SMR04).

3. Data from the State Hospital (Carstairs) have been excluded.

4. Data from the learning disability specialty have been excluded.

5. Where the data was assigned to a non-NHS provider, patients were allocated to an NHS board based on the location of the facility they were treated in.

6. ‘Non-resident or unknown’ contains all patients for which information on council area is not available on SMR04, which includes patients living outside of Scotland and patients with no fixed abode.

Source: SMR04 (psychiatric inpatient and day case database)

https://isdscotland.scot.nhs.uk/Health-Topics/Mental-Health/Publications/2015-05-12/2015-05-12-MHIC-Report.pdf?65449160338