Chamber and committees

A number of programmes of training with regard to infant mental health have been undertaken since 2012. The following information gives details of those that have trained or are training in infant mental health.

Solihull Approach training

The following table summarises the spread across health boards of the Solihull Approach training completed, the number of new trainers available to deliver foundation level training and the number of cascade trainings completed in the year to March 2015:

NHS Board	Foundation places (Jan-March 2014)	Train the Trainer (April 2014-March 2015)	Cascade training (no practitioners trained by March 2015)	Antenatal Foundation (April 2015-Aug 2015 including waiting list)
NHS Greater Glasgow and Clyde	12	12 (2)(2)	125	4 (18)
NHS Lothian	17	4 (8)	42	2(4)
NHS Borders	0	4 (3)	15	4
NHS Lanarkshire	14	4 (9)	205	(1)
NHS Tayside	0	7 (2)	68	4 (1)
NHS Forth Valley	0	0	0	1
NHS Highland	0	1	0	0
NHS Ayrshire and Arran	0	1	0	3
NHS Dumfries and Galloway	0	(2)	0	0
NHS Grampian	0	0	0	9(4)
NHS Fife	6	0	0	0
NHS Orkney		1 (1)	48	0
NHS Shetland	11	2	13	0
NHS Western Isles	0	0	0	0
Total	60	52	516	55

 

MSc in Applied Psychology for Children and Young People (One Year Programme)

2012 - 17 trainees

2013 - 15 trainees

2014 - 16 trainees

2015 - 15 trainees

Essential Child and Adolescent Mental Health Services

Between 2013 and 2015 there were 470 clinicians trained in Essential Child and Adolescent Mental Health Service.

Child and Adolescent Psychotherapy

The programme commenced in 2012 and is expected to complete in 2016. It should be noted however that this training covers a number of areas including infant mental health.

Neonatal Healthcare

A pilot programme was introduced in March 2015 and has 12 attendees.

Psychosocial Interventions

Multidisciplinary Paediatric staff

Year 11-12	90
Year 12-13	102
Year 13-14	84
Year 14-15	63

 

Professional Training:

Data on numbers of postgraduate medical trainees in those specialties where infant mental health is part of the curriculum:

Paediatrics	232
Core Psychiatry	139
Child and Adolescent Psychiatry	32
Learning Disability Psychiatry	18
General Practice	1091

 

Psychology:

Data by programme and by health board for each of the courses below. (Second year is when infant mental health training and experience is gained).

 

Edinburgh Programme

In 2012 there were - 24 trainees in second year (2011 intake)

In 2013 there were - 22 trainees in second year (2012 intake)

In 2014 there were - 28 trainees in second year (2013 intake)

 

Glasgow Programme

In 2012 there were - 22 trainees in second year (2011 intake)

In 2013 there were - 23 trainees in second year (2012 intake)

In 2014 there were - 23 trainees in second year (2013 intake)

The information requested is not held centrally by the Scottish Government. Statistics on sickness absence rates for local authority employees are published by the improvement service:

http://www.improvementservice.org.uk/benchmarking/tool.html.

The following table shows the percentage occupancy for Child and Adolescent Mental Health Services (CAMHS) in Dudhope House, Royal Edinburgh Hospital and Stobhill Hospital (Skye House) in calendar years 2012, 2013, 2014.

Table: Percentage bed occupancy in CAMHS.

	2012	2013	2014
Dudhope House (Young Persons Unit)	72.9	80.5	81.9
Royal Edinburgh Hospital	76.8	85.9	88.3
Stobhill Hospital - Skye House	98.2	99.1	99.4

Source: ISD(S)1, ISD Scotland

Details are as follows:

Table 1 - The number of patients formally¹ admitted to psychiatric hospitals in Scotland^2,3,4 who were recorded as having no fixed abode, 2010-11 – 2013-14

	Number of patients6
2010-11	72
2011-12	64
2012-13	57
2013-14	61

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.

SMR04 does not explicitly record whether or not a patient is homeless. Information is provided here on patients who are recorded as ‘no fixed abode’ in the NHS board of residence field.

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. Homeless patients have been identified by those coded as having “no fixed abode” as their NHS board of residence. This may be an undercount of the actual number of homeless patients as those who are resident in temporary accommodation or homeless shelter may have their board of residence assigned to the location of this accommodation.

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

Information provided by Information Services Division (Scotland).

The following table shows Scottish Ministers engagements across a range of activity related to eating disorders over the last two years.

Date	Activity	Who/What	Purpose	Issues discussed
8 July 2015	Ministerial Visit	Minister for Sport, Health Improvement and Mental Health visited NHS Grampian young people’s eating disorder service.	Tour the services provided and meet patients, families and staff.	A range of local and regional eating disorder service provision issues involving the experiences of people who live with eating disorder.
8 July 2015	Ministerial Visit	Minister for Sport, Health Improvement and Mental Health visited NHS Grampian Adult Inpatient Unit for Eating Disorders.	To meet patients and staff using the service.	A range of local and regional eating disorder service provision issues involving the experiences of people who live with eating disorder.
1 April 2015	Ministerial Meeting	Minister for Sport, Health Improvement and Mental Health met Dennis Robertson MSP.	To discuss a range of eating disorder issues.	Issues included staff training; child and adolescent mental health services; transitions; family based therapy and data collection.
24 February 2015	Parliamentary Reception	Minister for Sport, Health Improvement and Mental Health attended Parliamentary Reception on Eating Disorders.	To mark eating disorder awareness week 2015. Met a range of representatives from statutory and voluntary organisations.	Reception theme was the link between eating disorders, diabulimia, diabetes and co-morbid anorexia and bulimia.
24 February 2015	Parliamentary Debate	Minister for Sport, Health Improvement and Mental Health responded to a Parliamentary Business Members Debate.	To mark eating disorder awareness week 2015.	A range of issues as set out in the official report.
1 September 2014	Ministerial Meeting	Minister for Public Health and officials met Professor James Lock, Stanford University School of Medicine.	Meeting at the invitation of Dennis Robertson MSP.	To discuss Family-Based Therapy approaches.
3 June 2014	Ministerial Meeting	Minister for Public Health met Dennis Robertson MSP.	To discuss a range of eating disorder issues following eating disorder awareness week 2014.	Issues around eating disorders treatment and support including child and adolescent mental health services; networks and training.
28 February 2014	Conference	Minister for Public Health spoke at a Scottish Parliament Conference on eating disorders.	To mark eating disorder awareness week 2014.	Set out mental health policy and initiatives relating to eating disorders.
26 February 2014	FM Reception	First Minister and Minister for Public Health met representatives of statutory and voluntary organisations including families and service users.	To mark eating disorder awareness week 2014.	A range of issues relevant to Scottish Government mental health policy and eating disorder care in Scotland.
26 February 2014	Parliamentary Debate	Minister for Public Health responded to a Parliamentary Business Members Debate.	To mark eating disorder awareness week 2014.	A range of issues as set out in the official report.

Delivery must be made within our overarching waiting time standard that 90% of patients are seen and treated within 18 weeks from initial referral to start of treatment, as it is important that every part of the patient pathway is as swift as possible including any tests required.

It is NHS Education for Scotland (NES) which has operational responsibility for the GP Returner Programme. The programme provides a tailored induction and educational placement of between three to six months for those GPs who have previously worked in NHS general practice but have been out of clinical general practice for more than two years and wish to return to work in NHS general practice in Scotland. This might include GPs who are returning from a career break or those returning from working outside the UK.

The number of GPs recruited into this programme has always been low; on average between five and six per annum. NES report there were four returners in 2013, seven in 2014 and so far in 2015 three have completed the programme, with another three due to start later this year. NES also report they hold a list of nine others who are intending to return to Scotland and who are eligible for the programme.

With £100,000 of additional resources provided by the Scottish Government, NES has worked with NHS boards, The Royal College of General Practitioners, The British Medical Association Scotland and others to relaunch the programme this year. The main objectives are to improve the visibility and accessibility of relevant information for those seeking to return, and improved use of digital media platforms to target practitioners in rest of UK, Australia, New Zealand and Canada. NES has upgraded its website pages to allow GP’s from all over the world to more easily find information via online searches, is conducting an audit of GP forums and media across the world to inform future marketing approaches, and plans at least one dedicated GP Returners event to take place in Scotland in 2015.

The information requested is not collected centrally.

There is no waiting time target for follow-up scans. The timing of any follow-up scans will be based on a clinical decision for each individual patient. We have made it clear to boards that they must ensure that any follow-up scans, including bone density scans, are carried out at the most clinically appropriate time for each individual patient.

The information requested is provided in the following table.

NHS Board	Hospital with a bone density scanner
Ayrshire and Arran	Ayrshire Central Hospital, Irvine
Borders	Borders General Hospital, Melrose
Dumfries and Galloway	Dumfries and Galloway Royal Infirmary, Dumfries
Fife	Victoria Hospital, Kirkcaldy
Forth Valley	Forth Valley Royal Hospital, Larbert
Grampian	Aberdeen Royal Infirmary, Aberdeen Dr Gray’s Hospital, Elgin Mobile Scanner
Greater Glasgow and Clyde	Glasgow Royal Infirmary, Glasgow The Queen Elizabeth University Hospital (new South), Glasgow Stobhill Hospital, Glasgow Victoria Infirmary, Glasgow Royal Alexandria Hospital, Paisley Inverclyde Royal Hospital, Greenock
Highland	Ross Memorial Hospital, Dingwall
Lanarkshire	Wishaw General Hospital, Wishaw
Lothian	Western General Hospital, Edinburgh (2 scanners on site)
Orkney	None – patients sent to Grampian
Shetland	None – service provided by Grampian (Grampian’s mobile scanner is periodically stationed in Shetland)
Tayside	Ninewells Hospital, Dundee Perth Royal Infirmary, Perth
Western Isles	Western Isles Hospital, Stornoway
National Waiting Times Centre	Golden Jubilee National Hospital, Clydebank