Chamber and committees

The information requested is not held centrally.

The information requested on the number of patients admitted within their own health board and admitted to hospital outwith their own health board area at any stage during each calendar year since 2010 is provided in the following table:

Year	Patients admitted within local health board area	Patients admitted outwith local health board area*
2011	626,900	92,538*
2011	630,709	91,231*
2012	642,447	94,934*
2013	640,450	95,462*
2014	642,200	99,771*

Source ISD Scotland SMR01

*These figures include patients treated at the Golden Jubilee National Hospital and the independent healthcare sector.

The Scottish Government manages the supply of registered nurses and midwives into NHSScotland through the commissioning of student numbers on nursing and midwifery programmes at Scottish Higher Education Institutions. This process is informed by workforce planning that considers employers’ predictions of the number of nurses and midwives required and available future supply of qualified staff and includes input from Higher Education Institutions and partnership bodies, including the Royal College of Nursing.

To support analysis of nursing and midwifery student commencement, progression and completion, NES capture data whenever any student starts, stops or completes their course. The figures, as set out in the following table, reflect that the duration of nursing and midwifery pre-registration programmes varies depending on the programme type from 18 months (for conversion programmes) to four years (for honours programmes) and that due to breaks in training, students may take longer than the normal programme length to complete. Therefore, recent cohort years in the table will show smaller numbers of completions.

Table 1: Nursing fields of practice only.

Cohort	Commencement	Discontinuation	Completion
2010	3,259	613	2,394
2011	2,936	434	1,862
2012	2,597	317	150
2013	2,737	205	24
2014	3,017	68	0

Table 1 Notes: Number of commencements on the cohorted course only, i.e. excluding commencements on any subsequent courses they may have taken

Number of discontinuations on the cohorted course only, i.e. excluding discontinuations from any subsequent courses they may have taken

Number of completions on cohorted or any subsequent pre-registration course up until first registration (excluding midwifery courses)

The Scottish Government is very aware of the need to raise awareness of organ donation with the black, Asian and minority ethnic (BAME) communities in Scotland and recommendation 1b in A Donation and Transplantation Plan for Scotland 2013-2020 states that ‘The Scottish Government should ensure that proportionate targeted awareness-raising and education work continues with BAME and other relevant communities in Scotland, linking up to similar work across the UK as appropriate’. We facilitated a series of working groups with key members of the BAME communities and embarked on a programme of awareness raising activities at cultural events such as Melas, religious festivals, BAME awards ceremonies etc and at places of worship such as mosques, gurdwaras and mandirs.

In 2014, we funded Kidney Research UK to undertake a two year sustained programme of organ donation awareness raising with the South Asian communities in the NHS Greater Glasgow and Clyde area. It has been very successful and on 15th June 2015, a Scottish Government news release announced that funding for the project would be extended for a further year:

http://news.scotland.gov.uk/News/Scottish-Government-extends-funding-for-organ-donor-project-19fb.aspx

<>Under Scottish planning legislation, health boards are 'key agencies' in the preparation of development plans, and should be actively engaged with planning authorities in the process of planning for new development and the growth of communities.

In 2013, the Scottish Government published A Donation and Transplantation Plan for Scotland 2013-2020. This plan sets out the ways in which Government and the NHS plans to improve donation and transplantation in Scotland. The plan builds on the very good progress made over the preceding five year period.

A key development is that as of the start of April 2015 kidney transplantation in Scotland was designated as a national service. Previously kidney transplantation in Scotland had operated on a regional basis. This will ensure that all Scottish patients have equal access to a high standard of kidney transplant services.

We have invested in the organ donation infrastructure in our hospitals by appointing additional specialist nurses and clinical leads for organ donation in every Intensive Care Unit across the country. Organ Donation Committees have been established in all mainland NHS boards with links established to the Island boards and they are responsible for overseeing donation activity in their hospitals. We have strengthened the Scottish Organ Retrieval Team which maximises the number of transplants by ensuring timely and high quality retrieval of organs from hospitals around the country. We also run high profile organ donation campaigns raising awareness of organ donation and encouraging people to join the NHS Organ Donor Register and to make their families aware of their wishes. Because of this, 41% of the Scottish population is on the NHS Organ Donor Register – the highest percentage of any of the UK countries.

Since the Scottish Government started a programme of improvement in organ donation and transplantation in 2008 the number of patients on the active waiting list for a kidney transplant in Scotland has fallen from 620 to 407 - a decrease of 34.4%*.

* Source: NHS Blood and Transplant for period 31-3-08 to 31-5-15

Since taking office, the Cabinet Secretary for Health, Wellbeing and Sport; the Minister for Public Health and the Minister for Health Improvement and Mental Health have not yet visited a renal unit.

The Minister for Public Health is to visit the renal unit at the Royal Infirmary of Edinburgh in autumn 2015.

It is the responsibility of health boards to provide services appropriate to the needs of their local population. For adolescent inpatient beds, the boards collaborate in three regions and the bed base is as follows:

Unit	Number of beds	Area served
Royal Edinburgh Hospital	12	South East of Scotland (Lothian, Fife and Borders)
Skye House, Stobhill, Glasgow	24	West of Scotland (Greater Glasgow and Clyde, Forth Valley, Lanarkshire, Dumfries and Galloway and Ayrshire and Arran)
Dudhope House, Dundee	12	North of Scotland (Tayside, Grampian, Highland, Shetland, Orkney and Western Isles)

Children and young people referred to child and adolescent mental health services (CAMHS) will be generally treated in the community. There may however be times when it is necessary to admit them to hospital for specialist treatment. Should this be the case they would be admitted to one of the three regional CAMHS inpatient units.

There is a further six place unit for five to 12 years olds in the Royal Hospital for Sick Children in Glasgow. There are no current plans to increase the bed base of this service following a review of this service in November 2014 which found that since 2009 the bed occupancy (excluding day patient beds) ranged from 47% in both 2009-10 and 2010-11 to 28% at its lowest.

NHS National Services Scotland carried out a review of the national child inpatient psychiatry service (for children under the age of 12) in November 2014 (http://www.nsd.scot.nhs.uk/services/specserv/inpsych.html) and found that since 2009 the bed occupancy (excluding day patient beds) ranged from 47% in both 2009-10 and 2010-11 to 28% at its lowest in 2012-13.

The expert panel concluded that there was still a need for the facility but the number of beds should reduce from nine to six.

Over the next three years, £50 million will be invested to address immediate workload and recruitment issues, as well as putting in place long-term, sustainable change within primary care. In addition, £10 million of the already announced mental health fund will be invested in primary care mental health services to encourage innovative ways of encouraging better identification and management of patients with mental health needs in the community.

This investment is our first step in ensuring our GP services are on a firm footing for the future. We will work with BMA Scotland and the Royal College of General Practitioners in Scotland and with professionals across the health service, as well as patients and the public, to redesign our primary care services. This £60 million fund has been expanded from the £40 million previously announced, expanding this to a three-year fund, rather than a one-off investment.

We will work constructively with the GP workforce to ensure services are fit for the future and meet the needs of the people of Scotland.