Questions and answers

Question reference: S5W-05787

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 20 December 2016
Current Status: Answered by Shona Robison on 13 January 2017

To ask the Scottish Government what assessment it has made of the merits of single budgeting for integration joint boards.

The Scottish Government is committed to ensuring the success of the integration of health and social care, as required under the Public Bodies (Joint Working) Scotland Act 2014, and is working with Integration Joint Boards, Health Boards and Local Authorities to monitor the effectiveness of all aspects of implementation, including budgetary arrangements, in local systems. Changes to Integration Joint Boards’ current funding arrangements to permit direct allocations from the Scottish Government, rather than allocations via Health Boards and Local Authorities, would require legislative change along with careful consideration of the implications of the VAT Act (1994), and development of equitable allocation methods given local variation in integrated services. The Scottish Government will continue to keep the position under review and will give further consideration to the potential opportunities and implications of making any changes.

Question reference: S5W-05779

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 20 December 2016
Current Status: Answered by Shona Robison on 13 January 2017

To ask the Scottish Government what plans it has to provide women who have a history of breast cancer in their family the opportunity to self-refer to the breast screening programme.

The Scottish Government has no plans to provide women who have a history of breast cancer in the family the opportunity to self refer to the breast screening programme. However, a GP can refer such women on to genetics/family history service but this service is not part of the national screening programme. These women would still be invited for screening as part of the breast screening programme once every three years if they are in the eligible age range of 50-70 and have not been screened within the previous six months.

In Scotland there are guidelines for the referral of women with a familial risk of breast cancer and this is the most effective, direct route for assessment and management of these women. Guidance for referral to regional genetics centres for those with a family history of breast cancer is available at http://www.healthcareimprovementscotland.org/our_work/cancer_care_improvement/programme_resources/familial_breast_cancer_report.aspx

Question reference: S5W-05786

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 20 December 2016
Current Status: Answered by Shona Robison on 13 January 2017

To ask the Scottish Government how many people have accessed drugs via patient access schemes in each year since 1999.

Question reference: S5W-05792

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 20 December 2016
Current Status: Answered by Shona Robison on 13 January 2017

To ask the Scottish Government whether it will provide a list of NHS buildings that have been rated poor/in need of maintenance, broken down by NHS board.

Question reference: S5W-05791

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 20 December 2016
Current Status: Answered by Shona Robison on 13 January 2017

To ask the Scottish Government what assessment it has made of the NHS buildings estate and when it envisages all buildings to be classified as being in a good condition.

Question reference: S5W-05822

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 20 December 2016
Current Status: Answered by Shona Robison on 13 January 2017

To ask the Scottish Government how much each NHS board has spent on services in the (a) independent and (b) private sector in each year since 1999.

NHS Territorial Boards make limited use of the independent and private sector for health care services, with the amount incurred in 2015-16 comprising 0.7% of total resource spending. Boards report this spending in their annual accounts as private sector spending. The Scottish Government holds figures for each Board between 2006-07 and 2015-16. These are set out in the following table:

Board	2006-07	2007-08	2008-09	2009-10	2010-11	2011-12	2012-13	2013-14	2014-15	2015-16
	£'000	£'000	£'000	£'000	£'000	£'000	£'000	£'000	£'000	£'000
Ayrshire & Arran	4,627	5,091	5,930	5,654	5,265	3,390	4,576	4,646	5,681	4,689
Borders	2,898	3,029	3,491	3,151	4,207	3,799	3,453	3,274	3,457	3,211
Dumfries & Galloway	5,196	7,893	4,780	3,985	3,946	6,941	6,774	6,109	6,188	4,394
Fife	1,040	1,527	1,802	2,026	3,664	3,606	5,299	2,736	2,385	2,090
Forth Valley	1,743	2,039	2,777	3,157	2,878	2,868	4,712	3,983	4,658	3,296
Grampian	5,291	2,905	2,931	1,626	1,356	2,509	6,331	4,922	6,680	7,886
Greater Glasgow & Clyde	19,426	20,061	20,716	19,383	17,930	19,659	15,451	13,829	12,494	17,146
Highland	2,480	2,997	3,567	2,991	3,022	3,037	2,671	3,748	4,855	3,536
Lanarkshire	7,444	8,582	8,755	8,567	7,823	7,672	7,748	7,607	9,707	10,234
Lothian	4,230	1,780	2,426	2,545	5,940	5,375	14,840	16,626	17,845	12,192
Orkney	403	392	647	543	444	664	563	445	416	330
Shetland	93	88	197	122	140	-	116	186	243	288
Tayside	3,539	4,713	4,634	4,106	4,991	5,414	7,190	7,239	7,324	8,474
Western Isles	260	249	87	229	167	551	540	547	598	736
Total	58,670	61,346	62,740	58,085	61,773	65,485	80,264	75,897	82,531	78,502

Question reference: S5W-05782

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 20 December 2016
Current Status: Answered by Aileen Campbell on 12 January 2017

To ask the Scottish Government how many respite care breaks have been provided to carers in each year since 1999.

The Scottish Government has published information on respite weeks for the years 2007-08 to 2014-15. Information prior to 2007-08 is not held centrally. There is an estimated real terms increase in respite care provision between 2007-08 and 2014-15 of between 3,620 and 8,210 weeks.

Information for each year from 2007-08 to 2014-15 is provided in the following table:

Year	Total respite weeks provided
2007-08	172,730
2008-09	174,030
2009-10	203,570
2010-11	211,210
2011-12	205,070
2012-13	205,800
2013-14	202,690
2014-15	196,060

Respite Care Scotland 2015 (http://www.gov.scot/Publications/2015/12/6824)

Collecting data about respite provision provided or purchased by local authorities is challenging. In 2014-15 it is estimated that, in addition to the provision of 196,060 respite weeks, a further 7,160 weeks were provided through direct payments. There was also an unknown number of weeks provided through other forms of Self-directed Support.

This data is no longer being collected centrally. We are currently consulting on a new dataset to monitor support to carers more generally.

Question reference: S5W-05789

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 20 December 2016
Current Status: Answered by John Swinney on 10 January 2017

To ask the Scottish Government what its position is on mental health provision being part of inspections by Her Majesty's Inspectorate of Schools.

In Scotland’s schools, mental health is considered as part of a broad spectrum under health and wellbeing, for example, as part of the responsibilities of all staff under Curriculum for Excellence, or as targeted interventions to provide more personalised support to meet the requirements of various legislation.

Education Scotland through Her Majesty’s Inspectors (HM Inspectors) inspect, review and report on the provision made by schools and education authorities across Scotland. Where appropriate, HM Inspectors will comment on the impact of any mental health provision in helping to support the learning needs of children and young people. HM Inspectors also review and publish reports on specific aspects of education, including approaches to improving health and wellbeing.

How Good is Our School 4 and How Good is Our Early Learning and Childcare include Quality Indicator (QI) 3:1 Ensuring Wellbeing, Equality and Inclusion. This QI evaluates the impact of the school’s approach to wellbeing which underpins young people’s ability to achieve success. It highlights the need for policies and practices to be well grounded in current legislation and a shared understanding of the value of every individual, including those with mental health concerns where appropriate. Since August 2016, all inspections of early learning and childcare establishments, primary, secondary, special and independent schools inspections have included evaluation of this QI.

Question reference: S5W-05564

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 14 December 2016
Current Status: Answered by John Swinney on 10 January 2017

To ask the Scottish Government how many school support staff each local authority has employed in each year since 2010, broken down by category of employment.

Children and young people with additional support needs receive support in school from teaching and support staff. The following information provided provides a picture of the support staff employed to support all pupils, including those with additional support needs. The figures provided are based on FTE (Full-Time Equivalent) and have been rounded to the nearest 1 FTE. Because of this the local authority total may not be equal to the sum of local authority figures.

Total	2010	2011	2012	2013	2014	2015	2016
Aberdeen City	1,011	776	779	798	841	828	947
Aberdeenshire	1,412	1,333	1,290	1,223	1,210	1,222	1,183
Angus	519	474	467	455	451	442	450
Argyll & Bute	477	503	576	490	532	542	549
Clackmannanshire	279	269	258	264	368	248	248

Dumfries & Galloway	756	689	638	614	607	593	548
Dundee City	761	1,426	628	1,027	615	666	653
East Ayrshire	486	466	461	483	472	431	470
East Dunbartonshire	694	555	568	564	527	520	514
East Lothian	382	431	404	400	422	396	416

East Renfrewshire	491	823	537	490	461	479	457
Edinburgh, City of	1,460	1,423	1,365	1,481	1,458	1,241	1,424
Na h-Eileanan Siar	171	184	166	179	156	139	137
Falkirk	768	731	733	721	702	676	633
Fife	1,706	1,646	1,578	1,594	1,544	1,549	1,483

Glasgow City	2,132	2,000	2,838	2,037	2,135	2,074	2,116
Highland	1,318	1,288	1,229	1,227	1,112	1,134	1,093
Inverclyde	474	452	432	368	375	361	352
Midlothian	398	421	427	373	368	414	443
Moray	509	555	753	864	868	506	486

North Ayrshire	656	655	613	624	621	624	611
North Lanarkshire	1,690	1,685	1,668	1,595	1,649	1,558	1,653
Orkney Islands	130	113	119	130	129	130	131
Perth & Kinross	574	579	579	618	612	610	669
Renfrewshire	717	624	615	651	628	544	645

Scottish Borders	438	457	432	430	407	404	356
Shetland Islands	209	202	198	174	168	165	170
South Ayrshire	456	424	444	448	449	445	436
South Lanarkshire	977	1,101	997	1,007	1,000	1,011	1,024
Stirling	424	696	592	397	385	368	366

West Dunbartonshire	525	489	490	427	445	446	445
West Lothian	915	844	875	904	945	900	829

All Local Authorities	23,907	24,300	23,734	23,048	22,654	21,661	21,935

Primary	2010	2011	2012	2013	2014	2015	2016
Aberdeen City	538	353	352	368	387	421	503
Aberdeenshire	770	736	734	671	677	665	665
Angus	268	250	233	231	238	245	242
Argyll & Bute	231	257	344	272	295	275	265
Clackmannanshire	152	144	128	128	252	122	129

Dumfries & Galloway	355	360	316	296	294	303	272
Dundee City	387	404	280	601	257	262	266
East Ayrshire	206	204	177	186	187	178	180
East Dunbartonshire	317	276	285	274	257	253	248
East Lothian	247	242	238	236	252	252	281

East Renfrewshire	211	217	217	207	185	197	200
Edinburgh, City of	771	728	712	775	800	715	827
Na h-Eileanan Siar	107	87	91	97	88	75	77
Falkirk	342	348	358	347	345	334	300
Fife	839	815	778	761	747	705	785

Glasgow City	1,026	993	1,463	1,172	1,115	1,137	1,114
Highland	760	669	644	637	550	550	550
Inverclyde	207	208	191	187	193	188	195
Midlothian	168	183	195	190	176	205	238
Moray	278	288	498	616	625	286	273

North Ayrshire	349	349	288	298	290	306	308
North Lanarkshire	832	833	835	810	846	815	841
Orkney Islands	77	66	69	79	80	78	79
Perth & Kinross	334	328	322	348	339	333	412
Renfrewshire	325	253	248	272	267	262	296

Scottish Borders	219	268	227	226	215	208	189
Shetland Islands	114	109	107	97	92	91	90
South Ayrshire	203	204	221	221	222	212	216
South Lanarkshire	507	632	520	538	543	556	553
Stirling	213	499	265	191	186	171	165

West Dunbartonshire	252	240	243	235	229	239	238
West Lothian	455	408	409	431	442	441	439

All Local Authorities	12,065	11,950	11,987	11,996	11,668	11,080	11,442

Secondary	2010	2011	2012	2013	2014	2015	2016
Aberdeen City	305	259	238	232	255	224	243
Aberdeenshire	432	395	365	354	328	350	338
Angus	194	183	183	175	173	161	163
Argyll & Bute	194	183	186	169	190	176	181
Clackmannanshire	76	75	82	82	67	81	68

Dumfries & Galloway	223	233	228	228	219	219	207
Dundee City	231	904	220	211	195	193	212
East Ayrshire	178	156	170	178	165	162	166
East Dunbartonshire	181	181	181	182	163	172	167
East Lothian	121	132	153	153	141	133	125

East Renfrewshire	194	172	192	192	185	197	166
Edinburgh, City of	424	420	376	423	410	297	342
Na h-Eileanan Siar	49	76	56	61	47	46	41
Falkirk	234	210	216	215	208	195	184
Fife	545	501	485	495	489	509	538

Glasgow City	468	409	439	397	441	387	427
Highland	401	445	443	415	367	391	362
Inverclyde	146	132	135	121	124	117	115
Midlothian	109	123	120	105	101	111	108
Moray	187	218	205	197	188	168	162

North Ayrshire	187	179	178	168	164	180	169
North Lanarkshire	498	483	462	439	455	400	444
Orkney Islands	46	42	43	45	44	46	46
Perth & Kinross	161	169	175	185	188	190	181
Renfrewshire	224	214	200	207	188	153	196

Scottish Borders	158	154	165	159	146	152	135
Shetland Islands	67	67	68	58	56	54	60
South Ayrshire	164	156	156	158	146	150	142
South Lanarkshire	309	324	302	305	299	281	292
Stirling	150	145	135	135	134	140	128

West Dunbartonshire	134	126	125	116	127	134	132
West Lothian	264	229	239	224	240	230	214

All Local Authorities	7,249	7,693	6,918	6,788	6,641	6,393	6,456

Special	2010	2011	2012	2013	2014	2015	2016
Aberdeen City	90	86	105	111	110	92	101
Aberdeenshire	83	90	86	91	93	92	91
Angus
Argyll & Bute	18	21	8	15	15	24	22
Clackmannanshire	34	34	32	41	40	41	42

Dumfries & Galloway	8	9	9	13	15	14	14
Dundee City	97	95	105	105	61	105	101
East Ayrshire	46	50	56	55	59	65	68
East Dunbartonshire	54	54	54	60	59	50	53
East Lothian

East Renfrewshire	24	49	74	40	44	41	41
Edinburgh, City of	157	182	143	220	209	180	162
Na h-Eileanan Siar
Falkirk	51	49	45	55	56	56	63
Fife	100	115	107	114	104	130	83

Glasgow City	429	393	711	335	417	391	387
Highland	73	74	72	73	69	81	83
Inverclyde	44	52	46	45	40	44	42
Midlothian	39	37	38	39	50	55	58
Moray

North Ayrshire	43	49	53	55	60	59	65
North Lanarkshire	189	200	214	191	232	237	247
Orkney Islands
Perth & Kinross	29	29	29	33	32	33	24
Renfrewshire	79	79	77	82	83	64	86

Scottish Borders	11
Shetland Islands
South Ayrshire	41	28	36	36	48	47	47
South Lanarkshire	91	84	103	92	96	102	114
Stirling	24	21	162	35	39	37	35

West Dunbartonshire	42	46	49	44	50	51	50
West Lothian	95	114	122	142	182	158	163

All Local Authorities	1,990	2,038	2,533	2,118	2,263	2,246	2,237

Centrally Employed	2010	2011	2012	2013	2014	2015	2016
Aberdeen City	78	78	84	87	89	91	100
Aberdeenshire	127	112	105	107	112	115	89
Angus	57	41	51	49	40	36	45
Argyll & Bute	34	42	38	34	32	67	81
Clackmannanshire	17	16	16	13	9	4	9

Dumfries & Galloway	170	87	85	77	79	57	55
Dundee City	46	23	23	110	102	106	74
East Ayrshire	56	56	58	64	61	26	56
East Dunbartonshire	142	44	48	48	48	45	46
East Lothian	14	57	13	11	29	11	10

East Renfrewshire	62	385	54	51	47	44	50
Edinburgh, City of	108	93	134	63	39	49	93
Na h-Eileanan Siar	15	21	19	21	21	18	19
Falkirk	141	124	114	104	93	91	86
Fife	222	215	208	224	204	205	77

Glasgow City	209	205	225	133	162	159	188
Highland	84	100	70	102	126	112	98
Inverclyde	77	60	60	15	18	12	0
Midlothian	82	78	74	39	41	43	39
Moray	44	49	50	51	55	52	51

North Ayrshire	77	78	94	103	107	79	69
North Lanarkshire	171	169	157	155	116	106	121
Orkney Islands	7	5	7	6	5	6	6
Perth & Kinross	50	53	53	52	53	54	52
Renfrewshire	89	78	90	90	90	65	67

Scottish Borders	50	35	40	45	46	44	32
Shetland Islands	28	26	23	19	20	20	20
South Ayrshire	48	36	31	33	33	36	31
South Lanarkshire	70	61	72	72	62	72	65
Stirling	37	31	30	36	26	20	38

West Dunbartonshire	97	77	73	32	39	22	25
West Lothian	101	93	105	107	81	71	13

All Local Authorities	2,603	2,619	2,296	2,146	2,082	1,942	1,800

Question reference: S5W-05587

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Thursday, 15 December 2016
Current Status: Answered by Kevin Stewart on 10 January 2017

To ask the Scottish Government, in light of the report published by the Scottish Affairs Committee following its inquiry into the demography of Scotland and the implications for devolution, how its forthcoming White Paper on planning will (a) address the links between the health and housing needs of the country’s ageing population, (b) ensure that the housing needs of the country’s ageing population, including the need for more retirement housing, will be met across all local authorities and (c) take account of the country’s ageing population.

Planning has an important role in promoting strong, resilient and inclusive communities. We want Scotland’s planning system to help deliver more high quality homes and create better places where people can live healthy lives and developers are inspired to invest. Scottish Planning Policy already highlights Ministers’ expectation that local authorities should consider and address any need for specialist housing provision, including for elderly people.

The consultation paper recognises that health and improved quality of life is supported by well designed, functional places. The paper contains our proposals to support the delivery of the homes that people need, now and in the future.

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