Chamber and committees

I refer the member to the answer to question S5W-05312 on 9 January 2017. All answers to Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at www.parliament.scot/parliamentarybusiness/28877.aspx

The Scottish Government issued guidance to NHS Scotland following the introduction of the Health Act 2006 by the UK Parliament and the governance arrangements for controlled drugs which the Act and subsequent relevant Regulations put in place:-

www.sehd.scot.nhs.uk/mels/CEL2007_14.pdf

www.sehd.scot.nhs.uk/mels/CEL2008_07.pdf

The legislation requires all healthcare organisations holding stocks of controlled drugs to appoint Accountable Officers responsible for the safe, appropriate and effective management and use of controlled drugs.

In NHS Scotland, Controlled Drugs Accountable Officers (CDAOs) are responsible for ensuring the safe management and use of controlled drugs within their organisation. CDAOs should ensure that their own organisation, and those providing services to their organisation, have adequate and up-to-date Standard Operating Procedures (SOPs) in relation to controlled drugs. The CDAO Network publishes and updates guidance on good practice in the management of controlled drugs in primary care, including monitoring, auditing and reporting:-

www.knowledge.scot.nhs.uk/media/CLT/ResourceUploads/4055959/Primary_Care_Guide_Scotland_v.2.0_171114.pdf

In addition, the General Pharmaceutical Council (GPhC), the pharmacy regulator in Great Britain, sets standards for all registered pharmacies which includes requirements for medicines to be stored securely and supplied safely to patients, and for each pharmacy to identify and manage risks associated with the service they provide. GPhC inspections cover the full range of services a pharmacy provides, including any medicine delivery services.

The GPhC also shares intelligence and works collaboratively with various regulatory bodies and organisations across Great Britain, such as the Home Office, the Medicines and Healthcare Products Regulatory Agency (MHRA) and local Controlled Drug Accountable Officer Networks to help achieve collective patient safety and public protection aims.

Source: Scottish Workforce Information Standard System (SWISS).

Notes:

1. Includes district nursing staff on Agenda for Change band 6 and above only.

For completeness, Table 2 shows the reported number of District Nurses employed by NHS Board from 2007 to 2014. This data is not comparable with data from 2015 onwards.

Table 2. Number (whole time equivalent) of district nurses in post as at 30 September each year from 2007 to 2014

Source: Scottish Workforce Information Standard System (SWISS).

Notes:

1. Includes district nursing staff on Agenda for Change band 6 and above only.

This information is not held centrally. Specific local information may be available from NHSScotland Health Boards.

The Scottish Government does not hold this information centrally. Information on emergency ambulance response times, broken down by Board area can be found in the Scottish Ambulance Service annual reports, via the following link:

http://www.scottishambulance.com/TheService/annualreport.aspx

For emergency response times broken down by regional division I would suggest contacting the Scottish Ambulance Service Directly.

Scottish Health Service Costs is published annually by ISD Scotland with the support of the Scottish Government. Published costs information for NHSScotland, including for general psychiatric services, can be found at: https://isdscotland.scot.nhs.uk/Health-Topics/Finance/Costs/.

NHS Board accounts do not separately identify spending on social care, which prior to April 2016 was a function of Local Government. Since April 2016, NHS and Local Government have been jointly responsible for the delivery of health and care through Health and Social Care Partnerships.

Total NHS investment in integration amounts to £380 million in 2016-17 and, as set out in the Draft Budget for 2017-18, will increase to £487 million next year.

In 2016-17, NHS Territorial Boards contributed £250 million to Health and Social Care Partnerships to support the delivery of improved outcomes in social care and deliver the Living Wage for social care workers. This is set out in the following table for each Territorial Board.

The information requested is not held centrally by the Scottish Government.

The Inpatient Bed Census for mental health, addictions and learning disability identifies 95 NHS Scotland facilities containing wards covered by the census. Anyone with a mental illness can be treated in these wards.

Undertaken in 2014 and 2016 the Inpatient Bed Census has provided detailed data that identifies the status of bed usage across Scotland and provides a basis for planning and development of future mental health services. The census shows a continuing reduction in the number of psychiatric inpatients, with more people being treated in a community setting or while living at home. This reflects the longer term shift in the provision of care from hospital based to community based and that bed occupancy was 85% - achieving the best practice figure set by the Royal College of Psychiatrists for provision in meeting need across Scotland.

Data on the number of people receiving treatment across Scotland and at individual NHS Health board level is available is published online on a quarterly basis by ISD and is available at: http://www.isdscotland.org/Publications/ The age range of 0 – 26 falls within both publications with the Child and Adolescent Mental Health Services Waiting Times in NHSScotland covering people up to the age of 18, with some areas providing service up to 16 only while others offer services up to 18 years. The psychological therapies report covering the total number of people of all ages receiving treatment.