Chamber and committees

There are no plans to close the Centre for Integrative Care, and the premise of your question is simply false.

I refer the member to the answer to question S4W-30766 on 23 March 2016. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at http://www.scottish.parliament.uk/parliamentarybusiness/28877.aspx.

I refer the member to the answer to question S4W-30766 on 23 March 2016. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at http://www.scottish.parliament.uk/parliamentarybusiness/28877.aspx.

<>I refer the member to the answer to question S4W-30428 on 22 March 2016. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at: http://www.scottish.parliament.uk/parliamentarybusiness/28877.aspx.

Since 2010-11 there has been an increase of around 0.1 percentage points per annum in the percentage of admissions which were followed by an emergency readmission for all ages combined.

Information on seven-day emergency readmissions is set out in the following tables

The percentage of admissions which were followed by emergency readmission with seven days by financial year and NHS Board of Residence for all ages.

Health Board of Residence	2010-11	2011-12	2012-13	2013-14	2014-15
NHS Ayrshire and Arran	3.8%	4.2%	4.5%	4.5%	4.5%
NHS Borders	4.4%	4.8%	5.1%	5.1%	5.0%
NHS Dumfries and Galloway	3.1%	3.2%	3.2%	3.4%	3.4%
NHS Fife	3.6%	3.5%	3.9%	4.3%	4.6%
NHS Forth Valley	3.9%	4.0%	4.5%	4.6%	5.0%
NHS Grampian	3.6%	3.5%	3.7%	3.6%	3.7%
NHS Greater Glasgow and Clyde	3.7%	3.9%	3.8%	4.0%	4.1%
NHS Highland	3.8%	3.9%	3.5%	3.5%	3.9%
NHS Lanarkshire	3.7%	3.9%	4.0%	4.1%	4.0%
NHS Lothian	4.1%	4.5%	4.5%	4.5%	4.6%
NHS Orkney Islands	2.6%	2.5%	2.4%	2.5%	4.0%
NHS Shetland Islands	3.2%	3.8%	3.5%	3.0%	3.5%
NHS Tayside	4.5%	4.5%	4.3%	4.4%	4.4%
NHS Western Isles	3.0%	3.8%	5.3%	3.9%	3.1%

Source: SMR01, Information Services Division Scotland

 

The number of emergency readmission continuous inpatient stays within seven days by financial year and NHS Board of Residence for all ages.

Health Board of Residence	2010-11	2011-12	2012-13	2013-14	2014-15
NHS Ayrshire and Arran	3,822	4,260	4,438	4,510	4,509
NHS Borders	1,079	1,231	1,292	1,386	1,365
NHS Dumfries and Galloway	1,051	1,091	1,094	1,204	1,261
NHS Fife	2,566	2,557	2,909	3,221	3,371
NHS Forth Valley	1,802	1,853	2,188	2,238	2,559
NHS Grampian	3,746	3,784	4,090	3,994	4,120
NHS Greater Glasgow and Clyde	10,880	11,515	11,265	12,402	12,955
NHS Highland	2,782	2,801	2,475	2,540	2,692
NHS Lanarkshire	5,778	6,215	6,685	6,905	6,830
NHS Lothian	6,104	6,862	7,027	7,188	7,461
NHS Orkney Islands	154	152	138	155	205
NHS Shetland Islands	168	214	203	170	203
NHS Tayside	3,214	3,206	3,151	3,192	3,171
NHS Western Isles	224	271	369	277	214

Source: SMR01, Information Services Division Scotland

The Chief Scientific Adviser for Scotland does not direct or fund research, and so has funded no research into mental health.

The Chief Scientist Office (CSO) of the Scottish Government has allocated the following funding in each year since 2010-11 to the Scottish Mental Health Research Network to support high quality mental health research and recruitment to mental health research studies in Scotland. This funding is not allocated separately in support of child and adult mental health research.

2010-11	2011-12	2012-13	2013-14	2014-15	2015-16
£482,000	£483,000	£488,000	£488,000	£493,000	£493,000

CSO also provides funding opportunities for researchers in child and adult mental health through competitive grant schemes. Additionally, the CSO contributes funding to allow researchers in Scotland to apply to the Department of Health’s National Institute for Health Research programmes of research that can include applications for mental health research. Applications are also assessed through a competitive process.

The research literature shows that the concept and definition of emergency readmissions is complex in nature. The Scottish Government is taking forward work on the definition and analysis of emergency readmission rates through the unscheduled care six essentials programme. This will support NHS boards in their effective admission and discharge of patients. As well as looking at the utility of the various definitions, the work includes consideration of the importance of analysis by age and speciality when considering trends. Since 2010-11 there has been an increase of around 0.1 percentage points per annum in the percentage of admissions which were followed by an emergency readmission for all ages combined.

The Scottish Government has made provision for nicotine vapour products (NVPs) in the Health (Tobacco, Nicotine etc. and Care) (Scotland) Bill. NVPs will also be regulated by the EU Tobacco Products Directive. The UK Government is currently transposing provisions of the Directive which will come into force in May 2016. There are no plans for the Scottish Government to develop a specific NVP action plan at this stage. Guidance on the use of NVPs has been issued by both the Scottish Directors of Public Health and NHS Health Scotland, which provides direction on the use of NVPs in NHS stop smoking services. The Scottish Government is also supporting NHS cessation services to explore how they can best help users of NVPs to quit tobacco for good.

The Stoma Appliance Service in the Community: Stoma Care Quality and Cost Effectiveness Review 2015 was published on 26 February 2016 as prior to this date it was still in development. The quality audit was conducted across all 14 territorial NHS boards in the first half of 2015. Subsequent tasks included liaison with key stakeholders, validation checks with NHS boards, analysis of all responses and drafting of the report findings and recommendations. The cost effectiveness strand of work took place concurrently.

The Stoma Appliance Service in the Community: Stoma Care Quality and Cost Effectiveness Review 2015 notes that a range of nurses with mixed responsibilities can support patients who have stomas. There are many nurses within differing units and specialities within NHS boards, including in the community, who are able to support stoma patients who do not have the clinical nurse specialist title.

In 2015-16 the government invested over £2.4 million of recurring funding to enhance access to specialist nursing and care, including the appointment of additional specialist nurses. NHS boards are responsible for ensuring that these funds deliver maximum benefit for patient care.

The review highlighted a need to raise awareness of stoma care services and improve information to patients about what services, help and advice are available to them. Recommendations 3, 4 and 16 of the review outline actions for both NHS boards and for stoma appliance contractors specifically on advice, help and contact with healthcare professionals, and on services and information to patients.

The review does not make a recommendation to redefine the roles and responsibilities of care and district nurses. In addition to providing day to day care, district nurses also ensure patients receive specialist care when needed, from clinical nurse specialists. Scotland's Chief Nursing Officer is leading work to review and refocus the role of district nurses; the provision of wound care, including for individuals with stomas, will remain a key element of their role.