Chamber and committees

The scope and timescale for implementation forms part of the consideration by officials, including colleagues from NHS National Services Scotland, Information Services Division, of options for an implant register.

This is currently ongoing in consultation with clinicians and the working group of patients and officials which is being established following my recent meeting with you and the women affected by transvaginal meshes.

This information is not held centrally.

Information on the number of transvaginal meshes supplied by National Procurement is given in the following table by NHS board and product.

1. Information was provided by NHS National Services Scotland: National Procurement (NP) where devices were supplied by NP to NHS boards in response to catalogue requests.

2. The manufacturer of all three devices is Johnson and Johnson.

This information is available on the NHS National Services Scotland (NSS) Information Services Division (ISD) website. The most up to date figures available are for the financial year 2011-12. These are reproduced in the following table:

SIGN Guideline 116: Management of Diabetes makes it clear that all people with diabetes should be encouraged to work towards optimising their glycaemic control to reduce the risk of diabetes related complications.

We expect all people with diabetes to have the risk factors for complications assessed and recorded on a regular basis by the team responsible for their diabetes care.

These assessments include checks on; blood glucose, blood pressure and blood cholesterol levels; eye and foot screening, kidney function tests and weight recording. Individuals are also provided with tailored information and advice on how to manage their diabetes effectively.

March data is being collated by ISD and will be included in the quarterly publication (January 2013 – March 2013) that is published on 28 May 2013.

We have already or are in the process of setting up a number of Implementation and Monitoring Groups which will oversee delivery of the commitments in the Strategy and developing consensus about future developments.

Each of the groups is responsible for monitoring progress, identifying barriers to implementation, providing advice on delivery and ensuring that the commitments are met. They will also have a role in considering the agenda for the end of the Strategy period. The groups are:

Mental Health Delivery Team - overall deliver of the Strategy and Data and Knowledge (Commitments 1, 14, 26, 27, 28 and 36)

Psychological Therapies (Commitment 13)

Child and Adolescent Mental Health Services (Commitments 7-12)

Primary Care and Common Mental Health Problems (Commitments 6, 15-22)

Rights, Recovery, Families and Carers, Peer to Peer and Employability (Commitments 2-5 and 29)

Community, Inpatient and Crisis Services (Commitments 23-25)

This approach is a flexible one which allows us to bring in different expertise across the timeframe of delivery of the Strategy. Some of the commitments are relatively easy to map out at this stage e.g. commissioning a review, but others are more developmental and implementation will depend on what emerges from the early stages of the work e.g. development of learning disability child and adolescent mental health services.

We will be updating the Mental Health Strategy pages on the Scottish Government website to include information about the Implementation and Monitoring Groups, their membership and meetings, and about progress on each of the commitments. In addition, we intend to hold an annual stakeholder engagement event where stakeholders who are not involved directly in the Implementation and Monitoring Groups can hear in more detail about delivery of the commitments, and have an opportunity to comment and provide feedback.

The implementation group established to oversee delivery of this commitment will have its first meeting in June. The group will be responsible for a number of commitments including employability and will continue to build on work developing an established base of evidence around the different elements of employability and their suitability for mental health provision at varying levels of need.

The group will be focusing not simply on what works but on developing the evidence for individuals across the spectrum of mental health and wellbeing. This work is being carried out with a wide range of stakeholders across the statutory and voluntary sector.

The guidance which will set out the evidence base and identify good practice will be published on completion of that work. We will be updating the Mental Health Strategy pages on the Scottish Government website to include information about Implementation and progress on each of the Strategy commitments, including commitment 29.

In preparation for reporting on the Psychological Therapies HEAT Target, ISD Scotland are collecting data on a monthly basis from NHS boards. Currently boards are at different stages in the format and completeness of the data they are able to report on, although all boards are working hard to have systems in place.

We will make the first publication reporting on progress towards the target later this year, when we expect the data will be of sufficient quality and sufficiently consistent and complete to allow meaningful interpretation and comparison.

Work is ongoing to ensure that NHS boards have the right measures in place to deliver, in a manner which ensures not only achieving the waiting time target, which is in itself important, but also puts in place sustainable service improvement and benefit to patients. This involves work around a number of areas, including capacity, information systems and service redesign.

Legislation will be introduced to Parliament before summer, that will place health boards and local authorities under a duty to work in collaboration with key stakeholders to plan and deliver nationally agreed outcomes, and we would expect these to include the third sector.

The integration of health and social care will facilitate integration of commissioning budgets for adult services. This will create a single commissioning budget from which partners will commission improved outcomes for adult health and social care, including integrated services for people with learning disabilities. Local partnerships will be developed to meet local needs and will include third sector organisations, where appropriate.