Chamber and committees

A public consultation seeking views on the recommendations contained in the review group''s report was carried out by the Scottish Government over August/November 2009. A Scottish Government report on summary of responses was published in March 2010.

The formal Scottish Government response to the McManus Review Report was published on 1 October 2010. That response indicates how ministers would intend to take forward the issues relating to advance statements, advocacy, named persons, medical matters and tribunals (all of which were covered in the review group''s review of the legislation).

The full Response by the Scottish Government to each of the original recommendations by the review group may be found on the Scottish Government Mental Health Division law website pages:

http://www.scotland.gov.uk/Topics/Health/health/mental-health/mhlaw/mhareview.

As indicated in the response, primary legislation would be required to take forward some of the agreed recommendations, others will require secondary legislation, whilst certain other recommendations would be taken forward by means of policy initiatives (such as guidance). It is intended that any amendments to the 2003 act will be taken forward as part of a future legislative programme.

The HEAT 3 child healthy weight target was a development target. Final target numbers were agreed with boards as part of the 2010-11 local delivery plan sign-off process. The final target agreed in March 2010 was 6,317 completed interventions with the majority (4,453) being delivered in the third year of the target. We are in the process of agreeing the target for the next three years of 4,500, 5,000 and 5,500 interventions, which will result in 15,000 children completing a healthy weight intervention over the three-year period.

The following table shows net operating expenditure per head for each NHS board from 2007-08 to 2009-10.

Boards	Net Operating Expenditure per Head 2007-08 £	Net Operating Expenditure per Head 2008-09 £	Net Operating Expenditure per Head 2009-10) £
NHS Ayrshire and Arran	1,703	1,781	1,851
NHS Borders	1,640	1,693	1,752
NHS Dumfries and Galloway	1,775	1,837	1,902
NHS Fife	1,513	1,611	1,649
NHS Forth Valley	1,523	1,589	1,634
NHS Grampian	1,422	1,482	1,538
NHS Greater Glasgow and Clyde	1,807	1,849	1,909
NHS Highland	1,766	1,856	1,892
NHS Lanarkshire	1,549	1,616	1,684
NHS Lothian	1,436	1,485	1,529
NHS Orkney	2,138	2,248	2,340
NHS Shetland	2,034	2,235	2,349
NHS Tayside	1,721	1,774	1,825
NHS Western Isles	2,545	2,724	2,826

Source: ISD Scotland, costbook.

All NHS boards are required to deliver 2% efficient government savings in 2010-11. These savings are retained locally by boards for reinvestment in frontline services. The majority of boards, including NHS Orkney, have set local targets in excess of the efficient government target in 2010-11 to ensure delivery of financial breakeven and to support development and continuous improvement of health care services. NHS Orkney approved a three-year clinical and financial strategy in June 2009 which aims to restore the board to recurring financial balance through sustainable redesign of services. The board''s 2010-11 financial plan, including the savings target, is based on the three-year clinical and financial strategy and reflects the board''s commitment to reduce reliance on non-recurring funding.

The details of HEAT targets can be found on the Scottish Government website at the following link www.scotland.gov.uk/Topics/Health/NHS-Scotland/17273/targets.

An initial £300,000 package of skills and training support was announced on 22 December 2010. This investment will help ensure that people across Moray have the opportunity to re-train and develop the new skills that can help them find sustained, productive employment in the area. The Scottish Government will continue to work closely with the Moray Task Force to ensure an effective response to the planned withdrawal of the RAF from Kinloss and to continue to make robust representations to the UK Government for securing the future of RAF Lossiemouth.

HEAT 3 was a development target which required NHS boards to set up what were, in the majority of cases, entirely new services. It was therefore expected that much of the delivery would be in the second half of the three-year target period. This has proved to be the case.

To ensure maximum support for boards the Scottish Government appointed a Child Healthy Weight National Co-ordinator within the Scottish Government in January 2010.

As a result of the efforts of boards, supported by the steps the Scottish Government has taken, we anticipate successful delivery of the target by end March 2011.

The target to reduce the time from referral to treatment for a psychological therapy to 18 weeks will be included in the HEAT targets for the first time from April 2011, to be achieved by December 2014. While NHS boards have made good progress in improving access to psychological therapies since 2006, and some are already providing access to some psychological therapies within 18 weeks, they will have to do some service redesign to increase their capacity to deliver a range of appropriate psychological therapies, including ensuring that they have sufficient staff who are trained and competent to deliver psychological therapies and to provide clinical supervision. In order to meet the target boards will also have to develop their information systems to measure waiting times and track progress.

The HEAT targets for 2011-12 were published in the Local Delivery Plan Guidance on 1 December 2010. This included a HEAT target to improve access to mental health services by delivering 18-week referral-to-treatment for psychological therapies from December 2014.

We anticipate that across Scotland we will exceed the HEAT target to increase the number of people with a diagnosis of dementia by March 2011. Some NHS boards have already met their target and all are working hard towards meeting them by March 2011.

The most recent information about performance against the HEAT target is available at:

http://www.scotland.gov.uk/About/scotPerforms/partnerstories/NHSScotlandperformance/Dementia.