- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 14 June 2005
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Current Status:
Answered by Rhona Brankin on 28 June 2005
To ask the Scottish Executive what funding it has made available for alcohol rehabilitation schemes in each of the last five years.
Answer
We have awarded specific funding for alcohol treatment and rehabilitation of £3 million in 2004-05 and £5 million in 2005-06.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Friday, 17 June 2005
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Current Status:
Answered by Andy Kerr on 27 June 2005
To ask the Scottish Executive whether it is (a) aware of the radiosurgery device known as theCyberKnife and (b) considering using sterotactic surgery throughout Scotland, or at least in the new cancer centre in Glasgow.
Answer
The CyberKnife is one way todeliver stereotactic radiosurgery.
Scottish patients can currentlybe referred to Edinburgh for stereotactic radiosurgery and radiotherapy and The West of Scotland Beatson Cancer Centreis planning stereotactic capability.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 14 June 2005
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Current Status:
Answered by Rhona Brankin on 27 June 2005
To ask the Scottish Executive how many local authority, NHS board and Executive-funded alcohol rehabilitation spaces there are.
Answer
The following table details thenumber of dedicated alcohol services and the number of active clients in 2004-05broken down by identified funding body as reported by Drug and Alcohol Actions Teams(DAATs) in Corporate Action Plans for 2004-05. These services provide the full rangeof interventions to support, treat and care for those with alcohol problems (includingdetoxification, day care, crisis management and community rehabilitation.
Dedicated Alcohol Services InScotland 2004-05
| Funding Source | Number of Services | Number of Active Clients | Number of Services Providing Information |
| Local Authority | 9 | 1,071 | Info from 6/9 services |
| NHS Board | 18 | 3,523 | Info from 18/18 |
| Joint Funded | 11 | 2,342 | Info from 10/11 |
| Unknown / Other | 21 | 5,898 | Info from 16/21 |
| Total | 59 | 12,834 | 50/59 services |
Note: Services may be under-reporteddue to timing of the Corporate Action Planning process.
The vast majority of substancemisuse services in Scotland are for drug and alcohol misuse. To gain a fuller understandingof services available for alcohol treatment and support, a table detailing the numberof combined drug and alcohol services and the number of active clients in 2004-05is provided in the following table. It is not possible to calculate how many ofthese active clients were treated for alcohol problems.
Drug and Alcohol Services
| Funding Source | Number of Services | Number of Active Clients | Number of Services Providing Information |
| Local Authority | 55 | 7,040 | Info from 47/55 services |
| NHS Board | 37 | 4,896 | Info from 28/37 |
| Joint Funded | 32 | 4,739 | Info from 29/32 |
| Unknown / Other | 77 | 14,752 | Info from 60/77 |
| Total | 201 | 31,427 | 164/201 services |
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 14 June 2005
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Current Status:
Answered by Rhona Brankin on 27 June 2005
To ask the Scottish Executive what its response is to any concerns (a) that NHS boards may not fund any more placements in the voluntary or private alcohol dependency residential rehabilitation sector in the current financial year, (b) about any apparent reluctance on the part of NHS boards and GPs to use placements in the voluntary or private alcohol dependency residential rehabilitation sector and (c) about any failure by NHS boards and local authorities to work more effectively together to ensure funding for placements in the voluntary or private alcohol dependency residential rehabilitation sector.
Answer
Under Joint Future, local authoritiesand health boards are expected to at least align their resources for particularservices and to decide together on their use. The precise use of these resources,however, is for local determination
The Scottish Executive strongly encourages NHS boards and local authorities to work closely togetherto plan and address the health and social care needs of their local population,including the needs of individuals with alcohol dependency problems. The emphasison joint planning and joint working is reflected in local Joint Health ImprovementPlans as part of overall community planning. The focus on multi-agency partnershipworking has also been reinforced recently through the development of Community HealthPartnerships across Scotland which are intended to bring together the key providersof services (health, local authorities, voluntary sector) and the public to planand design services that address local need. However, decisions on how resourcesare deployed to address local need is a matter for NHS boards and their partners.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 14 June 2005
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Current Status:
Answered by Rhona Brankin on 27 June 2005
To ask the Scottish Executive how many local authority, NHS board and Executive-funded alcohol rehabilitation spaces were unfilled in each of the last five years.
Answer
This information is not heldcentrally.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 14 June 2005
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Current Status:
Answered by Rhona Brankin on 27 June 2005
To ask the Scottish Executive what plans it has to encourage GPs to refer patients with alcohol problems to local authority, NHS board or Executive-funded alcohol rehabilitation schemes.
Answer
GPs use their clinicaljudgement and knowledge of a particular patient when dealing with patients withalcohol problems or any other medical condition. The Scottish Intercollegiate GuidelinesNetwork has issued guidelines on The management of harmful drinking and alcoholdependence in primary care to assist GP and patient decisions about appropriatehealth care for specific clinical circumstances.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 14 June 2005
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Current Status:
Answered by Rhona Brankin on 27 June 2005
To ask the Scottish Executive what action it is taking to encourage local authorities and NHS boards to work together more closely and effectively when considering the placement of individuals with alcohol dependency problems in residential rehabilitation, including in the private and voluntary sectors.
Answer
Under Joint Future, which appliedto all of community care from April 2004, the Scottish Executive expects local partnersto develop more holistic approaches to the management of services, the use of resourcesand assessing individual needs.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 14 June 2005
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Current Status:
Answered by Rhona Brankin on 27 June 2005
To ask the Scottish Executive what the results have been of the needs assessments carried out by each alcohol action team with regard to in-patient and residential rehabilitation for alcohol dependency in their areas; what the Executives response is to these results; where the details of these results can be found, and what plans it has to improve the needs assessment process.
Answer
Alcohol and Drugs Action Teamswere required to draw up, publish by April 2003 and subsequently implement a localthree year alcohol action plan based on an assessment of local needs and resources.
The Scottish Executive providedindividual feedback on each of these plans which were subsequently published onthe alcohol information website.
As a result, the Scottish Executivemade available specific funding of £8 million over two years. We indicated thatwe would expect priority to be given to filling identified service gaps in the currentfunding round, using the Alcohol Problems and Support and Treatment Services Frameworkas a guide.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 02 June 2005
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Current Status:
Answered by Rhona Brankin on 14 June 2005
To ask the Scottish Executive whether the Minister for Health and Community Care has met the Patients Industry Professional Forum to discuss future arrangements for the supply of stoma devices and, if not, whether he will arrange a meeting.
Answer
No. However, my officials have met recently with representatives of patients, stoma nurses and appliance suppliers, including representatives of the Patients Industry Professional Forum to discuss the future arrangements for stoma appliances. Officials are continuing to work with these stakeholders in the development and implementation of the new supply arrangements, and representatives are being sought for the National Steering Group which has been established. In addition, the Patients Industry Professionals Forum has agreed to assist officials by setting up a group to consider suitable future service standards.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Wednesday, 01 June 2005
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Current Status:
Answered by Andy Kerr on 8 June 2005
To ask the Scottish Executive how many operations have been cancelled for non-clinical reasons in each year from 1999 to 2005.
Answer
The exact information requested is not held centrally but the recent response to question S2W-16664 on 1 June 2005, provides information that may be helpful. 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/webapp/wa.search.
