Chamber and committees

National Health Demonstration Projects:

Starting Well: aims to demonstrate that child health can be improved by a programme of activities that intensively supports families within their own homes and supports the communities within which they live.

Have a Heart Paisley aims to show how the combined efforts of community, voluntary, local authority and NHS partners can transform community-based action to improve heart health in Paisley.

Healthy Respect: works with young people (aged 13 to 25) in Lothian to develop positive attitudes to their own sexuality and that of others, with the aim of reducing unwanted teenage pregnancies and sexually transmitted infections.

£4.386 million from 1 November 2000 to 30 October 2004.

£7.686 million during initial and transition phase (1 November 2000 to 30 October 2004). Consideration is currently being given to Phase 2 funding.

£4.867 million during initial and transition phase (1 November 2000 to 30 October 2004). Consideration is currently being given to Phase 2 funding.

Each project is being externally evaluated, and the lessons from them are being disseminated widely, to NHS boards, local authorities and the voluntary sector, to inform local decisions on service development. Three National Learning Networks based at NHS Health Scotland have been set up to share the lessons from each project, as well as the wider evidence base on early years, heart health, sexual health and well-being interventions.

Breastfeeding Pilot in Ayrshire and Arran, as part of a general initiative to develop peer support projects in areas of multiple disadvantage.

£60,000 non-recurrent funding (December 2002).

Focus on Food: a project in North Lanarkshire and Clackmannanshire, to develop a method for professional development of primary school teachers, through contact with their cluster secondary home economics staff, to support cooking and food education in primary schools.

£197,000 between April 2001 and June 2003.

Promoters of pilot were recommended to seek support from local authorities across Scotland to roll the scheme out beyond the initial two pilot areas.

Promoting physical activity with older people in care homes: a collaborative project with the National Gerontological Nursing Demonstration Project at Inverness Royal Hospital to inform the future development of resources and training on the promotion of physical activity within care home settings.

£10,000 (March 2003-April 2004)

Practice development strategy will be prepared to enable the implementation of best practice.

Runcorn Initiative: a pilot in NHS Ayrshire and Arran to identify those patients aged over 65 who are currently experiencing periods of multiple admission or may be at risk of multiple admission, and to test whether interventions can reduce the number of such admissions.

£50,000

Project due to run until August 2004, after which its roll-out potential will be considered.

Improved Health Access Pilot: to look at ways, in Scotland’s most deprived communities, of addressing issues such as access to treatment for major disease such as Coronary Heart Disease, as well as the uptake of screening and prevention services.

£15 million over two years, starting in summer 2004.

Helping stimulant users: a pilot treatment service in Aberdeen, to follow up a recommendation in a report by the Scottish Advisory Committee on Drug Misuse.

£13,000

Pilot taking place this year. The expectation is that lessons will be learned which can be rolled out to other areas.

Changing Children’s Services Fund: a project in West Lothian to develop an integrated approach to children and young people’s mental health across the continuum of promotion, prevention and care.

£150,000 over three years from 2003.

Funding is intended to ensure robust evaluation of the project, after which decisions can be taken on roll-out.

Psychological Interventions: pilots in Forth Valley, Dumfries and Galloway, Ayrshire and Arran and Greater Glasgow Primary Care (Operating Divisions) to expand and improve access to local psychological intervention services. Supported by Scottish Development Centre for Mental Health and Glasgow Institute of Psychosocial Interventions.

£290,000 between November 2000 and October 2001.

Pilots, with findings from national census, informed publication of detailed guidance issued in October 2001, as part of the Framework for Mental Health Services in Scotland, to care agencies. Guidance sets out a template for all agencies on how best to organise and improve the delivery of these services on a co-ordinated and sensible basis.

The Place 2 Be (P2B): offers training to counsellors to help children deal with emotional reactions to difficulties they experience during school years (divorce, deprivation, abandonment, long-term family illness and death, domestic violence, homelessness, eating disorders, physical or sexual abuse and the experiences of war zone refugees). Currently being piloted in Balgreen and Murrayburn Primary Schools in Edinburgh.

£150,000 from 2003-04 to 2005-06.

Discussions are under way about the possibility of extending P2B to other schools in the area. P2B is currently working with 83 schools across the UK and aims to provide direct support to 250 schools by 2005 to 75,000 children annually.

Mental Health First Aid (MHFA) aims to improve awareness and understanding of mental health and mental illness amongst the public. Between Jan – May 2004, 15 Instructors are delivering MHFA training sessions throughout Scotland.

£633,000 from 2003-04 to 2005-06.

An independent evaluation of these courses is being undertaken and the first results will be available in June 2004. Subject to the results of the evaluation, the MHFA course will be adapted and redesigned for use across Scotland and a national roll out of the course is planned over the next two years.

Applied Suicide Intervention Skills Training (ASIST): Living Works Education (LWE), a training organisation based in Canada, will run two separate weeks of ASIST training. Those who become qualified ASIST trainers will then be able to cascade the training to local organisations. LWE will also undertake a project to identify the key elements of a National Suicide Prevention and Intervention training strategy for Scotland.

£237,000 from 2003-04 to 2005-06.

The objectives include:

·         establishing a baseline training inventory which can be used for long-term evaluation;

·         recommending appropriate levels and types of training for each local authority;

·         recommending a delivery structure for Scotland, and

providing additional information to assist in determining a national training strategy.

Autistic spectrum disorder: pilots to develop one-stop shops in NHS Lothian and NHS Greater Glasgow providing multi-agency services for adults with autistic spectrum disorders and their families.

£250,000 for each Board for three years from 2003-04 to 2005-06.

Part of the funding is to be used for evaluation and future roll-out will depend on the outcome of the evaluation.

Electronic Transfer of Prescriptions pilot in Ayrshire and Arran.

£2.5 million

Project now incorporated into the ePharmacy Programme and implementation of the new community pharmacy contract. The pilot was primarily about processes (information and data transfer) but will now support aspects of direct patient services.

Emergency Dental Service Pilots in five areas of Scotland, starting between 2001 and 2002.

£378,105 between 2001-02 and 2002-03.

Following evaluation of the pilot additional funding of £1.5 million was issued in 2003-04 all to NHS boards to set up and develop emergency dental services. This funding will also allow those NHS boards with emergency dental service pilots to continue these substantively.

Family Health Nurse Pilot: two year initial pilot, from February 2001 to October 2003, training 31 family health nurses in four remote and rural NHS board areas. Part of wider WHO Europe pilot project to develop the role.

£1 million

Further phase of development agreed following independent evaluation including limited development in a further NHS Board area and further consolidation within pilot areas.

Minor Ailments Scheme: pilots in NHS Ayrshire and Arran and NHS Tayside started on 1 April 2001.

£202,000

Further roll-out across Scotland will be linked to the ePharmacy Programme and implementation of the new community pharmacy contract. This is about process and impact and has been subject to independent evaluation.

Oral Cancer Screening

£25k

The project is on-going in the west of Scotland and should report early in 2005.

Personal Medical Services (PMS) Pilots

(PMS pilots were made possible by the NHS Primary Care Act 1997.)

£17,677,722

Investment Allocation from 2001-04

£1,516,125

Support Allocation from 2001-04

112 pilot schemes as at 1^st October 2003.

The new contracts mean for primary medical services that all existing pilots move to a substantive agreement under Section 17C of the NHS (Scotland) Act 1978 or a GMS contract from 1 April 2004. The investment and support funding is now a mainstream allocation within the unified budget. All pilots have been subject to local evaluation.

Focus on Carers pilot: to identify hidden carers through GP practices.

£37.5,000 (2001-02 to 2002-03)

Results evaluated in Good Practice Guide published in 2003.

Focus on Carers pilot to identify hidden carers through pharmacies.

£50,000

Results evaluated in Good Practice Guide published in 2003.

Colorectal Cancer Screening Pilot in Fife, Grampian and Tayside.

£4.262 million between 1999-2000 to 2003-04.

Planning process for introduction of a national colorectal cancer screening programme is expected to take around five years.

Liquid-based Cytology Project pilot.

£219k between 2000-01 and 2001-02.

Liquid-based Cytology was fully introduced into the Scottish Cervical Screening Programme by 2 April 2004.

South-east Scotland Cancer Network (SCAN): evaluation of Managed Clinical Network.

£65,000 (2003-04 to 2004-05)

Report of evaluation by University of Glasgow has been fed back to network to inform next steps.

National Demonstration Managed Clinical Network in Vascular Services (Lanarkshire).

£235,000 (2001-02 to 2004-05)

Evaluation of the network due to be completed 2005.

National Demonstration Managed Clinical Network in Neurology with particular reference to Stroke (Lanarkshire and Institute of Neurological Sciences, Southern General, Glasgow.)

£227k (2001-02 to 2004-05)

Evaluation due to be completed 2005. Emerging lessons already being disseminated through MCN Sub-Group of National Advisory Committee on Stroke.

Palliative Care Managed Clinical Network: evaluation of the MCN in NHS Borders.

£40,000 (2001-02 to 2002-03)

Emerging lessons being disseminated through Scottish Partnership for Palliative Care.

Nursing and Midwifery Return to Practice Scheme: one year initial pilot returning 132 nurses to NHSScotland.

£250,000. Further £1 million allocated in 2002-03 to 2003-04 due to success of pilot.

Pilot has so far brought around 300 people back to nursing, with target of 400-600 to be achieved.

Year Ending 31 March

1995

1996

1997

1998

1999

2000

2001

2002

2003

FCE’s^1,2,3,4

951,187

984,675

1,013,491

1,043,943

1,076,708

1,073,398

1,083,924

1,065,834

1,033,445