To ask the Scottish Executive what strategies it has to tackle (a) coronary heart disease, (b) stroke, (c) diabetes, (d) cancer, (e) smoking-related illnesses and (f) alcohol-related illnesses and what resources have been directed towards addressing each of these.
The specific strategies inplace to address coronary heart disease, stroke, diabetes, cancer, smoking andalcohol use are:
A CHD and Stroke Strategywas published in October 2002 and updated in 2004. An additional £40 millionover three years was allocated to assist with implementation of the strategy.
The Scottish DiabetesFramework was published in April2002. The diabetes programme budget for the period 2003-04 to 2007-08 is £3.8 million.
Scotland’s cancer strategy Cancer in Scotland: Action for change,published July 2001, set out the strategic direction for improvements in cancerservices. An additional £25 million per annum investment has built capacity indiagnostic and treatment services, for example at least 300 additional staffand new equipment.
A Breath of Fresh Air forScotland, the first ever TobaccoAction Plan designed specifically for Scotland, was published in January 2004. It covers a wideprogramme for action including smoking prevention and education, protection andcontrols and the expansion of high quality smoking cessation services. Inaddition it also addressed the issue of second-hand smoke. This led to theintroduction of the Smoking, Health and Social Care (Scotland) Act 2005, whichwill see the comprehensive introduction of smoke-free public places in Scotlandin March 2006. We will provide an additional £2 million in 2006-07 and £4 millionin 2007-08 for smoking cessation, and £6 million over three years for local authorityenforcement of the smoking ban.
The Plan for Action onalcohol problems, published in 2002,sets out the framework of action to reduce alcohol-related harm. An updatedplan will be published soon: this will build on progress to date and set outfurther actions for the next three years. £9.9 million has been allocated toNHS boards in the current financial year to tackle alcohol problems.
Most health expenditure isallocated to directly to NHS boards and it is their responsibility to ensurethat appropriate care is offered to patients in their area. The resourcesavailable to the Executive to support specific programmes represent only asmall percentage of total expenditure on any condition or service.