Chamber and committees

The 2014 Commonwealth Games will result in the provision of a range of new facilities in addition to the seventy per cent of venues that are already in place.

Four new permanent venues are scheduled to be built: the National Indoor Sports Arena, the Sir Chris Hoy Velodrome, Cathkin Braes Mountain Biking Course and the SECC Cultural and Entertainment Arena. In addition to the new venues, permanent enhancements will be made to several existing venues which are in public ownership.

The new and enhanced venues will leave a permanent legacy of excellent facilities for use by schools, clubs and the community after the games. In some cases venues are scheduled to be ready for use by the public before the games - Cathkin Braes in 2009 and the NISA and Velodrome in 2012.

Our legacy ambitions for the games include increasing participation in physical activity and sport. However, this is not solely reliant upon the provision of new facilities as we will also make the best use of a wide range of existing indoor and outdoor facilities, including sports centres, pitches, parks, cycle-paths and natural resources such as woodlands, waterways and our rural environment.

This broad approach will allow us to improve links between existing local clubs, to encourage the creation of new clubs and groups and provide more opportunities for people to take part in different physical activities and sports and, indeed, encourage play amongst young people. Thus, we will seek to ensure that there is something to suit people of all ages, abilities and interests.

In partnership with COSLA and sportscotland we will develop a network of community sport hubs that build on existing good practice. Community sports hubs will aim to strengthen multi-sport provision, coach development and local clubs and will work to bring clubs in the community together across Scotland. This is a very flexible model which can be shaped to suit local circumstances in both urban and rural environments and is underpinned by quality support services and access to affordable facilities, either on-site or within easy reach by public transport.

The Scottish Government commissioned Young Scot to engage children and young people in the legacy planning of the 2014 Commonwealth Games. Through a national survey, peer led investigation teams and a national discussion day children and young people were able to explain to officials what they want from the 2014 games. Work is currently underway to ensure that they continue to have an integral, active and sustained role in the shaping of the 2014 Commonwealth Games legacy and are able to both shape it and benefit from it.

We will use the 2014 Commonwealth Games to provide opportunities for everyone, irrespective of age or ability to become more active. Central to this goal will be the CommonHealth Programme. This will aim to create a popular and high-profile movement which motivates people across Scotland to become more active in the run up to the 2014 Commonwealth Games and beyond. It is a unique and ambitious programme which will bring together and build on the wide range of health, sports and physical activity initiatives already in place. It will be delivered in partnership with local councils, health boards, voluntary organisations and businesses across the country. It will also will work alongside the other legacy programmes and national initiatives to improve the nation''s health such as the Take Life On campaign.

We will help establish the infrastructure for sport at local level and by specifically implementing a network of Community Sports Hubs across Scotland. Community Sports Hubs is a new, fresh concept that builds on existing good practice. The hubs are the vibrant communities in which physical activity and sport take place using existing resources in new ways. They will provide significant additional impetus to the achievement of Reaching Higher objectives, in particular the development of strong organisations and well trained people. The hubs will be a central focus for schools, local sports clubs and youth groups to get together raising participation and improving social networks. Whether in an urban or rural setting, the hub could be centred on a community or based at a secondary school, a local authority or trust sports facility, an higher/further education sports centre or a locally run community facility.

The government have stated that they want health to be at the heart of the 2014 Commonwealth Games legacy.

Central to this will be the development of an ambitious CommonHealth Programme which will seek to motivate people of all ages and abilities to become more active in the run up to the 2014 games and beyond. The programme will bring together and build on the many health, sports and physical activity initiatives already in place and be delivered in partnership with local councils, health boards, voluntary organisations and businesses across the country. It will also be supported by the other legacy programmes and national initiatives already in place to improve the nation''s health, such as community sports hubs, which will provide improved access to facilities and increase opportunities for people of all ages and abilities to become more active.

The eHealth network is designed on industry standard internet protocol technology allowing a common form of transport to support all applications, supplementary to this applications are sized to ensure their design operates within the available capacity of the eHealth network. Scottish Government eHealth strategic direction for application design recommends a standards based approach with a preference for open standards ensuring the maximum level of interoperability.

The eHealth Programme is patient-focused, clinically-led and benefits-driven. The membership of the eHealth Strategy Board includes the Chief Medical Officer, the Medical Director of NHS Lothian, the Clinical Director/Chief Operating Officer of NHS 24, the Director of the RCM, the Chief Executive of NHS Greater Glasgow and Clyde, the Chief Executive of NHS Tayside, the Medical Director of NHS Lothian and the Medical Director/Chief Operating Officer of NHS 24.

The membership of the eHealth Programme Board includes the Chair and Co-Chair of the Clinical Change Leadership Group. The Clinical Change Leadership Group (CCLG) includes NHS board eHealth clinical leads, national eHealth clinical leads, and other key stakeholder groups.

The CCLG establishes a consensus view on clinical priorities for eHealth in NHS Scotland, and these are built in to the eHealth Programme through the eHealth Strategy Board and eHealth Programme Board.

The requirement for formal agreements has been in place since 1999. Each NHS board has a Caldicott Guardian (a senior health professional) who is responsible for overseeing all arrangements, protocols and procedures where confidential patient information may be shared both within and outside the NHS. The circular in question can be found at:

www.sehd.scot.nhs.uk/mels/1999_19.doc.

The eHealth Programme is currently being advised by the Clinical Change Leadership Group (CCLG) to prioritise which types of electronic information is most important to clinicians in NHS Scotland. The advice from CCLG will be used to inform a clinical portal programme, which will give health boards the capability to deliver a virtual Electronic Patient Record by assembling the agreed information elements of the electronic patient record and displaying it in the clinical portal. It is expected that a clinical portal technology pilot will be completed in one health board during 2009.

In the 2006-07 financial year NHS Scotland instituted its first national survey of Information Management and Technology (IM&T) expenditure.

The survey highlighted that IM&T expenditure in Scotland was just under £227 million in 2006-07. The combination of capital and revenue amounting to £227 million of which 78% was spent on computer software, hardware and related services.

It is intended that a further IM&T survey will be carried out for financial year 2008-09

The eHealth budget is set out below. This incorporates support for key elements of the existing IT infrastructure of NHSScotland, such as national products like SCI Store and the Emergency Care Summary and significant contributions to the investment in connecting the NHSScotland through the N3 broadband contract. It also includes the funds being made available to take forward new work in support of the improvements set out in the eHealth Strategy.

Financial Year	Revenue £ Million	Capital £ Million	Total £ Million
2008-09	*£72.2	£55	£127.2
2009-10	*£97.2	£60	£157.2
2010-11	£139.7	£50	£189.7
Total	£309.1	£165	£474.1

Note: *Budget Bill amendment - Revenue reduced by £5 million in 2008-09 and returned in 2009-10.

Safeguarding patient confidentiality is important, hence parties not directly involved with patients have no control over disclosure of patient data for non care-related purposes such as teaching, clinical trials and disclosure to the media. A few exceptions in law exist, such as notifiable diseases. The NHS also requires explicit consent from the patient for sharing information with other agencies such as social work.

It may be helpful to be aware of the Caldicott Principles set out below which underpin the approach that NHS organisations take to restrict access to person identifiable information:

Principle 1 - Justify the purpose(s) for using confidential information

Principle 2 - Only use it when absolutely necessary

Principle 3 - Use the minimum that is required

Principle 4 - Access should be on a strict need-to-know basis

Principle 5 - Everyone must understand their responsibilities

Principle 6 - Understand and comply with the law.