Chamber and committees

The exact number of men and women treated for an eating disorder (i.e. anorexia, bulimia and other psychological eating disorders) in Scotland, is not available centrally. However, national estimates of the number of people consulting a member of the primary care practice team because of eating disorders can be given based on PTI (Practice Team Information). PTI data are obtained from a sample of Scottish general practices. This sample covers the full range of age, sex, deprivation and urban/rural classes existing in Scotland.

The estimated number of men and women consulting a member of the practice team (GP, practice nurse, district nurse or health visitor) for an eating disorder in Scotland, during the financial years 2003-04 to 2006-07, based on PTI data, is shown in table 1. Estimates are standardised by deprivation, and figures are rounded to the nearest 50. Estimates are provided for the requested age groups (10-16 years, 17-23 years, and 24-30 years) for females, however the small number of cases in males does not permit the age breakdown, so for males only totals over all three age groups are shown.

Table 1. Estimated Number of Men and Women Consulting for an Eating Disorder in Scotland: Financial Years 2003-04 to 2006-07*

Gender	Age Group	Estimated Number of Patients Consulting
		2003-04	2004-05	2005-06	2006-07*
Female	10-16	200	200	300	350
Female	17-23	950	850	1,000	650
Female	24-30	600	400	450	500
Female	10-30	1,750	1,400	1,750	1,450
Male	10-30	100	150	150	200
Both Sexes	10-30	1,850	1,550	1,900	1,650

Note: *Estimates for 2006-07 are based on consultations with GPs and practice nurses only

Most patients suffering from eating disorders will be treated in primary care. More severe cases may however be referred to hospitals. The numbers of patients whose eating disorder results in admission to acute (non-obstetric, non-psychiatric) or psychiatric hospitals (tables 2 and 3, respectively) are shown below. Note that there may be double counting between the PTI statistics and the hospital statistics below.

Table 2. Patients Discharged from Acute Hospital (Non-Obstetric, Non-Psychiatric) with any Diagnosis of Eating Disorder: Years Ending 31 March 1999 to 2008

	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
Both Genders
10-16	32	22	25	22	32	24	24	25	26	39
17-23	30	30	45	38	47	49	43	54	69	75
24-30	27	41	36	34	32	38	38	35	42	50
Female
10-16	30	21	22	19	26	22	22	23	22	34
17-23	29	27	39	36	42	44	38	53	66	64
24-30	23	38	33	34	31	34	36	33	41	45
Male
10-16	2	1	3	3	6	2	2	2	4	5
17-23	1	3	6	2	5	5	5	1	3	11
24-30	4	3	3	-	1	4	2	2	1	5

Source: SMR01 Ref: HIG/IR2009 Date: 25 February 2009

Table 3. Patients Discharged from Scottish Psychiatric Hospitals with any Diagnosis of Eating Disorder:  Years Ending 31 March 1999 to 2008

	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
Both Genders
10-16	23	25	20	14	16	13	28	17	17	28
17-23	32	27	30	31	29	32	23	26	33	22
24-30	31	30	28	20	22	21	19	15	27	32
Female
10-16	20	23	19	13	16	12	27	17	16	25
17-23	31	26	26	30	27	29	21	26	32	20
24-30	29	28	28	19	22	21	19	14	27	30
Male
10-16	3	2	1	1	-	1	1	-	1	3
17-23	1	1	4	1	2	3	2	-	1	2
24-30	2	2	-	1	-	-	-	1	-	2

Source: SMR04 Ref: HIG/IR2009 Date: 25 February 2009

Note that the figures are based on numbers of patients who have at least one discharge episode in any given year. Patients are counted once within each year but may be counted more than once across years. Patients with an episode in both acute (non-obstetric, non psychiatric) and psychiatric hospital within a year will be counted in both tables.

This information is not available broken down by NHS board.

No such estimate is available. However, current guidelines state that routine staff screening is not recommended. It is the responsibility of the Infection Control Management Team within individual hospitals to make any decision on staff screening based on risk assessments.

This information is held at NHS board level. All NHS staff have a duty to ensure the safest possible environment for patients. Hand Hygiene is a simple but essential part of our drive to tackle infection. A zero tolerance approach to non compliance with hand hygiene procedures by health care workers has now been introduced.

Each NHS board''s Employees Conduct Policy sets out the current arrangements for addressing and monitoring standards of conduct at work and is being used to ensure that the zero tolerance approach to non-compliance with hand hygiene procedures is applied.

The following tables are based on local authorities'' Housing Revenue Accounts and show:

Table 1: Annual outstanding housing debt;

Table 2: Annual percentage increase, and

Table 3: Average outstanding debt per house.

Table 1:Local authority housing: outstanding debt, (£ million).

Actual Figures as at 31 March to 2007, Near Actual for 2008

	2004	2005	2006	2007	2008
Scotland	2,126	2,006	1,965	1,907	1,842
Aberdeen City	95	97	102	114	119
Aberdeenshire	140	137	131	127	126
Angus	23	23	24	23	24
Argyll and Bute	41	38	36	na	na
Clackmannanshire	20	20	22	26	32
Dumfries and Galloway	na	na	na	na	na
Dundee City	116	120	121	125	126
East Ayrshire	69	63	55	53	56
East Dunbartonshire	26	23	22	17	15
East Lothian	6	-	5	16	25
East Renfrewshire	20	20	21	20	22
Edinburgh, City of	254	252	262	275	288
Eilean Siar	38	37	37	na	na
Falkirk	57	53	45	40	36
Fife	152	131	117	115	103
Glasgow City	na	na	na	na	na
Highland	176	168	161	154	146
Inverclyde	83	81	73	69	na
Midlothian	7	2	3	9	29
Moray	45	44	40	38	36
North Ayrshire	67	61	58	59	58
North Lanarkshire	116	106	97	87	86
Orkney Islands	1	-	-	-	-
Perth and Kinross	28	24	20	17	18
Renfrewshire	137	142	146	142	117
Scottish Borders	na	na	na	na	na
Shetland Islands	53	52	50	48	47
South Ayrshire	53	49	51	53	54
South Lanarkshire	145	131	131	133	131
Stirling	25	20	17	19	19
West Dunbartonshire	81	81	83	82	81
West Lothian	32	32	39	48	48

 

Table 2: Local Authority Housing: Outstanding Debt, Annual Percentage Change

	2004	2005	2006	2007	2008
Scotland	-11%	-6%	-2%	-3%	-3%
Aberdeen City	-4%	2%	5%	12%	4%
Aberdeenshire	-2%	-2%	-4%	-3%	0%
Angus	-7%	-1%	2%	-2%	2%
Argyll and Bute	-11%	-7%	-5%	na	na
Clackmannanshire	-9%	5%	6%	19%	24%
Dumfries and Galloway	na	na	na	na	na
Dundee City	2%	3%	1%	3%	1%
East Ayrshire	-6%	-8%	-13%	-3%	5%
East Dunbartonshire	-14%	-10%	-7%	-23%	-7%
East Lothian	-63%	-100%	-	252%	55%
East Renfrewshire	-4%	-3%	4%	-4%	8%
Edinburgh, City of	0%	-1%	4%	5%	5%
Eilean Siar	-3%	-2%	0%	na	na
Falkirk	-14%	-8%	-14%	-12%	-10%
Fife	-10%	-14%	-10%	-1%	-11%
Glasgow City	na	na	na	na	na
Highland	-5%	-4%	-4%	-4%	-5%
Inverclyde	-5%	-2%	-10%	-5%	na
Midlothian	-47%	-73%	66%	181%	232%
Moray	-2%	-4%	-9%	-5%	-4%
North Ayrshire	-8%	-10%	-4%	1%	-1%
North Lanarkshire	-16%	-8%	-8%	-10%	-1%
Orkney Islands	-55%	-100%	0%	0%	0%
Perth and Kinross	-18%	-17%	-16%	-14%	8%
Renfrewshire	-1%	4%	2%	-2%	-18%
Scottish Borders	na	na	na	na	na
Shetland Islands	-2%	-3%	-4%	-4%	-1%
South Ayrshire	-5%	-7%	3%	3%	2%
South Lanarkshire	-10%	-10%	0%	2%	-2%
Stirling	-14%	-21%	-14%	12%	3%
West Dunbartonshire	-6%	1%	2%	-1%	-1%
West Lothian	-24%	-1%	22%	24%	1%

 

Table 3:Local Authority Housing: Outstanding Debt Per House (£)

	2004	2005	2006	2007	2008
Scotland	5,491	5,386	5,505	5,572	5,646
Aberdeen City	3,757	4,035	4,257	4,865	5,199
Aberdeenshire	9,751	9,835	9,576	9,430	9,600
Angus	2,650	2,752	2,816	2,861	2,968
Argyll and Bute	6,770	6,950	6,378	na	na
Clackmannanshire	3,509	3,912	4,000	4,740	6,267
Dumfries and Galloway	na	na	na	na	na
Dundee City	7,022	7,504	7,953	8,592	8,950
East Ayrshire	4,490	4,467	3,893	3,882	4,265
East Dunbartonshire	5,409	5,806	5,401	4,253	4,094
East Lothian	683	702	557	1,975	3,115
East Renfrewshire	5,537	5,560	6,120	6,274	7,020
Edinburgh, City of	10,228	10,638	11,071	12,050	13,331
Eilean Siar	20,832	20,585	20,570	na	na
Falkirk	3,072	3,086	2,578	2,344	2,112
Fife	4,293	4,115	3,542	3,591	3,276
Glasgow City	na	na	na	na	na
Highland	11,492	11,547	11,047	10,724	10,479
Inverclyde	8,829	8,918	8,715	9,186	na
Midlothian	1,026	395	492	1,414	4,735
Moray	6,908	6,946	6,503	6,265	6,023
North Ayrshire	4,415	4,260	4,069	4,251	4,304
North Lanarkshire	2,660	2,525	2,443	2,265	2,294
Orkney Islands	743	-	-	-	-
Perth and Kinross	3,213	2,634	2,455	2,155	2,385
Renfrewshire	8,752	9,287	10,066	10,467	8,820
Scottish Borders	na	na	na	na	na
Shetland Islands	27,540	27,230	25,884	25,807	26,481
South Ayrshire	5,398	5,692	5,800	6,203	6,399
South Lanarkshire	4,814	4,939	4,714	4,965	4,986
Stirling	3,673	3,413	2,726	3,220	3,440
West Dunbartonshire	6,353	6,320	6,919	6,988	7,007
West Lothian	2,264	1,894	2,862	3,622	3,752

Source: Local authority Housing Revenue Account (HRA) returns to Scottish Government, Communities analytical Services.

Notes:

Stock transfer: Housing Revenue Accounts relate solely to income and expenditure on houses owned by councils. Over the period covered by these tables council housing stock for six councils was transferred to newly created housing associations. Details of the transfers follow. The tables show debt for these councils as not applicable, marked as na from the year in which the transfer was made.

 From 2003-04 Glasgow, Dumfries and Galloway, Scottish Borders.

 From 2006-07 Argyll and Bute, Eilean Siar.

 From 2007-08 Inverclyde.

I have asked Karen Watt the Chief Executive of the Scottish Housing Regulator to respond.

Her response is as follows:

The number of self-contained properties owned by housing associations (by local authority area) as at 31 March each year since 2002 is shown in the following table. The information for the years 1999 to 2002 is not held centrally.

Information on a constituency basis is not held centrally.

Local Authority	2002	2003	2004	2005	2006	2007	2008
Aberdeen City	3,496	3,685	3,700	3,773	3,927	3,966	3,999
Aberdeenshire	2,620	3,194	3,292	3,514	3,659	3,732	3,856
Angus	2,712	2,828	2,862	2,921	2,969	3,030	3,092
Argyll and Bute	2,412	2,501	2,478	2,516	2,519	7,943	7,872
City of Edinburgh	12,577	12,948	13,586	13,835	14,135	14,901	15,293
City of Glasgow	39,923	122,044	120,597	119,223	117,332	115,973	113,829
Clackmannanshire	1,625	1,734	1,756	1,753	1,768	1,789	1,775
Dumfries and Galloway	1,976	2,144	13,667	13,468	13,339	13,633	13,694
Dundee City	7,973	8,262	8,335	7,801	8,054	8,079	7,785
East Ayrshire	2,810	2,933	2,873	2,851	2,825	2,838	2,915
East Dunbartonshire	579	704	686	1,543	1,529	1,512	1,568
East Lothian	1,503	1,463	1,628	1,699	1,772	1,825	1,873
East Renfrewshire	960	938	966	955	1,029	1,018	1,015
Falkirk	2,381	2,653	2,649	2,640	2,636	3,092	3,073
Fife	4,688	6,749	6,793	6,847	6,993	7,473	7,662
Highland	3,896	4,541	4,639	4,754	4,869	5,109	5,410
Inverclyde	3,078	3,566	3,369	3,439	3,510	3,488	11,566
Midlothian	2,735	2,686	2,696	2,676	2,770	2,787	2,787
Moray	691	1,070	1,610	1,448	1,533	1,674	1,830
North Ayrshire	3,963	4,020	4,066	4,111	4,157	4,167	4,281
North Lanarkshire	7,709	8,214	8,114	8,138	8,098	8,167	8,193
Orkney Islands	354	377	396	434	442	476	495
Perth and Kinross	2,334	2,559	2,702	2,896	2,907	2,961	3,058
Renfrewshire	6,379	6,548	6,612	6,780	6,917	7,065	7,178
Scottish Borders	3,842	12,517	12,246	12,023	11,888	11,697	11,903
Shetland Islands	268	278	277	300	304	340	360
South Ayrshire	1,189	1,429	1,465	1,545	1,551	1,781	1,671
South Lanarkshire	3,974	4,129	5,111	5,371	5,384	5,400	5,499
Stirling	999	1,270	1,347	1,432	1,481	1,478	1,660
West Dunbartonshire	5,719	5,815	5,645	5,728	5,651	5,634	5,602
Western Isles	214	249	259	274	323	1,840	2,139
West Lothian	4,125	4,424	4,652	4,787	4,829	6,579	6,690
Total	139,704	238,472	251,074	251,475	251,100	261,447	269,623

Source: Scottish Housing Regulator, RSL Annual performance and statistical returns 2002-08.

Note: During the period 2002-2008 the following councils transferred their entire housing stock to a Housing Association: Argyll and Bute, Dumfries and Galloway, Glasgow City, Scottish Borders, Inverclyde and Western Isles.

Junior doctor training posts fall into two broad categories: Two Year Foundation Programmes, introduced in 2005, followed by Speciality Training Programmes, introduced in 2007. For both categories, training programmes commence in August each year and the selection and recruitment processes are therefore designed to fill vacancies before that date.

Information on vacancies broken down by NHS board is not centrally available because recruitment to training programmes is managed on a regional basis, with junior doctors subsequently rotating across sites as they progress through their programmes. Regional data available from NHS Education for Scotland are as follows.

Foundation Programme Vacancies

Posts have remained at around 800 each year since 2005, split by Postgraduate Deanery region as follows:

Region	Number
North	133
South East	186
East	93
West	390

 

As for previous years, all posts for 2009 have been offered and accepted. Subject to unexpected withdrawals, no vacancies are expected from August 2009.

Specialty Training Vacancies

Recruitment prior to 2007, to what were then Senior House Officer and Specialty Registrar posts, was managed locally by NHS boards and regional data are therefore not available before then. Annual post figures by Postgraduate Deanery region since 2007 are:

Year	East	North	South East	West
2007	184	294	471	1,256
2008	96	151	270	736
2009	84	128	182	517

 

Interviews for, and offers of, Speciality Training posts are currently under way and it is therefore too early to say whether all 2009 vacancies will be filled in the first instance. Any remaining vacancies at the end of the current interview schedule will be re-advertised in good time to ensure that any continuing vacancies in August are kept to a minimum.

NHS boards have made great efforts to achieve compliance with each stage of the Working Time Regulations (WTR) and, based on January 2009 New Deal figures, we estimate that around 3,000 were already working 48 hours or less a week, while around 2,000 were still working more than 48 hours. NHS boards are fully committed to achieving compliance for these doctors and are continuing to implement a range of measures to bring this about. We will be asking boards to report regularly to us on the success of their efforts to achieve compliance.

Individual health boards will be able to provide information on how many junior doctors still work over 48 hours a week.

Based on January 2009 New Deal monitoring statistics, we estimate that NHS boards have already succeeded in reducing the working hours of around 57% of their junior doctors to an average of 48 hours or less each week. Currently, almost 100% meet New Deal targets of 56 hours a week.

We are committed to achieving compliance by the target date and all health boards have plans in place for tackling current areas of non-compliance. It is fully expected that, as boards continue their efforts to implement service redesign, invest in new and extended non-medical roles and roll out Hospital at Night systems, the figure of 57% will rise significantly towards the target.

NHS boards have provided the Scottish Government with information on how they plan to achieve compliance with working time regulations (WTR). Some NHS boards are more advanced with their planning and implementation than others. Any associated costs are a matter for the individual boards to manage.