Chamber and committees

Information on mental health training provided to accident and emergency staff by NHS boards is not held centrally. We expect NHS boards to arrange training in line with local needs.

The information requested is not held centrally. The Scottish Government expects NHS boards to have arrangements in place that ensures the safe and effective provision of good quality liaison psychiatry to acute hospitals and services, including to accident and emergency departments.

I refer the member to the answer to question S4W-26703 on 4 August 2015. 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/parliamentarybusiness/28877.aspx

A range of support services will be provided in partnership by NHS boards, local authorities and the third sector to meet the needs of families and carers of people living with an eating disorders, in line with statutory obligations and Scottish Government policy.

Examples include the provision of evidence based family therapy through NHS Scotland; the Scottish Government’s funding of national carer organisations providing accessible services to support carers and young carers; Scottish Government provision of nearly £34 million over 2008-16 for NHS board carer information strategies; and work being undertaken by NHS 24 to redesign and improve the provision of information to people cared for, and people caring for others including unpaid and young carers through the Carers Information Scotland service.

The information is not collected centrally. All NHS boards work in partnership to provide appropriate care, services and support to those living with an eating disorder on the basis of comprehensive, multi-disciplinary needs assessment.

The information is not held centrally. All NHS boards work in partnership to provide appropriate care, services and support in a range of settings to those living with an eating disorder on the basis of comprehensive, multi-disciplinary needs assessment.

The majority of people with an eating disorder will be treated in the community by specialist eating disorder or community mental health teams. A small number may need specialist psychiatric or acute inpatient care which can be provided through the two specialist NHS inpatient eating disorder units serving the north and south east of Scotland, or in general or adolescent psychiatry in mental health hospitals, and as appropriate in acute care.

The information is not held ventrally. The Recommendations for the Management and Treatment of Eating Disorders in Scotland recognises prevalence estimates for the number of people with eating disorders in Scotland are difficult to calculate given the likely numbers who do not seek medical help, but does not offer an estimate of the number of cases that are not reported.

The majority of people with an eating disorder will be treated in the community by specialist eating disorder or community mental health teams. A small number may need specialist psychiatric or acute inpatient care. NHS boards, working in partnership with primary and secondary care services will agree post-discharge support including arrangements about the nature and frequency of post-discharge monitoring. A range of support will be offered depending on individual circumstances and the level of need, including contingency plans made in advance about how to get help in crisis should it be needed.

The number of newly qualified nurses recruited by the NHS each year since 2005, broken down by NHS board, is not held centrally.

However, in terms of current nursing staff levels, we are better equipped to deliver services than ever before. Under this government, the number of qualified nurses and midwives (including interns) working across NHSScotland has increased by 2,357.0 whole time equivalent – up 5.7 per cent to a record high.

In addition, the Scottish Government has provided £450,000 further investment over the next three years to attract 75 former nurses and midwives per year back into practice. Furthermore, in January 2015 the Scottish Government announced a third successive rise in pre-registration student nursing and midwifery intake, with a 3% increase for 2015-16 complementing the 6% increase for 2014-15.

Information on psychiatric inpatient and day case discharges is recorded in Scottish morbidity record 04 (SMR04). Data on SMR04 is routinely published by financial year and 2013-14 is the latest year for which information is available.

Table 1: Number of patients¹ discharged from psychiatric hospitals in Scotland^2,3,4 who were treated in the same or different NHS board areas⁵ from the one in which they reside, 2005-06 to 2013-14.

	2005-06	2006-07	2007-08	2008-09	2009-10	2010-11	2011-12	2012-13	2013-14
Same NHS board	17,149	16,191	15,740	16,137	15,208	14,578	14,378	14,268	13,862
Different NHS board	803	832	923	885	780	805	855	793	799
Non-resident or unknown6	494	456	434	390	350	348	318	345	379

1. Patients are counted in every category they satisfy, so may be included in multiple rows for each year.

2. Psychiatric inpatient and day case activity is recorded in Scottish morbidity record 04 (SMR04).

3. Data from the State Hospital (Carstairs) have been excluded.

4. Data from the learning disability specialty have been excluded.

5. Where the data was assigned to a non-NHS provider, patients were allocated to an NHS board based on the location of the facility they were treated in.

6. ‘Non-resident or unknown’ contains all patients for which information on council area is not available on SMR04, which includes patients living outside of Scotland and patients with no fixed abode.

Source: SMR04 (psychiatric inpatient and day case database)

https://isdscotland.scot.nhs.uk/Health-Topics/Mental-Health/Publications/2015-05-12/2015-05-12-MHIC-Report.pdf?65449160338