The Scottish Government is absolutely committed to supporting our NHS to deliver world-leading care. Targets and standards for the NHS have been reviewed on an annual basis since Local Delivery Plans (LDP) were introduced in 2005. Following last year’s review of HEAT performance and financial targets, from April 2015, we will use the term LDP Standards to describe NHS performance. The LDP Standards will replace HEAT targets and HEAT standards. The LDP includes the 12 week treatment time guarantee. A core suite of indicators to underpin the integrated health and social care outcomes has been developed and these include indicators on delayed discharge.

Over 750,000 patients have benefitted from the 12 week treatment time guarantee since it was introduced in October 2012. Earlier in the year we announced £10 million from the performance fund to help boards increase capacity, employ additional consultants and allow for weekend working. I also announced in May 2015 a further £1.5 million to increase orthopaedic and ophthalmology at the Golden Jubilee National Hospital which benefits patients from across Scotland. I expect this investment to be reflected in waiting time performance during 2015.

Addressing delayed discharges is a top priority of this government, and we recognise more needs to be done to address this issue. That is why we are investing an additional £100 million funding in tackling delay, over the next three years. This funding will be used by integration joint boards to develop a range of community services aimed at reducing delays in discharging, and providing alternatives to acute hospital admission.

Information from NHS boards on the expenditure and percentage of expenditure for mental health services that have been spent on children and adolescent mental health services in the hospital and community sectors in each year since 2007 is shown in Table 1.

Table 1: Child and Adolescent mental health expenditure¹ and Mental Health expenditure² Scotland 2007-2014³

Financial Year3	Child and Adolescent mental health expenditure1 (£000)	Mental health expenditure2 (£000)	Child and Adolescent mental health expenditure1 (%)
2007-08	27,107	727,591	3.73%
2008-09	29,964	769,493	3.89%
2009-10	34,670	805,315	4.31%
2010-11	35,623	780,890	4.56%
2011-12	40,347	792,148	5.09%
2012-13	42,155	813,561	5.18%
2013-14	45,236	813,783	5.56%

1. Child and adolescent mental health expenditure as recorded in the costs book (Report R04LSX and SFR 8.3). Data has been restricted to the hospital sector and community sector only (excluding Resource Transfer). Figures shown in ‘cash terms’ (not adjusting for inflation).

2. Mental health expenditure as recorded in the costs book (Report R340). Data has been restricted to the Hospital Sector and Community Sector to give a more accurate comparison against Child and Adolescent mental health expenditure. Figures shown in ‘cash terms’ (not adjusting for inflation).

Financial year refers to the period of time beginning in April and ending in March (e.g. Financial Year 2011-12 begins on 1 April 2011 and ends 31 March 2012).

Ref: IR2015-01023

Source: Scottish Health Service Costs, Report R340, R04LSX and SFR8.3, ISD Scotland

(i) Information on the expenditure and percentage of expenditure that have been spent on children and adolescent mental health services of the overall NHS expenditure for the five financial years 2010 to 2014 by NHS board is shown in Table 1.

(ii)This information is not held centrally.

Table 1: Overall NHS expenditure¹ and child and adolescent expenditure², Scotland 2010-2014³

Financial Year

2009-10

2010-11

2011-12

NHS Board	Child and Adolescent mental health expenditure (£000)	Total expenditure (£000)	Child and Adolescent mental health expenditure (%)	Child and Adolescent mental health expenditure (£000)	Total expenditure (£000)	Child and Adolescent mental health expenditure (%)	Child and Adolescent mental health expenditure (£000)	Total expenditure (£000)	Child and Adolescent mental health expenditure (%)
NHS Ayrshire and Arran	£1,774	£644,064	0.28%	£1,924	£650,157	0.30%	£2,578	£657,282	0.39%
NHS Borders	£709	£173,102	0.41%	£619	£173,781	0.36%	£766	£172,920	0.44%
NHS Dumfries and Galloway	£1,467	£262,262	0.56%	£1,521	£264,157	0.58%	£1,535	£270,817	0.57%
NHS Fife	£1,385	£539,997	0.26%	£643	£537,117	0.12%	£504	£560,317	0.09%
NHS Forth Valley	£1,650	£439,073	0.38%	£1,692	£449,092	0.38%	£1,806	£469,443	0.38%
NHS Grampian	£756	£851,809	0.09%	£1,495	£849,421	0.18%	£1,838	£870,827	0.21%
NHS Greater Glasgow and Clyde	£12,828	£2,538,217	0.51%	£13,075	£2,555,776	0.51%	£15,008	£2,623,686	0.57%
NHS Highland	£578	£541,527	0.11%	£136	£544,606	0.02%	£143	£554,255	0.03%
NHS Lanarkshire	£3,795	£860,442	0.44%	£3,522	£883,267	0.40%	£3,586	£905,504	0.40%
NHS Lothian	£6,989	£1,397,171	0.50%	£7,295	£1,395,874	0.52%	£8,293	£1,444,306	0.57%
NHS Orkney	£6	£39,387	0.02%	£5	£39,724	0.01%	£5	£40,685	0.01%
NHS Shetland	£10	£43,064	0.02%	£3	£42,386	0.01%	£199	£43,438	0.46%
NHS Tayside	£2,708	£756,045	0.36%	£3,313	£764,211	0.43%	£3,925	£796,690	0.49%
NHS Western Isles	£13	£65,809	0.02%	£380	£62,431	0.61%	£160	£64,317	0.25%
Golden Jubilee	-	£104,627	-	-	£104,033	-	-	£104,886	-
State Hospital	-	£46,152	-	-	£33,611	-	-	£34,020	-
Scotland	£34,670	£9,302,747	0.37%	£35,623	£9,349,645	0.38%	£40,347	£9,613,392	0.42%

 

Financial Year

2012-13

2013-14

NHS Board	Child and Adolescent mental health expenditure (£000)	Total expenditure (£000)	Child and Adolescent mental health expenditure (%)	Child and Adolescent mental health expenditure (£000)	Total expenditure (£000)	Child and Adolescent mental health expenditure (%)
NHS Ayrshire and Arran	£3,276	£664,897	0.49%	£3,349	£679,193	0.49%
NHS Borders	£893	£174,597	0.51%	£804	£184,012	0.44%
NHS Dumfries and Galloway	£974	£269,597	0.36%	£875	£277,939	0.31%
NHS Fife	£577	£568,447	0.10%	£439	£583,832	0.08%
NHS Forth Valley	£2,060	£476,554	0.43%	£1,967	£487,177	0.40%
NHS Grampian	£1,051	£894,390	0.12%	£1,142	£917,948	0.12%
NHS Greater Glasgow and Clyde	£14,590	£2,646,388	0.55%	£15,876	£2,682,038	0.59%
NHS Highland	£178	£564,066	0.03%	£749	£583,833	0.13%
NHS Lanarkshire	£3,946	£914,878	0.43%	£4,237	£939,160	0.45%
NHS Lothian	£9,237	£1,475,199	0.63%	£10,678	£1,516,117	0.70%
NHS Orkney	£43	£39,704	0.11%	£42	£41,511	0.10%
NHS Shetland	£193	£43,808	0.44%	£234	£45,996	0.51%
NHS Tayside	£4,989	£817,854	0.61%	£4,691	£840,994	0.56%
NHS Western Isles	£147	£64,039	0.23%	£154	£63,572	0.24%
Golden Jubilee	-	£106,605	-	-	£111,507	-
State Hospital	-	£35,003	-	-	£35,228	-
Scotland	£42,155	£9,756,027	0.43%	£45,236	£9,990,056	0.45%

1. Overall NHS expenditure as recorded in the costs book (Report R300). Figures shown in ‘cash terms’ (not adjusting for inflation).

2. Child and adolescent mental health expenditure as recorded in the costs book (Report R04LSX, SFR 8.3). Data has been restricted to the Hospital Sector and Community Sector only (excluding Resource Transfer). Figures shown in ‘cash terms’ (not adjusting for inflation).

3. Financial year refers to the period of time beginning in April and ending in March (e.g. Financial Year 2011-12 begins on 1 April 2011 and ends 31 March 2012).

Ref: IR2015-01067

Source: Scottish Health Service Costs, Report R300, R04LSX and SFR 8.3, ISD Scotland

On a yearly basis, there can be numerous changes to the costs book data templates and to the accounting guidance which can influence year-on-year comparisons. While every attempt is made to make comparisons of the data possible, these changes must be considered together with other factors such as organisational change or missing data.

This information is not held centrally.

We expect all NHS boards across Scotland to adopt the published national standards for monitoring the physical health of people being treated with clozapine and regularly review implementation as a matter of routine.

Together with key partners the Scottish Government continues to play an active part in taking forward the Borders Railway Blueprint for the Future. Transport Scotland officials have already met with partners and offered initial advice on a scoping document which will explore the possibility of extending the Borders railway towards Hawick and Carlisle.

<>Data is not available on monthly admissions.

It is a European requirement that CAP support is now based on land area, rather than on historic payments, and it is the person who declares and has control of the land on 15 May 2015 that is eligible to claim the direct payments on that land.

The Scottish Government’s position is that everyone claiming the basic payment will need to provide verifiable evidence of appropriate farming activity and claimants will be held accountable for ensuring all cross-compliance, minimum activity and other relevant regulatory obligations are met.

The Scottish Government has discussed this issue with the industry at both ministerial and official level. It is difficult to accurately assess the impact on tenant farmers before the deadline for submitting single application form claims has passed. However, as part of the Agricultural Holdings Legislation Review Group, the Scottish Government has commissioned initial research to analyse seasonally let land and assess the characteristics of farms renting in seasonal grazing lets in 2013. The Scottish Government will consider options to carry out further work in this area in the future once the new CAP direct payments regime has bedded in.

Seasonal lets play an important role in Scottish agriculture and the Scottish Government urges landowners and tenants to work together to reach agreement on such contractual issues.

I refer the member to the answer to question S4W-25650 on 2 June 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