Chamber and committees

Information on NHS expenditure, mental health expenditure and percentage of expenditure that have been spent on children and adolescent mental health services in the hospital and community sectors in year 2017-18 is shown in the following table.

Child and Adolescent mental health expenditure 1 , Total NHS expenditure 2 and Mental Health expenditure 3

Scotland 2017-18

Since the integration of health and social care, Integration Joint Boards are responsible for the planning and delivery of adaptations largely using budgets created by delegation from local authorities. Local authority budgets for adaptations are agreed locally from within the local government settlement and where appropriate Housing Revenue Account budgets.

We have also provided £10 million directly to Registered Social Landlords this year, to assist them in providing adaptations for their tenants.

There are two suppliers for GP IT services in Scotland – INPS Vision and EMIS.

There are currently 944 GP Practices in Scotland, split 431 using INPS Vision and 513 using EMIS.

Vision Online is an add on to Vision which offers patients the ability to book appointments and/or order repeat prescriptions online.

As well as the 362 Practices currently using Vision Online, a further 31 Practices have requested and are currently awaiting installation of Vision Online.

94% of GP practices in Scotland offer an online means of accessing either repeat prescriptions or appointments via GP IT system functions or practice websites.

This information is not held centrally.

Nursing and midwifery students who may be exposed to the flu during placements within NHS Boards should receive the flu vaccination in line with all other NHS healthcare workers. Vaccine uptake amongst this cohort is not recorded separately and is included as part of the Healthcare worker programme.

The Care Home Census for Adults in Scotland confirms there were 1,142 adult care homes operating in Scotland as at 31 March 2017, but none of these are registered as "integrated care homes".

Short stay residents in care homes are regarded as residents whose intention,when admitted to an adult care home was to stay for fewer than six weeks, and the reason for the short stay is not respite relief. If a resident stays longer than 6 weeks they are counted as a long stay resident instead.

As at 31 March 2017, the number of short stay/respite residents in care homes for older people had increased by 96% in comparision with March 2007 (1,468 compared to 750). A significant number of short stay residents will be receiving intermediate care.

We still estimate there are around 700 intermediate care beds across Scotland, and these can be found in a variety of settings including community hospitals and care homes. Many more care home places are commissioned by health and social care partnerships to support people with a range of needs.

Health and Social Care Partnerships are responsible for developing a strategic commissioning plan which sets out plans to shape and deliver local health and social care services that meet the needs of their local population. Care homes play an important role in supporting the delivery of this plan and enabling people to keep well in a homely setting.

In December 2015, the Scottish Government committed to allocating £3.5m over four years to support the implementation of the Strategic Framework for Action on Palliative and End of Life Care (SFA). This funding is to support improvements in palliative and end of life care, and is in addition to expenditure by Integration Authorities on these services, which is described in their strategic commissioning plans and financial reports. It is expected that the £3.5m for implementing the SFA will be fully spent by the end of this financial year.

The Scottish Government is working closely with a wide range of stakeholders to explore options for further improving palliative and end of life care services.

Our National Performing Companies and National Collections often enter into collaborations with key partners across the UK and further afield. Creative Scotland too have developed strong links with partners across the UK.

Scotland House London delivers an ambitious and exciting programme to engage local audiences with Scotland's culture, with a wide-ranging programme of events.

Both the Scottish and UK Governments were key partners in the 2018 Edinburgh International Culture Summit which welcomed visitors from across the globe.

We also work closely with the British Council, to promote and support Scottish creative talent at home and abroad.

Since the integration of health and social care, Integration Joint Boards (IJBs) are responsible for the delivery of adaptations and for reviewing, planning and developing services to improve outcomes for people who require adaptation services.

We have also provided £10 million directly to Registered Social Landlords in 2018-19, to assist them in providing adaptations for their tenants.

The Scottish Government recognises the importance of housing being adaptable in order to meet people’s needs over time. Housing Beyond 2021 will be a vision for how our homes and communities should look and feel in 2040 and the options and choices to get there, as set out in our Programme for Government. The flexibility and adaptability of the housing stock will be considered as part of this work.

The Scottish Government has not made an assessment of the impact of housing association adaptations on NHS waiting times for occupational therapy.