Chamber and committees

In response to concerns about the sustainability and fairness of current and future care for older people in the face of financial and demographic pressures, a major work programme “ Reshaping Care for Older People “ is being taken forward in partnership with NHS Scotland and COSLA through the Ministerial Strategic Group on Health and Community Care.

The programme aspires to develop practical ideas for change that are sufficiently radical to meet the changing needs of Scotland''s population by enabling people to stay at home or in a homely setting, with maximum independence, for as long as possible. A key aim is to ensure that appropriate arrangements are in place to enable service providers to respond effectively to future demand for services.

So far the programme has focussed on discussion with colleagues with a professional and clinical interest in delivering services for older people. As part of a wider engagement process and to further analyse and develop emerging proposals, the programme will from March 2010 until the summer, seek views from the public and from a wider range of stakeholders including patients, service users and private and voluntary sector service providers.

Full account will be taken of developments in relation to provision of care and benefits being pursued by the UK Government, on which separate consultations are being undertaken.

The Care Commission takes a risk-based and proportionate approach to regulation. It takes account of a number of factors when determining the regulatory activity required for each service to ensure that people receive good quality care. These include the size of the service, the number of people who receive care, complaints activity and regulatory history. As part of the corporate governance arrangements, officials monitor regularly the commission''s regulatory activities, including its approach to inspections.

The creation of Social Care and Social Work Improvement Scotland (SCSWIS) will build on the work of the predecessor bodies. At present the Care Commission must inspect services at a minimum frequency set out in regulations. A key opportunity for SCSWIS is that it will be able to move away from a fixed programme of cyclical inspection to move further towards risk-based and more proportionate scrutiny.

I refer the member to the answer to question S3W-31533 on 1 March 2010. 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/Apps2/Business/PQA/Default.aspx.

The Scottish Government''s Joint Improvement Team is supporting the development of Telecare services in Scotland through a £16.35 million national programme, launched in August 2006. All 32 health and social care partnerships across Scotland are now in receipt of funding from the programme, and all are pursuing and developing local telecare services. Additional funding of £4 million is being made available for the financial year 2010-11 for the programme, which will be allocated to local health, housing and social care partnerships responsible for providing local care and support services in order to encourage a consistent and mainstreamed approach to telehealthcare across Scotland.

Partnerships in receipt of 2010-11 funding will wish to work closely with local private and voluntary sector providers of care and support, to develop integrated healthcare solutions which benefit their specific client groups in their respective areas.

As part of the eCare Programme, Local Data Sharing Partnerships are upgrading their social care systems to allow them to interact on a multi-agency basis with partners across health, education, the police, and other public sector agencies. Greater emphasis is also being placed on the involvement of the third sector in the technology supporting Getting it Right for Every Child (GIRFEC) requirements, which involves private and voluntary sectors.

The summary of responses from NHS boards on IVF treatment will be placed in the Scottish Parliament Information Centre (SPICe) (Bib. number 49114).

I refer the member to the answer to question to S3W-31323 on 25 February 2010. 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/Apps2/Business/PQA/Default.aspx.

I refer the member to the answer to question S3W-31346 on 24 February 2010. 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/Apps2/Business/PQA/Default.aspx.

The billing and collection arrangements between Scottish Water and the local authorities are currently governed by The Water Services Charges (Billing and Collection) (Scotland) Order 2006. Section 5 of this Order sets out that Scottish Water has individual arrangements (Service Level Agreements) with each local authority. The fee per authority varies in accordance with the specific arrangements within each Service Level Agreement. The average fee per property paid in 2008-09 was £5.85.

From 1 April 2010, The Water Services Charges (Billing and Collection) (Scotland) Order 2010 sets out similar arrangements and can be viewed at:

http://www.opsi.gov.uk/legislation/scotland/ssi2010/ssi_20100010_en_1.

Our investment of an additional £5.5 million more per year in CAMHS by 2011-12 is to increase capacity in the CAMHS workforce to ensure implementation of the CAMHS Framework. We expect this significant investment to lead to an increase in the CAMHS workforce of about 15% to 20% by that date.

The £5.5 million is made up of two elements, £3.5 million to increase the number of psychologists and £2 million to enhance the intensive community services and reduce the need for children and young people to be admitted to hospital.

We are allocating £6.5 million in total over the next three years to increase the number of psychologists working in specialist CAMHS with £1 million in 2009-10, £2 million in 2010-11 and rising to the £3.5 million referred to above in 2011-12

In addition to recruiting new psychology staff, the resources will fund 10 additional training places for Doctoral Clinical Psychology on the September 2009 intake and again in 2010 and 2011 on top of the already agreed intake numbers. The resources will also fund an additional five training places on the February 2010, 2011 and 2012 intakes for the Masters level psychologist programme: Applied Psychology for Children and Young People. By 2011-12, we expect to have around an additional 60 CAMHS specialist clinical psychologists or trainees and an additional 45-50 masters level applied psychologists in the workforce.

We are also making available £2 million each year, to be matched by NHS boards, to enhance the intensive community services and reduce the need for children and young people to be admitted to hospital. In the North of Scotland, where consideration is still ongoing around the need to increase the number of inpatient beds, the money is to be used to support this process, as well as the development of intensive community services. In the east and west regions, the money is being targeted at increasing workforce and the development of intensive community services.

Whilst each of the regional proposals we are funding are different, all have similar focus and aims and will benefit children and young people with severe mental health problems by improving their access to community support and thus reduce the need for hospital admissions. 

Specific funding is being made available to health boards to meet the costs of the reductions of prescription charges for the duration of the current spending review period (2008-09 to 2010-11) including £32 million for 2010-11. Whilst we will clearly maintain support for the policy thereafter, decisions regarding specific funding after financial year 2010-11 will be considered as part of the forthcoming spending review.