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We want to ensure that all people with diabetes, irrespective of age get access to the best possible care - appropriately tailored to their individual needs.

Our Diabetes Action Plan 2010 notes that:

Over the lifetime of this Action Plan, diabetes care services should become more flexible and effective in their capacity to reach people in all care settings and to provide training and mentoring for non-specialist community care partners.

Diabetes Managed Clinical Networks are currently reviewing the diabetes education available to staff working in residential homes, we expect this work will help strengthen staff’s ability to deliver person-centred care.

From 1 October 2012, the Government implemented the ban on age discrimination enshrined in the Equality Act 2010, giving protection against age discrimination in services provided by the public, private and third sectors.

Guidance contained within the NHS Chief Executive Letter (CEL) 32 (2010) dated 19 August 2010: Arrangements for the Management of NHSScotland Capital Resources after 2010-11 sets out the recommendations developed by NHS Scotland via the Capital Strategy Group, agreed to by NHS board chief executives, on the future handling of capital resources across NHS Scotland. With particular regard to capital receipts, CEL 32 (2010) notifies boards that for those capital receipts not already identified as supporting projects with approved outline business cases the capital element of receipts will accrue to SGHSCD and be used to support the overall capital programme. Any element of an asset disposal that scores as revenue income (profit on disposal) will be left with the health board where the capital receipt arose.

Return of capital receipts for 2011-12 and to 30 September 2012 broken down by NHS board is as follows:

NHS Board	Total Capital Receipts 2011-12	2012-13 Capital Receipts to 30 September 2012
	£000	£000
NHS Ayrshire & Arran	50	435
NHS Borders	229	468
NHS Dumfries & Galloway	50	0
NHS Fife	18	0
NHS Forth Valley	1,548	150
NHS Grampian	432	183
NHS Greater Glasgow & Clyde	2,267	258
NHS Highland	299	112
NHS Lanarkshire	10	0
NHS Lothian	2,605	0
NHS Orkney	188	5
NHS Shetland	23	0
NHS Tayside	201	0
NHS Western Isles	199	0
Territorial Boards	8,119	1,611
NHS National Services Scotland	24	0
Scottish Ambulance Service	861	0
NHS Education for Scotland	35	0
NHS 24	0	0
NHS National Waiting Times Centre Board	0	0
The State Hospital	141	0
NHS Health Scotland	0	0
Healthcare Improvement Scotland	0	0
Special Boards	1,061	0
NHS Scotland	9,180	1,611

Source – 2011-12 Annual Accounts & Board Financial Returns to SGHSCD for the period to 30 September 2012.

The profit on disposal retained by boards for 2011-12 is provided in the following table. The only board to return this funding directly to SGHSCD during 2011-12 was NHS Orkney, a total of £0.151million as part of a agreed brokerage repayment arrangement.

Profit on disposal is not monitored by SGHSCD during the year, this is managed locally by boards as part of managing their overall financial position; therefore information is not available to 30 September 2012. The full year position for 2012-13 will be available from the audited annual accounts.

NHS Board	2011-12 Profit on Disposal Retained By Board
	£000
NHS Ayrshire & Arran	3
NHS Borders	14
NHS Dumfries & Galloway	0
NHS Fife	0
NHS Forth Valley	0
NHS Grampian	0
NHS Greater Glasgow & Clyde	35
NHS Highland	426
NHS Lanarkshire	0
NHS Lothian	1,677
NHS Orkney	0
NHS Shetland	28
NHS Tayside	186
NHS Western Isles	25
Territorial Boards	2,394
NHS National Services Scotland	1
Scottish Ambulance Service	211
NHS Education for Scotland	0
NHS 24	0
NHS National Waiting Times Centre Board	0
The State Hospital	0
NHS Health Scotland	0
Healthcare Improvement Scotland	0
Special Boards	212
NHS Scotland	2,606

NHS boards manage their surplus assets, within the terms of the NHS Scotland property transactions handbook.

The phasing out of prescription charges benefits all individuals in Scotland, but in particular those who are the most vulnerable. Those with low incomes and those with long-term conditions will clearly benefit most each and every time they have their prescribed medicines dispensed. Enabling access to necessary prescribed medicines is an essential component in ensuring patients’ compliance with the management of their health without reference to their income. Patients no longer face making choices between which medicines to take based on affordability.

The Scottish Government is clear that the extension of free prescriptions to all removed the inequalities embedded in the previous charges regime caused by the existence of an income threshold and approved list of conditions.

The Scottish Government recognises the importance not only of transparency, but also of consistency of reporting and will provide guidance to NHS boards to further improve the consistency of board reporting in this area.

For the fiscal period 2011-12, nine NHS boards reported an underlying recurring deficit. For the same period, the combined underlying recurring deficit for NHS Scotland was £31.29million. For 2012-13 the number of boards reporting an underlying recurring deficit has reduced to seven; with the current combined forecast for NHS Scotland reduced to £16.68million.

The following table details the recurring surplus/deficit reported by NHS boards to Audit Scotland for 2011-12 (actual position) and projected for 2012-13. This information is contained within the Audit Scotland NHS financial performance 2011-12 report. For 2011-12 boards reported a combined underlying recurring deficit of £31.29million. The projection for 2012-13 previously reported to Audit Scotland is for the combined underlying recurring deficit to reduce to £15.04million.

The latest combined information reported by NHS boards to the Scottish Government Health and Social Care Directorates (SGHSCD) from the financial returns covering the period to 30 September 2012 is a forecast for 2012-13 of a recurring deficit of £16.68million (c0.17%).

NHS Fife has an agreed financial plan to achieve recurring financial balance by the end of 2013-14. In the context of an £11.6 billion health budget this is not considered to be a high risk area particularly when the forecast for 2012-13 is that the recurring deficit will substantially reduce from the previous year.

 

NHS Board

Audit Scotland SGHSCD to 30 September 2012 Actual Underlying Recurring surplus/(deficit) 2011-12 Projected Underlying Recurring surplus/(deficit) 2012-13 Forecast Underlying Recurring surplus/(deficit) 2012-13

	£m	£m	£m
NHS Ayrshire & Arran	0.60	0.00	0.00
NHS Borders	(0.19)	0.00	0.00
NHS Dumfries & Galloway	0.00	0.00	0.00
NHS Fife	(4.02)	(7.37)	(7.37)
NHS Forth Valley	(11.24)	0.00	0.00
NHS Grampian	2.62	(0.07)	0.00
NHS Greater Glasgow & Clyde	0.00	0.00	0.00
NHS Highland	(8.83)	(5.87)	(5.87)
NHS Lanarkshire	0.07	0.25	0.25
NHS Lothian	(7.00)	0.00	(2.41)
NHS Orkney	(1.19)	0.03	0.00
NHS Shetland	(1.56)	(1.38)	(1.03)
NHS Tayside	(2.80)	(3.10)	(3.00)
NHS Western Isles	(0.50)	(0.40)	(0.31)
Territorial Boards	(34.04)	(17.91)	(19.74)
NHS National Services Scotland	0.00	0.00	0.00
Scottish Ambulance Service	0.00	0.00	0.00
NHS Education for Scotland	1.50	2.70	2.77
NHS 24	0.20	0.00	0.00
NHS National Waiting Times Centre Board	0.00	0.00	0.00
The State Hospital	0.25	(0.25)	(0.13)
NHS Health Scotland	0.61	0.42	0.42
Healthcare Improvement Scotland	0.13	0.00	0.00
Mental Welfare Commission	0.06	0.00	0.00
Special Boards	2.75	2.87	3.06
NHS Scotland	(31.29)	(15.04)	(16.68)

Many of the areas highlighted within the Diabetes in Scotland: A Transition to Better Care report are being addressed through the implementation of our Diabetes Action Plan (2010).

We will ask the Scottish Diabetes Group, which is responsible for overseeing implementation of the Diabetes Action Plan, to consider the findings of the report at their next meeting on the 29 November 2012.

Responsibility for assessing and investigating allegations of criminal activity in Scotland rests with the relevant police force. The Scottish Government maintains close liaison with the police, local authorities, child protection committees, health boards and voluntary organisations about child protection issues in general, and is monitoring the situation in relation to reports about Jimmy Savile’s activities in Scotland. It has not had discussions with the UK Government on this issue.

If anyone has evidence of, or has, suffered criminal activity or sexual abuse, they should contact the police so that an investigation can be made. Anyone who is looking for support should visit www.survivorscotland.org.uk which gives details of a range of support services which can help.

NHS Dumfries and Galloway has confirmed that Jimmy Savile attended a public fund raising event in 1977. Whilst the responsibility for assessing and investigating allegations of criminal activity in Scotland rests with the relevant police force, NHS Dumfries and Galloway are unaware of any investigation by police.

No other territorial NHS boards within Scotland have involved Jimmy Savile in fundraising or promotional activity. However NHS Lanarkshire has confirmed that Jimmy Savile performed the opening of the renal unit and garden area at Monklands Hospital in August 2000.

As the member will be aware the report entitled Health Care Needs Assessment of Services for Adults with Rheumatoid Arthritis (HCNA) was conducted by the Scottish Public Health Network (SPHN) at the Scottish Government’s request, to provide an update to a previous report published in 2002 by the Public Health Institute for Scotland (PHIS). The report outlines Rheumatoid Arthritis (RA) service provisions across Scotland and takes account of recent advances in understanding, treatment and care of people living with RA.

The purpose of the HCNA was to identify gaps in service provision, highlight priority areas for change and make recommendations that aim to assist NHS boards to plan and develop services for people living with RA.

The role of the Scottish Government is to provide policies, frameworks and resources to NHS boards in order that they can deliver services that meet the needs of their local population. It is for NHS boards to plan and provide services in line with the health needs of their resident populations. NHS boards will need to consider how they will take the recommendations in the HCNA forward.