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As the existing arrangements are ad hoc, voluntary and over and above the NHS board’s core provision, this cannot be considered a major service change.

NHS Greater Glasgow and Clyde have three responsibilities in relation to public events: they advise as part of the event licensing process to ensure proposals for on site medical and first aid cover is adequate; they provide back up through their hospital and primary care services; and if there is a major incident then they are responsible for ensuring there is a comprehensive NHS response. The responsibility to provide and pay for event medical and first aid cover lies with the organisers, not with the NHS and the public purse.

NHS Greater Glasgow and Clyde has never had a major event service but have previously taken responsibility on behalf of event organisers to arrange medical and nursing cover. The NHS board has now concluded that this approach has confused responsibility and has shifted costs from event organisers to the NHS.

NHS Greater Glasgow and Clyde will continue to scrutinise event organisers’ medical plans so that the highest standards of medical and first aid care are provided to the public.

The Social Responsibility was widely consulted upon prior to the passing of the Alcohol etc. (Scotland) Act 2010.

No action has been taken to implement the social responsibility levy. The Scottish Government has been clear that the levy will not be taken forward until the wider economic circumstances are right.

The direct service costs are largely recovered from promoters but do not include the time of the boards civil contingencies team and pharmacy staff in planning and managing this process.

The service currently provided by NHS Greater Glasgow and Clyde is on a voluntary basis and is not part of the board’s core, statutory provision. In these circumstances there is no need to carry out a clinical risk assessment as the changes do not impact on patient care.

As part of their inspection process The Care Inspectorate review both the qualifications and the continuing professional development training plans of care home provider staff.

NHS Greater Glasgow and Clyde has been discussing these changes with partner agencies and key interested parties including Glasgow City Council, since March.

NHS Greater Glasgow and Clyde considered this issue in the context of the arrangements that exist in other parts of the country and has drawn up a clear specification and standards for event organisers to use in commissioning medical services providers. The services provided will be monitored by the NHS board and the local authority licensing departments through local multi-agency arrangements.

The Care Inspectorate now has responsibility, as of 1 April 2011, for inspecting, regulating and supporting improvement of care and social work and child protection services across Scotland. The Care Inspectorate has powers under section 62 of the Public Services Reform (Scotland) Act 2010 to serve an improvement notice on a care service, specifying the improvements required to bring a care service up to the standards required and the timescale for meeting these standards.

The Care Commission, as the Care Inspectorate’s predecessor, had similar powers to issue improvement notices under section 10 of the Regulation of Care (Scotland) Act 2001.

The total number of improvement notices issued by the Care Commission and/or the Care Inspectorate between 1 April 2007 to 31 July 2011 is 365, broken down on an annual basis as shown in the following table:

Improvement Notices Issued

As part of their inspection process The Care Inspectorate review both the qualifications and the continuing professional development training plans of care home provider staff. Inspectors take account of this information and use it as a factor to determine if there should be further scrutiny when planning an inspection.

Where The Care Inspectorate has concerns regarding qualifications or levels of training in a service they would include this as part of their inspection process and include this in their inspection reports. SSSC has a duty to publish workforce intelligence. The Care Inspectorate also shares anonymised workforce data with SSSC to enable them to report publicly on the workforce and their qualifications.

The SSSC does not have an inspection function. In the course of undertaking their workforce development, registration and regulation functions they do collect and make available to others, including The Care Inspectorate, information related to the qualifications and training of social care staff. SSSC does not have enforcement powers over employers and does not routinely collect information on the staff development and training strategies produced by employers.