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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.

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.

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.

In 2010 the total costs of providing medical and nursing cover and medical bags was £77,171.

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.

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.

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 projected cost of work on the project incurred by NHS Ayrshire and Arran is £758,381.

Within the above cost, £146,727 was spent on permanent improvements to facilities. Of direct benefit to the Frail Elderly and Elderly Mental Health’s Pennelburn and Holmburn Wards were building alterations, including door widening and floor improvements. Also included in the cost of the permanent improvements were additional car parking spaces and changes to the kitchen.

NHS Ayrshire and Arran’s initial estimate of costs for rectification work are that it should not exceed £500,000. The initial cost estimates will require to be confirmed by BAM PPP once the detailed specification for the reinstatement works has been agreed by the NHS board with BAM PPP and Ahli United Bank.