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

No meetings have been held with stakeholders to discuss the social responsibility levy since the passing of the act.

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.

I understand that the Care Inspectorate has advised Castlebeck Care (Teasdale) Limited that it will be seeking the deregistration of Ranaich House as there are continuing concerns about the quality of care provided by this particular service.

The Care Inspectorate is undertaking frequent monitoring visits and liaising with local authorities for alternative placements for the residents.

The Scottish Government has established a Development Group with responsibility for supporting implementation of its 2010 guidance on the Procurement of Care and Support Services. The Development Group, which is chaired by the Scottish Government, has agreed a work programme which includes activity to identify and disseminate good practice. It involves all key stakeholder interests, including service user and carer representative organisations, service providers, local authorities, COSLA, Scotland Excel and the Care Inspectorate.

As part of its wider powers to scrutinise social work services, the Care Inspectorate is able to consider local authorities' commissioning practices and make recommendations in its reports.

Lung cancer survival by age groups is available at Scotland level on ISD's website at:

http://www.isdscotland.org/Health-Topics/Cancer/Cancer-Statistics/Lung-Cancer-and-Mesothelioma/.

Comparative survival for lung cancer is shown in the following table. It is important to note that survival depends on many factors, including data quality, characteristics of the patients and their tumours (case-mix), and health service factors. Survival estimates are also subject to random variation, especially when based on relatively small numbers of patients.

Lung cancer survival at one year and three years after diagnosis for Scotland, (i) NHS board and (ii) Regional Cancer Network by age group are in the following table.

Cancer of the trachea, bronchus and lung (ICD-10 C33-C34)

Relative survival¹ (%) at one and three years following diagnosis for those diagnosed aged 15 to 99 in 2002-06

Source: UK Cancer Information System; September 2011.

Notes:

“*” = not available due to small numbers involved.

1. The relative survival estimates shown above are adjusted for background mortality in Scotland as a whole but not for differences in overall life expectancy in the NHS boards in Scotland (because life tables for NHS boards are not readily available). The survival estimates are not standardised for age or sex.

2. Key to NHS Cancer Networks:

(a) North of Scotland - is defined as a grouping of the following NHS boards: Grampian; Highland and Argyll; Orkney; Shetland; Tayside; Western Isles.

(b) South East of Scotland - is defined as a grouping of the following NHS boards: Borders; Dumfries and Galloway; Fife; Lothian.

(c) West of Scotland - is defined as a grouping of the following NHS boards: Ayrshire and Arran; Forth Valley; Greater Glasgow and Clyde; Lanarkshire.

3. Separate data are not shown for the Island NHS boards of Orkney, Shetland and Western Isles due to small populations.

4. Note that confidence intervals have been omitted for clarity of reading.

Comparative survival for lung cancer is shown in the following table. It is important to note that survival depends on many factors, including data quality, characteristics of the patients and their tumours (case-mix), and health service factors. Survival estimates are also subject to random variation, especially when based on relatively small numbers of patients.

Lung cancer survival at one year and three years after diagnosis for Scotland, (i) NHS board and (ii) Regional Cancer Network by sex are in the following table.

Cancer of the Trachea, Bronchus and Lung (ICD-10 C33-C34)

Relative Survival¹ (%) at one and three years following Diagnosis for those Diagnosed aged 15 to 99 in 2002-06

Notes:

Source: UK Cancer Information System; September 2011

1. The relative survival estimates shown above are adjusted for background mortality in Scotland as a whole but not for differences in overall life expectancy in the NHS boards in Scotland (because life tables for NHS boards are not readily available). The survival estimates are not standardised for age or sex.

2. Key to NHS Cancer Networks:

(a) North of Scotland - is defined as a grouping of the following NHS boards:

Grampian; Highland and Argyll; Orkney; Shetland; Tayside; Western Isles.

(b) South East of Scotland - is defined as a grouping of the following NHS boards: Borders; Dumfries and Galloway; Fife; Lothian. (c) West of Scotland - is defined as a grouping of the following NHS Boards: Ayrshire and Arran; Forth Valley; Greater Glasgow and Clyde; Lanarkshire.

3. Separate data are not shown for the Island NHS boards of Orkney, Shetland and Western Isles due to small populations.

4. Note that confidence intervals have been omitted for clarity of reading.

Detail of this level is not collected by the Scottish Executive. However, I will ask the Chief Executive of the Scottish Social Services Council (SSSC) to respond to your question.

I refer the member to my response to question S4W-02683 on 26 September 2011 which concerns the process by which decisions on required qualification levels are reached.

Responses to the consultation about type of work and responsibilities of workers in care homes for adults indicated that there were four levels of workers which should be registered and that different levels of qualification requirement should be set for them to reflect the different roles and responsibilities they hold.

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/MAQASearch/QAndMSearch.aspx.