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This information is not routinely collected or held centrally. It is for NHS boards to establish arrangements for the management and deployment of cleaning staff which best suit their needs. However, the Leading Better Care programme is key to ensuring that the senior charge nurse understands their role and works together with the domestic supervisor to ensure that high standards of cleanliness apply in our hospitals so that there is a clean and safe environment for staff, patients and visitors.

The Scottish Government plans to utilise the full value of the capital budget in the current financial year. For the next financial year the capital budget has been fully allocated in accordance with the 2010-11 Budget approved by Parliament. Capital budgets have not yet been set for 2011-12 since this is outwith the current Spending Review period.

The information requested is not held centrally. The level of budget for urgent repairs and replacement equipment in each hospital, and the proportion to be utilised by the senior charge nurses each year, is a matter for the NHS board concerned.

This information is not held centrally.

Funding for social care workforce development is included in the revenue funding to local authorities. I attach the revenue allocations for the period 2008-11.

Local Authority Revenue Funding 2008-11

Local Authority	2008-09 Revenue (£ million)	2009-10 Revenue (£ million)	2010-11  Revenue (£ million)
Aberdeen City	340.892	361.814	367.204
Aberdeenshire	403.25	425.866	435.271
Angus	204.43	215.706	219.556
Argyll and Bute	218.977	229.042	231.488
Clackmannanshire	92.659	99.381	101.271
Dumfries and Galloway	298.173	314.925	323.027
Dundee City	305.863	318.822	320.514
East Ayrshire	231.717	242.747	244.425
East Dunbartonshire	178.372	192.372	192.558
East Lothian	166.234	174.857	178.328
East Renfrewshire	169.014	179.382	182.851
Edinburgh (City of)	775.511	821.286	816.288
Eilean Siar	108.241	112.307	115.895
Falkirk	269.922	289.470	295.158
Fife	646.636	683.358	690.629
Glasgow City	1,399.38	1,464.773	1,443.286
Highland	463.765	487.826	501.429
Inverclyde	177.484	185.289	184.431
Midlothian	155.422	161.450	162.346
Moray	160.306	168.237	173.026
North Ayrshire	274.125	288.097	288.547
North Lanarkshire	631.972	663.777	668.503
Orkney Islands	68.124	71.864	74.785
Perth and Kinross	242.05	256.972	265.090
Renfrewshire	336.408	347.025	347.507
Scottish Borders	212.846	228.118	231.130
Shetland Islands	94.533	97.377	98.691
South Ayrshire	201.934	214.080	215.982
South Lanarkshire	566.856	596.062	600.887
Stirling	169.674	179.691	183.103
West Dunbartonshire	203.867	217.489	216.582
West Lothian	293.541	313.354	318.580
Distributed	10,062.18	10,602.816	10,688.368

 

The information which is available is given in the following table.

Deaths in Scotland for which the underlying cause was allocated to norovirus, calendar years 2007 and 2008.

Year of Registration of Death

NHS board	2007	2008
Ayrshire and Arran	0	0
Borders	0	0
Dumfries and Galloway	0	0
Fife	0	0
Forth Valley	0	0
Grampian	0	0
Greater Glasgow and Clyde	0	1
Highland	0	0
Lanarkshire	1	0
Lothian	0	0
Orkney	0	0
Shetland	0	0
Tayside	0	0
Western Isles	0	0
All Scotland	1	1

Source: General Register Office for Scotland.

Currently there are three health capital projects with a capital value of circa £51.2 million which have been agreed by individual NHS boards, considered by the Capital Investment Group, but await formal Scottish Government approval as there are outstanding issues to be resolved. These projects are listed in the following table:

NHS Board	Status	Capital Project	Capital Value
Grampian	Full Business Case	The Modernisation of Primary Health and Community Care Services in Forres	£12.130 million
Lothian	Full Business Case	Musselburgh Primary Care Centre	£18.290 million
Greater Glasgow and Clyde	Outline Business Case	Alexandria Medical Centre	£20.820 million

 

Scottish Government officials are liaising with the boards concerned with a view to resolving the outstanding issues.

The information requested is shown in the following table.

Table 1. Deaths in Scotland for which norovirus or an equivalent term¹ was mentioned on the death certificate in calendar years 2007 and 2008:

Year of Registration of Death

NHS Board	2007	2008
Ayrshire and Arran	0	0
Borders	0	0
Dumfries and Galloway	0	0
Fife	2	1
Forth Valley	0	0
Grampian	0	0
Greater Glasgow and Clyde	2	2
Highland	0	0
Lanarkshire	2	0
Lothian	0	2
Orkney	0	0
Shetland	0	0
Tayside	0	1
Western Isles	0	0
All Scotland	6	6

Source: General Registry Office Scotland.

Note: 1. This table counts all deaths for which any one of the following words or terms was mentioned in the death certificate: norovirus, noroviral, norwalk (as this is what norovirus was originally called when it was identified in 1968); small round structured virus (SRSV, a term which was used later) and winter vomiting (as such illnesses are usually caused by norovirus). It also includes the deaths for which the underlying cause or any contributory cause was coded, in terms of the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD10) as A08.1, Acute gastroenteropathy due to Norwalk agent.

The vast majority of capital resources are allocated by formula directly to NHS boards. NHS boards receive a capital resource limit within which they identify and prioritise their capital spending requirements. Boards are only obliged to bring capital projects over their delegated limits, for consideration and approval by the Capital Investment Group.

Following the UK Government''s pre-budget report announcement on 9 December 2009, it is clear that there is likely to be a significant reduction in the amount of capital funding available for the public sector, including the NHS. At this stage it is not clear how this will affect future devolved Scottish budgets. In line with this, NHS boards are currently reviewing their capital plans and are devising a process that will allow them to reach logical and well evidenced decisions on what investments they can take forward.

The boards have recently submitted draft five year financial plans as they do annually. These plans are currently being assessed and are subject to review and possible change to reflect the evaluation currently being undertaken.

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.