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The Code of Practice will be revised and consulted on in due course and will contain developed guidance on all matters relating to the Education (Additional Support for Learning) (Scotland) Act including post-school transitions.

The National Transitions Development Officer will contribute to this work and will produce more specific guidance relating to transitions at a future date.

As part of their general inspection programme Her Majesty''s Inspectorate of Education (HMIE) continue to review and report on provision for children with additional support needs in all schools across Scotland. In November 2007, they published a report, commissioned by the Government, on the evaluation of the implementation of the Education (Additional Support for Learning) (Scotland) Act 2004.

Where required the Scottish Government will also commission independent research. For example, it has in the past commissioned research into the impact of mainstream education in schools in Scotland which was published in January 2006.

The responses to the consultation process on the establishment of the Care Environment Inspectorate will be published on the NHS Quality Improvement Scotland website.

The Fair for All agenda looks to ensure that whatever the individuals circumstances they have access to the right health services for their needs.

Guidance entitled Achieving fair access was issued to the NHS in April 2007 and is available at http://www.healthscotland.com/documents/2033.aspx.

Section 4 of the guidance covers accessible service delivery and section 4.4 provides advice on admission to health services.

As a response to the recommendations of the fatal accident inquiries the Scottish Government asked NHS boards to prepare action plans for improvement to services. The plans show a range of actions that aim to ensure people with a learning disability are appropriately supported on admission to acute care.

NHS Orkney has confirmed that all new staff receive a two hour face-to-face infection control session as part of their induction training. The training is delivered by clinical staff and includes sessions on how infection spreads, the different types of infection, how infection is controlled and hand hygiene. In addition, 170 staff have, in the past 12 months, accessed a healthcare associated infection online module that is divided into five tutorials. This covers the background to infection control and healthcare associated infection, the standard precautions that all staff should take, hand hygiene, protocols for segregation of waste and linen and decontamination protocols. These staff represent 31% of total headcount within NHS Orkney. Forty-seven members of staff (16% of eligible head count) have also completed the Cleanliness Champion Training programme, which is an in-depth infection control training module that requires 20 hours of study, mentorship and sign off of a portfolio of work.

During, and since the outbreak, face-to-face training on Clostridium difficile has also been delivered to staff. This has covered the epidemiology of the organism, the importance of infection control principles, case management, surveillance, information for families and hand hygiene protocols. This training was delivered within the ward setting and the percentages of staff involved is presented in the following table:

Ward	% Staff
Piper Ward	99%
Male Ward	75%
Female Ward	88%
Ninian Ward	85%
Macmillan	60%
Renal Unit	100%
Day Surgery	100%
Theatre	80%
Maternity	80%

 

Twenty-two toxin positive specimens were sent by NHS Orkney to NHS Grampian. The Consultant Medical Microbiologists within NHS Grampian decide on which toxin positive samples are cultured for Clostridium difficile based on clinical details, outbreaks and severity of illness.

Of the 22 toxin positive specimens sent to NHS Grampian by NHS Orkney, nine were identified as culture positive and were forwarded to the national reference laboratory for typing.

The Airdrie to Bathgate Railway improvement is currently planned to open on 12 December 2010 which is in line with the original schedule given by the project sponsors, Network Rail.

The Keeper creates a title sheet for a property based upon the deed submitted for registration, accompanying documentation including the application form, and where the property is being registered in the Land Register for the first time, prior deeds for that property as recorded in the General Register of Sasines. The Keeper may also request additional evidence from the applicant that he considers necessary to evidence the legal title of the property in respect of which registration is being sought. If the information provided and the examination of title by the Keeper does not reveal any legal or title discrepancy, a title sheet will be completed without exclusion of indemnity.

Where the Land Register is inaccurate (whether due to an error by the Keeper or for any other reason) a person may apply for rectification of the Register. The circumstances in which the Keeper may rectify the Register to remove an inaccuracy are set out in section 9 of the Land Registration (Scotland) Act 1979.

Subsection (1) of section 9 confers on the Keeper a general power to rectify any inaccuracy in the register, either on his own initiative, or on being requested to do so. It also requires the Keeper to rectify an inaccuracy on being so ordered by a court or the Lands Tribunal for Scotland.

Subsection (3) of section 9 limits both the Keeper''s power to rectify the Land Register and also the power of the court or the Lands Tribunal for Scotland to order the Keeper to rectify. If rectification of the Land Register would prejudice a proprietor who is in possession of the registered title the circumstances in which rectification is permissible are limited. These are: where everyone whose interests are likely to be affected by the rectification have agreed; where the rectification is to note an overriding interest (a form of right that does not require to be constituted in a conveyancing deed such as certain forms of access right); where the inaccuracy has been caused by fraud or carelessness, or where the title is not fully guaranteed (this can happen where there is an element of uncertainty in the underlying title).

If rectification is not legally permissible and the person seeking rectification has suffered loss as a result of that they may be entitled to be indemnified by the Keeper in respect of that loss. If rectification is legally permissible, a person who suffers loss as a result of the rectification may equally be entitled to be indemnified by the Keeper.

The entitlement to indemnity is provided by section 12 of the Land Registration (Scotland) Act 1979 and is subject to a number of exceptions. Examples include where the Keeper has expressly excluded his indemnity when registering the title or where specified matters could not have been known to the Keeper, and on occasion the applicant, when an application was presented for registration.

Where the Keeper refuses an application to rectify, that decision may be challenged in a court or the Lands Tribunal for Scotland.

The Fair for All agenda seeks to ensure that whatever the individual circumstances of people''s lives, they have access to the right health services for their needs.

Guidance entitled Achieving fair access was produced and issued to the NHS by the Fair for All “ Disability team in April 2007 and is available at http://www.healthscotland.com/documents/2033.aspx.

Section 4 of the guidance covers Accessible service delivery and Section 4.4 provides advice on Admission to health services.

The six strands of the Fair for All initiative were mainstreamed within NHS Health Scotland with effect from 1 April 2008.

The Scottish Government is supporting NHS boards to take forward a change programme to address the health inequalities facing people with a learning disability and/or autism spectrum disorder. A learning network of NHS boards will give them a forum to share learning and good practice including the role and effectiveness of liaison nurses.