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Decisions on treatment options rest primarily with the clinician, in consultation with the individual, and where appropriate, the carer and family. Treatments will be based on a through assessment and tailored to the needs of the individual to achieve the best possible outcomes.

Medication may be used to treat co-morbid conditions with anorexia nervosa such as osteoporosis. However, all healthcare professionals should be aware of the risk of using drugs for co-morbid conditions that prolong the QTc interval. All patients with a diagnosis of anorexia nervosa should have an alert placed in their prescribing record concerning the risk of side effects. ECG monitoring should be undertaken if there is a prescription of medication that may compromise cardiac functioning.

Patients with anorexia nervosa are routinely given vitamin and mineral supplements in an oral form during both inpatient and outpatient weight restoration and this may improve bone density. Hormonal treatment using oestrogen or dehydroepiandrosterone (DHEA) does not have a positive impact on bone density and oestrogen is not recommended in children or adolescents due to the risk of premature fusion of the bones.

Other treatment for osteoporosis can have harmful cardiac and or renal side effects and have to be used with care, particularly in young people.

My previous answer to the question S3W-27821 on 28 September 2009, has been revised as there had been new supply shared equity completions in Argyll and Bute in 2007-08 and 2008-09. In 2007-08, there were 39 new supply shared equity properties completed. In 2008-09, there were 20 new supply shared equity properties completed. The letter sent to you on the 21 October 2009, noting the amendment, has been placed in the Scottish Parliament''s Information Centre (Bib. number 49491), and S3W-27821 will be changed on the official record.

Scottish Government Officials are in contact with NHS Highland to monitor the situation and expect to receive an update from NHS Highland in the next few weeks.

The Scottish Government Health Directorates will issue a Chief Executive Letter (CEL) in late 2009 to reinforce the recommendations for implementation contained in the Health for all children 4: Guidance on Implementation in Scotland.

The work to address the variation in implementation of certain aspects of health for all children 4 across Scotland continues. This includes NHS Highland. The Scottish Government Health Directorate will issue a Chief Executive Letter (CEL) in late 2009 to reinforce the recommendations for implementation contained in Health for all children 4: Guidance on Implementation in Scotland.

A significant amount of guidance has been issued to NHS boards regarding working with schools and parents on young people''s health. This includes guidance, which may not be primarily addressed to NHS boards but requires them to work in partnership with local authority children''s services and education authorities.

All guidance published by the Scottish Government is available at:

http://www.scotland.gov.uk/Publications/Recent.

As stated in my previous answer, a date has not been specified. The NHS boards who have not yet introduced an orthoptist pre-school screening programme are working towards doing so, or towards introducing a programme supervised by an orthoptist or an optometrist.

The Scottish Government Health Directorates will issue a Chief Executive Letter (CEL) in late 2009 to reinforce the recommendations for implementation contained in Health for all children 4: Guidance on Implementation in Scotland.

New supply shared equity is one mechanism available to support first-time buyers. Housing completions in Shetland in 2007-08 and 2009-10 reflect the strategic priorities of the local authority, as set out in its Local Housing Strategy. This saw investment targeted in alternative grants to support first-time buyers.

The Scottish Government committed to a one year temporary expansion of the Open Market Shared Equity Pilot scheme and this is being successfully delivered. We plan to carry out an independent evaluation of the Low-cost Initiative for First Time Buyers (LIFT) shared equity schemes next year in order to inform the schemes'' long-term future. In the meantime, we are currently reviewing the relative balance of support for the LIFT schemes in the planning of the 2010-11 Affordable Housing Investment Programme.

Nearly £260 million of grant funding from the Affordable Housing Investment Programme has been invested in the four Local Authorities in the Highlands and Islands, namely Highland Council, Orkney Island Council, Shetland Islands Council and Comhairle nan Eilean Siar during the period 1 April 1999 to 31 March 2008. A breakdown of this investment is shown in the following table.

Year	Spend (£ million)
1999-2000	10.157
2000-01	11.037
2001-02	13.864
2002-03	15.815
2003-04	21.002
2004-05	27.388
2005-06	44.060
2006-07	58.300
2007-08	58.235
Total	259.858

 

New supply shared equity is one mechanism available to support first-time buyers. Housing completions in the Western Isles in 2007-08 and 2008-09 reflect the strategic priorities of the local authority, as set out in its Local Housing Strategy. This saw investment targeted in alternative grants to support first-time buyers.