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For hospital services, the Arbuthnott formula includes an adjustment based on the relationship between the costs of delivering services and an indictor of remoteness. The costs are based on the ratio between a board''s actual expenditure and what their expected expenditure would be if they delivered services at the national average cost. The remoteness indicator is based on the number of road kilometres per 1,000 people. For community health services, the adjustment is based on a combination of a model that simulates travel times and costs in different geographical areas and the costs of providing services in remote general practices. Due to their relatively small size, the island boards receive a uniform remoteness adjustment.

The Arbuthnott formula has recently been reviewed by the NHSScotland Resource Allocation Committee (NRAC) and their revised formula will operate from 2009-10. The revised excess costs adjustment for hospital services takes account of the difference between delivering a given service at national average costs and the actual local cost. NRAC took account of concerns raised by rural NHS boards by including two separate categories for island towns and island rural areas in their costs adjustment. This will help to ensure that the particular issues related to delivering services on islands are fully recognised. The island categories receive the highest cost adjustment of any category of residence used in the proposed formula. The community services adjustment was updated to reflect up to date data.

The time taken to respond is affected by a number of factors such as the condition and location of the patient, the nature of the emergency and the prevailing weather and road conditions. The ambulance service use recent data to predict where they are most likely to receive serious and life-threatening calls and to ensure resources are allocated in the most effective way to deliver a safe and efficient service across all parts of Scotland.

http://www.scottish.parliament.uk/webapp/wa.search.

Number of Practices that Started Providing NHS General Dental Services in the Years Ending 31 March

Source: NHS Highland.

Note: 1. This practice closed and re-opened within the year.

http://www.isdscotland.org/isd/servlet/FileBuffer?namedFile=Reg_No3_Allregions_mar_jun_sep_dec07__.xls&pContentDispositionType=attachment.

The information requested is only available from March 2007. The tables present information as at March, June, September and December 2007. They do not represent the percentages of people in each community health partnership who are registered. Registrations (numerator) are based on the postcode of the practice where the patient has registered with a general dental practitioner. The population (denominator) is based on where the patient resides, in this case the community health partnership. In some cases, the number of registrations may exceed the actual number of “people” in the chosen population.

Number of Dentists¹ who have Provided NHS General Dental Services, and Rates² per 10,000 of Population; at 30 September

Sources: MIDAS (Management Information and Dental Accounting System) and GRO(S).

Notes:

1. The number (head count) of NHS non-salaried and salaried principals, assistants and vocational dental practitioners, based on the location of the dental practice.

2. Crude rates (all ages) for years 2006 and 2007 have been calculated per 10,000 persons, using 2006 mid-year population estimates from General Register Office for Scotland (GRO(S).

Number of Practices that Stopped Providing NHS General Dental Services in the Years Ending 31 March

Source: NHS Highland.

Note: 1. This practice re-opened within a year.