Seòmar agus comataidhean

Part of the Scottish Government''s ongoing and encompassing 41 point package of measures to tackle alcohol misuse, detailed in Changing Scotland''s Relationship with Alcohol: A Framework for Action, is a portfolio of studies developed by NHS Health Scotland to monitor and evaluate the implementation and impact of the Government''s strategy.

This includes evaluation of the implementation of, and compliance with, the objectives and requirements of the Licensing (Scotland) Act 2005 which, following a competitive tendering process, was commenced by the Scottish Centre for Social Research in February 2010. The final report is due in March 2013. It is intended that research findings will be reported upon, where appropriate, in interim briefing papers.

Detailed proposals for the remit and operation of the scrutiny group are being developed and will be discussed collaboratively with the staff side and employers before they are finalised. The group is likely to focus on 2010-11 in the first instance.

The Scottish Government''s role is to provide policies, frameworks and resources to NHS boards to enable clinicians and service planners to deliver high quality, safe and sustainable services to local communities. It is a matter for NHS boards to plan for and provide services to meet the assessed needs of their resident population, irrespective of age or clinical condition. This applies to management of overweight and obesity.

Recent initiatives and reports issued to support NHS boards and clinicians to deliver effective care for overweight and obese adults and children include: Preventing Overweight and Obesity in Scotland: A Route Map Towards Healthy Weight; the SIGN guideline on Management of Obesity, and the national roll out of the Counterweight Programme approach to managing weight in primary care.

From 2001, Scottish Morbidity Record 24 (SMR24) forms were completed by voluntary organisations, statutory NHS teams and a limited number of primary care providers. SMR24 submissions were not received from the Scottish Prison Service. In April 2006, SMR24 was replaced by the Scottish Morbidity Record 25 (SMR25) form.

The SMR25 form is an expanded version of the information that was previously collected using SMR24. From August 2008, there has been an incremental move from paper to web-based data collection. When the web system was introduced, the SMR25 dataset was expanded as follows:

SMR25a “ Initial assessment data (the same as previously submitted on paper forms)

SMR25b “ Follow-up data (only available to services once they begin using the web data collection system).

At present, Information Services Division (ISD) Scotland gather SMR25 submissions from all services that provide a comprehensive or specialist assessment of a client''s care/treatment needs in relation to drug misuse. For those services that meet this definition:

(a) Voluntary organisations “ SMR25a submissions are received from all, and SMR25b submissions from those using the web data collection system.

(b) Statutory NHS teams “ SMR25a submissions are received from all, and SMR25b submissions from those using the web data collection system.

(c) Primary Care Providers “ SMR25a submissions are received from a limited number of Primary Care Providers and only on paper forms.

(d) Scottish Prison Service “ From 1 April 2010, the Scottish Prison Service (SPS) began submitting both SMR25a and SMR25b data to ISD Scotland using the web data collection system. All SPS drugs services are submitting data, but at present the private prisons are not submitting data.

I refer the member to the answer to question S3W-34344 on 24 June 2010. All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

There are currently no plans to establish a national managed clinical network for the treatment of severe and complex obesity.

I refer the member to the answer to question S3W-34344 on 24 June 2010. All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

I have decided to defer any decision on setting up the group until after the next spending review.

Within NHSScotland dedicated Health Records and Medical Secretarial staff support the delivery of direct clinical care by the initiation, retrieval and maintenance of patients medical records both manual and electronic.

These administrative staff support the progression of the patient throughout their pathway from initial referral by ensuring that all relevant clinical information is assembled and kept up to date within the medical record, through generation of clinical correspondence, indexing and filing of clinical documents and reports. This ensures that a comprehensive medical history is available at the time of clinical intervention.

The 10 year cost to each board is outlined in the following table. The annual cost has not been presented as there are annual fluctuations depending on local implementation and choice of specific modules. The annual cost if all Scottish NHS boards sign up cannot be accurately predicted as it is dependent on the options under the contract that boards might choose, which will vary according to their local needs at the time. This is reflected in the Lothian figures which are proportionally higher as they have chosen a fully managed service and their service cover community as well as acute sectors.

NHS Board	Licence	Deployment	10 Year Support	Total By Board
Ayrshire and Arran	1.47	1.01	2.88	5.36
Borders	0.65	0.64	1.37	2.66
Grampian	2.31	1.01	4.36	7.68
Greater Glasgow and Clyde	6.31	4.11	11.47	21.89
Lanarkshire	2.07	1.01	4.28	7.36
Sub Total 5 Boards	12.81	7.78	24.36	44.95
Lothian	3.8		15
Total	16.61	7.78	39.36	63.75