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I wrote to the Health and Sport Committee on 16 November to provide an update on the Scottish Government’s progress on implementing the recommendations of the Montgomery Review of Access to New Medicines.

Since publication of the Montgomery Review in December 2016, we have been working closely with relevant partners, stakeholders, patient representatives, the third sector and the pharmaceutical industry to consider the most appropriate and effective way to take forward the recommendations.

Copies of the letter are available from the Scottish Parliament Information Centre (Bib. number 59333)

Scottish Government officials are working closely with Chief Officers and Chief Finance Officers of a number of Integration Joint Boards, along with COSLA to discuss the implementation of Free Personal Care for under 65's.

There has been a new webpage added to the Scottish Government website http://www.gov.scot/Topics/Health/Support-Social-Care/Support/Adult-Social-Care/Free-Personal-Nursing-Care/Implementation-free-personal-care-under65 which will provide updates on the implementation of the extension to Free Personal Care to under 65's.

Immediately following the Programme for Government announcement on 5 September, we have said that the extension of free personal care will be in place by 1 April 2019.

Since 1999 the data on the community nursing staff categories, including district nurses, has been subject to a number of reviews.

The number of district nurses by NHS Board, from September 1996 to September 2005,

can be found on the workforce statistics web site:

http://www.isdscotland.org/Health-Topics/Workforce/Historic-Data/WFE01_HB_REG.xls.

In 2006, recording of NHS staff was moved from Whitley to Agenda for Change. As a result statistics presented from 2007 onwards are not directly comparable to information prior to 2006. Information for 2006 is not available as this was a transitional year.

The number of district nurses by NHS Board, from September 2007 to September 2014, can be

found on the workforce statistics web site:

https://www.isdscotland.org/Health-Topics/Workforce/Publications/2017-09-05/Non-Medical_Trend_J2017.xls.

A review of the data on community nursing staff categories, including district nurses, was undertaken in 2014 to ensure more accurate and consistent reporting for these staff groups. Data prior to the completion of the review is not comparable with data from 2015 onwards.

The number of district nurses by NHS Board, from March 2015 to June 2017, can be found on the workforce statistics web site:

https://www.isdscotland.org/Health-Topics/Workforce/Publications/2017-09-05/Nursing_and_Midwifery_SIP_J2017.xls.

The Scottish Government believes that young carers should be supported to have a life similar to their non-carer peers which includes having access to leisure and recreational activities.

The Scottish Government engaged with COSLA as part of the development of the new package of support for young carers that the First Minister announced on
20 September 2017. This package includes the proposed specific young carer element to the Young Scot National Entitlement Card which will provide targeted, non-cash rewards and benefits to young carers. Young Scot will work with a group of young carers to ensure the rewards are appropriately tailored to their needs. Young Scot will be engaging with local authorities and businesses over the rewards and benefits to be offered through the scheme, which will be rolled out from April 2019.

The Information requested is not reported centrally, but the tables show the number of patients for whom dehydration and related conditions were the main diagnoses recorded as the reason for hospital admission (table 1) or one of the diagnoses recorded (table 2). Because dehydration is reported together with other conditions such as hypovolaemia (low blood volume), the figures given are likely to overestimate the number of cases. Where dehydration and related conditions were the main reason for hospital admission, the most common other conditions recorded included vomiting, kidney disease and diabetes.

Table 1: Number of people who had at least one admission to hospital during the year because of a primary diagnosis of volume depletion, including dehydration or related condition; by Health Board of treatment; 1999 – 2016

Table 2: Number of people who had at least one admission to hospital during the year because of any diagnosis of volume depletion, including dehydration or related condition; by Health board of treatment; 1999 – 2016

The Scottish Government has no plans to review CEL 12 (2012). It is for the integration authorities, working with their local partners, to commission services and supports to meet the needs of their local populations, including their palliative and end of life care needs.

We are working on up-to-date advice for Joint Integration Boards, to support them in ensuring appropriate care.

The Scottish Government has regular contact and discussion with NHS Boards covering matters relating to finance and performance. Details of engagements undertaken by Ministers since 2008 is available on the Scottish Government's website at the following addresses:

https://beta.gov.scot/publications/?term=ministerial&publicationTypes=transparency_data

Information on the median wait and maximum wait from the date of urgent referral with a suspicion of cancer to date of first treatment by board of receipt and calendar year is available from the Scottish Parliament Information Centre - Bib number 59336.

Data held centrally is only available in the requested format from 2010 onwards.

Action 16 of the Mental Health Strategy 2017-27 committed to fund the introduction of a Managed Clinical Network to improve the recognition and treatment of perinatal mental health problems. Recruitment to the network has been completed and it is now operational

The network is conducting a review of services (both statutory and voluntary), available to women who experience any perinatal mental illness, across Scotland. This will be completed within the coming year. The network will then make recommendations regarding the adequacy of provision and how any identified gaps in service provision could be filled.

Action 16 of the Mental Health Strategy 2017-27 committed to fund the introduction of a Managed Clinical Network to improve the recognition and treatment of perinatal mental health problems. Recruitment to the network has been completed and it is now operational.

In its review of current provision, the network will pay particular attention to pathways into care for women who may live some distance from an existing MBU and will make recommendations on improving access where difficulties emerge. Both existing MBUs have put in place online resources which provide information for the public and professionals on accessing MBU care and what to expect if an admission takes place.