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Obsessive Compulsive Disorder (OCD) is relatively common, and is managed across primary care and specialist mental health services. The provision of health services is the responsibility of local health boards. The Psychological Therapies Matrix (published by NHS Education for Scotland) provides guidance for Health Boards and Integration Authorities on psychological therapy treatment options, including for OCD:

http://www.nes.scot.nhs.uk/education-and-training/by-discipline/psychology/the-matrix-(2015)-a-guide-to-delivering-evidence-based-psychological-therapies-in-scotland.aspx

Any referrals to general psychological therapies, including for OCD, are subject to the LDP access standard. The Scottish Government has announced a £54.1 million package of funding over four years from 2016-17 to improve access to mental health services.

Subject to the wishes of patients, community mental health teams involve families and carers routinely in the care and treatment of patients. Individual care plans allow consideration to be given to physical, mental and social aspects of the management of patients, including patients with OCD. Social prescribing and community resources are commonly used tools. Digital resources like NHS Inform provide details of a range of such resources for people living with OCD. https://www.nhsinform.scot/illnesses-and-conditions/mental-health/obsessive-compulsive-disorder-ocd

During our engagement on the next Mental Health Strategy, we invited written responses on an engagement paper outlining our proposed priorities, and received nearly 600 responses.

The responses were independently analysed and a full report published online, which can be viewed at: http://www.gov.scot/Publications/2016/12/1634/0

One of the groups suggested as a priority by respondents was families and carers.

All of the feedback we received has helped shape our thinking when developing the Strategy, which we will publish in the coming weeks.

The Scottish Government is committed to increasing physical activity and we want to make Scotland a more active country by encouraging people, and in particular young people, to make physical activity a part of their everyday lives.

98% of primary and secondary schools across Scotland continue to provide at least two hours or two periods of PE each week, in line with the Programme for Government 2016 commitment to maintain the PE commitment. There are no plans to review this target.

This information is not held centrally.

The Scottish Government does not directly support the Spartans alternative school in Edinburgh or any other similar institutions across Scotland. Some Edinburgh schools do contribute to costs but that, and funding for any similar institutions, is a matter for schools and local authorities to consider based on their local needs and circumstances.

NHS Lothian will be taking over Deans and Eliburn Medical Practice from 1 April 2017 and will ensure that patients continue to receive a high standard of care.

NHS boards have various means of supporting independently contracted practices which request assistance. We expect Health boards to work with practices as constructively and as flexibly as is appropriate to ensure that all patients have access to GP services. The Scottish Government is aware of concerns around recruitment issues in Lothian and elsewhere in Scotland, these will be taken into account as the 2017 GMS contract negotiations go forward.

In 2017-18 we will invest £72 million in the Primary Care Fund to improve primary care and GP services. As part of this, £5 million will be invested in work to explore with key stakeholders the issues surrounding GP recruitment and retention. This is the first step to increase spending on Community Health Services by £500 million by 2021-22 so that it is at least £1,283 million. This commitment will mean that by 2021-22, for the first time, more than half of the NHS frontline spending will be in our Community Health Service.

We have provided significant resource to enable the Living Wage to be paid to care workers supporting adults. This focus has been to recognise challenges facing the sector in regards to recruitment and retention and to improve quality of care.

We wish to see everyone in Scotland be paid at least the Living Wage and we encourage local partners and providers to expand on this initiative to include other groups of workers where this is regarded as affordable and sustainable and meets local priorities.

NHS National Services Scotland, Information Services Department collect and publish sickness absence data at a national and board level once a year. Annual information from 2007 is available at the following link, this information is not broken down by job family: https://www.isdscotland.org/Health-Topics/Workforce/Publications/2016-06-07/Sickness_Absence_M2016.xls

It is not possible to accurately identify all staff defined as ‘cancer specialists’ – either wholly or as part of their role – from centrally held data due to the multi-disciplinary roles involved in the delivery of cancer services. NHSScotland Boards are expected to ensure that patients with specialist conditions have appropriate access to a range of professionals to enable optimum management of their condition.

Last year we published our five-year £100 million Cancer Strategy which sets out how we will improve patients’ access to cancer diagnosis and treatment. We have also committed to invest an extra £2.5 million of recurring funding in specialist nursing and care from 2015-16 onwards.

Further information on the NHSScotland workforce, including those staff involved in the delivery of cancer services, is published by ISD Scotland and is available at the following link:- http://www.isdscotland.org/Health-Topics/Workforce/Publications/data-tables2017.asp?id=1870#1870