Seòmar agus comataidhean

Enquire received (a) £254,421 in 2002-03; (b) £321,963 in 2003-04, and (c) will have received £367,361 between April 2004 and March 2005. The agreed grant for 2005-06 is £326, 951. No decisions have been taken on funding beyond 2005-06.

Figures provided by the Office of the Public Guardian (OPG), indicate that the number of guardianship orders (a) applied for and (b) awarded under the Adults with Incapacity (Scotland) Act 2000 for each year since 2002-03, broken down by local authority are as follows:

2002-03

	Guardianships Applied For			Guardianships Granted
	Welfare	Financial	Combined	Welfare	Financial	Combined
Aberdeen City	19	5	4	16	3	2
Aberdeenshire	9	6	5	4	3	1
Angus	5	2	1	4	2	0
Argyll and Bute	11	2	2	9	0	1
City of Edinburgh	20	10	7	10	5	5
Clackmannanshire	2	1	1	1	0	0
Dumfries and Galloway	8	5	1	7	3	1
Dundee City	4	7	1	3	4	0
East Ayrshire	5	3	2	4	1	1
East Dunbartonshire	7	5	2	0	2	0
East Lothian	7	6	1	5	0	0
East Renfrewshire	3	2	1	0	1	1
Eilean Siar	3	1	2	1	0	1
Falkirk	8	4	2	7	2	0
Fife	17	7	6	6	4	2
Glasgow City	25	7	4	17	2	2
Highland	36	9	4	29	3	0
Inverclyde	4	1	2	0	1	2
Midlothian	1	1	0	1	0	0
Moray	12	9	3	7	1	0
North Ayrshire	9	2	2	6	1	0
North Lanarkshire	6	7	3	6	2	0
Orkney Islands	1	0	1	0	1	0
Perth and Kinross	19	4	1	18	2	0
Renfrewshire	8	1	7	0	0	3
Scottish Borders	6	2	2	4	0	2
Shetland Islands	1	1	0	1	0	0
South Ayrshire	4	4	5	3	1	1
South Lanarkshire	10	11	2	7	4	1
Stirling	8	5	3	5	1	0
West Dunbartonshire	7	6	1	2	0	1
West Lothian	30	1	2	25	1	1
Grand Total	286	114	72	208	50	28

 

2003-04

	Guardianships Applied For			Guardianships Granted
	Welfare	Financial	Combined	Welfare	Financial	Combined
Aberdeen City	19	8	2	16	8	3
Aberdeenshire	11	10	6	13	10	5
Angus	13	2	7	12	1	7
Argyll and Bute	14	3	5	12	4	5
City of Edinburgh	19	24	17	22	24	13
Clackmannanshire	6	0	6	0	4	0
Dumfries and Galloway	12	15	2	10	12	0
Dundee City	5	5	2	5	7	2
East Ayrshire	5	3	1	5	4	0
East Dunbartonshire	2	3	5	2	5	5
East Lothian	6	3	2	4	2	2
East Renfrewshire	4	1	2	4	2	2
Eilean Siar	2	1	1	1	1	1
Falkirk	3	5	1	4	6	2
Fife	27	23	12	21	19	11
Glasgow City	14	18	5	17	19	6
Highland	26	9	11	26	12	9
Inverclyde	4	4	2	4	2	2
Midlothian	2	5	3	1	4	2
Moray	4	3	1	5	5	0
North Ayrshire	10	5	4	13	4	5
North Lanarkshire	13	12	8	7	15	4
Orkney Islands	1	0	1	0	1	0
Perth and Kinross	16	6	2	12	5	3
Renfrewshire	2	4	5	3	3	8
Scottish Borders	17	10	7	12	1	5
Shetland Islands	0	0	0	0	0	0
South Ayrshire	5	12	9	4	9	10
South Lanarkshire	13	17	22	10	16	5
Stirling	6	4	2	0	3	0
West Dunbartonshire	10	3	7	6	6	0
West Lothian	32	5	4	26	3	3
Grand Total	296	224	150	277	217	120

 

1 April 2004 to 31 December 2004

	Guardianships Applied For			Guardianships Granted
	Welfare	Financial	Combined	Welfare	Financial	Combined
Aberdeen City	20	9	9	18	8	6
Aberdeenshire	13	18	11	10	17	9
Angus	10	1	7	7	1	6
Argyll and Bute	17	4	5	18	2	5
City of Edinburgh	18	24	18	18	19	16
Clackmannanshire	2	6	4	2	5	4
Dumfries and Galloway	20	8	1	16	3	2
Dundee City	7	11	2	4	5	2
East Ayrshire	4	2	2	1	1	1
East Dunbartonshire	2	2	3	1	2	5
East Lothian	6	3	3	1	4	1
East Renfrewshire	3	1	2	0	1	1
Eilean Siar	3	1	2	1	0	2
Falkirk	14	10	4	8	4	0
Fife	25	19	12	23	19	12
Glasgow City	26	18	11	17	11	7
Highland	20	8	6	19	5	6
Inverclyde	4	1	3	1	3	0
Midlothian	6	3	3	2	2	1
Moray	3	2	6	3	2	3
North Ayrshire	14	4	6	13	4	5
North Lanarkshire	17	10	10	16	4	8
Orkney Islands	3	0	3	0	1	0
Perth and Kinross	13	9	4	12	3	4
Renfrewshire	4	2	6	3	1	4
Scottish Borders	9	6	3	5	2	2
Shetland Islands	9	3	6	3	0	3
South Ayrshire	8	7	1	8	9	1
South Lanarkshire	13	16	20	13	14	31
Stirling	7	3	4	6	3	4
West Dunbartonshire	2	1	1	0	1	0
West Lothian	13	3	2	17	1	2
Grand Total	298	201	164	266	157	153

Note: The totals in the local authority breakdown tables will not necessarily reflect the total number of orders applied for and granted. This is because there may be orders in respect of adults who have property in Scotland but who reside elsewhere which are not attributed to a local authority area.

Enquire received (a) 2,516 enquiries in 2002-03; (b) 3,064 enquiries in 2003-04, and (c) 2,291 enquiries between April 2004 and January 2005 (figures for February to March 2005 are not yet available).

It is anticipated that the Education (Additional Support for Learning) (Scotland) Act 2004 will be commenced in late 2005.

The following table shows the number of salaried GPs in General Medical Services (GMS) practices at April in each of the years 1999-2004, and also salaried GPs in Personal Medical Services (PMS) practices in April 2003 and 2004. 

Salaried GPs at April

NHS Board	1999	2000	2001	2002	2003			2004
	GMS 1	GMS 1	GMS 1	GMS 1	GMS 1	PMS 2	Total	GMS 1	PMS 2	Total
Scotland	17	17	14	24	34	124	158	32	145	177
Argyll and Clyde	-	-	-	-	-	1	1	1	2	3
Ayrshire and Arran	-	3	3	9	11	6	17	14	9	23
Borders	2	2	2	2	1	-	1	-	-	-
Dumfries and Galloway	-	-	-	-	1	1	2	1	1	2
Fife	-	-	-	-	1	2	3	2	2	4
Forth Valley	-	-	-	-	6	6	12	5	5	10
Grampian	7	4	1	-	-	40	40	-	38	38
Greater Glasgow	-	-	8	12	13	10	23	4	14	18
Highland	-	-	-	-	-	13	13	-	17	17
Lanarkshire	-	-	-	-	-	6	6	-	5	5
Lothian	1	-	-	-	-	27	27	-	28	28
Orkney	-	-	-	1	1	-	1	5	-	5
Shetland	-	-	-	-	-	3	3	-	14	14
Tayside	7	8	-	-	-	3	3	-	2	2
Western Isles	-	-	-	-	-	6	6	-	8	8

Source: ISD Scotland.

Notes:

1. Comprises Salaried GPs inGeneral Medical Services (GMS) practices, employed under paragraph 52 of the Statementof Fees and Allowances (SFA). Data source: ISD(M)37 forms, ISD Scotland.

2. Comprises Salaried GPs inPersonal Medical Services (PMS) practices, including all principal and non principalGPs. Data source: ISD PMS Census carried out on behalf of Scottish Executive.

The new GMS Contract was implementedfrom 1 April 2004 which changed the definitions that applied to the GeneralMedical Service.

No formal or systematic evaluationhas been made of any savings to the civil legal aid or other justice budgets asa result of the provision of mediation services. Previous attempts to do so in familycases have been unsuccessful due to the difficulties in ensuring valid comparisonsbetween cases where mediation has taken place and others where it has not. Mediationmay reduce costs in some cases where it is successful, but may increase the costof cases where not successful. The take up of mediation in non-family cases is verylow and unlikely to have had any measurable impact on the legal aid budget. Researchis being developed with the aim of evaluating the effectiveness of mediation inScotland.

Finance ministershave not received any direct representations from Scottish Borders Council regardingthe funding of the road network but the Executive has increased provision for RoadsMaintenance by £60 million in the local government finance settlements for both2006-07 and 2007-08.

It is the responsibilityof local authorities to set their own local priorities but, having made the casefor increased resources, we look to local authorities to play their part in ensuringthat local roads are properly maintained.

The number of first out-patientneurology appointments and the median waiting time for a first out-patient appointmentwith a consultant in the specialty of neurology, following referral by a generalmedical practitioner, by NHS board of residence, in the year ended 31 December 2004, isgiven in the table.

The Centre for Change and Innovationis undertaking the largest out-patient improvement programme seen in Scotland tocreate sustainable change and assist NHSScotland to meet the national maximum waitingtime of 26 weeks for a first out-patient appointment, from the end of 2005. As partof this programme, a £2.95 million national redesign of neurology services was launchedlast year. The four specialist neurology centres in Glasgow, Edinburgh, Dundee and Aberdeen havedeveloped redesign proposals in partnership with their neighbouring NHS boards forwhom neurology services are provided, and funding is currently being issued.

NHSScotland: Number of FirstOut-Patient Appointments and Median Waiting Times for a First Out-patient Appointmentwith a Consultant in the Specialty of Neurology, Following Referral by a GeneralMedical Practitioner, by NHS Board Area of Residence. Year Ended 31 December 2004^P.

NHS Board	Number of Appointments	Median Wait
Argyll and Clyde	825	101 days
Ayrshire and Arran	336	65 days
Borders	276	167 days
Dumfries and Galloway	156	58 days
Fife	795	159 days
Forth Valley	773	63 days
Grampian	2,082	35 days
Greater Glasgow	3,008	95 days
Highland	312	100 days
Lanarkshire	1,103	125 days
Lothian	4,228	33 days
Orkney	24	32* days
Shetland	22	148* days
Tayside	743	78 days
Western Isles	45	107* days
Scotland	14,728	69 Days

Source: SMR00, ISD Scotland.

^PProvisional.

Note: *Figures should be treatedwith caution as they are derived from a possible unrepresentatively small numberof appointments (more than 14 but less than 50).

Excludes patients with an AvailabilityStatus Code.

Information on all admissions to general acute and psychiatric hospitals, showing episodes of in-patient or day case care with an explicit diagnosis of alcohol-related conditions, drug misuse and obesity during 2001-02 is shown in table 1.

Complete data on psychiatric admissions is unavailable for 2002-03 and 2003-04. Table 2 shows the information requested for admissions to general acute hospitals only.

Estimates of the number of people admitted to hospital as a result of tobacco consumption are not available.

Table 1 Scottish Hospital^1,2 Discharge Records With an Explicit Diagnosis of Alcohol-related Conditions, Drug Misuse or Obesity; 2001-02

Area of Residence	Diagnosis³
	Alcohol-related Conditions	Drug Misuse	Obesity
Scotland	45,964	6,334	4,462
Argyll and Clyde	4,556	623	359
Ayrshire and Arran	4,018	800	449
Borders	729	70	147
Dumfries and Galloway	1,257	196	237
Fife	2,504	305	422
Forth Valley	1,572	187	181
Grampian	3,284	491	304
Greater Glasgow	10,947	2,208	689
Highland	2,790	104	439
Lanark	4,221	448	315
Lothian	6,615	705	738
Tayside	2,796	174	126
Islands4	675	23	56
Other	808	224	28

Source: SMR01 & SMR04(valid records only).

Date:   2 March 2005.

Ref:    20050514.

Notes:

1. Includes acute hospitals,mental illness hospitals and psychiatric units (excludes maternity hospitals).

2. Information on hospital dischargesrelates to episodes of in-patient or day case care rather than individual patients.The same patient may account for several hospital admissions during the course ofa year (or across years) and will be counted each time in the attached table. Transfercases have been included.

3. Diagnostic information isdefined by using the World Health Organisation’s International Classification ofDiseases 10th Revision (ICD10). Alcohol-relatedconditions: F10, R780, Y90, Y91, Z637, Z811, Z864, Z714, Z502, T506, Y573, T510,T519, X45, X65, Y15, O354, Q860, P043, Z721, Z133, G621, G721, K860, I426, K70,K292, G312, E52.  Drug Misuse : F11,F12, F13, F14, F15, F16, F18, F19. Obesity : E66.

4 Orkney, Shetland and WesternIsles.

Table 2 Scottish General AcuteHospital^1,2 Discharge Records with an Explicit Diagnosis of Alcohol-relatedConditions, Drug Misuse or Obesity; 2002-03 to 2003-04^Ñ

Area of Residence	Discharge Period Diagnosis³
	2002-03			2003-04
	Alcohol-related Conditions	Drug Misuse	Obesity	Alcohol-related Conditions	Drug Misuse	Obesity
Scotland	44,669	5,084	5,150	46,206	5,152	5,595
Argyll and Clyde	4,253	485	381	4,037	464	421
Ayrshire and Arran	4,129	585	442	4,150	642	461
Borders	688	56	128	652	43	99
Dumfries and Galloway	1,140	124	266	1,083	90	206
Fife	2,166	268	494	2,098	317	490
Forth Valley	1,660	162	251	1,624	145	212
Grampian	3,376	450	387	4,285	524	626
Greater Glasgow	10,876	1,853	859	10,969	1,666	1,036
Highland	2,753	60	489	2,846	67	406
Lanark	4,364	268	292	4,755	257	384
Lothian	6,109	561	906	6,339	751	932
Tayside	2,349	194	188	2,510	160	247
Islands4	806	18	67	858	26	75
Other	663	165	48	598	81	45

Source: SMR01 (valid recordsonly).

Date:   2 March 2005.

Ref:     20050514.

^PProvisional.

Notes:

1. Includes acute hospitals (excludesmaternity hospitals, mental illness hospitals and psychiatric units).

2. Information on hospital dischargesrelates to episodes of in-patient or day case care rather than individual patients.The same patient may account for several hospital admissions during the course ofa year (or across years) and will be counted each time in the attached table. Transfercases have been included.

3. Diagnostic information isdefined by using the World Health Organisation’s International Classification ofDiseases 10th Revision (ICD10). Alcohol-relatedconditions: F10, R780, Y90, Y91, Z637, Z811, Z864, Z714, Z502, T506, Y573, T510,T519, X45, X65, Y15, O354, Q860, P043, Z721, Z133, G621, G721, K860, I426, K70,K292, G312, E52. Drug Misuse : F11,F12, F13, F14, F15, F16, F18, F19. Obesity : E66. Orkney, Shetland and Western Isles.

There is no statutory or operational requirement for the Executive to collect such information, and we have no plans to seek it from local authorities.

However, in light of the findings of the SWSI and Mental Welfare Commission investigations into the care and treatment of individuals with learning disabilities by Scottish Borders Council and NHS Borders, and more generally about the need to improve protections for vulnerable adults, the Executive is pursuing a range of policy initiatives which, collectively, will lead to improved care practice and data sharing for vulnerable adults.