Chamber and committees

There is no central register of drug users in Scotland. However, the Scottish Drug Misuse Database collects information on drug users at the point of their coming into contact with drug treatment services. This information can be found at www.drugmisuse.isdscotland.org.

We are in regular contact with the UK Government on a wide range of transport-related issues.

The following table showsthe available information on babies discharged from Neonatal Units with adiagnosis involving drug misuse.

Neonatal discharges (1,2)recording drug misuse (3)

Financial Year	Number of Discharges
1997-98	217
1998-99	245
1999-2000	325
2000-01	329
2001-02*	258
2002-03*	276

Source : ISD ScotlandNeonatal Discharge Summary (SMR11) and Scottish Birth Record (SMR11).

Notes:

1 A baby may be admitted toand discharged from neonatal care more than once. These figures relate to thetotal number discharges, not to the number of individual babies.

2 Includes births where NHS boardof residence is unknown or outside Scotland.

3 Drug misuse is definedusing the following International Classification of Disease (10th Rev.) codes:

·P04.4- Foetus and newborn affected by maternal use ofdrugs of addiction.

·P96.1- Neonatal withdrawal symptoms from maternal useof drugs of addiction.

4.* - Incomplete data.

Data for 01/02and 02/03 are considered incomplete. This is due partly to the introduction of the Scottish Birth Record (SBR) which replaces the SMR11 (sick babies only). TheSBR is currently being incrementally implemented across Scotland with a view to recording information on all birthsby Spring/Summer 2005.

The information requested is set out in the following table. The figures for 2003 will be available at the end of August 2004.

 

Health Board Area	1998		1999		2000		2001		2002
	No	Rate per 100,000 pop	No	Rate per 100,000 pop	No	Rate per 100,000 pop	No	Rate per 100,000 pop	No	Rate per 100,000 pop
Scotland	249	4.9	291	5.7	292	5.8	332	6.6	382	7.6
Argyll & Clyde	23	5.4	30	7.1	31	7.4	22	5.2	31	7.4
Ayrshire & Arran	4	1.1	15	4.0	20	5.4	35	9.5	33	9.0
Borders	1	0.9			1	0.9	1	0.9
Dumfries & Galloway	4	2.7	7	4.7	7	4.7	8	5.4	9	6.1
Fife	13	3.8	9	2.6	12	3.4	11	3.1	12	3.4
Forth Valley	2	0.7	8	2.9	4	1.4	9	3.2	24	8.6
Grampian	26	4.9	38	7.2	31	5.9	46	8.7	47	9.0
Greater Glasgow	93	10.6	100	11.5	104	12.0	96	11.1	126	14.5
Highland	1	0.5	7	3.3	1	0.5	5	2.4	8	3.8
Lanarkshire	21	3.8	23	4.1	29	5.2	24	4.3	37	6.7
Lothian	37	4.8	39	5.1	37	4.8	54	6.9	39	5.0
Orkney
Shetland	1	4.4			1	4.5	1	4.6	1	4.6
Tayside	23	5.8	14	3.6	14	3.6	19	4.9	14	3.6
Western Isles			1	3.7			1	3.8	1	3.8

 

The General Register Officefor Scotland collates information on the cause of death, collected when a deathis registered, using the World Health Organisation’s InternationalClassification of Diseases (ICD). Not all infections have a specific ICD code; inaddition, there is no way of distinguishing deaths involving infectionsacquired in hospital from those acquired in the community using ICD codes.

The following table shows the percentage of the adultpopulation with home access to the internet broken down by local authorityarea. This is taken from the Scottish Household Survey and shows data for 2001-02. We expect the 2002-03 figures to be published on 5 August 2004.

Adult Population	%
Aberdeen City	35
Aberdeenshire	35
Angus	31
Argyll and Bute	30
Clackmannanshire	26
Dumfries and Galloway	21
Dundee City	24
East Ayrshire	25
East Dumbartonshire	43
East Lothian	35
East Renfrewshire	42
Edinburgh City	36
Eilean Siar	24
Falkirk	28
Fife	29
Glasgow City	22
Highland	34
Inverclyde	27
Midlothian	30
Moray	29
North Ayrshire	21
North Lanarkshire	25
Orkney	29
Perth and Kinross	32
Renfrewshire	28
Scottish Borders	31
Shetland	40
South Ayrshire	30
South Lanarkshire	30
Stirling	37
West Dunbartonshire	25
West Lothian	32
Scotland	29

 

Details are as follows:

Health Board	2001-02	2002-03	2003-04
	Per Capita	Per Capita	Per Capita
	£	£	£
Argyll and Clyde	1,080	1,139	1,222
Ayrshire and Arran	1,050	1,125	1,215
Borders	1,042	1,096	1,174
Dumfries and Galloway	1,100	1,176	1,258
Fife	956	1,009	1,088
Forth Valley	990	1,055	1,118
Grampian	956	1,030	1,102
Greater Glasgow	1,192	1,291	1,358
Highland	1,106	1,186	1,276
Lanarkshire	1,002	1,038	1,128
Lothian	991	995	1,136
Orkney	1,275	1,338	1,400
Shetland	1,286	1,412	1,523
Tayside	1,181	1,223	1,283
Western Isles	1,659	1,775	1,926

Notes:

1. The levels of per capitafunding for 2001-02 and 2002-03 have been calculated using the final cashlimited/unified budgets, the actual expenditure for demand led Family Health Servicesfor those years and the mid year estimates of population at 30 June 2001 and2002 respectively.

2. The levels of per capitafunding for 2003-04 have been calculated using the final cash limited/unifiedbudgets, the indicative allocations for demand led family health services andthe mid year estimates of population at 30 June 2003.

Information on the ratio ofcleaners to beds in the NHS is not centrally available.

The number of patients whodid not attend their first out-patient appointment with a consultant, followingreferral by their GP, by NHS board area of residence, during each of the last fiveyears is given in the table.Information on the cost tothe NHS of patients failing to keep appointments is not available centrally. Manyout-patient clinics schedule additional appointments to compensate for non-attendance.Information on the average cost of a consultant outpatient attendance isavailable on the Information and Statistics Division website at: http://www.isdscotland.org/isd/info3.jsp?pContentID=1370&p_applic=CCC&p_serv.

The Centre for Change and Innovation is overseeing a £3 million patient-focused booking initiativeacross NHSScotland. Pilot sites are implementing changes and their impact onDNA rates are being monitored. Early indications are that Patient-FocusedBooking is resulting in substantial reductions to DNA rates and cancellationsat all 30 major hospital booking sites included in the CCI Programme.

Nhsscotland: Number of PatientsThat Did Not Attend Their First Out-patient Appointment, by NHS Board Area of Residence,During The Years Ended 31 March 2000, 31 March 2001,31 March 2002, 31 March 2003 And 31 March 2004^P.

NHS Board	Year Ended 31 March 2000	Year Ended 31 March 2001	Year Ended 31 March 2002	Year Ended 31 March 2003	Year Ended 31 March 2004P
Argyll and Clyde	14,034	13,957	14,476	14,888	14,083
Ayrshire and Arran	10,797	10,717	11,850	12,233	11,971
Borders	1,617	1,572	1,588	1,692	1,815
Dumfries and Galloway	2,211	2,302	2,383	2,247	2,163
Fife	9,800	9,970	10,072	9,855	10,148
Forth Valley	6,692	6,837	7,216	6,766	7,234
Grampian	9,255	9,882	10,323	9,812	9,355
Greater Glasgow	45,943	42,619	47,947	49,242	43,546
Highland	3,969	3,855	3,758	3,753	4,043
Lanarkshire	20,116	19,264	19,748	21,494	19,330
Lothian	22,971	23,012	22,500	21,843	21,362
Orkney Islands	128	145	159	174	167
Shetland Islands	193	224	185	254	206
Tayside	13,873	13,676	13,920	13,075	10,541
Western Isles	497	558	570	670	561
NHSSCOTLAND	162,414	158,900	166,999	168,574	156,853

Source: ISD Scotland,SMR00.

Note: ^pProvisional.

External Finance Limits (EFL) apply to cash accounting and as the Scottish Executive has operated on a resource accounting system since 2002-03 they no longer apply.

I am pleased to report that all of the non-departmental public bodies spent within their agreed final budgets. There are however, four health boards who are expected¹ to exceed their Revenue Resource Limit:

NHS Argyll and Clyde

NHS Grampian

NHS Lanarkshire

NHS Western Isles

NHS boards are clear that any such overspends are carried forward to the next year, and that we expect plans to eliminate them to be in place.

The audited annual accounts for NHS boards are not yet available and the number of boards with deficits may change.