Seòmar agus comataidhean

Record sums are being invested in the NHS by the Scottish Executive so that we can revitalise services for patients everywhere. As part of our action on workforce development we are encouraging innovative multi-professional teamworking, and seeking to reward staff appropriately to the level of responsibility carried. We are working at local, regional and national levels to provide attractive career opportunities for staff at all levels and in all specialities.

Following the changes introduced to the Capital Planning and Approval processes in April this year, it is anticipated that the majority of the £750 million will be allocated directly to NHS boards to undertake those improvements already under way or planned as part of the board's Capital Investment Programme.Those building projects currently under development include the provision of appropriate facilities for mental health; ambulatory care and diagnostic facilities; reconfiguration of services arising from completed or on-going acute services reviews; improved primary care and community hospital facilities, and investment in and the upgrading of medical equipment. IT projects costing under £1 million are managed under delegated authority by the NHS boards and trusts. Projects managed by NHS boards and trusts costing over £1 million are subject to business case approval by the Health Department. These projects are likely to include the development of electronic integrated care records and systems supporting accident and emergency and ambulatory care and diagnostic services. Such investments will be directed in line with the national Information Management and Technology (IM&T) strategy and the health board IM&T Action Plans currently under development.

The Spending Review 2002 settlement reflects the Care Development Group's costing assumptions for free personal care. These assumptions estimated an increase in demand from unmet need and a shift from informal to formal care of approximately 12% building up over the first two years of the policy to 2004-05. Within that framework, identification of individuals in need of care is a matter for local authorities. The Scottish Executive has provided the necessary resources.

Stroke medicine is a continuously advancing field. Our Coronary Heart Disease and Stroke Strategy, which we will publish shortly, will set out arrangements designed to make sure that people in Scotland who have had a stroke can benefit at as early a stage as possible from those advances.

In setting the new national maximum waiting time target of six months for a first out-patient appointment, we have taken account of record levels of investment in the NHS which will enable more resources to be deployed to meet growth in demand, for example by increasing numbers of consultants and nurses and making substantial investment in buildings and IT equipment. Moreover, the Centre for Change and Innovation will support and facilitate new and innovative ways of working. The Executive believes that NHS boards and trusts will meet the new target by 2006 and that the people of Scotland will welcome this commitment to reducing out-patient waits.

Record sums are being invested in the NHS by the Scottish Executive so that we can revitalise services for patients everywhere. As part of our detailed plans for workforce development, we are working at local, regional and national levels to provide attractive career opportunities for staff at all levels.

At any time there are a variety of potentially new technologies for the treatment of cancer being researched or undergoing clinical trials throughout the world. These may include novel gene therapy, new equipment or more sophisticated forms of existing equipment, new drugs or other interventions.The Health Technology Board for Scotland is responsible for providing evidence-based advice to NHSScotland on the clinical and cost effectiveness of new and existing health technologies (medicines, devices, clinical procedures and health care settings).

The terms in-patient, day case and out-patient denote the type and level of resource used to treat a patient during a particular contact with hospital services. These terms are formally defined by ISD Scotland in its Definitions and Codes manual, which can be accessed at the following web address. Other defined terms include day patients, ward attenders, accident and emergency attenders and nurse only clinic attendances.http://www.show.scot.nhs.uk/isd/isd_services/NHSiS_services/National_data_standards/defsmanual.htm.

The treatment of coronary heart disease is a continuously advancing field. Our CHD and Stroke Strategy, which we will publish shortly, will set out arrangements designed to make sure that people in Scotland who suffer from CHD can benefit at as early a stage as possible from those advances.

The Care Development Group acknowledged that the cost of the policy would be affected by changes in demography and specific account has been taken of this in allocating resources.