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Data on how many young people have been refused treatment from child and adolescent mental health services is not held centrally.

Data on the number of referrals received and number of referrals rejected is collected and published on the ISD website (http://www.isdscotland.org/Health-Topics/Waiting-Times/Child-and-Adolescent-Mental-Health/). Referrals rejected are referrals that do not meet the criteria for CAMHS intervention.

Charging guidelines for integration joint boards remain those issued by COSLA, as per S5W-04980 answered on 8 December 2016. These guidelines cover charging for non-residential social care services, which includes community alarms as a chargeable service.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx.

Local authorities have a duty under the Social Work (Scotland) Act 1968 to assess a person’s community care needs and decide whether to arrange any required services.

Approximately 77,000 people in Scotland benefit from Free Personal Care, with more than 30,000 people in Care Homes and nearly 47,000 people living in their own home.

We take a broad approach to measuring the quality of care within our health service. Individual surgical units conduct morbidity and mortality meetings regularly, NSS Discovery allows appropriate benchmarking within and across Boards.

Our surgeons participate in a broad range of audits which are published and used to improve care. Some of these audits publish UK wide level consultant mortality data. In Scotland, we have seen surgical mortality fall by 24% in the last three years - partly as a result of the Scottish Patient Safety Programme.

As part of the Local Government Finance Settlement for 2016-17, £250m was provided from the Health budget to integration authorities for social care, of which £125m was provided to support additional spend on expanding social care, including through making progress on charging thresholds for all non-residential services to address poverty.

Details of the allocations were provided in response to question S4W-30141 answered on 26 February 2016.

The Scottish Government estimated that increasing charging thresholds from 16.5% to 25% would benefit around 13,000 people through reduced charges and take around 900 people out of charging altogether.

Data on the number of referrals made by GP’s, schools or school nurses and named persons to child and adolescent mental health service is not held centrally ISD receives aggregated referral data from NHS Boards. It is not possible to identify the source of the referral.

Data on the number of referrals received and number of referrals rejected is collected and published on the ISD website (http://www.isdscotland.org/Health-Topics/Waiting-Times/Child-and-Adolescent-Mental-Health/). Referrals rejected are referrals that do not meet the criteria for CAMHS intervention.

The average age of Mental Health Nurses working in NHSScotland as at 30 September 2016 is 45.

Mental Health Officer (MHO) status, which allows members of the NHS Pension Scheme to retire with an unreduced pension from age 55 onwards (where the member has the necessary MHO service and is working as an MHO immediately before retiring) was discontinued for new members of the NHS Pension Scheme from 1 April 1995. Staff with MHO status at that point have the right to retain it, providing they do not have a break in NHS pensionable employment of five years or more and continue to work in an employment which attracts MHO status. It cannot be presumed, however, that all staff with MHO status who reach the age of 55 will retire at that point, as retirement is discretionary.

Under this Government, the number of Mental Health Nurses working in NHSScotland have increased by 2,158.5 Whole Time Equivalent (WTE), or 29.8 per cent, to 9,404.3 WTE. We have committed to introducing a national and regional workforce planning system across NHSScotland which will help deliver the vision set out in the National Clinical Strategy.

This information is not held centrally.

The primary aim of the Service Improvement Groups (SIGs) was to bring pain services across Scotland in line with the Scottish Service Model for Chronic Pain. Scottish Government funding was made available to NHS Boards from 2012, totalling £1.3 million, each for two-year periods. All 14 territorial Boards submitted applications based upon their respective local pain services, and these were accepted following a thorough assessment process. The central funding for the SIGs, therefore, was time-limited.

Beyond this additional funding period, it was (and is) a matter for NHS Boards to determine the most appropriate configuration and delivery of chronic pain services to meet the assessed needs of their resident populations.

Community alarms and/or telecare have been in use in their most basic form for over 40 years, with the latest Scottish Government statistics showing that over 126,000 people are being supported at home with telecare. In 2006, following the well-documented benefits of the use of more enhanced telecare as a preventative service in West Lothian, the Scottish Government launched the Telecare Development Programme to spread the approach across Scotland.

This ran until 2011, and independent evaluation carried out by the York Health Economics Forum showed that, overall, almost 44,000 people began a telecare service through the Programme. Around 2,500 hospital discharges were expedited as a result of national funding, whilst at the same time around 8,700 unplanned hospital admissions and over 3,800 care home admissions were also avoided.

By achieving the above outcomes, partnerships saved around:

• 546,000 care home bed days;

  • The average number of care home bed days saved per care home admission avoided was 143 (or roughly 20 weeks).

• 109,000 hospital bed days through facilitated discharges and unplanned admissions avoided;

  • The average number of hospital bed days saved per reduced delayed discharge was 11.

  • The average number of hospital bed days saved per unplanned hospital admission avoided was 9.

• 48,000 nights of sleepover/wakened night care;

• 444,000 home check visits.

See http://www.jitscotland.org.uk/action-areas/telehealth-and-telecare/ for more. Further embedding of telecare as a preventative measure is now being progressed by the Scottish Government through the Technology Enabled Care Programme.

We have committed to undertaking a feasibility study in 2017 into the extension of free personal care to those people under the age of 65 with a diagnosis of dementia. Although community alarms do not count as personal care, no decision has been made as to the scope of the feasibility study.