- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Thursday, 20 February 2020
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Current Status:
Answered by Fiona Hyslop on 5 March 2020
To ask the Scottish Government what its justification is for legal certificate fees reportedly being higher in Scotland than they are in England.
Answer
Registration is devolved, and the setting of fees for registration matters – including charges for extracts from the Birth and Death Registers (birth certificates and death certificates) – is the responsibility of the Registrar General for Scotland subject to the approval of Scottish Ministers. Certificate fees are kept under regular review and set on a cost-recovery basis.
More widely, the UK Gender Recognition Panel charges £140 to applicants seeking a gender recognition certificate, including those resident in Scotland. Applicants can apply for help to pay these fees if they receive certain benefits or are on a low income.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government what plans it has to (a) collect and (b) publish data regarding waiting times for access to eating disorder support.
Answer
The Scottish Government is working with Information Services Division (ISD) on a number of actions to improve the data that is collected regarding referrals to child and adolescent mental health services (CAMHS) and to adult services.
A new core dataset has been developed, which includes diagnosis, diagnosis date and the start date of treatment or intervention. ISD is now working with all Boards to put in place a robust collection mechanism that will provide this core dataset at an individual patient level. As this dataset will be able to be broken down by diagnosis, we would expect a significant improvement in the data that is available regarding eating disorders.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government what its position is on introducing a waiting time standard for young people to access eating disorder support, similar to that in England and Wales.
Answer
The Scottish Government currently has no plans to introduce a waiting times standard for eating disorders. We are clear in our engagement with NHS Boards that patients should be assessed according to their clinical need. Our expectation is that those who need immediate necessary treatment, whether for an eating disorder or for any condition or disorder requiring access to mental health services, will receive that care quickly. We expect Boards to ensure that their services are planned efficiently so that patients have swift and safe access to the full range of services they need.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government what plans it has to conduct a review of the peer coaching project, ECHO, for people with an eating disorder, and whether it will publish the findings.
Answer
A review of the ECHO peer coaching service will be undertaken in 2021, with a full evaluation being undertaken in 2022 by the University of Edinburgh.
We will finalise publication arrangements of these reviews in due course.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government how many people have been treated for eating disorders in each year since 2013, broken down by NHS board.
Answer
Information is not centrally held on numbers treated by the NHS for an eating disorder. However, Information Services Division (ISD) holds information on inpatients admitted with an eating disorders diagnosis.
Table 1. Number of inpatients admitted with eating disorder diagnosis 1 by health board of treatment, 2013 - 2018.
Health Board | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | Grand Total |
Ayrshire & Arran | 23 | 17 | 15 | 26 | 16 | 23 | 120 |
Borders | 12 | 8 | 6 | 12 | 10 | 21 | 69 |
Dumfries & Galloway | 12 | 22 | 17 | 19 | 19 | 20 | 109 |
Fife | 18 | 16 | 16 | 18 | 26 | 20 | 114 |
Forth Valley | 13 | * | * | 10 | 20 | 19 | 74 |
Grampian | 54 | 80 | 60 | 48 | 64 | 65 | 371 |
Greater Glasgow & Clyde | 94 | 108 | 103 | 113 | 115 | 108 | 641 |
Highland | 29 | 39 | 40 | 27 | 39 | 41 | 215 |
Island Boards 2 | 9 | * | * | 7 | 5 | 11 | 40 |
Lanarkshire | 28 | 23 | 24 | 41 | 31 | 52 | 199 |
Lothian | 101 | 110 | 105 | 103 | 92 | 108 | 619 |
Other 3 | 9 | 32 | 50 | 54 | 45 | 36 | 226 |
Tayside | 32 | 32 | 31 | 32 | 28 | 32 | 187 |
Scotland Total | 434 | 498 | 476 | 510 | 510 | 556 | 2984 |
Source: ISD Scotland, SMR01, SMR04
Ref: IR 2020-00238
* - Denotes values which have been suppressed to protect patient confidentiality.
1 - An eating disorder diagnosis is based on current classifications in Chapter V of the ICD-10 Classification of Mental and Behavioural Disorders.
2 - Due to small numbers, the Orkney, Shetland, and Western Isles health boards have been grouped under Island Boards to protect patient confidentiality.
3 - Due to small numbers, the National Facility, Non-NHS Provider/Location, and State Hospital health boards have been grouped under Other to protect patient confidentiality.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government what progress has been made in developing the eating disorder support service, SPIRE, and whether it will provide a breakdown of what information and data this service collects.
Answer
The Scottish Government is not aware of an eating disorder support service called SPIRE.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government what information it has regarding how many people have an eating disorder, also broken down by NHS board area, and how the national figure compares per head of population with (a) England and (b) Wales.
Answer
I refer the member to the answer to question S5W-27297 on 4 March 2020 which outlines the numbers of people who have been admitted with an eating disorder diagnosis1 by health board of treatment, per year (January- December) 2013 - 2018. 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 .
Comparison per head of population between Scotland, England and Wales is provided in the following table.
Comparison of admissions to Scotland, England and Wales for people with an eating disorder diagnosis per 100,000 for Financial Year 2018-19.
Country | Number of Hospital Admissions 1 | Population mid-2018 | Admissions per 100,000 |
NHS Scotland | 549 | 5438100 | 10.09 |
(a)NHS England | 19116 | 55977178 | 34.15 |
(b)NHS Wales | 170 | 3,138,631 | 5.42 |
Source: NHS Digital: Hospital Episode Statistics (HES), Office for National Statistics, ISD Scotland: SMR01, SMR04, National Records Scotland, NHS Wales Informatics Service: Annual Patient Episode Database for Wales
1 – The Hospital admission figures may not be directly comparable between countries due to differences in definitions.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government for what reason ISD Scotland has no central recording of eating disorders, and whether it plans to do so.
Answer
ISD collects information on patients who are admitted to hospital for psychiatric inpatient care. People who are admitted with an eating disorder are included in this dataset and can be identified. Work is underway to collect patient level data from Child and Adolescent Mental Health Services and Psychological Therapy Services. This dataset will identify the reason and diagnosis of individuals, including if they have an eating disorder. This new dataset is at an early stage of development and ISD are working with NHS Boards to improve the data quality.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government what action is being taken by each NHS board to reduce waiting times for access to eating disorder support.
Answer
The Scottish Government is clear in our engagement with NHS Boards that patients should be assessed according to their clinical need. Our expectation is that those who need immediate necessary treatment, whether for an eating disorder or for any condition or disorder requiring access to mental health services, will receive that care quickly and in line with clinical guidance. We expect Boards to ensure that their services are planned efficiently so that patients have swift and safe access to the full range of services they need.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 05 February 2020
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Current Status:
Answered by Clare Haughey on 4 March 2020
To ask the Scottish Government how many eating disorder specialists there are, broken down by NHS board.
Answer
The following table shows the numbers of eating disorder specialists in Scotland broken down by Health Board. These figures have been taken from the NHS Staff Census which was conducted on the 30 September 2019.
In Scotland, a range of eating disorder services and treatment is provided in line with clinical good practice across community, primary care and specialist services for children and young people. The vast majority of people with eating disorders will be treated in the community, with support provided by primary care or community mental health teams and with support links to specialist hospital or voluntary sector care where appropriate.
Headcount of staff with Whole Time Equivalent recorded under area of work " Eating Disorders" in NHS Boards as at 30 September 2019 census |
Health Boards | Headcount |
NHS Borders | 1 |
NHS Fife | 2 |
NHS Greater Glasgow and Clyde | 4 |
NHS Lanarkshire | 5 |
NHS Grampian | 1 |
NHS Lothian | 13 |
NHS Tayside | 2 |
NHS Dumfries and Galloway | 1 |
NHS Scotland | 29 |