Healthy Bites 290216

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All#the#latest#news#from#the#Scottish#Government,#Scottish#Parliament#and#NHS#Scotland#
Week#beginning#29/02/16#C#

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Cabinet#Sectary#for#Health#and#Wellbeing#announced#the#Scottish# #
Government’s#A#National#Clinical#Strategy#for#Scotland#

!The!National!Clinical!Strategy!sets!out!the!case!for:!

•! planning!and!delivering!integrated!primary!care!services,!like!GP! #
practices!and!community!hospitals,!around!the!needs!of!local! #
communities! Major#changes#ahead#for#
healthcare#in#Scotland:!
•! restructuring!how!our!hospitals!can!best!serve!the!people!of!Scotland! !
•! making!sure!the!care!provided!in!NHSScotland!is!the!right!care!for!an! A!new!national!clinical!

individual,!that!it!works,!and!that!it!is!sustainable!

•! changing!the!way!the!NHS!works!through!new!technology!

While!most!professional!bodies!have!welcomed!the!principles!underpinning!the! strategy!
strategy!many,!including!the!RCN,!have!also!said!that!the!document!lacks!any! !
End!of!the!QOF!system!
detail!on!how!the!strategy!will!be!enacted.!
! Creation!of!GP!‘cluster’s!in!
2017!
As#part#of#its#commitment#to#focus#on#primary#care#treatment,#the#Scottish#
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Government#outlined#how#funding#will#be#used#to#ensure#that#mental#health#
Emphasis!on!multi[
will#be#dealt#with#at#the#local#level.!£3.5!million!will!be!invested!in!local!
disciplinary!working!in!
initiatives!to!improve!support!for!mental!health!in!primary!care!settings.!Click!
here!to!read!more.! primary!care!
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Investment!to!improve!
Scottish#Government#announces#the#removal#of#QOF#system#from#April#2016:! support!for!mental!health!
Describing!the!QOF!system!of!GP!payments!as!bureaucratic,!the!Cabinet!
in!primary!care!
Secretary!said!that!a!new!interim!system!would!begin!this!year!whilst!the!
Government!worked!with!!the!BMA!to!draw!up!a!new!three!year!contract!starting! !
Audit!of!Stoma!care!
in!2017.!!
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As!an!interim!arrangement!for!2016/17,!funding!for!the!659!points!remaining!in!
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the!Scottish!QOF!will!be!transferred!to!each!practice’s!global!sum!when!it!is! !

dismantled!on!1!April!2016.!The!amount!paid!will!be!based!on!a!practice’s! !
average!achievement!for!those!points!over!the!last!three!years,!including!
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2015/16.!For!more!details!click!here.!Introducing!plans!for!the!new!payment!
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scheme,!the!Scottish!government’s!National!Clinical!Strategy!report!said:!‘It$is$
anticipated$that$the$negotiation$of$the$new$GMS$contract$for$Scotland$will$see!the$ !
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development$of$recognition$of,$and$payment$for,$"values=based$quality".!
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In#addition#to#the#QOF’s#demise,#the#2017#Scottish#contract#is#expected#to#
oversee#the#creation#of#‘GP#clusters’,!with!GPs!predominantly!providing!medical!

expertise!and!advice!to!patients!with!complex!needs!while!an!expanded!team!of!

other!healthcare!professionals!take!on!routine!services.!

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Stoma!Appliance!Service!in!the!Community:!Stoma!Care!Quality!and!Cost!

Effectiveness!Review!2015!

A!national!audit!of!stoma!services!contains!26!recommendations!covering!a!
range!of!areas!associated!with!stoma!care!provision.!These!include,!for!example,!

the!stoma!appliance!supply!arrangements!to!patients;!advice,!help!and!contact!

with!appliance!contractors!and!health!care!professionals;!patient/carer!

satisfaction!with!stoma!care!services;!NHS!Boards!planning!arrangements;!

information!for!patients!

We#are#an#independent#company,#based#in#Scotland,#providing#research,#policy#and#public#affairs#support#for#
companies,#charities#and#third#sector#clients.#

Contact:#[email protected]#or#[email protected]#!

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NHS! Scotland! praised! by!
Scotland’s#healthcare#system#has#been#praised#by#the#OECD#and#cited#as#an# OECD!
example#to#other#countries.!Specific!areas!highlighted!were!patient!safety!and! !
the!plans!to!integrate!health!and!social!care.!Read!more!here!! Small! improvements! in!
! childhood!obesity!
Small#changes#in#childhood#obesity#levels:#Data!from!ISD!Scotland!suggests!that! !
some!small!progress!has!been!made!in!relation!to!tackling!childhood!obesity!with! Decrease!in!Hospital!
the!percentage!of!Primary!1!children!classified!as!being!a!‘healthy!weight’! Standardised!Mortality!
increasing!from!76.4%!in!2012/13!to!77.1%!in!2013/14.!Children!living!in!areas!of! Rates!
high!deprivation!are!more!likely!to!be!overweight!than!those!living!in!the!least! !
deprived!areas.!Click!here!for!the!report!summary.! !
A&E!throughput!and!
Hospital#Standardised#Mortality#Ratios!have!decreased!in!Scotland!by!15.7%! waiting!time!continue!to!
between!October[December!2007!and!April!–!June!2015.!Click!here!for!the! improve!
summary!report!from!ISD!Scotland.! !
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Accident#and#Emergency#figures#and#waiting#times#for#the#week#beginning# Waiting!times!for!mental!
07/02/16:#During!the!week!ending!07!February!2016!there!were!25,073# health!treatments!have!
attendances!at!Emergency!Departments!across!Scotland.!91.3%#of#people! improrved!
attending!Emergency!Departments!were!seen#and#subsequently#admitted,# !
transferred#or#discharged#within#4#hours.!Click!here!for!more!details.! !
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Waiting#times#for#mental#health#treatment#has#improved#for#children,#young# #
people#and#adults.!76%!of!children!and!young!people!were!seen!within!18!weeks! #
during!the!quarter!ending!December!2015.!83.5%!of!adults!referred!for! #
Psychological!Therapies!were!seen!within!18!weeks!and!50%!started!their! #
treatment!within!7!weeks.!! Uptake!for!bowel!cancer!
screening!remains!fails!to!
Waiting#times#data!published!by!ISD!show!the!majority!of!patients!being!treated! meet!Health!
within!the!12!week!target!set!by!Government.!Click!here!to!access!reports.! Improvement!Scotland!
! 60%!target!
The!number!of#bowel#screening!participants!exceeded!one!million!but!uptake!
remains!relatively!static!at!57.7%,!below!the!60%!Health!Improvement!Scotland! #
standard!(57.7%).!Although!!! Parliamentary#Questions#
! Patient!privacy!
Uptake!was!found!to!be!lower!in!more!deprived!areas.!Uptake!was!45.5%!in!the! !
most!deprived!areas!compared!to!66.6%!in!the!least!deprived!areas.! !
! Cancer/Prostrate!cancer!
Nearly!3!out!of!5!(59.7%)!screen!detected!cancers!were!diagnosed!at!the!earliest!
two!stages.!The!earlier!a!cancer!is!detected!the!greater!the!chances!are!of!
successful!treatment.!
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Alison#McIinnes!(Lib!Dem)!raised!questions!about!the!protecting#patient#records!
and!has!asked!about!when!and!how!patient!is!raised!with!other!agencies.!Click!
here!for!details.!
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Jackson#Carlaw#(Scottish!Conservative)!has!asked!about!care!of!cancer!patients!
and!how!they!are!supported.!!Click!here!for!details!.!

We#are#an#independent#company,#based#in#Scotland,#providing#research,#policy#and#public#affairs#support#for#
companies,#charities#and#third#sector#clients.#

Contact:#[email protected]#or#[email protected]#!

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David#Stewart!(Scottish!Labour)!asked!about!the!number!of!da!Vinci!surgical! #
systems!for!prostate#cancer#in!place!in!Scotland.!Click!here!for!details.! !
! Mental!health!
Mary#Scanlon!(Scottish!Conservative)!has!asked!why!counselling!is!not!available! !
in!all!schools!given!evidence!to!suggest!that!it!can!have!a!positive!impact!on! !
attainment!and!wellbeing.!Read!more! !
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! NHS!Scotland!
Richard#Simpson!(Scottish!Labour)!continues!to!press!the!Scottish!Government! !
on!matters!relating!to!NHS!staffing!and!funding.!Click!here!to!see!his!questions! !
relating!to!junior!doctors!contracts!and!click!here!to!see!his!questions!about!the! #
reported!reduction!in!spending!on!the!GP!budget.! #
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Jackie#Baillie!(Scottish!Labour)!continues!to!ask!questions!about!reductions!in! #
spending!across!NHS!Scotland!in!her!front!bench!capacity!(Read!more)!as!well!as! #
more!specific!questions!relating!to!hospitals!in!her!own!constituency.!Read!more.! #
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# Parliamentary#Answers#
In!response#to#Richard#Simpson’s#(Scottish!Labour)!question!on!when!waiting!list! !
data!for!chronic##pain!would!be!released,!Maureen#Watt!told!Parliament!that!the! Chronic!pain!
data!was!delayed!until!08/03/16.!Click!here!for!the!response!in!full.! !
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Jim#Hume’s!(Lib!Dem)!question!of!spending#on#mental#health!revealed!that!in! !
addition!to!the!£100m!allocated!last!year,!another!£50m!was!made!available! Mental!Health!
under!the!latest!Scottish!budget.!£54.1!million!of!this!package!will!be!allocated!to! !
NHS!boards!over!four!years!to!improve!access!to!psychological!therapies!for! !
people!of!all!ages,!including!children!and!adolescents.! !
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Jenny#Marra!(Scottish!Labour)!has!asked!a!series!of!questions!on!Hep#C!–!her! !
specific!concerns!were!about!the!use!or!non[use!of!Interferon!in!the!treatment!of! Hep!C!treatment!targets!
Hep!C,!screening!and!waiting!times.!Click!here!for!details.!Maureen!Watson! !
responded!by!drawing!attention!to!Government!targets!for!2015[20!to!treat! !
1,500!people!per!year!via!antiviral!therapy.! !
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Maureen#Watt!revealed!that!the!Government!will!shortly!be!in!a!position!to! !
provide!an!update!on!the!success!or!otherwise!of!a!population[based!case[ !
finding!approach!to!screening!for!hepatitis!C.!Click!here!to!read!the!detailed! !
response!to!Jenny!Marra’s!questions! !
! Funding!for!breast!cancer!
In!response!to!Jackson#Carlaw’s!question!on!what!action!it!being!taken!to! research!
encourage!clinicians!to!take!part!in!breast!cancer!research,!Jamie!Hepburn! !
responded!that!the!Scottish!Government!Chief!Scientist!Office!and!Breast!Cancer! !
Now!have!jointly!committed!a!total!of!£450,000!to!be!made!available!for! !
Scottish[led!research!in!breast!cancer.!Read!more.! !
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Maureen#Watt!indicated!that!the!Scottish!Government!has!no!plans!to!extend! Cervical!Screening!
cervical!screening!to!younger!women!as!there!is!evidence!to!suggest!that!the!
risks!of!doing!so!outweigh!the!benefits.!Read!more!here!
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We#are#an#independent#company,#based#in#Scotland,#providing#research,#policy#and#public#affairs#support#for#
companies,#charities#and#third#sector#clients.#

Contact:#[email protected]#or#[email protected]#!

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