Initial experiences in developing e-health solutions across Scotland

The MRC funded Virtual Organisations for Trials and Epidemiological Studies (VOTES) project is a collaborative effort between e-Science, clinical and ethical research centres across the UK including the universities of Oxford, Glasgow, Imperial, Nottingham and Leicester. The project started in September 2005 and is due to run for 3 years. The primary goal of VOTES is to develop a reusable Grid framework through which a multitude of clinical trials and epidemiological studies can be supported. The National e-Science Centre (NeSC) at the University of Glasgow are looking at developing the Scottish components of this framework. This paper presents the initial experiences in developing this framework and in accessing and using existing data sets, services and software across the NHS in Scotland

Exploring the scale and nature of child sexual exploitation in Scotland

This report provides a summary of known evidence about the scale and nature of child sexual exploitation in Scotland, based on existing statistics and research and workshops with practitioner experts

Can the shift from needs-led to outcomes-focused assessment in health and social care deliver on policy priorities?

Assessment, planning and review are at the heart of the provision of services and support in health and social care in the community, providing key means through which professionals interact with people using their services. These interactions provide opportunities for relationship building, with evidence that involving the person in identifying their priorities and required support can itself improve outcomes. At the same time, professionals use assessment to assess eligibility for support, and assessment has also increasingly become a mechanism for data gathering, to inform a range of requirements at local and national level including planning, commissioning, inspection and performance management. Despite attempts to move assessment from being service-led to person-centred, meeting such a broad range of objectives and requirements can create tensions at the front line, influencing both how interactions are conducted, and the resulting decisions. More recently, there has been an increasing emphasis on outcomes for individuals using health and social care services, including a shift from needs-led to outcomes-focused assessment. This paper considers a recent literature review about shared health and social care assessment, including emerging evidence from the implementation of outcomes-focused assessment in the UK. It concludes that there are promising signs that the recent shift to outcomes-focused assessment might resolve longstanding tensions around assessment, delivering on person-centred objectives and resulting in more efficient and effective use of resources

Attachment Matters for All - An Attachment Mapping Exercise for Children's Services in Scotland

As part of the first phase of the Looked After Strategic Implementation Group (LACSIG), the Scottish Children’s Reporter Administration (SCRA) undertook research into care and permanence planning for younger children in care.1 They focused on 100 children all aged under four years old when they first came to the attention of services and examined how long it took from that point to achieve permanence. For over 90% of children this process took longer than two years and more than half had still not achieved a permanent placement four years after first contact with services. Several children had also experienced multiple placements, with transitions between carers often occurring at critical developmental points. The research highlighted the negative impact on long-term outcomes of such continued disruption of children’s attachments

What Works in Community Profiling? Initial reflections from the WWS Project in West Dunbartonshire

This paper discusses the experience of WWS, Glasgow Centre for Population Health and the West Dunbartonshire Community Planning Team in developing community profiles for the purposes of place-based working. The key learning points from this paper are: With new legislation in Scotland driving a renewed emphasis on place-based working, both Community Planning Partnerships and Health & Social Care Partnerships will need to be able to work more flexibly with data at a range of small area geographies, and in response to different thematic areas of public service reform. A lack of capacity to work in this way could be a barrier to collaboration between services and partnerships and to the potential for turning evidence into action. For some CPPs, community profiling - a process that involves bringing local data together in a concise, accessible, presentation style- will require investment in a new technological infrastructure; in-house training for staff with some level of analytical ability and/or recruitment of staff with specialist analytic skills; and specialist support to develop the capacity of staff to interpret and make sense of local data so that it is more accessible and meaningful to local partners and communities. In the context of the Community Empowerment Act 2015, community profiling could be used to promote greater openness and transparency between service providers and communities, to highlight differences – and often inequalities - and to provoke discussion and responses

Care in mind : improving the mental health of children and young people in state care in Scotland

Some five thousand children and young people are in residential and foster care in Scotland. Many experience poor outcomes and concern about the quality of care has led to a number of government initiatives including the registration of care services and the social care workforce. Children and young people in state care experience a high level of mental health problems. Mental health services, however, have not served this vulnerable group well. The issue of the mental health of children and young people is now high on the government's agenda. A national needs assessment has set out an important agenda for the development of services. In addition, a number of innovative projects have focused on meeting the mental health needs of children and young people in state care. It is important that these developments lead to integrated and flexible mental health services in order to improve outcomes and well-being of children and young people in state care in Scotland

Prison health in NHS Greater Glasgow & Clyde : A health needs assessment 2012

Scotland has one of the highest rates of imprisonment in Western Europe and the prison population is rising [1]. In the last decade the average daily prison population in Scotland increased by 27% [1]. The burden of physical and mental illness in the prison population is high; disproportionately so when compared to the general population [2]. This has variably been attributed to socioeconomic disadvantage and lifestyle and behavioural factors such as substance misuse, smoking and poor nutrition which are common in the prison population [2,3]. Prisoners suffer from multiple deprivation [2,3]. Many are a product of the care system, have experienced physical, emotional or sexual abuse and have difficulties forming and maintaining relationships. Levels of educational attainment are low and unemployment high. Homelessness is common. Prior to incarceration prisoners rarely engage with health care services in the community; during imprisonment demand for health care services is high [3,6,7]. Traditionally health care services in Scottish prisons were provided by the Scottish Prisons Service (SPS). On 1st November 2011 responsibility for the provision of health care to prisoners was transferred from SPS to the National Health Service (NHS). The aim of the transfer was to ensure that prisoners received the same standard of care and range of services as offered to the general population according to need. The guiding principle is that of ‘equivalence’ of care. The aim of this Health Needs Assessment (HNA) was to provide a systematic baseline assessment of the health and health care needs of prisoners in NHS Greater Glasgow and Clyde (NHSGGC) and to identify gaps in the current service provision to inform service future planning and development. It focuses on the two operational publicly owned prisons within NHSGGC: HMP Barlinnie and HMP Greenock. A third prison, HMP Low Moss, falls under the remit of NHSGGC but it was under renovation at the time of this HNA. Information about the prison population was drawn from published literature and reports provided by staff from the Justice and Communities Directorate of the Scottish Government. Information about the prisons from HMP Inspectorate reports, direct observation and interviews with members of staff in each prison. To fully understand the level and nature of existing services a service mapping was undertaken jointly with nominated staff from the prison health teams using direct observation and extensive staff and prisoner interviews and focus groups. Overall the findings are in line with other national and international studies on prison health. Despite characteristic differences between the prisons within NHSGGC there was a high level of consensus amongst both prisoners and staff groups about health needs and priorities. The report acknowledges the thoughtful contribution of prison staff and the positive approach to improving health services that they expressed. This has impacted on the formation of recommendations that both validate existing approaches and identify opportunities and 10 priorities for health gain. In addition to more fundamental changes they identify opportunities for quick wins that do not require significant financial outlay