§ Mr. William Hamiltonasked the Secretary of State for Scotland when he intends to publish a White Paper on the working of the legislation on mental health.
§ Mr. Harry EwingMy right hon. Friend hopes to publish a discussion paper as early as possible in 1979 following a review now being undertaken of Scottish mental health legislation.
§ Mr. William Hamiltonasked the Secretary of State for Scotland what percentage of the total nursing staff in National Health Service hospitals is engaged exclusively in the care of the mentally ill or handicapped; what this represents in terms of nursing staff per 100 patients; and what are the comparable figures for all other patients in general hospitals.
§ Mr. Harry EwingTwenty-four per cent., which represents 51 nursing staff per 100 patients. The comparable figures for general hospitals are 66.7 per cent. and 128, respectively.
§ Mr. William Hamiltonasked the Secretary of State for Scotland what percentage of National Health Service beds is occupied by mentally ill or mentally handicapped persons; and what percentage of total consultants works with such patients.
§ Mr. Harry EwingThe percentages are 45.5 and 12.5, respectively.
§ Mr. William Hamiltonasked the Secretary of State for Scotland if he will publish in theOfficial Report a table showing the names and ages of all mental hospitals, the number of wards in each with more than 50 beds, the progress made in replacing these hospitals and eliminating such large wards in the last decade, and capital investment plans for the next five years.
100W
§ Mr. Harry EwingA list of the mental hospitals in Scotland showing the date of the original building is given below but the dates quoted are of limited significance since virtually all of these hospitals have been substantially improved and extended since they were first opened. Information about the size of wards is not available centrally. Much of the upgrading and new building carried out since 1948 has been undertaken specifically to reduce over-crowding and to provide smaller ward units.
Future health service capital investment plans for major building schemes were announced by my right hon. Friend the Secretary of State for Scotland in the House on 2nd May 1977 and included a number of schemes to improve the mental health services in Scotland. In addition, health boards finance smaller schemes from their ordinary capital programme allocations.
101W
Health Board and Hospital Date of original building Argyll and Clyde Health Board Argyll and Bute Hospital 1868 Broadfield Hospital 1870 Ravenscraig Hospital 1879 Ardmhor House 1900 Caldwell House Hospital 1900 (converted 1928) Dykebar Hospital 1905 Elderslie House 1887 Merchiston House 1880 Ayrshire and Arran Health Board Dunlop House 1933 Ravenspark Hospital 1847 Ailsa Hospital 1869 Borders Health Board Dingleton Hospital 1872 Dumfries and Galloway Health Board Crichton Royal Hospital 1839 Fife Health Board Glenlomond Hospital 1919 Lynebank Hospital 1965 Stratheden Hospital 1866 Forth Valley Health Board Bellsdyke Hospital 1870 Muirfield House 1937 Royal Scottish National Hospital 1835 Grampian Health Board Ladysbridge Hospital 1861 House of Davio[...] 1888 Kingseat Hospital 1904 Royal Cornhill Hospital 1800 (approx.) Ross Clinic 1958 Woodlands Hospital 1931 (converted 1948) Bilbohall Hospital 1835
Health Board and Hospital Date of original building Greater Glasgow Health Board Gartnavel Royal Hospital 1843 Gartloch Hospital 1896 Lennox Castle Hospital 1876 Stoneyetts Hospital 1900 (approx) Waverley Park Hospital 1900 Woodilee Hospital 1875 Leverndale Hospital 1890 Highland Health Board Craig Dunain Hospital 1870 Craig Phadrig Hospital 1969 Dunain House 1890 Lanarkshire Health Board Bellefield Hospital 1890 (converted 1914) Birkwood Hospital 1870 (approx.) Hartwood Hospital 1895 Kirklands Hospital 1850 Lothian Health Board East Fortune Hospital 1922 Herdmanflat Hospital 1866 Gogarburn Hospital 1934 Rosslynlee Hospital 1813 Royal Edinburgh Hospital 1813 Bangour Village Hospital 1904 Tayside Health Board Royal Dundee Liff Hospital 1880 Strathmartine Hospital 1901 Sunnyside Royal Hospital 1858 Murray Royal Hospital 1827 Murthly Hospital 1864 Notes: 1. Includes mental illness and mental handicap hospitals. 2. Excludes hospitals with which health boards have contractual arrangements.
Salary as at 1st April 1973* Salary as at 1st, 4pril 1978† Qualified Nurse— Ward sister … … … … … … £1,515-£1,947 £3,324-£4,299 Staff nurse … … … … … … £1,191-£1,404 £2,646-£3,255 Enrolled nurse … … … … … … £1.056-£1,236 £2,370-£2,886 Unqualified Nurse— Nursing auxiliary … … … … … … £912-£1,092 £2,07-£2,454 * Long service increments were also payable to nurses who had spent three years on their maximum at the following rater:—
£ Ward sister … … 90 Staff nurse … … 84 Enrolled nurse … … 72 Nursing auxiliary/assistant … … 60 † with effect from 1st April 1978, all nurses are paid an earnings supplement of £130 per annum in addition to these salary scales.
§ Mr. Reidasked the Secretary of State for Scotland what is the percentage drop in salary for a ward sister, a staff nurse, a qualified nurse and an auxiliary nurse
102W
§ Mr. William Hamiltonasked the Secretary of State for Scotland what is the weekly cost of feeding a patient in a mental hospital; and what is the comparable figure in a general hospital.
§ Mr. Harry EwingIn 1976–77, the latest year for which figures are available the average sum spent on provisions at psychiatric hospitals was £4.68 per patient week and at all hospitals other than psychiatric £5.37 per week.
These averages conceal a wide range of costs for individual hospitals, from £3.54 to £6.34 for psychiatric hospitals and from £2.96 to over £8 for other hospitals. These variations reflect local circumstances; it seems likely that the lower average costs in psychiatric and long-stay hospitals reflects also factors such as the lower turnover of patients, the higher occupancy rate, the age of the patients and the generally lower levels of physical activity in these hospitals.