§ Mr. Foulkesasked the Secretary of State for Scotland what research into the problems of the elderly his Department currently funds; and what reports arising out of such research funded by his Department have been published in each of the last five years.
§ Mr. John MacKayMy Department is currently funding 14 relevant research projects at a total cost of some £581,000 over the next five years. Summary details of these projects are set out in the following table. The projects grouped under section A of the table were commissioned as a result of an initiative taken by the chief scientist organisation of my Department in 1980 to promote research in this important area.
My Department does not keep a central record of all the publications arising from research supported from its funds and the information requested could be obtained only at disproportionate cost.
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Grantholder Title of Project Duration of Grant* Total Grant £ A. Commissioned Projects Professor J. Williamson, Dr. L. Hockey and Professor J. G. R. Howie Augmented home care for elderly persons with acute or sub-acute illness as an alternative to hospital admission 3 years (1982) 76,721 Professor A. T. Altschul The effectiveness of the community psychiatric services provided in the Borders for psycho-geriatic patients: the nurse's role, the nature of support, the effect on inpatient services 18 months (1981) 17,031 Dr. C. Joan Me Alpine The attitudes and expectations of the elderly in relation to Local Authority Residential Homes and Sheltered Housing 3 years (1982) 17,253 Professor R. D. Weir, Professor R. Illsley and Dr. E. M. Russell A comparative study of the structure of services and its impact on the provision of care 5 years (1982) 209,750 Professor A. Sinfield and Mr. D. F. Goda Statistical study of pathways into and between services for the elderly 2 years (1982) 49,847 B. Other Projects Dr. J. Askham Home versus hospital Care of the stroke patient—an evaluation in terms of impact on the family 3 years (1979) 28,072 Dr. Hockey et al An investigation into the provision of care for physically disabled patients during episodes of acute illness requiring short term hospitalisation 2 years (1980) 5,510 Mrs. C. M. Skinner and Mrs. S. L. Wire The development of a functional communication assessment for elderly dysphasic patients 2 years (1980) 15,684 Professor G. A. Smith A study of some problems associated with the evaluation of a psychogeriatric day hospital 2 years (1981) 44,639 Dr. C. Gilleard The impact of psychogeriatric day-care on the supporters of the elderly mentally infirm 2 years (1981) 31,264 Professor J. Swanson Beck et al Investigations on the relationship between defects in immune function and morbidity and dependency in old people in a Scottish urban General Practice 3 years (1979) 41,580 Dr. J. M. Anderson Changes in the cell population of the cerebral cortex in old age and senile dementia investigated by automated image-analysis 3 years (1981) 19,872 Mr. R. Bland Client characteristics and patterns of care in old people's homes 3 years (1981) 18,136 Dr. J. Sewel Alarm systems for the elderly: monitoring highland help call 1 year (1981) 5,531 * Year of award in parenthesis.
§ Mr. Foulkesasked the Secretary of State for Scotland what developments there have been in jointly financed schemes in Scotland for elderly people since the publication of "Growing Older".
§ Mr. John MackayUnder the joint planning and support financing scheme, which was introduced in 1980–81, health boards have been given approval by my Department to contribute to the capital costs and—or the first five years of revenue costs incurred by local authority social work departments in providing the following new facilities benefiting the elderly:
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Health Board Project Argyll and Clyde Group Living Facilities 103W
Health Board Project Borders Day Care Centre, Kelso Day Centre, Galashiels Warden Services in Sheltered Housing Day Care Centre, Hawick Forth Valley Mobile Emergency Care Scheme Highland Day Centre, Inverness Home Help Service* Lanarkshire Resource Centre Lothian Day Care in Existing Homes Incontinent Laundry Service* Community Alarm System* Home Help Service* Tayside Residential Home, Dundee Community Laundry Scheme* Western Isles Residential Home, Carinish Temporary Care Unit * Services not provided exclusively for elderly: projects also benefit other groups.
§ Mr. Foulkesasked the Secretary of State for Scotland if he will list, for each district in Scotland, the amount of sheltered housing presently let to elderly persons, presently being built for rental by elderly people and presently being planned; and how this compares with the recommended level of provision.
§ Mr. Allan StewartThe following table shows(a) the existing provision of sheltered housing bedspaces at 31 March 1982, (b) the planned increase in provision between 1981 and 1987 as reported by local housing authorities and (c) the recommended level of provision in each district and islands area, based on a requirement for 50 sheltered placed per 1,000 population aged 65 and over at mid-1981. No reliable estimate of the number of sheltered places presently being built is available.
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District Provision at 31 March 1982 Planned increase (1981–87) Present recommended level of provision (based on 1981 population) (a) (b) (c) Berwickshire 145 153 174 Ettrick and Lauderdale* 236 186 302 Roxburgh* 98 251 322 Tweeddale 84 76 140 Clackmannan 243 335 285 Falkirk 283 370 946 Stirling* 658 206 541 Annandale and Eskdale 102 110 282 Nithsdale 58 104 417 Stewartry 80 158 213 Wigtown 10 30 231 Dunfermline 245 Not available 788 Kirkcaldy 259 200 1,049 North East Fife 351 218 611 City of Aberdeen* 1,384 Not available 1,579 Banff and Buchan* 162 615 573 Gordon 272 Not available 408 Kincardine and Deeside* 191 198 307 Moray 354 556 578 Badenoch and Strathspey 82 97 78 Caithness 188 Not available 185 Inverness 268 172 383 Lochaber 30 63 127 Nairn 74 — 86 Ross and Cromarty 184 179 305 Skye and Lochalsh 36 49 104 Sutherland 66 118 129 East Lothian 163 Not available 622 City of Edinburgh 1,904 2,431 3,627 Midlothian 35 220 437 West Lothian 321 219 664 Argyll and Bute* 153 564 584 Bearsden and Milngavie* 266 Not available 242 Clydebank* 180 104 333 Clydesdale* 205 95 368 Cumbernauld and Kilsyth* 338 — 230 Cumnock and Doon Valley 154 148 273
District Provision at 31 March 1982 Planned increase (1981–87) Present recommended level of provision (based on 1981 population) (a) (b) (c) Cunninghame* 416 486 895 Dumbarton* 176 421 486 East Kilbride 351 191 360 Eastwood 152 170 373 City of Glasgow* 994 Not available 5,945 Hamilton 637 499 590 Inverclyde 358 298 673 Kilmarnock and Loudoun 133 286 551 Kyle and Carrick 452 615 907 Monklands* 209 223 581 Motherwell 713 418 930 Renfrew* 232 444 1,255 Strathkelvin 137 158 428 Angus* 638 397 751 City of Dundee* 1,876 1,935 1,421 Perth and Kinross 458 310 1,046 Orkney 58 40 161 Shetland 476 69 162 Western Isles 2,441 109 293 Scotland 18,569 — 36,330 Note:
Figures on existing provision in 1982 are not available for districts marked with an asterisk. The most recent available figure has been used for these authorities.
§ Mr. Foulkesasked the Secretary of State for Scotland if he will list the reports of official bodies on caring for the frail elderly, and for elderly people suffering from mental disorder, which have been published in Scotland in the last five years; and what action has been taken by his Department in response to these.
§ Mr. John MacKayThere have been two such reports:Services for the Elderly with Mental Disability in Scotland, publishes: in 1979, and Changing Patterns of Care: Report on Services for the Elderly in Scotland, published in 1980. Following the publication of these reports and of the recommendations of the Scottish Health Service Planning Council in its report Scottish Health Authorities Priorities for the Eighties my right hon. Friend asked health boards to give special priority to the needs of the elderly and the elderly with mental disability in the allocation of the resources available to them.
§ Mr. Foulkesasked the Secretary of State for Scotland if he will list for each region in Scotland the number of elderly people's homes currently established, being built or planned, and which have been approved by his Department; and how the capacity of these homes compares with any levels recommended by his Department.
§ Mr. John MacKayThe information requested is included in the following table. Also included is the number of places per thousand population aged 65 and over based on the assumption that 50 per cent. of the places provided in voluntary and private homes are available to local authorities. No specific recommendation on the level of provision has been made recently by my Department, although a notional figure of 25 places per thousand population aged 65 and over has been widely used by authorities.
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Homes for the Elderly Homes at 31 March 1981 Homes planned 1982–87 Number of Homes (Local Authority and Registered) Number of places* per 1,000 population aged 65 plus Number of Homes† (Local authority) Borders 16 22.9 2 Central 23 12.8 4 Dumfries and Galloway 20 16.8 Nil Fife 28 14.1 4 Grampian 44 18.6 3 Highland 24 20.3 Nil Lothian 63 16.3 8 Strathclyde 151 15.1 10 Tayside 47 20.4 5 Orkney 2 21.9 Nil Shetland 3 20.9 1 Western Isles 5 24.5 1 Scotland 426 16.5 38 * Local authority places plus 50 per cent, registered places. † Includes both committed—tenders have been accepted—and uncommitted projects shown in local authority plans; numbers of places are not available.