HC Deb 06 July 1982 vol 27 cc100-5W
Mr. Foulkes

asked 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 MacKay

My 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.

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. Foulkes

asked 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 Mackay

Under 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:

Health Board Project
Argyll and Clyde Group Living Facilities

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. Foulkes

asked 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 Stewart

The 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.

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. Foulkes

asked 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 MacKay

There 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. Foulkes

asked 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 MacKay

The 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.

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.