Date lodged: 13 November 2017
To ask the Scottish Government, further to the answer to question S5W-12100 by Shona Robison on 6 November 2017, for what reason it does not use the Scottish Primary Care Information Resource or the NHS ISD Health and Social Care Data Integration and Intelligence Project to calculate the cost to the NHS and local authorities of providing care for people with neurological conditions, and whether it will now do so.
Answered by: Shona Robison 22 November 2017
At present it is not possible to use the data sources mentioned to respond to the cost of specific conditions.
The Scottish Primary Care Information Resource (SPIRE) is a recent development to enable the use of data from general practice. SPIRE does not capture financial information so cannot be used to calculate the costs of providing care for people with neurological conditions in primary care.
The NHS ISD Health and Social Care Data Integration and Intelligence Project (now called NHS Source) incorporates developmental work on estimated costs per patient for hospital activity and community prescribing. This costing methodology also draws on specialty cost information from the ISD Scottish Health Service Costs Book but also takes account of other costs (such as theatre time, high cost items, overhead costs and pharmacy costs). Progress on this methodology is being done incrementally and, although work has been done on some health conditions, it has not been carried out specifically for people with neurological conditions.
With respect to local authorities there is no information collected in either SPIRE or NHS Source that would enable the cost of providing care for people with neurological conditions to be calculated.