Annex B
THE NUMBER
OF PEOPLE
IN PRISON
IN SCOTLAND
WITH A
HISTORY OF
BEING IN
THE ARMED
FORCES
1. The following table illustrates
those prisoners in Scottish institutions who have reported as
having been a member of any of the armed forces:
| Service | Count
| % of population |
| Navy | 9 | 0.12
|
| RAF | 3 | 0.04
|
| Army | 94 | 1.26
|
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2. The percentage is calculated based on
the total Scottish Prison Service population of 7,466 as of July
2007. This includes those released under the Home Detention Curfew
scheme.
THE NUMBER
OF RESERVISTS
WORKING IN
THE NHS IN
SCOTLAND
3. The most up to date information that
is available is that 285 staff employed in NHS Scotland have confirmed
that they are retained/reserve services members.
— This information was obtained from a self-reporting
staff questionnaire in 2005.
— Completion of the questionnaire was optional.
— Staff had the option to leave the relevant
section blank.
— The response rate across Scotland was around
30%.
NB The figures are provisional and for "management
information" only. They should not be placed in the public
domain.
THE NUMBER
OF CONSULTANTS
AND OTHER
CLINICIANS IN
HOSPITALS IN
SCOTLAND WHOSE
SALARY IS
PAID BY
THE MOD
4. NHS Education Scotland has confirmed
that there are five MoD funded trainee doctors working in NHS
Scotland, who will go on to work for DMS once qualified.
5. NHS Lothian has confirmed that there
is a DMS consultant (anaesthetics) working at the Royal Edinburgh
Infirmary.
GP/PRIMARY CARE
SERVICES AND
THE TRANSFER
OF RECORDS
FROM THE
MOD TO
THE NHS IN
SCOTLAND
Service Personnel Posted in UK
1. Service personnel are not eligible to
register with a NHS GP practice, but rather are registered with
MoD medical services. The NHS records of a serving member of the
armed forces are removed from their registered GP practice and
are stored centrally by NHS Services Scotland (or equivalent if
previously registered in another part of the UK) until return
to civilian status. The MoD have their own record system. See
section 10 below for information about transfer of clinical
information on discharge from the services.
2. In some postings, where the nearest
MoD primary care services are too far away and there are too few
Service personnel for an MoD healthcare facility to be set up,
Service men and women use a local NHS practice through an arrangement
with the local NHS Board. They can also choose to travel to the
nearest MoD medical service rather than use the local NHS arrangement
if they prefer and, even if they are attending a local GP practice,
will be able to use other MoD services such as physiotherapy if
needed. The MoD will provide transport to these services.
Service Families
3. Accompanying families of Service personnel
register with local NHS primary care services. If the posting
means a move to a new area, they will need to register with a
new GP practice. Information on local practices and how to register
is available through the local Health Board and a variety of sources
including NHS 24, Health Board web site, libraries, CAB, pharmacies.
On registration, the previous NHS GP records will be traced and
transferred to the new GP practice.
Dental Care
4. Dental treatment for Service personnel
is provided by the MoD.
5. For families of service personnel, dental
services are provided by the NHS or private dental services locally.
Those wishing to register with a dentist under NHS arrangements
can obtain a list of all dentists in the area who provide NHS
dental treatment from the local NHS Board. NHS 24 also provides
this information by telephone or through its web site. It is,
however, up to the patient to find a dentist willing to provide
them with NHS treatment, as is the case with the general population.
6. Dental records belong to the individual
dentists and do not transfer with a patient when the patient moves.
A patient can request a care and treatment summary, which will
provide information on the patient's dental health and/or treatment,
but for which they will be charged for unless they are entitled
to free treatment.
NB NHS Boards have an obligation to provide
an NHS GP for every (non-Service) person living in their area,
but this does not apply to NHS dentists in Scotland.
Service Personnel Posted Abroad
7. The MoD provide primary care medical
services to both Service personnel and their families on postings
abroad. Family members who accompany Service personnel who are
posted abroad leave the list of their NHS GP practice if they
leave the UK for three months or more. Their GP records are transferred
to the central store pending future registration with a UK GP.
On return to the UK, the MoD will again provide medical services
for their personnel and the families become eligible to join a
practice where they are then living.
Discharge from the Service
8. Discharge from a UK posting—Ex-Service
personnel are no longer eligible for the MoD primary care services.
Their families will have been under a local NHS GP practice all
along. If they move to a different area, the Service person will
need to register with a local GP practice and the family will
need to transfer their registration. See section 3 above.
9. Discharge from a posting abroad—The
arrangements will be similar to section 8 above, but in this
case, the family will also have been under the MoD's care. On
registration with a UK GP practice, the previous NHS GP records
will be transferred from the central store to that GP practice.
Records and information transfer: medical and non-medical discharges
10. Across the UK, records transfer
between NHS GPs is set out at sections 3 and 7 above.
11. For MoD personnel, form FMed4, containing
all the Service GP records plus hospital letters etc, is archived
by the Navy, Army and RAF. All departing Service personnel have
a discharge medical and an opportunity to document any harm that
has occurred that could be attributable to service (eg, high-tone
hearing loss in gunners), to ensure there are no loose ends and
to prepare a summary for the civilian GP with whom the patient
registers. This summary is two sides of A4 and, as well as significant
events, it includes vaccinations etc.
12. When the ex-Service person registers
with a civilian GP practice, that practice can apply to the Central
Registry at Smedley Hydro, Southport, to obtain a copy of the
medical summary. The GP of the ex-Service person (with his/her
written consent) can also apply to the Service authorities, through
Smedley Hydro, for a copy of the complete record. This is the
case whether or not the person was medically discharged.
13. However, in addition to the above,
if there is relevant clinical information which the new NHS GP
or specialist needs to know urgently, the MoD clinical staff would
ensure that the patient has this and, if there is need for ongoing
care, that a direct contact is made to ensure this is arranged.
14. The degree of severity of the condition
needing ongoing care will affect how this is done. For example
the discharge from rehabilitation hospital after major injury
will be much more direct than ongoing treatment for minor illness.
This means for medical discharges from the services, a more direct
communication between MoD and NHS services would occur with appropriate
handover of clinical information and responsibility.
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