National and Local Context. 3.1. It is recognised that the review of arrangements for support for pupils should take into account national and local developments, including: • Clackmannanshire Council policy and practice on inclusion • Review of Clackmannanshire’s pupil support services and structures • Review of promoted post structures with SEN • Clackmannanshire working group on SAs • Additional support needs legislation and its implications for staged intervention; records of needs and other existing processes • SEN training grants (including recently announced funding for behaviour coordinators) • Roll-out of New / Integrated Community Schools
National and Local Context. System Priorities and Strategic alignment Using the NHS Right Care approach, Cardiovascular Disease (CVD) has been highlighted as an area with opportunities to improve quality and outcomes across the Surrey Heartlands Integrated Care Partnership (ICS). In September 2017 a multi-stakeholder event was held to review the opportunities relating to cardiovascular disease across the whole system. One of the main discussions was around prevention and four priorities were identified:
National and Local Context. 4 National Healthcare and Forensic Medical Services Co-ordinating Network 5 National Guidance on the delivery of Police Custody Healthcare and Forensic Medical Services 5 4. DEFINITIONS 6 Healthcare Services 6 Forensic Medical Services 6 5. COMMON PURPOSE AND VALUES 6 Common Purpose 7 Common Values 7 Key Success Factors 7
National and Local Context. The Police Service of Scotland came into force on 1 April 2013 from an amalgamation of the previous 8 Scottish Police Forces. The demand for various healthcare services by Police Service of Scotland, calls for national consistency in dealing with victims, suspects, those in custody, those who have come to the attention of the police through non-criminal incidents and for the provision of forensic evidence and statements for judicial purposes. The Police Service of Scotland is partnered by 14 local Health Boards working within NHS Scotland. All 32 Local Authorities also work in close collaboration with the Police Service of Scotland and Health Boards on clinically related issues such as Child Protection, Sexual Assault (including through Resource Centres) and Offender Management. The Police Service of Scotland is split into three operational areas, North, East and West, working directly with the Health Boards and Local Authorities at local level. In 2012, some 200,000 people in custody are processed throughout the Police Service of Scotland on a gender balance of approx 72% male and 28% female. Of those who are arrested, approximately 45% are detained in custody pending an appearance at a custody court on the next lawful day. Half of these custody detentions occur at the weekend causing a significant demand on cell capacity and care and welfare requirements. Of those who are arrested and brought into custody, approximately 52% present with alcohol and/or drug related health issues. In many of these cases a number also present with mental health issues. In many instances clinical services are required not only for treatment of the symptoms of underlying health conditions but also to determine the fitness for continued detention in police custody and for fitness to be interviewed, attend court and plead. Where healthcare professionals are deployed in the custody environment someone who is in police care can be reviewed by them as required. The Police Service of Scotland, working under the direction of the COPFS also require evidential clinical examinations and interventions for a number of different healthcare reasons, most notably acts of violence, sexual assaults, paediatric examinations, mental ill health and for people with a learning disability. Examinations are also required to verify certain unexplained or sudden deaths in the community and healthcare and forensic examinations of people held under the counter terrorism legislation. Internal concealment...
National and Local Context
