The Scottish Government

2002

Foreword

In developing policy on community care in Scotland, the Scottish Executive Health Department is committed to the faster delivery of better, more appropriate services for people who need them and to more effective, efficient and integrated joint working in local partnerships. In working to achieve these aims, the Department seeks to base policy on a clear understanding of the characteristics, circumstances and needs of the people of Scotland and sound evidence of what works in social care.

Social research plays a crucial role in providing the evidence informing the development of policy and practice in community care and is an integral part of the partnership working which underpins the Scottish Executive's efforts to deliver social justice. This Community Care Research Programme sets out the anticipated requirements for social policy research to support the work of Community Care Divisions in the Health Department in 2002-04.

The research priorities outlined in the programme reflect the core aims and targets in Working Together for Scotland: A Programme for Government ¹ and Our National Health - A Plan for Action, a Plan for Change² which set out the government's strategic approach to delivering social justice and the Scottish Executive's priorities for improving the nation's health and building a 21st century National Health Service. Policy development is essentially a dynamic process and the programme provides a relatively flexible framework to ensure that changes in and new priorities can be addressed as they arise.

The Scottish Executive is developing more effective ways of working with colleagues within and beyond the Executive to improve the evidence base for policy and practice. This is reflected in changes in the way in which social research contributes to the policy process with a greater emphasis on making best use of existing knowledge and expertise. Evaluation of policy, practice and legislation remain at the heart of the Community Care Research Programme but with an increasing focus on the perspective of service users and the views of people in general about what community care means to them.

In addition to setting out research priorities over the period 2002 to 2004, this programme reviews ongoing and recently completed research on community care. It provides information for researchers about our procedures for commissioning research and invites expressions of interest ( on the attached form) in undertaking research on specific topics. The programme also provides more general information on social research in the Health Department and relevant research contacts in the Scottish Executive.

We hope that publication of the Community Care Research Programme will strengthen our partnership with the research community and contribute to ensuring that community care policy is built on real understanding of the issues affecting the people of Scotland.

Godfrey Robson
Director, Service Policy and Planning, Scottish Executive Health Department

Information for Researchers

The Policy Context

The government's strategic approach to delivering social justice for Scotland's people is outlined in Working Together for Scotland: A Programme for Government. Community care is a key element of social justice and the programme makes commitments to:

• reduce the number of people getting treatment and care in inappropriate settings;
• continue to improve services for older people both in the NHS and other care settings;
• continue to assess the provision of long term care; and
• improve the way vulnerable people are cared for through the new Commission for the Regulation of Care (the Care Commission).

These commitments build on the action plan, Modernising Community Care which aimed to secure better and faster results for people by focusing on them and their needs, and more effective and efficient joint working based on local partnerships and integrated working between agencies. The agenda set by Modernising Community Care was taken forward by the Joint Future Group, which produced 20 recommendations ³ focused on re-balancing care for older people in favour of care at home and facilitating the development of joint working between the full range of social and health care agencies.

Our National Health - A Plan for Action, a Plan for Change provides a clear statement of the Scottish Executive's national priorities aimed at improving the nation's health and building a modern, 21st Century National Health Service (NHS) in Scotland. It identifies key priorities relating to community care which include the introduction of joint resourcing and management of community care services locally as recommended by the Joint Future Group. Among the core aims identified in the plan, a number relate directly to the provision of community care services. For each aim, specific priorities have been set and the key priorities relating to community care are summarised as follows:

• introducing joint resourcing and joint management of community care services locally, starting with services for older people and legislating to remove remaining barriers to joint working between the NHS, social work and housing departments (p 30)
• ensuring that the NHS and Local Authorities identify improved processes and share good practice to reduce unacceptable delays in patient discharge from hospital to more appropriate care (p 48)
• providing children, young people and adults with learning disabilities with access to local area co-ordinators to co-ordinate services to provide information, family support and funding (p 62)
• introducing single shared assessment, initially for older people and people with dementia (p 65).

'Our National Health' also identifies carers as having a crucial role to play in the process of rebuilding the National Health Service and recognises that they 'need the better information and support promised in the first Carers Strategy for Scotland' (p 88). It is expected that the Scottish Executive will publish a new White Paper, updating its thinking on the development of our health and social care services, early in 2003.

Community Care Research In The Scottish Executive

Government policy in relation to community care in Scotland is the principal responsibility of the Minister and Deputy Ministers for Health & Community Care and of Community Care Divisions 1 and 2 within the Scottish Executive Health Department. Together with other professional colleagues, the Health and Community Care Research Team provides research based information and advice to Community Care Divisions, Social Work Services Inspectorate (SWSI) and other relevant Health Divisions and Departments in the Scottish Executive to inform the development of community care policy and practice.

There is a history of government funded, policy-focused research in community care in Scotland which was previously commissioned as part of the Social Work Research Programme under the auspices of the Social Work Research Group. Following devolution, responsibility for the community care research vote transferred to the Minister for Health and Community Care. It is currently managed by the Health and Community Care Research Team in collaboration with Community Care Divisions 1 and 2 who have responsibility for determining priorities and agreeing spend on research in accordance with these priorities.

The Work of the Health and Community Care Research Team

The Health and Community Care Research Team is already working to the priorities set out in this Programme. It does this by providing research-based advice directly to policy makers in Community Care and related Divisions and also SWSI. Advice can take a variety of forms including supporting the work of special groups and committees, for example: the Resource Use Measure Reference Group; the Care Development Group.

The Research Team also provides advice based on reviews of existing research and liaises with colleagues in other parts of the Scottish Executive, other Government Departments and relevant agencies to ensure that it has up to date research information to inform policy development and the improvement of practice. Small scale studies may be commissioned to provide focussed information on specific aspects of a topic. In other cases, a strategic approach to research on particular issues may be taken, for example the development currently of a research programme to support the implementation and evaluation of new legislation on mental health in Scotland. This strategic approach provides a framework for identifying gaps in information and areas where more research is required.

The Team is part of the Health Department Analytical Services Division and works in liaison with other professional colleagues (statisticians and economists) to enhance the evidence base for Health Department policy. The Health and Community Care Research Team is also part of the Scottish Executive Social Research Group and works together with other social research colleagues throughout the Executive to ensure that research recognises and promotes the cross-cutting nature of community care and health issues.

Commissioning Research

Most of the research arising from the programme will be commissioned by selective competitive tender. Researchers interested in being considered for inclusion on tender lists for any of the research outlined in this programme are invited to complete the attached 'Expression of Interest' form for each priority area of interest (the form can be copied as required). Expressions of interest should be submitted by 31 January 2003 for consideration in drawing up short lists for specific pieces of research. It should be noted, however, that an Expression of Interest is not a guarantee of being invited to tender.

In assessing tenders, consideration is given to ensuring that value for money is achieved and that, where appropriate, issues related to age, gender, race, disability and geographic location are addressed in tenders. Research tenders and proposals are always scrutinised carefully to ensure that the outputs meet the required objectives and the methods chosen are the most cost effective given the circumstances of time, resources and the subject matter.

The publication of the research programme does not preclude researchers from submitting their own ideas for research on the topics identified as priorities. However, given the resource implications of putting together a detailed, costed proposal and bearing in mind intellectual copyright, researchers are advised to discuss any ideas they might have for research with the Community Care Research Team before working them up in more detail.

Dissemination

A vital part of the work of the Health and Community Care Research Team is the dissemination of research. Much of this occurs 'behind the scenes' in ensuring that policy makers are fully aware of the implications of research and how it can inform the policy process and, ultimately, improve the quality and delivery of community care services. This is done through the provision of research based advice and information to policy teams and in the case of externally commissioned projects, through research management procedures which provide an opportunity for on-going dialogue between policy makers and researchers as projects progress. Researchers are encouraged to present their findings to colleagues in the Scottish Executive and to relevant external agencies and to discuss their implications.

Final decisions on publication remain with Ministers but there is a presumption that research commissioned by the Health and Community Care Research Team will be disseminated with due regard to ethical issues including confidentiality and data protection. In the interests of openness and in order to inform debate more generally on health and community care, we ensure wide circulation of research findings to organisations and individuals outwith the Scottish Executive for whom they may have important policy and practice lessons.

Research is generally published in the Social Research (formerly Central Research Unit) Health and Community Care series of reports and as Research Findings (which provide brief summaries of research and outline key findings). These publications are available in electronic format on the Scottish Executive website at www.scotland.gov.uk/socialresearch. Although the copyright on these publications rests with the Crown, once studies are completed, the Scottish Executive is keen to support the wider dissemination of its research and the development of debate on the findings or methodology in order to reinforce the evidence base on community care.

Community Care Research Programme 2002 - 2003

1. IMPROVING THE DELIVERY OF SERVICES

In the year 2002-03 it is anticipated that research will be commissioned on:

1.1 Service Provision in the Care Home Sector

The Scottish Executive's Action Plan on Delayed Discharges in Scotland contains an undertaking to assist NHS Boards and Local Authorities to reduce the number of people waiting for hospital discharge by transferring 1,000 extra patients across Scotland to more appropriate care. This plan is supported by an additional 20m of funding in 2002 - 2003, rising to 30m in 2003 - 2004. Partnerships have submitted local joint action plans that outline measures to ensure that their share of the national target is met by April 2003. This will require dedicated action and joint working by Partnerships and effective measures which will continue to shift the balance of care towards care at home whilst also developing more care home capacity where this is required. The Delayed Discharge Action Plan commits the Executive to carrying out a range and capacity review of community care services for older people over the next 5, 10 and 15 years to include a strategic review of the care home sector. This work will provide the framework for longer-term local and national planning of services for older people and the infrastructure needed to support them.

In doing this, the Executive will build on the work of the Royal Commission on Long Term Care for the Elderly and subsequently, the Care Development Group (CDG) which explored the extent to which the demographic profile of the population is likely to change in coming years. The CDG estimated that by 2021, the proportion of the population of Scotland aged over 65 years will increase by over 20% to one million and the proportion of the population aged over 85 years will increase by 44%. Those aged over 85 years tend to have the highest levels of care needs and this projected increase in the population will have implications for care provision in a range of settings.

• Research is likely to be required to support the range and capacity review and strategic review of the care home sector.

1.2 Single Shared Assessment

The report of the Joint Future Group, published in November 2000, recommended that single, shared assessment (SSA) should be introduced for all community care client groups and that social care agencies should put in place single shared assessment tools to facilitate the process. The Scottish Executive accepted this recommendation and Our National Health contains a commitment to 'introduce, in advance of other care groups, a single shared assessment for older people and people with dementia'. The 'bottom line' statement issued by the Scottish Executive in early 2002 made it clear that implementation for all community care groups should happen by April 2003. It is planned to evaluate the implementation of the Joint Future Agenda and its impact over the first few years of operation.

• Research will be commissioned in 2002-2003 to develop methods to assess users' and carers' satisfaction with SSA and the delivery of services flowing from it to facilitate the longer term evaluation of the impact of SSA and the wider Joint Future Agenda.

1.3 Young Carers

The Strategy for Carers in Scotland, published in 1999, contains a commitment to carry out research on the support that is available to young carers in Scotland and the guidance required by statutory agencies to enable them to provide support. A review of the literature ⁴ on identification, needs assessment and provision of services to young carers revealed that very little is known about how they are identified by statutory agencies in Scotland, how their needs are assessed or whether the provision of services has the intended positive impact on their lives.

• Research may be required in 2002-03 to explore the ways in which statutory agencies work with young carers and the impact this has on their lives.

2. Providing Appropriate Services

2.1 Services for People with Learning Disabilities

The requirement for research on this topic arises from the recommendations of 'The Same as You? A review of services for people with learning disabilities'⁵. The review concluded that services could do more to help people with learning disabilities to achieve a full life. To do this, services need to be improved, reshaped and reorganised to put the individual at the heart of decision making. The review found that very little is known about the incidence of learning disabilities in prison and secure accommodation or about the services that are available to learning disabled people in these settings. A study has recently been commissioned which aims to estimate the incidence of learning disabilities and autistic spectrum disorders in secure settings across Scotland and explore in detail identification, assessment and service provision in a sample of secure settings. The review also recommended that local authorities give much greater priority to developing a range of employment opportunities for people with learning disabilities.

• Research is required to assess the available information on the employment of people with learning disabilities currently to inform the work of the 'Same as You' National Implementation Group in taking forward the recommendations of the review.

2.2 Services for Young Disabled People

The CDG explored the issue of service use by older people (65 years and over) in some detail and research was commissioned on the demand for and utilisation of care services and on the use of informal care. In the coming year the focus of research on disabled people will move towards exploring the service requirements of younger people (i.e. people aged less than 65 years). In January 2002, the Deputy Minister for Health & Community Care gave an undertaking to the Parliament's Health & Community Care Committee that 'work will be undertaken to improve our knowledge and understanding of the needs of younger people and the range and quantity of care services that are provided for them, with a view to informing our future policy decisions in this area'.

• Research will therefore be commissioned during 2002-03 to explore the provision of care services for younger disabled people.

2.3 Maximising Independent Living

Our National Health sets out the general principle that 'older people must have access to modern services, skills and technology as and when they need them. Better care at home will help them stay there: living independently wherever possible, cared for and supported at home, not in homes.' Our National Health also outlines the Executive's commitment to ensuring that 'the NHS and local authorities identify improved processes to share good practice across Scotland to reduce unacceptable delays in discharging patients from hospital to more appropriate care'. Intermediate care is intended to address the problem of delayed discharge from hospital, particularly for older people, by providing people with supported settings in which they can recuperate from their hospital stay before returning to independent living or while awaiting a place in a care home. Rapid Response Teams are intended to keep people at home during crises and very sheltered/extra care housing initiatives are designed to facilitate discharge, prevent hospital admission and maintain older people in the community for longer.

• Research will be required to assess the extent to which these and other recent policy developments, such as the implementation of free personal care and the introduction of up to 4 weeks paid home care for older people leaving hospital, contribute to maximising independence at home (thus delaying entry to care homes) and reducing delayed discharge.

Community Care Research Programme 2003 - 2004

3.1 Free Personal Care for Older People

Following the recommendations of the Care Development Group (CDG), free personal care for all older people in Scotland was introduced in July 2002. Research commissioned to inform the work of the CDG estimated a potential 12% increase in the demand for free personal care from unmet need and substitution for informal care. Further research is required to assess the accuracy of this estimate following the introduction of the policy in terms of its impact on both care home and home care provision. Research required to assess the operation and impact of free personal care may include examination of its effect on care home fees, the impact on previous self-funders, and comparative work with England and Wales where personal care will not be free.

3.2 The Operation of the Community Care and Health Act 2002

Research will also be required on the operation and impact of some of the provisions of the Community Care and Health (Scotland) Act 2002. In particular, provisions in Part 2 of the Act require joint working by Local Authorities and the NHS and reflect the Scottish Executive's acceptance of the Joint Future Group's recommendations and its commitment to the introduction of joint resourcing and joint management of community care services locally. Following full implementation of the Act, there will be an interest in examining how joint resourcing and joint management are operating in practice and their impact on service providers.

3.3 Evaluation of the Operation and Impact of the Resource Use Measure (RUM)

Community Care Division 2 and the Social Work Services Inspectorate, in collaboration with the Information & Statistics Division of the Common Services Agency, are developing a Resource Use Measure (RUM) which will group older people who are assessed for community care services into relative needs groups. Over time, use of the RUM could influence the allocation of resources at a national level. It is anticipated that once implemented across Scotland, research will be required to evaluate the operation of the RUM in practice and its impact on practitioners, service users and case management processes.

3.4 Impact of Registration Fees on Care Services

On April 1 2002, regulation of care services became the responsibility of the Scottish Commission for the Regulation of Care (the Care Commission). Care services must be registered with the Commission and applications for registration must be accompanied by the relevant fee. The Regulation of Care (Scotland) Act 2001 set maximum fees for registration and the Financial Memorandum accompanying the Bill set out the policy of full recovery of the cost of regulation by 2004-05. The Memorandum indicated that from the year 2001-02 there would be an annual increase of 10% in registration fees (or 10 per year for care homes). Childcare regulation will, however, continue to be subsidised by the Scottish Executive in order to support the wider policy of expanding childcare provision. During the passage of the Regulation of Care Bill through Parliament it was agreed that the impact of registration fees on care services would be considered and research will be required in 2003-04 to explore this with a particular focus on the care home market.

3.5 Provision of Equipment and Adaptation Services

Research published by the Scottish Executive in 2001 ⁶ showed that waiting times for Local Authority equipment and adaptation services are often lengthy and vary widely both within and between Local Authorities. The Strategy Forum established by the Social Work Services Inspectorate is examining a range of issues around the provision of equipment and adaptation services across Scotland, including the links between social care agencies and NHS service providers. It is likely that the Strategy Forum will recommend that research is undertaken on a number of issues associated with the provision of equipment and adaptation services and in particular, on the volume of use of services and the costs of service provision.

3.6 Respite Care

Finally, the Strategy for Carers in Scotland identifies the steps that the Scottish Executive is taking to improve the provision of respite care across Scotland. It is anticipated that research will be required during 2003 to identify the different types of respite care that have been developed by Local Authorities, to assess the extent of use of respite services and to evaluate the impact of respite services on carers and cared for people.

Relevant Ongoing Research in Health and Community Care

Community Care Research

Prevalence Of And Services For People With Learning Disabilities And/Or Autistic Spectrum Disorder In Secure Settings
Fiona Myers, Scottish Development Centre For Mental Health
September 2002 - September 2003
The study aims to explore the number of people in secure settings in Scotland who are known to have a learning disability and/or autistic spectrum disorder and to examine the means used to identify and assess their needs and provide appropriate services in secure settings.

Mental Health Research

Mental Health Officer Services: Structures and Supports
Dr Allyson McCollam, Scottish Development Centre for Mental Health
December 2002 - June 2003
The research will explore the structures and supports set in place by local authorities to meet the increasing demands placed on mental health officer services by changes introduced by the Adults with Incapacity (Scotland) Act 2000 and early preparations for implementation from 2004 of new mental health legislation.

National Scottish Survey of Public Attitudes to Mental Health, Well Being and Mental Health Problems
NOP Research Group
July 2002 - December 2002
The study aims to identify and explore the perceptions and attitudes of a representative sample of the Scottish population on issues related to mental health, well being and mental illness. It examines people's experience of mental health problems, their knowledge of services and support and their attitudes to treatment and management options for those people. The findings of the research will inform the work of the National Programme to improve mental health and well being in designing and targeting public education campaigns.

Mental Health Legislation Research Programme
Health and Community Care Research Branch recently began work on the development of a co-ordinated programme of information collection and targeted research to accompany the introduction of the new Mental Health (Scotland) Bill being developed in response to the recommendations of the Millan Committee ⁷. The programme aims to provide information to support the development and implementation of the new legislation and to evaluate its operation and impact. It is anticipated that a number of baseline studies examining the operation of aspects of the Mental Health (Scotland) Act 1984 will be required initially, followed by research to evaluate the implementation, operation and impact of the new legislation. The Scottish Executive's full requirements for research on mental health legislation will be published in a separate Research Programme towards the end of 2002.

Health Research

Health and Community Care Research Branch is currently managing research to evaluate a pilot of the Direct Supply of Medicines by Community Pharmacists and the Family Health Nurse Pilot in addition to a study of Labour Markets in NHS Scotland.

Recent Publications from the Community Care Research Programme 2001 - 2002

Research priorities on community care were previously published as part of the Social Work Research Programme. Since research priorities on community care were last published in 1998, a number of important pieces of research have been commissioned which have contributed to policy formulation, implementation, evaluation and the improvement of practice in community care. Publications from 2001 - 2002 are listed below.

Young Carers: Assessment and Services
Pauline Banks, Eamonn Gallagher, Malcolm Hill and Sheila Riddell, University of Glasgow, Scottish Executive Central Research Unit 2002
This study looked at existing literature on the ways in which statutory agencies identify young carers, how their needs are assessed and the nature of services that are provided to them.

Review of Care Management in Scotland
Kirsten Stalker and Isleen Campbell, University of Stirling, Scottish Executive Central Research Unit 2002
In response to a recommendation by the Joint Future Group that care management should be redefined as intensive care management, a study was commissioned to review the use of the care management approach in local authorities across Scotland. The study looked at the way in which local authorities defined care management and how they used it to sustain people requiring care at home.

Direct What? A Study of Direct Payments to Mental Health Service Users
Julie Ridley and Lyn Jones, Scottish Health Feedback, Scottish Executive Central Research Unit 2002
Following on from an earlier study of the introduction of Direct Payments in Scotland, a study was undertaken to explore the extent of use of Direct Payments by mental health service users, the barriers to use by this group and ways in which those barriers might be removed.

Over the Threshold? An Exploration of Intensive Domiciliary Support for Older People
Lisa Curtice and Alison Petch with Angela Hallam and Martin Knapp, Scottish Executive Central Research Unit, 2002
This publication reports on an evaluation undertaken between 1998 and 2000 of intensive domiciliary support services for very frail older people in Scotland.

Equipment and Adaptation Services in Scotland: A Survey of Waiting Times for Social Work Provision
Dr Edward Hall with SWSI, Scottish Executive Central Research Unit, 2001
Analysis of data from a snapshot survey of equipment and adaptation provision in each of Scotland's local authority social work departments was undertaken to examine waiting times and numbers for equipment and adaptation services, the agencies involved and action taken to address problems and the impact of joint working.

Providing Free Personal Care for Older People: Research commissioned to inform the work of the Care Development Group
Diane Machin and Danny McShane (Eds), Scottish Executive Central Research Unit, 2001
The report brings together the findings of a series of 6 projects examining the attitudes of the general public, older people, service users and carers to the provision of free personal care; the views and expectations of independent care home providers; and data analysis exploring the demand and provision of personal care services and informal care to older people.

Forthcoming Publications:

How does the community care? Public attitudes to community care in Scotland
Lisa Curtice and Alison Petch, Scottish Executive 2002 forthcoming
This report discusses results from the Scottish Social Attitudes Survey 2001 which included a set of questions relating to Community Care.

Standards of care and regulation of care services in Scotland.
Charlotte Pearson and Sheila Riddell, Scottish Executive forthcoming
The report describes how care services were regulated prior to the implementation of the Regulation of Care (Scotland) Act 2001. It is intended to provide a baseline for assessing progress under the new system of inspection and regulation.

'Don't they call it seamless care?': A study of acute psychiatric discharge
Lucy Simons, Alison Petch and Richard Caplan, Scottish Executive, forthcoming
The study provides a profile of policy and practice in Scotland with regard to discharge from acute psychiatric care and examines the outcomes of these arrangements for patients and their informal carers.

Relevant Health Research Publications:

Public Attitudes to the Healthcare of Older People in Scotland: Research Commissioned for the Expert Group on Healthcare of Older People
S. Braunholtz and B. Stalker, MORI Scotland, Scottish Executive Central Research Unit, 2002
During 2001-02, Health and Community Care Research Branch commissioned a study for the Chief Medical Officer's Expert Group on the Healthcare of Older People aimed at exploring public attitudes to the healthcare of older people through a face-to-face survey of people aged 60 years and over.

Well? What do you think? A National Scottish Survey of Public Attitudes to Mental Health, Well Being and Mental Health Problems
R. Glendinning, T. Buchanan and N. Rose, NOP Social and Political, with Angela Hallam, Scottish Executive Social Research, 2002
The survey was commissioned as part of the Executive's National Programme to Improve the Mental Health and Well Being of the Scottish Population. It explored how adults in Scotland view their own mental health and well being, and the factors likely to influence the way they feel. It also examined people's personal experience of mental health problems and attitudes towards those who suffer mental ill health. The survey, carried out in 2002, involved almost 1,400 interviews across Scotland.

Contact Points

Enquiries about the Community Care Research Programme and other research under the wider Health and Community Care Programme can be addressed to the Head of Health and Community Care Research Team:

Sarah Campbell
Health and Community Care Research Team,
Scottish Executive Health Department,
2nd Floor East Rear,
St. Andrew's House,
Regent Road,
Edinburgh,
EH1 3DG
Telephone 0131 244 5429
E-mail Sarah.campbell@scotland.gsi.gov.uk

Enquiries about research on Mental Health and the Mental Health Legislation Research Programme should be addressed to:

Angela Hallam
Health and Community Care Research Team,
2nd Floor East Rear,
St. Andrew's House,
Regent Road,
Edinburgh,
EH1 3DG
Telephone 0131 244 2813
E-mail Angela.hallam@scotland.gsi.gov.uk

Footnotes

1 Scottish Executive (2001), 'Working Together for Scotland: A programme for Government'. Edinburgh: The Stationery Office
2 Scottish Executive (2000), 'Our National Health - A Plan for Action, a Plan for Change', Edinburgh: The Stationery Office
3 Joint Future Group (2000), 'Community Care: A Joint Future', Edinburgh: The Stationery Office
4 Banks, P. et al (2002) , 'Young Carers: Assessment and Services', Scottish Executive Central Research Unit
5 Scottish Executive (2000), 'The Same as you? A Review of Services for People With Learning Disabilities', Edinburgh: The Stationery Office.
6 Hall, E. with SWSI (2001) - Equipment and Adaptation Services in Scotland. A Survey of Waiting Times for Local Authority Provision. Scottish Executive Central Research Unit.
7 Millan Committee (2001) - New Directions: Report on the Review of the Mental Health (Scotland) Act 1984. Edinburgh: The Stationery Office

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