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The recorded rise in Acute Kidney Injury has been the subject of a number of detailed audits at individual patient level across Health Boards in Scotland. The reason for the recorded rise is thought to be multi-factorial and the reasons include the following:

• Pre-operative factors such as medication and co-morbidities
• Changes in coding practice over the observed time period
• Lack of a common definition for what represents Renal Failure
• Changes to anaesthetic protocols
• Reduced administration of intravenous fluids in the perioperative period.
• Changes to antibiotic protocols to antibiotics that are potentially more toxic to the kidneys.
• An increased number of patients on drugs for hypertension and other conditions that have an effect on renal function (case complexity).
• Changes to the Urological management of benign prostatic hypertrophy in men (more drug treatment and less surgical treatment) which may result in increased rates of post-operative urinary retention.
• NHS patients whose surgery is undertaken in the private sector are not consistently recorded in the national dataset; they may represent the fitter patients for surgery.

The local audits also show that the deteriorations in renal function was small and rapidly corrected in the vast majority of cases. There is no requirement for renal replacement therapy. The length of stay in patients who developed acute kidney injury was increased, but there was no increase in 30 day mortality or readmissions. Also many patients were admitted on drugs –to treat other conditions – that are known to affect renal function as well as some patients who are already known to have chronic renal failure.

There are improvements that have been made in the peri-operative care of patients to minimise the risk of acute kidney injury. These include the management of neprotoxic drugs and fluid balance, early identification of urinary retention, flexibility in enhanced recovery protocols to allow for the multiply co-morbidity of at risk patients. The Orthopaedic and Anaesthetic Community with help from the Scottish Arthroplasty Projects continues to monitored this closely and ensure that good practice is shared nationally.

£2.7m was allocated to the Town Centre Housing Fund in 2013-14 as a one year only fund. £2.55m was spent from this budget as one project did not proceed.

Six derelict town centre buildings providing 75 units were brought back into use through the Town Centre Housing Fund in 2013-14. The breakdown per unit is:

Angus Council, Commonwealth House, Carnoustie - 4 units social rent

Clackmannanshire Council, Ann Street, Tillicoultry - 17 units social rent

East Dunbartonshire Council, 85 Townhead - 15 units social rent

Castlerock Edinvar Housing Association, 22-24 Bridge Street, Tranent - 7 units social rent

Fife Council, County Buildings, Cupar - 18 units (14 social rent, 4 intermediate rent)

Kingdom Housing Association, Former Crown Hotel, Crieff - 14 units social rent

The Scottish Government does not collect or publish this information. The Scottish Government published a first report on estimated annual diagnosed incidence of dementia in 2016, commissioned fromNHS National Services Scotland's Information Services Division, showing projected estimates up to 2020, . This report is used to contextualise performance data against the LDP Standard. The LDP Standard data is published on the Scotland Performs website for performance years 2014-15 and 2015-16 . Data for performance year 2013/14 was not of sufficient quality to publish. Integration Joint Boards are responsible for designing, commissioning and delivering dementia post-diagnostic services. The Scottish Government wants to go faster to extend post-diagnostic support and we are working with national and local partners to improve the consistency and quality of and access to the service, as well as the quality of data.

Performance data has been published for performance years 2014-15 and 2015-16. In 2014-15, 6,362 people were referred for post-diagnostic support. All of the other information requested is currently on the Scotland Perform’s website, including the equivalent estimated percentage of people newly diagnosed with dementia referred for post-diagnostic support in performance years 2014-15 and 2015-16 . Data for performance year 2013/14 was not of sufficient quality to publish.

The Scottish Government does not collect or publish this information. Integration Joint Boards are responsible for designing, commissioning and delivering dementia post-diagnostic services. The Scottish Government wants to go faster to extend post-diagnostic support and we are working with national and local partners to improve the consistency and quality of and access to the service, as well as the quality of data.

The Scottish Government does not collect or publish this information. The official performance data on the Scotland Perform’s website includes the number of people referred for post-diagnostic support in performance years 2014-15 and 2015-16 and the equivalent estimated percentage of people newly diagnosed with dementia referred for post-diagnostic support in performance years 2014-15 and 2015-16, as well as the percentage of those who were referred who completed the service . Data for performance year 2013/14 was not of sufficient quality to publish. Integration Joint Boards are responsible for designing, commissioning and delivering dementia post-diagnostic services. The Scottish Government wants to go faster to extend post-diagnostic support and we are working with national and local partners to improve the consistency and quality of and access to the service, as well as the quality of data.

The Scottish Government does not hold this information centrally.

All 75 Town Centre Housing Fund units were for affordable housing. The proposed rent levels for these units were requested at application stage and considered during the assessment process, including assumed annual rent increases. No subsequent assessment has been made on the use or value of properties.

All homes renovated with the help of funding from the Empty Homes Loan Fund have been made available for affordable housing either as rentals or homes for sale. Rent levels vary depending on type; social rent, intermediate (mid-market) rent; and the private sector leasing scheme for homeless households. For intermediate rented homes, starting rents are below the current Local Housing Allowance (LHA) rate for the area/property size. Sales values are capped at the Scottish Government’s Open Market Shared Equity thresholds for the relevant area.

£4.4 million was allocated, as loan funding, to 17 Empty Homes Loan Fund projects in 2012 to help renovate empty homes and make them available as affordable housing. Beneficiaries have reported that approximately £1.5 million has been paid out to date.