1. In February 2009 the Health Improvement Strategy Division became part of a broader Chief Medical Officer and Public Health Directorate.
2. Twenty four of the interviews were conducted with a single individual; in one case, the interview at NHS Health Scotland, two individuals were interviewed together.
3. 'patient focused' interventions implies or suggests a clinical consultation focus; in fact the interventions covered in the overview are much broader and include public health type interventions.
4. The project coordinator is Kristine Sorenson, based at the University of Maastricht. Email: K.Sorenson@INTHEALTH.unimaas.nl
5. Alliance for Self Care Research. http://www.ascr.ac.uk/selfcare.htm
6. P12 'Gaun Yersel' The Self Management Strategy for Long Term Conditions in Scotland, Long Term Conditions Alliance Scotland.
7. Note that 'Towards a Mentally Flourishing Scotland' - the policy for Mental Health improvement - also uses the term 'health literacy'. These are the only two policy documents - as far as the author is aware - to specifically make mention of 'health literacy'.
8. These dimensions were set out in the Institute of Medicine's 2001 report 'Crossing the Quality Chasm'
9. Note that one of the interviewees from the Scottish Government pointed out that there are various programmes of work underway to support this including work to improve equalities monitoring of patents across the NHS.
10. The Scottish Government explained that any response to this issue should be joined up with other ongoing work on monitoring and profiling across the NHS
11. These are described in full in the NHS Education for Scotland document 'Enabling Partnerships: Sharing Knowledge for a Mutual NHS'
12. What is my main problem? Why is it important? What do I need to do? This is taken from Dean Schillinger's work.
13. This method is described
14. Note that it is not within the remit of this scoping exercise to check whether these suggestions are already being implemented in specific contexts. Moreover, featuring on this list does not imply endorsement by the Scottish Government that these ideas should be developed and / or implemented.
15. Navigating Health: The role of health literacy. Illona Kickbush, Suzanne Wait and Daniela Maag (February 2009)
16. Nominated by Paul Martin, Chief Nursing Officer
17. Nominated by Professor Kenneth Paterson, Director, Scottish Medicines Consortium
18. The interviews was with both Graham Robertson and Cath Denholm
19. The initial list of interviewees suggested Audrey Taylor from NHS Education for Scotland. However, Audrey Taylor did not feel qualified to comment and referred me to Dr Ann Wales.
20. Nominated by Paul Martin, Chief Nursing Officer
21. 'patient focused' interventions implies or suggests a clinical consultation focus; in fact the interventions covered in the overview are much broader and include public health type interventions.
22. Adult Literacy and Numeracy in Scotland, Scottish Executive, 2001
23. There are questions to assess whether information given before attendance at hospital was helpful and whether patients understood what was happening to them at various stages during their stay in hospital.
25. 'Exploring primary care responses to adult literacy issues', Report by Baccus Consulting for NHS Greater Glasgow and Clyde, March 2009. Note that this covers general literacy rather than health literacy specifically.
26. The Scottish Government defines literacy as 'the ability to read, write, and use numeracy to handle information, to express ideas and opinions, to make decisions and solve problems, as family members, citizens and lifelong learners'.