The Scottish Parliament

Question reference: S2W-10221

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Thursday, 02 September 2004
Current Status: Answered by Andy Kerr on 19 January 2005

To ask the Scottish Executive, further to the answer to question S2W-9744 by Malcolm Chisholm on 12 August 2004, how many out-patients in each NHS board area were waiting more than (a) 18 months and (b) two years for an NHS appointment, broken down by individual speciality, in the quarters to (i) March 1999, (ii) June 1999, (iii) March 2000, (iv) March 2001, (v) March 2002 and (vi) March 2003.

The information requested for NHSScotland is set out in the following tables.

Every year NHSScotland undertakes 4 million out-patient appointments, of which around 1 million of these are first outpatient appointments. Nearly 90% of patients receive their first outpatient appointment within 26 weeks.

I have arranged for the information requested for NHS boards to be placed in the Parliament’s Reference Centre (Bib. number: 33876) as it runs to 19 pages.

NHSScotland: Number of Consultant-Led First Out-Patient Appointments, Following Referral by a General Medical or Dental Practitioner, Undertaken after 18 Months and After Two Years, by Specialty¹, During the Quarter Ended 31 March 1999

NHS Board	Specialty	Number of Appointments Undertaken After:
NHS Board	Specialty	18 Months	2 Years
NHSScotland	All Specialties	172	119
	Cardiology	3	2
	Child and Adolescent Psychiatry	2	2
	Dermatology	7	6
	Ear, Nose and Throat (ENT)	9	8
	Endocrinology and Diabetes	1	1
	General Medicine	17	10
	General Psychiatry (Mental Illness)	8	5
	General Surgery	15	9
	Gynaecology	8	4
	Homeopathy	48	47
	Neurology	2	2
	Obstetrics	7	6
	Ophthalmology	7	4
	Oral Surgery	1	1
	Orthodontics	15	1
	Paediatrics	1	1
	Plastic Surgery	3	1
	Psychiatry of Old Age	3	2
	Respiratory Medicine	1	1
	Restorative Dentistry	1	-
	Trauma and Orthopaedic Surgery	5	1
	Urology	8	5

NHSScotland: Number of Consultant-Led First Out-Patient Appointments, Following Referral by a General Medical or Dental Practitioner, Undertaken after 18 Months and After Two Years, by Specialty¹, During the Quarter Ended 30 June 1999

NHS Board	Specialty	Number of Appointments Undertaken After:
NHS Board	Specialty	18 Months	2 Years
NHSScotland	All Specialties	161	70
	Anaesthetics	1	-
	Cardiology	5	4
	Child and Adolescent Psychiatry	3	3
	Dermatology	8	1
	Ear, Nose and Throat (ENT)	9	7
	Endocrinology and Diabetes	1	-
	Gastroenterology	1	1
	General Medicine	7	5
	General Psychiatry (Mental Illness)	3	2
	General Surgery	16	10
	Gynaecology	10	6
	Homeopathy	8	5
	Neurology	2	2
	Neurosurgery	2	2
	Obstetrics	8	8
	Ophthalmology	2	-
	Oral Medicine	1	1
	Oral Surgery	2	1
	Orthodontics	45	-
	Paediatric Surgery	1	-
	Paediatrics	1	-
	Plastic Surgery	3	2
	Psychiatry of Old Age	7	2
	Rheumatology	2	2
	Trauma and Orthopaedic Surgery	8	4
	Urology	5	2

NHSScotland: Number of Consultant-Led First Out-Patient Appointments, Following Referral by a General Medical or Dental Practitioner, Undertaken after 18 Months and After Two Years, by Specialty¹, During the Quarter Ended 31 March 2000

NHS Board	Specialty	Number of Appointments Undertaken After:
NHS Board	Specialty	18 Months	2 Years
NHSScotland	All Specialties	250	91
	Cardiology	5	-
	Clinical Genetics	2	1
	Clinical Oncology	1	-
	Dermatology	54	2
	Ear, Nose and Throat (ENT)	4	2
	Endocrinology and Diabetes	2	-
	Gastroenterology	4	-
	General Medicine	5	2
	General Psychiatry (Mental Illness)	4	2
	General Surgery	10	3
	Geriatric Medicine	3	3
	Gynaecology	3	1
	Homeopathy	20	9
	Neurology	7	-
	Obstetrics	4	2
	Ophthalmology	10	3
	Oral Surgery	4	1
	Orthodontics	53	44
	Paediatric Dentistry	2	1
	Paediatric Surgery	3	-
	Paediatrics	1	1
	Plastic Surgery	9	2
	Psychiatry of Old Age	3	1
	Renal Medicine	2	-
	Restorative Dentistry	3	2
	Rheumatology	5	3
	Trauma and Orthopaedic Surgery	10	4
	Urology	17	2

NHSScotland: Number of Consultant-Led First Out-Patient Appointments, Following Referral by a General Medical or Dental Practitioner, Undertaken after 18 Months and After Two Years, by Specialty¹, During the Quarter Ended 31 March 2001

NHS Board	Specialty	Number of Appointments Undertaken After:
NHS Board	Specialty	18 Months	2 Years
NHSScotland	All Specialties	1,022	675
	Anaesthetics	3	1
	Cardiology	3	3
	Child and Adolescent Psychiatry	3	1
	Dermatology	4	-
	Ear, Nose and Throat (ENT)	9	1
	Endocrinology and Diabetes	3	1
	Gastroenterology	2	-
	General Medicine	8	1
	General Psychiatry (Mental Illness)	4	1
	General Surgery	48	3
	Geriatric Medicine	1	-
	Gynaecology	6	2
	Haematology	1	-
	Homeopathy	661	632
	Neurology	2	1
	Obstetrics	1	1
	Ophthalmology	18	7
	Oral Surgery	34	-
	Orthodontics	8	1
	Paediatric Surgery	24	1
	Paediatrics	5	-
	Plastic Surgery	149	15
	Respiratory Medicine	1	1
	Restorative Dentistry	2	-
	Rheumatology	1	1
	Trauma and Orthopaedic Surgery	14	1
	Urology	7	-

NHSScotland: Number of Consultant-Led First Out-Patient Appointments, Following Referral by a General Medical or Dental Practitioner, Undertaken after 18 Months and After Two Years, by Specialty¹, During the Quarter Ended 31 March 2002

NHS Board	Specialty	Number of Appointments Undertaken After:
NHS Board	Specialty	18 Months	2 Years
NHSScotland	All Specialties	607	148
	Anaesthetics	2	2
	Cardiology	12	8
	Child and Adolescent Psychiatry	1	-
	Clinical Genetics	1	-
	Clinical Oncology	1	1
	Dermatology	23	6
	Ear, Nose and Throat (ENT)	24	4
	Endocrinology and Diabetes	7	2
	Gastroenterology	17	-
	General Medicine	27	20
	General Psychiatry (Mental Illness)	3	-
	General Surgery	60	7
	Gynaecology	8	1
	Haematology	1	1
	Homeopathy	68	12
	Neurology	2	2
	Obstetrics	2	2
	Ophthalmology	26	3
	Oral Medicine	1	-
	Oral Surgery	53	-
	Orthodontics	14	4
	Paediatric Surgery	14	-
	Paediatrics	2	1
	Plastic Surgery	141	53
	Rehabilitation Medicine	2	2
	Renal Medicine	1	1
	Respiratory Medicine	1	-
	Restorative Dentistry	2	-
	Rheumatology	3	-
	Trauma and Orthopaedic Surgery	71	8
	Urology	17	8

NHSScotland: Number of Consultant-Led First Out-Patient Appointments, Following Referral by a General Medical or Dental Practitioner, Undertaken after 18 Months and After Two Years, by Specialty¹, During the Quarter Ended 31 March 2003

NHS Board	Specialty	Number of Appointments Undertaken After:
NHS Board	Specialty	18 Months	2 Years
NHSScotland	All Specialties	1 711	426
	Anaesthetics	5	2
	Cardiology	2	1
	Child and Adolescent Psychiatry	4	-
	Clinical Genetics	4	-
	Clinical Radiology	4	3
	Dermatology	72	3
	Ear, Nose and Throat (ENT)	34	4
	Endocrinology and Diabetes	37	1
	Gastroenterology	16	1
	General Medicine	92	69
	General Practice	8	-
	General Psychiatry (Mental Illness)	2	-
	General Surgery	51	23
	Gynaecology	6	3
	Haematology	1	-
	Homeopathy	202	64
	Neurology	4	-
	Obstetrics	2	1
	Ophthalmology	305	33
	Oral Medicine	11	9
	Oral Surgery	44	9
	Orthodontics	85	9
	Paediatric Dentistry	24	19
	Paediatric Surgery	47	17
	Paediatrics	4	1
	Plastic Surgery	85	25
	Psychiatry of Old Age	1	1
	Rehabilitation Medicine	1	1
	Renal Medicine	4	1
	Respiratory Medicine	12	-
	Restorative Dentistry	21	7
	Rheumatology	7	2
	Trauma and Orthopaedic Surgery	334	116
	Urology	180	1

Source: ISD Scotland, SMR00.

Note: 1. All specialties excluding accident and emergency and genito urinary medicine are included in SMR00 returns.

Question reference: S2W-13022

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Wednesday, 15 December 2004
Current Status: Answered by Euan Robson on 14 January 2005

To ask the Scottish Executive whether an independent assessment has been carried out on the likely impact of the Protection of Children (Scotland) Act 2003 on children's activities from 10 January 2005 onwards.

Question reference: S2W-13000

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Monday, 13 December 2004
Current Status: Answered by Andy Kerr on 13 January 2005

To ask the Scottish Executive how many GP practices were certified as training practices in each year since 1999.

Question reference: S2O-04718

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Wednesday, 15 December 2004
Current Status: Answered by Lewis Macdonald on 23 December 2004

To ask the Scottish Executive when it will introduce its proposed animal welfare legislation.

Question reference: S2W-12922

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Wednesday, 08 December 2004
Current Status: Answered by Euan Robson on 22 December 2004

To ask the Scottish Executive how it is evaluating morale among members of children's panels and whether it will consider publishing any such evaluation.

The Scottish Executive liaises closely with all partners within the children’s hearings system on an on-going basis in order to identify and address issues of concern. In 2002 independent research was undertaken to identify reasons why panel members resign. A retention strategy was prepared and consulted on with panel interests. The research and the strategy are available on the children’s hearings website www.childrens-hearings.co.uk.

The strategy has been monitored by the Publicity Working Group, which advises the Scottish Executive on recruitment and comprises representatives from all parts of the hearings system. Most measures have been implemented.

Question reference: S2W-12920

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Wednesday, 08 December 2004
Current Status: Answered by Euan Robson on 22 December 2004

To ask the Scottish Executive when Phase 2 of the review of the children"s hearing system will begin.

Question reference: S2W-12921

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Wednesday, 08 December 2004
Current Status: Answered by Euan Robson on 22 December 2004

Question reference: S2W-12919

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Wednesday, 08 December 2004
Current Status: Answered by Euan Robson on 22 December 2004

Apart from Grant Aided support to the local authorities for social work the Scottish Executive allocated specific financial resources as follows:

Budget	1999-2000	2000-01	2001-02	2002-03	2003-04
(£000)	(£000)	(£000)	(£000)	(£000)
Training	393	393	393	643	665
Recruitment and Support	242	242	300	642	792
Legal Representation of Children	n/a	n/a	500	3	3
SCRA	12,265	13,747	15,751	16,506	21,176
Total	12,9	14,382	16,944	20,8791	25,633

In addition, the Scottish Executive provided staff to co-ordinate news letters, a website, development of software, training etc.

Question reference: S2W-12918

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Wednesday, 08 December 2004
Current Status: Answered by Euan Robson on 22 December 2004

To ask the Scottish Executive how many children's panel areas operated below their target membership level in (a) 1999-2000, (b) 2000-01, (c) 2001-02, (d) 2002-03 and (e) 2003-04, broken down by local authority area and showing the percentage shortfall.

Children’s Panel Advisory Committees monitor panel member availability on an on-going basis. Target membership figures are not meaningful, as the number of panel members required in a local authority area at any time depends on the number of hearings called and the current level of availability of the existing members, which can vary. However, projections on recruitment needs for the coming year are determined in advance of the annual recruitment campaign. Since 2000 the national recruitment target has been exceeded by the number appointed. Turnover statistics can be referenced in the answer given to question S2W-12921, answered on 22 December 2004. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at http://scottish.parliament.uk/webapp/wa.search. Detailed information on projected recruitment needs compared with numbers of new panel members appointed since 2000 is given in a table Children's Panel Member Recruitment by Local Authority Area, 1999-2000 – 2003-04, which has been placed in the Parliament’s Reference Centre (Bib. number 34685).

Question reference: S2W-12923

Asked by: Christine Grahame, MSP for South of Scotland, Scottish National Party
Date lodged: Wednesday, 08 December 2004
Current Status: Answered by Euan Robson on 22 December 2004

To ask the Scottish Executive whether it has any plans to sub-divide the children's hearing system following Phase 2 of the review of the system.

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Question reference: S2W-10221

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Question reference: S2W-12921

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1999	282
2000	282
2001	273
2002	276
2003	283
2004	282