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Each NHS board has responsibility for the planning and provision of health services in its area, based on an assessment of need and in accordance with local and national priorities.

Leading Better Care sets out the senior charge nurse''s (SCNs) role and responsibilities with regard to managing the practice setting including the effective use of resources and contributing to the management of the ward/department budget. The SCNs role as an empowered clinical leader and guardian of care quality means that they have a key responsibility in relation to the best use of the resources under their control, including having direct access to budgets for urgent repairs and replacement of equipment as required under the healthcare associated infection national action plan.

Leading Better Care identifies the senior charge nurse''s (SCN) role and responsibilities to promote a clean and safe environment for staff, patients and visitors by ensuring compliance with legislation, policies and protocols, including health and safety, healthcare associated infection, risk management and critical incident reporting and analysis.

SCNs are the guardians of quality and clinical standards in their areas of responsibility and have a key responsibility with regard to ensuring the cleanliness of their clinical areas.

Efficiency savings are a key component of financial plans contributing to the overall financial performance of NHS boards. All boards have savings plans and all boards continue to forecast either breakeven or an underspend in 2009-10. The following table provides an analysis of in-year efficiency savings (2009-10), broken down by NHS board.

Every penny of the efficiency savings made by NHS boards is retained and reinvested by the board in frontline patient care.

Efficiency Savings (2009-10)

NHS Boards	Forecast (£m)
Ayrshire and Arran	11.3
Borders	5.1
Dumfries and Galloway	4.8
Fife	10.1
Forth Valley	9.0
Grampian	17.3
Greater Glasgow	49.4
Highland	15.6
Lanarkshire	15.8
Lothian	24.8
Orkney	1.7
Shetland	1.2
Tayside	14.1
Western Isles	1.8
NHS Boards Total	181.8
NHS Special Health Boards
Scottish Ambulance Service	6.9
National Services Scotland	5.6
NHS 24	1.2
The State Hospital	1.3
National Waiting Times Centre Board	0.8
NHS Education Scotland	0.9
NHS Health Scotland	0.4
Quality Improvement Scotland	0.1
NHS Special Health Boards Total	17.2
Grand Total	199.0

 

Information Services Division (ISD) have published information on uptake rates for breast screening in deprived areas from years 1999-2001. ISD plans to undertake a further analysis of this information, up to screening year 2007-08, and publish this information on their website in July 2010. Thereafter, ISD will report this information on a three-yearly basis.

Efficiency savings are a key component of financial plans and contribute towards overall financial performance. NHS Scotland boards are currently forecasting delivery of additional efficiency savings of £199 million for 2009-10, exceeding the in-year target of £159 million by £40 million.

All boards are projecting either financial breakeven or an underspend in 2009-10.

Every penny of the efficiency savings made by NHS boards is retained and reinvested by the board in frontline patient care.

I refer the member to the answer to question S3W-24275 on 25 June 2009, which indicated that official data on the number of Clostridium difficile-related deaths, by NHS board and by hospital, is published by the General Register for Scotland (GROS) on an annual basis. Data for the calendar year 2008 were published by GROS in August 2009. Data for the calendar year January 2009 to December 2009 will be published in August 2010.

All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

Data on the estimated survival rates for female breast cancer patients can be found at:

http://www.isdscotland.org/isd/servlet/FileBuffer?namedFile=cancer_female_breast_surv.xls&pContentDispositionType=inline.

The most recent rates that have been calculated are for the period of diagnosis 2000-04.

The guidance on completing the HAI (healthcare associated infection) reporting template requires NHS boards to ensure that reports are considered as part of bi-monthly public board meetings. The reports on NHS board websites are updated to coincide with these bi-monthly public board meetings.

The most recently available data show that between 2000 and 2004, the five year survival rate for oesophageal cancer was 11% for men and 7.7% for women.

Further information on survival rates for oesophageal cancer is available on the NHS Information Services Division website http://www.isdscotland.org/isd/1493.html. Data for other cancers can be found at http://www.isdscotland.org/isd/183.html.

We are aware that survival rates for oesophageal cancer remain poor compared with some other cancers, although we are encouraged to see that mortality rates for both men and women are decreasing. Action is taking place to tackle alcohol consumption, poor diet and smoking, all of which are known risk factors for oesophageal cancer. Through earlier detection, more rapid diagnosis and treatment, survival after cancer continues to improve.