- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 23 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive whether it considers the containment of Clostridium difficile spores to be a priority and, if so, what guidance it offers on containment measures.
Answer
Clostridium difficile spores represent the main source of cross infection with the organism and their containment is, therefore, a top priority. Health Protection Scotland (HPS) issued guidance in October 2008 titled
Guidance on Prevention and Control of Clostridium difficile Associated Disease (CDAD) in Healthcare Settings in Scotland which details the measures to be taken to prevent the spread of clostridium difficile, such as isolation of symptomatic patients, hand hygiene, environmental cleaning, personal protective equipment and the safe management of linen and waste.
This guidance can be found on the HPS website at:
http://www.documents.hps.scot.nhs.uk/hai/sshaip/guidelines/clostridium-difficile/guidance-cdad-2008-10.pdf.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 23 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive what it is doing to implement Rapid Review Panel products in its strategy to reduce healthcare associated infections.
Answer
Products which receive the recommendation of the Health Protection Agency''s Rapid Review Panel (RRP) will be automatically considered for possible use in NHS Scotland by the HAI Commodities Advisory Group. This is a strategic group hosted by National Procurement, which meets six monthly but operates an e-mail discussion group between meetings. The group oversees the use of HAI related commodities within NHS Scotland and brings the process of review and procurement of products together through the application of a single national systematic approach and process.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, for what reasons there was a delay of one month before it was notified of the outbreak of Clostridium difficile in NHS Orkney.
Answer
There was an unacceptable delay before NHS Orkney notified the Scottish Government of the Clostridium difficile outbreak. NHS Orkney has accepted this and their lines of communication have been completely revised to ensure any future incidents are reported quickly.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 16 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-20313 by Nicola Sturgeon on 9 February 2009, when it expects the report on the deaths from Clostridium difficile at the Vale of Leven hospital to be available, given that the Cabinet Secretary for Health and Wellbeing stated, at a meeting with the C. diff Justice Group in December 2008, that it was expected to be concluded in March 2009.
Answer
I refer the member to the answer to question S3W-23027 on 5 May 2009. 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.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 16 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-20313 by Nicola Sturgeon on 9 February 2009, whether the Cabinet Secretary for Health and Wellbeing received reports from Strathclyde Police, the area procurator fiscal or the Crown Counsel in March 2009 on the deaths from Clostridium difficile at the Vale of Leven Hospital.
Answer
I refer the member to the statement I made to Parliament on 22 April 2009 when I confirmed that there will be a Public Inquiry into the Clostridium difficile outbreak at the Vale of Leven following the conclusion of on-going police and Health and Safety Executive (HSE) investigations.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 16 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executivewhen it anticipates receiving a report from the Crown Counsel on the deaths from Clostridium difficile at the Vale of Leven hospital and whether this will be an interim or final report.
Answer
I refer the member to the answer to question S3W-23027 on 5 May 2009. 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.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 23 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive when the review of the Guidance on Prevention and Control of Clostridium difficile Associated Disease (CDAD) in Healthcare Settings in Scotland, published in October 2008 by Health Protection Scotland and due for review in March 2009, will be published.
Answer
Health Protection Scotland (HPS) have confirmed the review will be published in September 2009 and in the meantime that the current guidance remains extant.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, whether NHS Orkney has an antimicrobial prescribing policy in place; when this was adopted, and how it has been implemented
Answer
NHS Orkney introduced a draft antimicrobial policy in February 2009 and this was formally adopted in April 2009. An antimicrobial team has been established to audit compliance with the policy, and an antimicrobial pharmacist is in post and has the responsibility for ensuring day to day delivery of the policy.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, what ribotype of Clostridium difficile was identified in the outbreak in NHS Orkney.
Answer
There were six cases ribotyped, broken down as follows:
| Ribotype | Cases |
| 015 | 1 |
| 027 | 4 |
| 078 | 1 |
Ribotyping is not available for the other cases because the sample was either culture negative or no culture was grown.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, whether it will publish the outcome of the review by NHS Quality Improvement Scotland of the clinical governance arrangements in place across NHS Orkney.
Answer
NHS Quality Improvement Scotland (QIS) has confirmed the report will be published on its website by end June 2009.
