Questions and answers

Question reference: S2W-11473

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Friday, 15 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive how many obstetricians were trained in each of the last five years.

The route to being able to apply for consultant posts within obstetrics and gynaecology is through attainment of the Certificate of Completion of Specialist Training (CCST) by Specialist Registrars (SpRs).

NHS Education for Scotland are responsible for overseeing the management of the training programmes. The following table provides a breakdown, by postgraduate deanery, of the number of SpRs who have completed their training.

Number of Trainees Completing Training in Scotland (I.E. Certificate Of Completion Of Specialist Training) - 1 October 1999 - 30 September 2004

Specialty	Date CCST awarded
Obstetrics and Gynaecology	01.10.99 - 30.09.2000	01.10.2000 - 30.09.2001	01.10.2001 - 30.09.2002	01.10.2002 - 30.09.2003	01.10.2003 – 30.09.04
East	3	0	1	0	1
North	3	2	1	4	1
S East	3	3	0	2	6
West	9	3	4	6	5	Overal Total
Total	18	8	6	12	13	57

Source: NHS Education for Scotland.

Question reference: S2W-11200

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive what the average length of time is that a patient with an availability status code has to wait for in-patient/daycase treatment, broken down by speciality.

Question reference: S2W-11199

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive what the average length of time is that a patient with an availability status code has to wait for in-patient/daycase treatment, broken down by NHS board area.

The information requested is not available centrally because retrospective waiting times information does not separately identify patients with availability status codes.

Patients with availability status codes do not have a maximum waiting times guarantee. Patients on the inpatient/day case waiting list may have an availability status codes are applied if they cannot attend for personal or social reasons, did not attend their appointment, have a medical condition which prevents treatment, or are awaiting treatment deemed to be highly specialised or of low medical priority. Availability status codes can also be applied on occasions of exceptional strain on the NHS.

Question reference: S2W-11207

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive in how many incidences patients have been given availability status code 9 on a waiting list, broken down by (a) NHS board area and (b) speciality affected.

The Executive must authorise any proposed use of availability status code 9 on a waiting list. In the last year, authorisation has been given once, in response to a request from NHS Greater Glasgow following a major accident at a warehouse in the city in May 2004.

Thirty-three patients had their planned in-patient/day case treatment, mainly in orthopaedics and plastic surgery, postponed and availability status code 9 applied. NHS Greater Glasgow report that all 33 patients have since been admitted for treatment.

Question reference: S2W-11206

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive in which specialities availability status code 3 has been given in the last year.

The specific information required is not available centrally.

Information on the numbers of patients with availability status code 3, and the specialties in which they are waiting treatment, is however available from quarterly waiting list census data. On 30 June 2004, patients on the inpatient and day case waiting list with an availability status code 3 were awaiting treatment in the specialties of cardiology, ear, nose and throat, gastroenterology, general medicine, general surgery, gynaecology, ophthalmology, oral surgery, orthopaedics, plastic surgery, surgical paediatrics and urology.

Question reference: S2W-11029

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive what the world age-standardised rate for cancer (a) incidence, (b) mortality and (c) survival is, broken down by NHS board area and not by gender.

The information requested in shown in the following tables.

(a): World Age-Standardised Rate¹ (WASR) for Cancer Incidence², for All Ages, by Health Board of Residence: 2001

NHS Board Area of Residence	Number of cases	WASR
Argyll and Clyde	2,258	295.9
Ayrshire and Arran	1,910	273.2
Borders	597	273.1
Dumfries and Galloway	756	236.1
Fife	1,679	264.5
Forth Valley	1,390	282.0
Grampian	2,460	272.3
Greater Glasgow	4,553	304.3
Highland	1,071	270.9
Lanarkshire	2,413	264.2
Lothian	3,877	298.0
Orkney	87	236.9
Shetland	100	268.8
Tayside	2,035	272.1
Western Isles	160	285.3
Scotland⁵	25,348	281.1

(b): World Age Standardised Rate (WASR) for Cancer Mortality³ for All Ages, by Health Board of Residence: 2003

NHS Board Area of Residence	Number of deaths	WASR
Argyll and Clyde	1,282	150.0
Ayrshire and Arran	1,126	140.3
Borders	352	125.2
Dumfries and Galloway	535	144.3
Fife	1,008	137.4
Forth Valley	864	151.4
Grampian	1,367	127.6
Greater Glasgow	2,837	171.3
Highland	642	141.7
Lanarkshire	1,524	148.0
Lothian	2,097	136.8
Orkney	45	103.3
Shetland	57	133.2
Tayside	1,226	136.6
Western Isles	101	171.8
Scotland⁵	15,063	144.8

(c) One-Year and Five-Year Relative Survival⁴, by NHS Board Area of Residence, Ages 15 to 99, Patients Diagnosed in 1997 and 2001.

NHS Board Area of Residence	Number of cases in analysis	Survival estimate (%) at 1 year	Survival estimate (%) at 5 years
Argyll and Clyde	9,978	61.0	43.3
Ayrshire and Arran	8,638	61.4	44.0
Borders	2,647	63.6	45.2
Dumfries and Galloway	3,571	62.0	44.8
Fife	7,647	62.3	43.2
Forth Valley	5,955	63.6	44.3
Grampian	11,037	65.6	46.2
Greater Glasgow	20,707	58.1	39.9
Highland	4,942	65.7	46.7
Lanarkshire	11,361	60.4	41.8
Lothian	16,688	63.1	45.9
Tayside	9,251	62.2	42.3
Scotland	113,955	61.8	43.5

Notes:

1. WASR: age-standardised rate per 100 000 person-years at risk (World standard population).

2. Incidence rates are provided for 2001, the most recent year for which cancer registration is considered complete.

3. Mortality rates are provided for 2003, the most recent year for which death information from General Register Office (Scotland) is available.

4. Survival estimates are provided for cancer patients diagnosed between 1997 and 2001, at one year and five years after diagnosis. While 1998 is the most recent year of diagnosis for which five-year follow-up is complete, patients diagnosed between 1999 and 2001 were followed up to 2003 and their survival experience is included in the analysis.

5. The differences in the totals in tables (a) and (b) from those presented inparliamentary question S2W-11028 are due to missing values. Deprivation category is derived from post-code of residence–for a very small proportion of cancer registration the post-code is not available and therefore the dep. cat. is not known. For a smaller number of registrations the health board of residence is also not known.

Question reference: S2W-11044

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive, further to the answer to question S2W-6991 by Malcolm Chisholm on 30 March 2004, how much has been spent on NHS locum staff in each year since 1999, broken down by (a) NHS board area and (b) speciality.

The total cost of locum hospital and community medical and dental staff employed by NHSScotland in each NHS board is presented in the attached tables overleaf for the full years ending 31 March 1999 to 2004. Information by specialty is not available.

The term “NHS Locum” is used in relation to medical and dental staff only.

Paybill for Locum medical and dental staff by NHS Board and Grade

Total Cost at end ofFinancial Year

Health Board	2003-04	2002-03	2001-02	2000-01	1999-2000
Scotland	19,112,946.1	17,431,709.5	17,990,706.8	15,677,271.7	13,164,089.6
Consultant	11,166,989.2	9,980,518.4	10,215,684.7	8,870,888.2	7,065,637.0
Other	7,945,956.9	7,451,191.1	7,775,022.1	6,806,383.5	6,098,452.6
NHS Argyll and Clyde	1,222,928.5	1,039,937.7	1,236,557.5	732,582.6	853,331.6
Consultant	932,438.4	696,750.9	856,430.4	479,220.7	566,694.1
Other	290,490.1	343,186.8	380,127.1	253,361.9	286,637.5
NHS Ayrshire and Arran	1,083,595.4	975,894.9	852,377.2	726,120.4	900,374.9
Consultant	552,052.8	443,787.9	300,626.1	275,049.1	436,249.0
Other	531,542.6	532,107.0	551,751.1	451,071.2	464,125.9
NHS Borders	123,301.1	178,419.4	239,213.6	263,812.5	183,091.6
Consultant	38,295.3	96,179.5	64,741.3	168,981.1	109,120.2
Other	85,005.8	82,239.9	174,472.3	94,831.4	73,971.4
NHS Dumfries and Galloway	396,568.2	427,553.2	453,995.9	360,976.0	542,178.4
Consultant	178,701.9	264,908.9	250,647.0	218,181.3	411,511.4
Other	217,866.3	162,644.3	203,348.9	142,794.7	130,667.0
NHS Fife	1,374,344.4	1,394,264.8	994,731.7	1,001,988.9	695,087.4
Consultant	1,048,054.1	1,047,571.1	694,887.8	518,671.5	229,199.7
Other	326,290.2	346,693.7	299,843.8	483,317.4	465,887.6
NHS Forth Valley	856,991.1	737,495.4	870,110.6	840,457.5	662,439.8
Consultant	546,639.4	526,339.5	719,689.2	689,081.8	488,701.3
Other	310,351.7	211,155.9	150,421.4	151,375.6	173,738.5
NHS Grampian	2,288,733.2	2,157,316.8	1,359,152.5	1,574,418.4	990,934.4
Consultant	801,735.8	827,394.8	569,763.9	864,418.0	367,324.7
Other	1,486,997.4	1,329,922.0	789,388.6	710,000.3	623,609.7
NHS Greater Glasgow	3,170,829.0	2,617,390.7	3,374,232.8	2,540,806.0	1,790,420.2
Consultant	1,818,638.1	1,484,985.1	2,067,998.9	1,555,037.4	1,033,927.9
Other	1,352,191.0	1,132,405.6	1,306,233.9	985,768.5	756,492.3
NHS Highland	910,614.6	749,757.2	1,205,362.0	1,036,725.2	546,649.9
Consultant	544,684.9	450,673.2	729,104.9	578,913.4	373,976.4
Other	365,929.8	299,083.9	476,257.0	457,811.8	172,673.5
NHS Lanarkshire	2,755,869.1	2,337,189.6	2,226,408.5	1,897,763.2	2,232,720.3
Consultant	1,938,969.9	1,532,814.8	1,444,237.8	1,341,366.3	1,354,288.2
Other	816,899.1	804,374.8	782,170.7	556,396.9	878,432.1
NHS Lothian	3,759,871.7	3,622,559.6	3,481,248.7	3,237,848.1	2,344,508.6
Consultant	1,998,883.8	1,812,643.1	1,578,976.7	1,389,889.9	921,770.0
Other	1,760,987.9	1,809,916.4	1,902,271.9	1,847,958.2	1,422,738.7
NHS Orkney	31,831.9	47,447.2	32,461.3	12,112.0	28,543.0
Consultant	29,303.6	47,447.2	32,137.4	12,112.0	28,543.0
Other	2,528.2	-	323.9	-	-
NHS Shetland	48,967.1		92,731.0	74,485.6	57,029.4
Consultant	48,967.1		92,731.0	74,485.6	54,955.8
Other					2,073.6
State Hospital	92,991.9	65,150.7	24,882.6
Consultant	92,991.9	51,523.1	24,882.6	-
Other		13,627.5		-
NHS Tayside	846,369.7	765,722.9	1,121,054.0	975,929.5	972,510.2
Consultant	477,149.7	439,971.8	460,988.6	488,256.1	520,487.5
Other	369,220.0	325,751.1	660,065.4	487,673.4	452,022.7
NHS Western Isles	149,139.3	315,609.6	395,312.3	282,060.3	237,532.5
Consultant	119,482.4	257,527.6	327,841.1	212,021.3	159,123.6
Other	29,656.9	58,082.0	67,471.2	70,039.0	78,408.9
Special Health Boards			30,874.8	119185.79	126737.60
Consultant	-	-	-	5202.55	9764.44
Other	-	-	30874.78	113983.24	116973.16

Note: 1. Other consists of all other directly employed hospital and community medical and dental locum staff

Question reference: S2W-11038

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive how many (a) clinical nurse specialist posts and (b) nurse consultant posts there were in each year since 1999, broken down by (i) NHS board area and (ii) speciality.

Information on clinical nurse specialists employed in NHSScotland was collected for the first time at 30 September 2003. This pilot collection provided a baseline establishment figure of 1177 WTE Clinical Nurse Specialists as at 30 September 2003. Information on staff in post by NHS Board and clinical area of work is published in the Report from Pilot Data Collection report. Due to the small number of vacancies this information is not presented by NHS board andspecialty. This report is published on the Scottish Health Statistics website under Workforce Statistics, at www.isdscotland.org/workforce.

Information on Clinical Nurse Specialists will now be collected annually at 30 September.

The Number of Nurse Consultants Posts are Shown in the Following Table.

Title/ Posts	NHS Board/ Division	When Established
Midwife Consultant - 1 WTE	NHS Greater Glasgow	2001
NC - Services for Older People - 1 WTE	NHS Forth Valley	2001
NC-Public Health - 1 WTE	NHS Greater Glasgow	2001
NC Epidemology – 1 WTE	SCIEH	2001
NC Paediatric Pain Management – 1 WTE	Yorkhill	2002
NC Perinatal Mental Illness – 1 WTE	NHS Greater Glasgow	2002
NC Acute Receiving - 1 WTE	NHS Tayside	2002
NC Cancer Care – 1 WTE	NHS Greater Glasgow	2002
NC Public Health – 1 WTE	NHS Tayside	2002
NC Family Planning & Sexual Health – 1 WTE	NHS Lothian	2002
NC People with Mental Health Difficulties – 1 WTE	NHS Lothian	2002
NC Services for Older People -= 1 WTE	NHS Highland	2002
NC Forensic Rehabilitation Resettlement – 1 WTE	State Hospital	2002
MC managed/midwife led care – 1 WTE	NHS Tayside	2003
NC Health Protection – 1 WTE	NHS Lothian	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Learning Disabilities - 1 WTE	NHS Lothian	2003
NC Macmillan Cancer Nurse Consultant - 1 WTE	NHS Tayside	2003
NC Child Health – 1 WTE	NHS Borders	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Cancer/Palliative Care – 1 WTE	NHS Argyll & Clyde	2004
NC Learning Disabilities – 1 WTE	NHS Greater Glasgow	2004
NC Public Health – 1 WTE	Western Isles	2004
NC Epidemiology – 1 WTE	SCIEH	2004
NC Child protection – 1 WTE	NHS Tayside	2004
NC Learning Disabilities – 1 WTE	NHS Highland	2004
Total (26 WTE)		26 Posts

Notes:

(SCIEH – Scottish Centre for Infection and Environmental Health.).

(NC – Nurse Consultant).

Question reference: S2W-11039

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive how many (a) clinical nurse specialists and (b) nurse consultants there were in each year since 1999, broken down by (i) NHS board area and (ii) speciality.

Information on clinical nurse specialists employed in NHSScotland was collected for the first time at 30 September 2003. This pilot collection provides a baseline for the number of staff in post. At 30 September 2003 there were 1,148.7 whole-time equivalent Clinical Nurse Specialists in post. Information on staff in post by NHS board and clinical area of work is published in the Report from Pilot Data Collection report. This report is published on the ScottishHealth Statistics website under Workforce Statistics, at www.isdscotland.org/workforce.

Information on Clinical Nurse Specialists will now be collected annually at 30 September.

The number of Nurse Consultants in post are shown in the following table.

Title/ Posts	NHS Board/ Division	In Post
Midwife Consultant – 1 WTE	NHS Greater Glasgow	2001
NC - Services for Older People – 1 WTE	NHS Forth Valley	vacant
NC-Public Health – 1 WTE	NHS Greater Glasgow	2001
NC Epidemiology – 1 WTE	SCIEH	2001
NC Paediatric Pain Management – 1 WTE	Yorkhill	2002
NC Perinatal Mental Illness – 1 WTE	NHS Greater Glasgow	2002
NC Acute Receiving – 1 WTE	NHS Tayside	2002
NC Cancer Care – 1 WTE	NHS Greater Glasgow	2002
NC Public Health – 1 WTE	NHS Tayside	2002
NC Family Planning & Sexual Health – 1 WTE	NHS Lothian	2002
NC People with Mental Health Difficulties – 1 WTE	NHS Lothian	vacant
NC Services for Older People - 1 WTE	NHS Highland	2002
NC Forensic Rehabilitation Resettlement – 1 WTE	State Hospital	2002
MC managed/midwife led care – 1 WTE	NHS Tayside	2003
NC Health Protection – 1 WTE	NHS Lothian	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Learning Disabilities – 1 WTE	NHS Lothian	2003
NC Macmillan Cancer Nurse Consultant – 1 WTE	NHS Tayside	2003
NC Child Health – 1 WTE	NHS Borders	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Cancer/Palliative Care – 1 WTE	NHS Argyll & Clyde	2004
NC Learning Disabilities – 1 WTE	NHS Greater Glasgow	2004
NC Public Health – 1 WTE	Western Isles	2004
NC Epidemiology – 1 WTE	SCIEH	2004
NC Child protection – 1 WTE	NHS Tayside	2004
NC Learning Disabilities – 1 WTE	NHS Highland	2004
Total (24 WTE)		24

Notes:

(SCIEH – Scottish Centre for Infection and Environmental Health).

(NC – Nurse Consultant).

Question reference: S2W-11033

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive how many (a) doctors, (b) consultant doctors, (c) nurses, (d) allied health professionals, (e) scientific and professional staff, (f) technical staff, (g) administrative and clerical staff and (h) ancillary staff ceased to be employed in the NHS in each year since 1999, broken down by NHS board area.

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