- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Tuesday, 11 November 2008
-
Current Status:
Answered by Nicola Sturgeon on 17 November 2008
To ask the Scottish Executive, further to the answer to question S3W-15591 by Nicola Sturgeon on 8 September 2008, whether further analysis of the death rate, referred to on page 12 of Independent Review of Clostridium difficile Associated Disease at the Vale of Leven Hospital from December 2007 to June 2008, has been completed and, if so, whether it has been presented to the area procurator fiscal and when it will be published.
Answer
The Outbreak Control Team (OCT) have completed their report and a copy has been provided to the Area Procurator Fiscal for Argyll and Clyde, to assist in his on-going investigation. However, the publication of part or all of this report at this time may have a prejudicial effect on any action that follows the investigation. It is unlikely, therefore, that any part of the OCT report will be published until the investigation by the Area Procurator Fiscal is complete.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Tuesday, 11 November 2008
-
Current Status:
Answered by Nicola Sturgeon on 17 November 2008
To ask the Scottish Executive, further to the answer to question S3W-14745 by Nicola Sturgeon on 24 July 2008, what changes are proposed in surveillance systems and reporting following the NHS boards’ six-month review of Clostridium difficile cases by hospital.
Answer
Good progress is being made by NHS boards and Health Protection Scotland in implementing these key action areas of the Scottish Government''s National HAI Action Plan published on 7 August 2008. The action plan is available from the HAI Task Force website at:
http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/19529/2005/actionplans.
Most notable changes include the introduction, from October 2008, of specific Scottish guidance on prevention and control of Clostridium difficile associated disease (CDAD) in health care settings in Scotland and the development of a standard template and guidance on local surveillance for use by all NHS boards, which will be finalised by the end of November 2008. NHS boards are also actively implementing all the requirements of CEL 30(2008): Prudent Antimicrobial Prescribing: The Scottish Action Plan For Managing Antibiotic Resistance and Reducing Antibiotic Related CDAD. NHS Quality Improvement Scotland is also on track to implement the Clostridium difficile root cause analysis tool, which is to be used by boards to investigate adverse outcomes including death.
Progress by NHS boards and key stakeholders in addressing all the action areas in the action plan is being monitored by the HAI Task Force and I am kept regularly informed of developments.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Wednesday, 12 November 2008
-
Current Status:
Answered by Shona Robison on 17 November 2008
To ask the Scottish Executive, in the light of a substantial reduction in nursing teaching in dermatology, what steps it is taking to ensure that nurses are adequately trained to manage dermatological conditions.
Answer
The responsibility for determining the educational requirements for all pre-registration nursing education programmes rests with the Nursing and Midwifery Council (NMC). NMC decides the standards of expertise to be maintained, in partnership with the higher education institutions, and their advice underpins the contents of the courses.
NHS boards are responsible for planning services in their area and for securing the staff. It is for them to make sure that, in partnership with their local further and higher education institutions, appropriate additional education and training for nurses is available to meet the clinical needs and service developments in their area.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Wednesday, 15 October 2008
-
Current Status:
Answered by Nicola Sturgeon on 11 November 2008
To ask the Scottish Executive whether it will list the most recent level of achievement in admitting patients with strokes to specialist units within 24 hours, broken down by NHS board.
Answer
The relevant NHS QIS clinical standard is that 70% of all patients admitted to hospital with diagnosis of stroke are admitted to a stroke unit within 24 hours of presentation at hospital. The most recent figure for the whole of Scotland was 56% in 2007. Information on each Scottish hospital''s performance against the standard is shown in the following table:
| NHS Board | Hospital | 2007 (%) |
| NHS Ayrshire and Arran | Ayr Hospital | 74 |
| Crosshouse Hospital | 62 |
| NHS Borders | Borders General Hospital | 63 |
| NHS Dumfries and Galloway | Dumfries & Galloway Royal Infirmary | 71 |
| NHS Fife | Queen Margaret Hospital | 45 |
| | Victoria Hospital, Kirkcaldy | 38 |
| NHS Forth Valley | Forth Valley* | 47 |
| NHS Greater Glasgow and Clyde | Glasgow Royal Infirmary | 49 |
| | Inverclyde Royal Hospital | 38 |
| | Royal Alexandra Hospital, Paisley | 58 |
| | Southern General Hospital | 78 |
| | Stobhill Hospital | 26 |
| | Vale of Leven Dumbarton | 30 |
| | Western Infirmary Glasgow | 90 |
| NHS Grampian | Aberdeen Royal Infirmary | 72 |
| | Dr Gray''s, Elgin | 35 |
| NHS Highland | Lorn & Islands, Oban | 70 |
| | Raigmore Hospital | 38 |
| NHS Lanarkshire | Hairmyres Hospital | 59 |
| | Monklands Hospital | 73 |
| | Wishaw General Hospital | 50 |
| NHS Lothian | Royal Infirmary of Edinburgh | 41 |
| | St John''s, Livingston | 38 |
| | Western General Hospital | 69 |
| NHS Orkney | Orkney | 50 |
| NHS Shetland | Shetland | NR** |
| NHS Tayside | Ninewells Hospital | 59 |
| | Perth Royal Infirmary | 5 |
| NHS Western Isles | Western Isles | 36 |
Source: Scottish Stroke Care Audit, National Report on Stroke Services in Scottish Hospitals “ Data relating to 2005 “ 2007 (Executive Summary), (2008).
Notes:
*NHS Forth Valley operates a single stroke service across Stirling Royal Infirmary and Falkirk and District Royal Infirmary.
**Not Relevant “ No data has been recorded as Shetland does not have a Stroke Unit.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Wednesday, 15 October 2008
-
Current Status:
Answered by Nicola Sturgeon on 10 November 2008
To ask the Scottish Executive, in light of the progress from 50% to 56% in admitting patients with strokes to specialist units, when it expects the target figure of 70% to be reached.
Answer
We welcome the progress across Scotland as a whole, in terms of patients admitted to a stroke unit within one day of presentation at hospital, from 51% in 2005 to 56% in 2007.
Each NHS board has been asked to identify the actions that are being taken where the Scottish Stroke Care Audit has identified the need for improvement. Responses from each board are due by 21 November.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Wednesday, 29 October 2008
-
Current Status:
Answered by Nicola Sturgeon on 10 November 2008
To ask the Scottish Executive what attendance levels were at accident and emergency departments at (a) Monklands and (b) Ayr hospitals in (i) 2005-06, (ii) 2006-07 and (iii) 2007-08, broken down into quarters.
Answer
Accident and Emergency attendance information for Monklands and Ayr Hospitals in 2006-07 and 2007-08 is published on the Scottish Health Statistics website under accident and emergency waiting times.
http://www.isdscotland.org/isd/servlet/FileBuffer?namedFile=A_and_E_Aug08.xls&pContentDispositionType=attachment.
This information is collected at boards by the nationally procured EDIS system (or compliant local system) which was implemented in April 2006. Comparable data for 2005-06 are not available.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Wednesday, 15 October 2008
-
Current Status:
Answered by Kenny MacAskill on 6 November 2008
To ask the Scottish Executive, as part of its approach to reducing knife crime, whether it has ensured that where victims attending accident and emergency units are not prepared to involve the police that anonymous data on the location and time of offence is collected, collated and passed to the relevant police force or community safety partnership.
Answer
The Scottish Government is committed to working with the Violence Reduction Unit (VRU) to tackle knife crime in Scotland. In order to prevent assault injuries we need to understand the nature and true scale of violent crime, including knife-related incidents. Injury surveillance systems can help us do so, and there are currently injury surveillance projects running in Glasgow, Edinburgh and Fife, with another due to begin shortly in Lanarkshire. A range of partners work together to collate anonymous data including hospital reception and nursing staff, police analysts and ambulance teams. The information gathered through this process is shared with the police to inform their tasking and coordinating meetings in an attempt to prevent future incidents. These projects will be evaluated in due course and we hope that successful lessons can be replicated in other parts of Scotland.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Tuesday, 28 October 2008
-
Current Status:
Answered by Fiona Hyslop on 6 November 2008
To ask the Scottish Executive, given the success of ASSIST in Wales in preventing early uptake of smoking, whether the Scottish Executive will consider rolling out the Cannabis and Smoking Education (CASE) programme without introducing a randomised controlled trial if the University of Glasgow evaluation of the CASE pilot in Lanarkshire is positive.
Answer
The current reform of the education system through Curriculum for Excellence will play a significant role in educating young people about tobacco, alcohol and drugs, through promoting resilience, confidence, independent thinking and positive attitudes. It will also enhance young people''s knowledge, skills and understanding of substance misuse as part of education around health and well-being.
The ASSIST project has evaluated well as an effective approach to how peer education can contribute to wider substance misuse education. The University of Glasgow is researching the Cannabis and Smoking Education (CASE) study and the feasibility study is expected to report next year.
It is for local authorities and schools to determine how best to meet the needs of young people in their community and what role the CASE programme might have in supporting a comprehensive programme of personal and social education.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Wednesday, 08 October 2008
-
Current Status:
Answered by Nicola Sturgeon on 4 November 2008
To ask the Scottish Executive whether data recording systems in NHS24, out-of-hours services and GP practices are fit for purpose in auditing child injuries as part of the European Commission Child Safety Action Plan project.
Answer
The data recording systems in NHS24, out-of-hours services and GP practices are not currently able to provide the statistics to inform the European Commission Child Safety Action Plan project.
The focus of the Child Safety Action Plan is the prevention of unintentional injuries. The out-of-hours service (OOHS) can record injuries and this information is forwarded to the GP practice the following working day. If NHS24 refers a patient to the OOHS the data will be recorded by the OOHS and be available to GP practices.
It is for NHS boards to decide which of the injury data standards they collect and record for childhood injuries. ISD Scotland and the Scottish Government are consulting with NHS boards to consider options for national recording of injury data.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Wednesday, 08 October 2008
-
Current Status:
Answered by Nicola Sturgeon on 4 November 2008
To ask the Scottish Executive, further to the answer to question S3W-15294 by Nicola Sturgeon on 22 August 2008, whether the NHS boards that are not using the nationally procured EDIS system for accident and emergency information have systems that are compatible with it for recording injuries in children.
Answer
There is no requirement for A&E (accident and emergency) systems from NHS boards, who do not use the nationally procured EDIS, to be compatible with any version of EDIS which may be in use.
It is for NHS boards to decide which of the injury data standards they collect and record for childhood injuries. The collection of data is not dependent on the system used. ISD Scotland and the Scottish Government are consulting with NHS boards to consider options for national recording of injury data.
The National Clinical Dataset Development Programme (NCDDP) recently carried out a survey across NHS boards to ask which of the 15 injury data standards had been implemented.
Further work is currently being carried out to ascertain which of the A&E core data standards have been implemented by NHS boards.
