Chamber and committees

We are committed toNHSScotland being an exemplar employer. Enhancements to staff terms andconditions provide benefits to staff by recognising their contribution throughfair pay, greater flexibility and improved development opportunities; they alsohelp deliver benefits to patients by creating a more motivated and betterskilled workforce, and a platform for new working practices that can drive moreresponsive patient-centred services.

The figures are given intable 1 of parliamentary question S3W-1922 – Annual NHS staff costs 2001-02 –2005-06 a copy of which has been placed in the Scottish Parliament InformationCentre (Bib. reference 43219). The tableshows the annual NHS staff costs over the last five years for each NHS board,the costs expressed as a percentage of each Board’s total budget and year onyear changes:

Reason for Increase

A range of factors impactupon staff costs. These include increases in staff numbers (which have beensignificant in recent years), annual uplifts to staff pay, movement of staff uppay scales, temporary supplements to staff pay such a New Deal bandingsupplements for junior doctors, introduction of pay modernisation and thechange in employers’ superannuation contributions from 5.5% of totalpensionable salaries to 14% in April 2004.

The NHS is a team operation.Staff such as those listed above, play a vital role in keeping a hospitalrunning smoothly. Behind every nurse or doctor there is someone making sure theirequipment works, that test results are processed accurately, that appointmentsare scheduled and that patient records are up-to-date. These staff groups playa key role in planning better services for the future. Every member of staff inthe NHS, regardless of their specialism, plays a vital part in saving lives inthe modern NHS.

Information on expenditureby NHS boards on the specific groups of staff requested is not collectedcentrally; however information on the following groups of staff is available:

Group	Examples
Specialists	Consultant, Senior House Officer, Registrar
Medical and Dental	Medical Advisor
Nursing - Trained	Nurse Grades ‘C’ – ‘I’, Nurse Manager
Nursing - In Training	Student Nurse
Nursing - Other	Auxiliary
P & T "A" - Para-Med.	Dietician, Radiographer, Occupational Therapist
P & T "B" - Para-Med.	Medical Laboratory Scientific Officer, Medical Technician
P & T "B" - Works	Building Officer, Engineering Officer
Administrative & Clerical	Senior Manager, Medical Records, Medical Secretary
Domestic and Ancillary	Porter, Gardener, Kitchen
Tradesmen	Electrician, Plumber, Joiner
Other Staff	Pharmacist, Chaplain, Other

 

Informationon the costs of these groups of staff and the increase between 1999-2000 and2006-07 is given in table 1 of parliamentary question S3W-1917 - NHS StaffExpenditure 1999-2000 and 2006-07 (SFR 15), a copy of which has been placed inthe Scottish Parliament Information Centre (Bib. number 43216).

Thestaff figures are taken from Scottish Financial Return 15 which were completedby all boards and trusts and returned to the SEHD with their annual accounts.

Proportion of NHS Budget

It is not possible toidentify exactly what each NHS board spends on administrative staff as there isno definition of this with which to collate information. However expenditure onstaff on administration and clerical pay scales has been used as anapproximation, although this may include staff who might not be consideredadministrative and conversely may exclude those that are who are paid on adifferent pay scale, such as senior managers.

Health Board	Administration & Clerical Staff Costs
	1999-2000	% of total Expenditure	2006-07	% of total Expenditure
	£000s		£000s
Argyll and Clyde	22,966	6%	N/A
Ayrshire and Arran	19,015	6%	39,981	6%
Borders	6,814	7%	12,609	7%
Dumfries and Galloway	8,648	6%	15,930	6%
Fife	16,247	5%	28,812	5%
Forth Valley	13,790	6%	26,428	6%
Grampian	28,336	6%	48,205	6%
Greater Glasgow (and Clyde)	59,042	6%	162,047	7%
Highland	12,390	6%	33,167	6%
Lanarkshire	24,435	5%	43,157	5%
Lothian	45,884	7%	77,319	6%
Orkney	1,086	5%	2,689	6%
Shetland	1,524	6%	3,518	8%
Tayside	27,992	7%	49,870	7%
Western Isles	2,009	5%	4,651	7%
Totals	290,179		548,383

> 

Information on the temporarystaffing costs in respect of four of the five groups listed above is notcollected centrally; however separate costs are available for nursing staff(both agency and bank) and we can provide an overall total for the cost ofemploying agency staff which is reported in the Annual Accounts of NHS boards.

 (a) Nursing agency costsfrom 2001-02 to 2005-06 (2006-07 figures are not all available) broken down byNHS boards, as detailed in the national workforce unit’s report E13 is given in table 1 of parliamentary questionS3W-1907 – Nursing Agency costs 2001-02 – 2005-06’, a copy of which has beenplaced in the Scottish Parliament Information Centre (Bib. number reference43222):

(b) Costs for nursing bankstaff from 2001-02 – 2005-06 as detailed in the national workforce unit’sreport E16 is given in table 2 of parliamentaryquestion S3W-1907 – Nurse Banking Staff costs 2001-02 – 2005-06, a copy ofwhich has been placed in the Scottish Parliament Information Centre (Bib.number 43223):

Nationally co-ordinatednurse bank arrangements are being implemented to assist nurse placement across Scotland, toimprove patient services and cut costs of agency nursing.

The increase in the numberof bank staff used is in line with recommendations made within the report and actionplan of the nationally co-ordinated nurse bank arrangements project and reflectsour policy on reducing the reliance on agency nurses in NHSScotland.

Effectively managed nurse banksallow NHS employers to deploy resources effectively and safely in light ofservice demands, while affording individual staff members improved flexibilityin their employment that better meet work/life demands. Bank staff are employees of NHSScotland, are deployedby individual NHS employers to cover temporary nursing gaps and as such haveaccess to training and career opportunities.

A project manager has beenappointed to take forward the 18 recommendations set out in the nursing and midwiferyworkload and workforce planning report, which will impact on bank and agencyusage. Significant progress is being made by NHS boards who are responsible forensuring that their board has a local action plan to take the recommendationsforward in their own area.

A national contract for theprovision of agency nurses, through the best procurement initiative, (BPI) isin place. The BPI is part of NHSScotland’s agenda for modernising supportservices and is an important element of the Executive’s Efficient Governmentinitiative aimed at delivering public services to the highest possible qualityin Scotland. A contract was initially established in the West ofScotland in November 2003 and this was rolled out to the North and East ofScotland in November 2004. It is anticipated that the contract will deliversavings of approximately £7 million per annum by 2006-07.

(c) Total agency costs forNHS boards as reported in the annualaccounts of NHS boards and trusts, is defined as the gross cost of all paymentsto employment agencies for the provision of agency staff of all disciplines.The figures are given in table 3 of parliamentaryquestion S3W-1907 – Total Agency costs for NHS boards 2001-02 – 2005-06’, acopy of which has been placed in the Scottish Parliament Information Centre(Bib. number 43224); these figures willnot include nurse bank staff.

All answers to written parliamentaryquestions are available on the Parliament's website the search facility forwhich can be found at:

http://www.scottish.parliament.uk/webapp/wa.search.

None. Support for windenergy is delivered through the Renewables Obligation (Scotland),the costs of which are met by consumers through their electricity bills.

The information requested isshown in the following table:

NHS Board	2002	2003	2004	2005*	2006*
Argyll and Clyde	30	34	17	30	9
Ayrshire and Arran	11	10	6	6	12
Fife	10	17	14	14	13
Forth Valley	4	12	5	4	4
Grampian	33	18	22	23	37
Greater Glasgow	195	168	174	162	37
Greater Glasgow and Clyde**	0	0	0	0	134
Highland	5	7	8	11	9
Lanarkshire	35	29	35	24	52
Lothian	53	53	84	75	56
Orkney	0	0	0	0	0
Tayside	11	11	16	7	11
All other NHS boards†	6	9	11	8	11
Total	393	368	392	364	385

Notes:

*Data for2005 and 2006 are provisional.

**GreaterGlasgow and Argyll and Clyde NHS Boards merged to become Greater Glasgow andClyde on 1 April 2006.

†To avoiddeductive disclosure of cases from small numbers, data from NHS Boards with fewor no cases were aggregated.

(a) This information is not heldcentrally.

(b) This information is in thefollowing table:

Council Tax Benefit Expenditureand Recipients by Local Authority

	1999-2000		2000-01		2001-02		2002-03
	Expenditure (£ Million)1	Recipients2	Expenditure (£ Million)1	Recipients2	Expenditure (£ Million) 1	Recipients2	Expenditure (£ Million)1	Recipients2
Aberdeen	8.5	16,390	8.8	16,890	9.1	16,630	9.7	16,580
Aberdeenshire	4.8	10,600	5.3	9,960	6.1	11,260	6.6	11,600
Angus	3.7	8,450	3.9	8,730	4.2	8,470	4.4	7,540
Argyll-Bute	4.6	7,800	5.0	8,020	5.3	7,960	5.2	7,780
Clackmannanshire	3.0	6,000	3.1	5,570	3.2	5,480	3.2	5,310
Eilean Siar	1.1	3,270	1.4	3,170	1.6	2,890	1.5	2,970
Dumfries and Galloway	6.4	11,840	6.8	12,580	7.0	12,570	7.1	12,400
Dundee	13.1	23,780	12.8	22,620	12.7	21,610	12.9	21,090
East Ayrshire	7.2	14,050	7.8	13,370	8.1	13,780	8.1	13,640
East Dunbartonshire	3.7	6,380	3.5	6,250	3.7	6,040	3.8	5,720
East Lothian	4.2	7,770	4.5	7,610	4.4	6,750	4.6	7,190
East Renfrewshire	2.6	5,330	2.7	4,990	3.0	5,010	3.0	4,790
Edinburgh	23.3	42,820	22.8	40,390	23.5	39,420	23.9	38,510
Falkirk	6.2	16,090	6.3	15,040	6.7	14,460	7.1	14,290
Fife	15.9	35,980	16.1	33,790	17.1	33,310	17.8	32,670
Glasgow	79.7	118,170	79.1	111,720	76.6	106,650	75.5	108,370
Highland	9.2	17,870	9.5	18,060	9.8	17,610	10.1	16,950
Inverclyde	5.9	11,250	6.0	10,020	6.8	10,800	7.0	10,900
Midlothian	4.3	7,100	4.2	6,980	4.2	6,630	4.2	6,440
Moray	2.8	6,890	2.9	6,690	2.9	5,630	3.0	5,500
North Ayrshire	8.0	15,100	8.3	15,490	8.9	16,170	9.0	15,090
North Lanarkshire	22.9	44,620	23.4	42,760	22.6	40,220	22.9	39,940
Orkney	0.4	1,270	0.5	1,230	0.5	1,250	0.6	1,240
Perth and Kinross	4.3	8,320	4.4	8,880	4.8	8,530	5.1	8,490
Renfrewshire	10.1	19,920	10.6	20,380	11.4	20,060	12.4	19,410
Scottish Borders	3.2	8,410	3.4	8,220	3.7	8,110	4.1	8,240
Shetland	0.4	1,140	0.5	1,200	0.5	1,110	0.5	1,120
South Ayrshire	5.7	10,700	5.9	10,960	6.1	10,650	6.5	10,500
South Lanarkshire	19.7	38,070	19.5	36,550	19.7	36,350	20.0	36,040
Stirling	3.4	7,210	3.6	6,840	3.8	6,600	3.9	6,490
West Dunbartonshire	10.2	14,670	9.5	14,670	9.7	14,520	9.8	14,150
West Lothian	8.0	16,440	7.8	15,520	8.0	14,410	8.2	14,730
Total Scotland	306.6	563,700	310.0	545,150	315.8	530,910	321.6	525,660

 

	2003-04		2004-05		2005-06
	Expenditure (£ Million)1	Recipients2	Expenditure (£ Million)1	Recipients2	Expenditure (£ Million)1	Recipients2
Aberdeen	10.5	16,960	11.8	17,530	12.0	16,900
Aberdeenshire	7.2	11,720	8.3	12,740	8.9	12,940
Angus	4.9	8,510	5.6	9,260	5.9	9,480
Argyll-Bute	5.3	7,390	5.5	7,830	5.7	7,600
Clackmannanshire	3.2	5,230	3.4	5,470	3.5	5,250
Eilean Siar	1.6	2,740	1.7	3,110	1.8	3,100
Dumfries and Galloway	7.5	12,650	8.2	13,240	8.6	13,450
Dundee	12.9	20,470	13.7	20,930	13.8	20,310
East Ayrshire	8.6	14,600	9.1	15,090	9.6	15,220
East Dunbartonshire	3.9	5,650	4.6	5,980	4.7	6,000
East Lothian	4.8	7,060	5.1	7,370	5.3	7,380
East Renfrewshire	3.3	4,660	3.6	4,910	3.7	4,900
Edinburgh	25.5	37,690	28.0	40,030	29.5	41,010
Falkirk	7.4	14,280	8.0	14,610	8.4	14,490
Fife	18.7	33,620	19.7	32,720	20.5	32,190
Glasgow	78.8	109,130	78.4	109,640	78.4	102,620
Highland	10.7	16,690	11.8	17,810	12.4	17,760
Inverclyde	7.4	11,100	8.0	11,580	8.1	11,800
Midlothian	4.4	6,420	4.9	6,590	5.0	6,410
Moray	3.1	5,610	3.5	5,990	3.8	6,050
North Ayrshire	10.1	15,460	10.8	16,860	11.4	17,210
North Lanarkshire	22.9	36,270	24.1	40,890	24.8	41,040
Orkney	0.7	1,230	0.8	1,320	0.8	1,320
Perth and Kinross	5.5	8,840	6.3	9,390	6.8	9,470
Renfrewshire	12.6	17,970	13.8	20,230	14.3	20,260
Scottish Borders	4.6	8,200	5.2	8,870	5.5	9,010
Shetland	0.6	1,140	0.7	1,280	0.8	1,370
South Ayrshire	7.0	10,670	7.5	11,040	7.9	11,330
South Lanarkshire	20.6	35,870	21.5	35,280	21.6	34,150
Stirling	4.2	6,470	4.5	6,450	4.7	6,510
West Dunbartonshire	9.9	14,210	10.0	14,390	10.1	14,100
West Lothian	8.6	14,780	9.2	15,420	9.5	15,330
Total Scotland	337.2	523,280	357.5	543,850	367.8	535,920

Notes:

1:Source - Department of Work and Pensions (DWP) Council Tax Benefit Expenditure1999-2006.

2: Source - DWP Housing Benefit and Council Tax Benefit ManagementInformation System Quarterly 100% caseload stock-count taken in November 1999to 2006.

(a)The data refers to benefit units, which may be a single person or a couple.

(b)The caseloads have been rounded to the nearest 10.

(c)Figures for any non-responding authorities have been estimated.

(d) Council Tax Benefittotals exclude any Second Adult Rebate cases.

The information requested isnot available for each year since 2004.

The Scottish Health Survey gives average Body MassIndex (BMI) for children and adults. The most recent data available is for the year2003. NHS board level results are only available for adult BMI data.

NHS Board Level: Mean BMI byGender and NHS Board (ADULTS Aged 16+ Years)

	Mean BMI			Sample Base (Unweighted)
	Males	Females	All Adults	All Adults
Argyll and Clyde	27.4	27.2	27.3	379
Ayrshire and Arran	27.4	27.2	27.3	484
Borders	27.2	26.9	27.1	285
Dumfries and Galloway	27.7	27.6	27.6	464
Fife	26.9	27.3	27.1	452
Forth Valley	26.4	27.3	26.8	330
Grampian	26.7	27.2	26.9	615
Greater Glasgow	26.8	26.6	26.7	1027
Highland	27.2	27.6	27.4	610
Lanarkshire	27.5	27.4	27.5	593
Lothian	27.2	26.8	27.0	860
Orkney, Shetland, Western Isles	[27.8]	[27.6]	27.7	195
Tayside	26.4	27.8	27.2	406
Scotland	27.0	27.2	27.1	6700

Source: Scottish Health Survey2003.

Notes:

1. Orkney, Shetland and the WesternIsles have been combined due to the small sample sizes within each of these threeNHS boards.

2. Estimates based on an effectivesample size below 100 have been presented in square brackets to draw users’ attentionto the small sample size.

3. A separate set of tables presentsthe standard errors, design factors and 95% confidence intervals for a selectionof these health board estimates in order to help users assess the precision of theestimates:

http://www.scotland.gov.uk/Publications/2005/11/25145024/50264.

Scotland level: Mean BMI by age and sex (children aged 2-15 years):

http://www.scotland.gov.uk/Publications/2005/11/25145024/50271.

(See table 5.4 on page 123.)

Scotland level: Mean BMI by age and sex (adults aged 16+ years):

http://www.scotland.gov.uk/Publications/2005/11/25145024/50261.

(See table 5.5 on page 175.)

Note: The relationship betweenBMI and definition of overweight and obesity is straightforward for adults, butmore complex for children. See background notes for further information.

Information on isolation facilities in NHS boards in Scotland was collated by Health Protection Scotland during February 2004 as part of a one off exercise to support Severe Acute Respiratory Syndrome (SARS) preparedness planning. Since that time no further national census or audit has been undertaken.

The information obtained during the February 2004 audit is shown in the following table.

Availability of Isolation Facilities Within Acute Hospitals in NHSScotland (2004)

Total Number of Isolation Rooms

NHS Board/Area
Argyll and Clyde	237
Ayrshire and Arran	204
Borders	65
Dumfries and Galloway	142
Fife	187
Forth Valley	150
Grampian	282
Greater Glasgow	586
Highland	137
Lanarkshire	323
Lothian	508
Orkney	13
Shetland	22
Tayside	245
Western Isles	66
Special Board (Golden Jubilee National Hospital)	175
Total	3,342

Note: Figures for Argyll and Clyde are shown in the table as the audit took place prior to the dissolution of NHS Argyll and Clyde.

 

The following is the original answer (published on 19 July 2007); see below:

 

The specific information requested is not available centrally.

(a) Information on waiting timesfrom diagnosis to treatment is only collected centrally for patients with breastcancer. The data presented in the following table therefore refer to breast cancerpatients only.

Number of Breast Cancer Patients with the Median Waitbetween Diagnosis and First Treatment by Period of Diagnosis

Period of Diagnosis	Number of Patients with Recorded Treatment Date	Median wait Between Diagnosis and First Treatment
1 January to 31 March 2004	866	18
1 April to 30 June 2004	868	20
1 July to 30 September 2004	808	20
1 October to 31 December 2004	938	21
1 January to 31 March 2005	871	20
1 April to 30 June 2005	959	20
1 July to 30 September 2005	899	20
1 October to 31 December 2005	934	21
1 January to 31 March 2006	966	20
1 April to 30 June 2006	925	20
1 July to 30 September 2006	937	21
1 October to 31 December 2006	954	20

Source: Information ServicesDivision, NHS National Services Scotland.

Exclusion categories are: diedprior to receiving treatment, refused treatment, patient induced non-clinical delay,co-morbidities, clinical reasons and initially referred to another non-cancer speciality.

(b) Information on the waitingtimes of cancer patients between referral and first treatment are collected centrally.These are collated to report performance against the target that “the maximum waitfrom urgent referral to treatment for all cancers will be two months”. Quarterlyperformance information against that target, broken down by NHS board and cancertype is available from the Scottish Executive website at www.scotland.gov.uk/Topics/Health/health/cancer/waiting-times.

It should be noted that cancerwaiting times data are subject to continuous development and quality improvement.

These improvements need to betaken in to account when making comparisons on quarter on quarter performance.

The information requested isavailable from several sources, but not necessarily for all of the specific agegroups or years requested.

The Scottish Health Survey gives estimates of theprevalence of obesity and overweight in children and adults. The most recent data available is for the year 2003.

Prevalence of obesity and overweightby age and sex (children aged 2 to 15 years):

http://www.scotland.gov.uk/Publications/2005/11/25145024/50271(See table 5.5 on page 123.)

Prevalence of obesity and overweightby age and sex (adults aged 16+ years):

http://www.scotland.gov.uk/Publications/2005/11/25145024/50261(See table 5.5 on page 175.)In addition, all NHS boards in Scotland provide a Child HealthSurveillance Programme where children are offered routine reviews at various stagesof their life. The majority of Boards record these reviews using the electronicchild health systems, CHSP-Pre-School and CHSP-School. The latest available informationfrom these systems on levels of obesity and overweight derived from height and weightmeasurements collected at routine health reviews is published for NHS boards participatingin CHSP-School and CHSP-Pre-School at http://www.isdscotland.org/child_obesity.(Click on “obesity statistics” to access a list of available tables and charts.)