- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 20 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive what (a) new capital funding is available and (b) what capital funding has already been planned for (i) 2008-09, (ii) 2009-10 and (iii) 2010-11 for the Vale of Leven Hospital.
Answer
NHS Greater Glasgow and Clyde has almost £1.5 million of capital funds committed in 2008-09 for the Vale of Leven Hospital. This includes a general provision of £1 million which will be used specifically to fund capital schemes aimed at strengthening the hospital''s capacity to control the spread of hospital acquired infection. The remaining £500,000 is earmarked for minor capital schemes of a more routine nature, which are carried out on a year to year basis.
Beyond 2008-09, the capital plan includes provision for ongoing investment in minor schemes on a year to year basis. There are proposals for Alexandra Health Centre to be re-provided on the Vale of Leven campus in the next five years, and there is an expectation that a firm timescale for the project would emerge subject to forthcoming public consultation on the wider future of the Vale of Leven Hospital.
The provisional estimate of capital expenditure required in relation to Alexandra Health Centre re-provision is £17 million but the NHS board have still to complete a detailed business case following public consultation which will consider the costs and delivery arrangements for the project.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 20 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive how much capital funding has been committed to projects by NHS Greater Glasgow and Clyde for (a) 2008-09 and (b) the next three financial years.
Answer
Capital funding has been set for the current spending review period being 2008-09 and the following two years only. The capital resources available to NHS Greater Glasgow and Clyde in that period are detailed in the following table:
| | Firm 2008-09 (£ million) | Indicative 2009-10 (£ million) | Indicative 2010-11 (£ million) |
| Capital Formula | 97.417 | 98.920 | 100.423 |
| Medical Equipment | 7.874 | 7.874 | 7.874 |
| Primary Care Modernisation | 8.100 | 10.030 | 11.47 |
| Ophthalmic Practices | 1.631 | - | - |
| Renfrew/ Barrhead Scottish Government Capital Support | 5.000 | 5.000 | 5.000 |
| Scottish Government Support “ Southern General | - | 18.000 | 101.000 |
| Total | 120.022 | 139.824 | 225.767 |
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive, further to the statement by the Cabinet Secretary for Health and Wellbeing on 7 August 2008 of her gratitude to the bereaved families for their open and constructive contribution to the work of the review team, whether she will now ensure that the 21 freedom of information requests relating to the outbreak of Clostridium difficile at Vale of Leven Hospital are fully answered.
Answer
The Freedom of Information (Scotland) Act sets out the right of any applicant dissatisfied with a response to a request for information to require an authority to review its response. I suggest therefore that Ms Baillie follows the standard processes as set out in the act.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Shona Robison on 5 September 2008
To ask the Scottish Executive what the ambulance demand and performance was for the Vale of Leven for 2007-08 against national targets for (a) category A, (b) category B and (c) urgent calls.
Answer
I refer the member to the answer to question S3W-15467 on 5 September 2008. 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/webapp/wa.search.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive, further to the answer to question S3W-14337 by Nicola Sturgeon on 15 July 2008, what action was taken by the Cabinet Secretary for Health and Wellbeing following interim reports on the outbreak of Clostridium difficile at the Vale of Leven Hospital on 13 and 17 June 2008.
Answer
Following the interim reports which I received from NHS Greater Glasgow and Clyde on 13 and 17 June 2008, I announced in Parliament on 18 June 2008 an independent review of the Clostridium difficile outbreak in the Vale of Leven Hospital.
I also asked Kevin Woods, Chief Executive of NHS Scotland to ask Health Protection Scotland (HPS) to collate data from NHS boards on whether there were other unidentified outbreaks and excess deaths associated with CDAD (Clostridium difficile Associated Disease).
Both reports were published on 7 August 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Shona Robison on 5 September 2008
To ask the Scottish Executive what the ambulance demand and performance was for (a) Arrochar and (b) Helensburgh for 2007-08 against the national targets for (i) category A, (ii) category B and (iii) urgent calls.
Answer
The national response time target for category A calls (life threatening) across mainland Scotland is that, by March 2009, 75% of all incidents should be reached within eight minutes.
The national response time target for category B calls (serious but not life threatening) across mainland Scotland is that, by March 2009, 95% of all incidents should be reached within 14, 19 or 21 minutes depending on population density. For the locations requested, the target is 21 minutes.
The information requested has been provided by the Scottish Ambulance Service for 2007-08 and is set out in the following tables.
| Station | Cat A Demand | Cat A Performance | Cat B Demand | Cat B Performance |
| Arrochar | 115 | 10.4% | 144 | 50.7% |
| Helensburgh | 773 | 54.6% | 1702 | 92.3% |
| Vale of Leven | 1,396 | 61.7% | 2,488 | 94.6% |
| Station | Urgent Demand | Urgent Performance |
| Arrochar | 61 | 88.3% |
| Helensburgh | 986 | 89.5% |
| Vale of Leven | 1,275 | 88.9% |
Notes:
1. The figures provided are for activity recorded against Arrochar, Helensburgh and Vale of Leven Stations.
2. Urgent performance is measured by the service as the crew being at the patient within 15 minutes of the agreed time in 95% of cases. The time is agreed with the GP or hospital at the time of the call request and is determined by the needs of each patient.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive whether it will review and update all the information on Scottish Government websites to ensure accuracy and consistency about the information available on Clostridium difficile.
Answer
The Scottish Government regularly reviews and updates the information that is made available on their website. Information about Clostridium difficile was last reviewed and updated following the publication of the independent review on 7 August 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive whether all deaths from Clostridium difficile should be reported to the Procurator Fiscal as a matter of routine.
Answer
This is a matter for the Crown Office and Procurator Fiscal Service (COPFS). COPFS has issued guidance to doctors on the categories of death that must be reported to the Procurator Fiscal. This guidance is available on the Crown Office website,
www.copfs.gov.uk. Clostridium difficile is not a cause of death which doctors are currently obliged to report in terms of this guidance.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive what new resources will be set aside for NHS boards to deal with Clostridium difficile.
Answer
The Scottish Government has already announced a record level of investment of £54 million over three years to tackle all healthcare associated infection, including Clostridium difficile.
In addition, all NHS boards have been instructed to ensure that they have an antimicrobial management team in place, and £520,000 has now been released to enable NHS boards to establish antimicrobial pharmacist posts which will support high quality prescribing.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive why the Cabinet Secretary for Health and Wellbeing referred the independent review report on Clostridium difficile at the Vale of Leven Hospital to the Lord Advocate, given that she has the power as a minister to order a public inquiry.
Answer
The review report was referred to the Lord Advocate because she is responsible for the investigation of deaths in Scotland. The Procurator Fiscal has a duty, on behalf of the Lord Advocate, to investigate all sudden, suspicious, accidental, unexplained and unexpected deaths, as well as deaths which give rise to serious public concern.
The majority of these deaths were not reported to the Procurator Fiscal at the time but when the full extent of the situation at the Vale of Leven Hospital became known, I ordered a review. In the circumstances, it was appropriate for the Procurator Fiscal to await the outcome of the independent review before considering what further action was necessary. However, the number of deaths at the Vale of Leven hospital has clearly given cause for concern within the community and it is therefore appropriate for the area Procurator Fiscal to conduct an independent inquiry into the circumstances of those deaths in the first instance.
