- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive whether all members of staff at the Vale of Leven Hospital have received training on the causes of clostridium difficile and how it should be dealt with.
Answer
I am advised by NHS Greater Glasgow and Clyde that education on management of patients with clostridium difficle has been provided to all staff at ward and departmental level by Infection Control Nurses. Clostridium difficile care bundles and care plans have also been introduced at the hospital and education has been provided on the use of these documents which instruct staff on the safe management of patients. More generally, all staff at the Vale of Leven Hospital are given Infection Control Training as part of their corporate induction and new medical staff are given Infection Control education on induction.
In addition, the board’s Hand Hygiene Coordinator has audited every department at the Vale of Leven Hospital. Following this recent audit, hand hygiene training has been provided for all staff. The Cleanliness Champions programme is also in place at the hospital.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive how many deaths occurred in Scotland as a result of clostridium difficile (a) in 2006, (b) in 2007 and (c) up to June 2008, broken down by (i) NHS board and (ii) hospital.
Answer
It should be noted that it is unusual for clostridium difficile to be an isolated cause of death, as a range of contributory factors are normally involved. Data for 2007 and 2008 is not yet available. The following table shows data where clostridium difficile was recorded as the underlying cause of death on death certificates in 2006 only, broken down by NHS board and hospital.
| NHS Board | Hospital | Number of Deaths |
| Ayrshire and Arran | | 5 |
| | Ayr Hospital | 1 |
| | Ayrshire Central Hospital | 1 |
| | Crosshouse Hospital | 3 |
| Borders | | 3 |
| | Borders General Hospital | 3 |
| Dumfries and Galloway | | 6 |
| | Annan Hospital | 1 |
| | Dumfries/Galloway Royal Infirmary | 5 |
| Forth Valley | | 8 |
| | Falkirk & District Royal Infirmary | 6 |
| | Stirling Royal Infirmary | 2 |
| Fife | | 10 |
| | Queen Margaret Hospital | 5 |
| | Victoria Hospital | 5 |
| | Non-Hospital | 1 |
| Grampian | | 9 |
| | Aberdeen Royal Infirmary | 4 |
| | Doctor Gray''s Hospital | 2 |
| | Woodend Hospital | 3 |
| Greater Glasgow | | 36 |
| | Gartnavel General Hospital | 3 |
| | Glasgow Royal Infirmary | 3 |
| | Inverclyde Royal Hospital | 4 |
| | Royal Alexandra Hospital | 6 |
| | Southern General Hospital | 2 |
| | Stobhill Hospital | 6 |
| | Vale of Leven Hospital | 1 |
| | Victoria Infirmary | 6 |
| | Victoria Infirmary, Geriatric Unit | 2 |
| | Western Infirmary | 2 |
| | Western Infirmary, Beatson Oncology Centre | 1 |
| | Non-Hospital | 3 |
| Highland | | 2 |
| | Raigmore Hospital | 2 |
| Lanarkshire | | 26 |
| | Coathill Hospital | 2 |
| | Hairmyres Hospital | 12 |
| | Monklands General Hospital | 6 |
| | Wester Moffat Hospital | 1 |
| | Wishaw General Hospital | 5 |
| | Non-Hospital | 2 |
| Lothian | | 40 |
| | Astley Ainslie Hospital | 2 |
| | Corstorphine Hospital | 1 |
| | Ellen''s Glen House | 1 |
| | Findlay House | 1 |
| | Liberton Hospital | 11 |
| | New Royal Infirmary of Edinburgh | 11 |
| | Royal Victoria Hospital | 5 |
| | St John''s Hospital | 1 |
| | Western General Hospital | 7 |
| Tayside | | 11 |
| | Arbroath Infirmary | 1 |
| | Ninewells Hospital | 9 |
| | Royal Victoria Hospital | 1 |
| | Non-hospital | 2 |
| Scotland | | 164 |
| | Hospital | 156 |
| | Non-Hospital | 8 |
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive what the timescales were for the detection and reporting of clostridium difficile at (a) Stobhill Hospital, (b) Aberdeen Royal Infirmary and (c) the Vale of Leven Hospital.
Answer
Mandatory national reporting of clostridium difficile cases by laboratories was established in 2006. These require all NHS boards to submit clostridium difficile data to Health Protection Scotland on a monthly basis.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive whether there have been any changes to the prescribing of antibiotics at the Vale of Leven Hospital since the outbreak of clostridium difficile.
Answer
I am advised by NHS Greater Glasgow and Clyde that following an urgent review of the use of antibiotics at the Vale of Leven Hospital, a further modified antibiotics policy is now in place. These revised procedures are consistent with the prudent prescribing of antibiotics guidance that was published by the Healthcare Associated Infection Task Force in 2005.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Tuesday, 01 July 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive whether it has an equivalent governance framework to the Code of Practice for NHS Trusts issued by the Department of Health.
Answer
A governance framework is in place in NHSScotland. NHS boards are required to have governance arrangements in place to cover their corporate and clinical responsibilities.
NHS boards are required to provide assurance that robust governance arrangements are in place for the purpose of safety, quality and probity. Organisations such as NHS Quality Improvement Scotland and Audit Scotland provide scrutiny of these arrangements and offer development and improvement support.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Tuesday, 01 July 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive whether NHS Scotland has core standards which NHS boards should meet and are legally enforceable.
Answer
NHS boards are required to meet certain statutory requirements including a duty of quality. In addition, NHS boards are expected to take account of a range of standards and guidance, including those issued by NHS Quality Improvement Scotland in the planning and provision of NHS services.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 02 July 2008
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Current Status:
Answered by Bruce Crawford on 14 July 2008
To ask the Scottish Executive who it has appointed as parliamentary liaison officers, broken down by portfolio.
Answer
I refer the member to the answer to question S3W-11317 on 27 March 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: Friday, 13 June 2008
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Current Status:
Answered by Nicola Sturgeon on 27 June 2008
To ask the Scottish Executive when NHS Scotland was first informed about the outbreak of clostridium difficile in the Vale of Leven Hospital.
Answer
Health Protection Scotland was first informed about this outbreak on 21 May 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 13 June 2008
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Current Status:
Answered by Nicola Sturgeon on 27 June 2008
To ask the Scottish Executive what procedures were followed by NHS Greater Glasgow and Clyde in relation to the outbreak of clostridium difficile in the Vale of Leven Hospital and when
Answer
The independent review which I announced on 18 June 2008 will examine this key issue. The review team’s report will be published at the end of July 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 13 June 2008
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Current Status:
Answered by Nicola Sturgeon on 27 June 2008
To ask the Scottish Executive whether it is satisfied that all cases of clostridium difficile in the Vale of Leven Hospital from December 2007 to June 2008 have now been identified.
Answer
Yes, I am advised by NHS Greater Glasgow and Clyde that this represents a complete record of all laboratory confirmed cases.