Questions and answers

Question reference: S3W-12634

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Thursday, 01 May 2008
Current Status: Answered by Shona Robison on 9 May 2008

To ask the Scottish Executive what plans are in place to develop osteoporosis care in GPs' surgeries.

Question reference: S3W-12542

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 30 April 2008
Current Status: Answered by Nicola Sturgeon on 9 May 2008

To ask the Scottish Executive what the cost was to the NHS for the treatment of thrombosis-related diseases in each of the last five years.

Question reference: S3W-12419

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 29 April 2008
Current Status: Answered by Shona Robison on 9 May 2008

To ask the Scottish Executive how it will ensure that dispensing opticians are involved in designing eye care services in local NHS boards to meet the needs of patients.

Question reference: S3W-12617

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Thursday, 01 May 2008
Current Status: Answered by Shona Robison on 9 May 2008

To ask the Scottish Executive what proposals are in place to develop chronic disease management in GP surgeries.

The essential services element of the GP contract includes the on-going management of the long-term conditions, while the quality and outcomes framework targets a specific range of chronic medical conditions as does the Scottish enhanced services programme for primary care.

Any future changes to chronic disease management under the GP contract will largely be determined by clinical research evidence.

Question reference: S3W-12543

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 30 April 2008
Current Status: Answered by Nicola Sturgeon on 9 May 2008

To ask the Scottish Executive how many people are affected by thrombophilia.

Question reference: S3W-12541

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 30 April 2008
Current Status: Answered by Nicola Sturgeon on 9 May 2008

To ask the Scottish Executive how many people died from thrombosis in each of the last five years.

The information requested is shown in the following table:

Cause of Death	2003	2004	2005	2006	2007 (Provisional)
Coronary thrombosis - all cases are due to it (1)	6,962	6,311	6,046	5,494	5,337
Coronary thrombosis - most cases are due to it (2)	4,346	4,340	4,123	3,782	3,756
Cerebral thrombosis (venous and arterial) - all cases are due to it (3)	44	33	31	20	21
Cerebral thrombosis (venous and arterial) - most cases are due to cerebral or pre-cerebral thrombosis (4)	3,365	3,258	2,922	2,834	2,734
Peripheral arterial thrombosis - most cases are due to it (5)	248	245	265	302	277
Venous thrombosis at various sites - all cases are due to it (6)	2	6	4	1	3
Venous thrombosis at various sites - most cases are due to it (7)	170	161	142	137	127
Other conditions caused by thrombosis - all cases are due to it (8)	0	0	0	0	0
Other conditions caused by thrombosis - most cases are due to it (9)	17	21	15	10	20

Source: General Register Office for Scotland.

The figures provided for 2007 are provisional, pending the publication of the Registrar General''s Annual Report in August. The table uses groups of causes of death which are defined in terms of the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). In the case of some of the groups, it is thought that all the deaths from those causes are due to the specified type of thrombosis. In the case of the other groups, it is thought that most of the deaths from those causes are due to the specified type of thrombosis.

Question reference: S3W-12544

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 30 April 2008
Current Status: Answered by Nicola Sturgeon on 9 May 2008

To ask the Scottish Executive whether it is considering screening for thrombophilia in individuals before they take contraceptive pills or hormone replacement therapy, or in any other at risk groups.

We agree with the conclusions of the UK National Screening Committee that it would be inappropriate to introduce population screening for Venous Thromboembolism (VTE). The UK National Screening Committee considers each proposal for screening on its merits and will keep the issue of Factor V Leiden screening under review.

It is however now fairly commonplace for people at risk of a predisposition to thrombosis, including relatives of patients who have Factor V Leiden (and other similar genetic conditions) to be offered screening.

Question reference: S3W-12512

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 30 April 2008
Current Status: Answered by Nicola Sturgeon on 9 May 2008

To ask the Scottish Executive what action is being taken to ensure that all hospital patients are aware of their eligibility for repayment of travel and accommodation costs.

Current guidance to NHS boards draws their attention to the need to ensure information is widely available about the options available to patients for reimbursement of travelling expenses.

In particular, boards are advised to arrange for notices providing information about the schemes to be displayed in all patient areas and to include details of the schemes and local transport and concessionary fares arrangements with appointment or admission letters.

Question reference: S3W-12415

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Tuesday, 29 April 2008
Current Status: Answered by Kenny MacAskill on 8 May 2008

To ask the Scottish Executive how many people aged (a) under 15, (b) 15 to 18, (c) 19 to 21 and (d) over 21 were (i) treated in and (ii) admitted to hospitals in each NHS board for drug misuse in each of the last five years.

Patients treated in hospitals could be seen in a variety of settings, including accident and emergency attendances, out-patients, day cases and in-patients.

Centrally held information on accident and emergency attendances and out-patients does not include detailed information on diagnosis.

Centrally held information on hospital discharges includes information on whether a patient was admitted to hospital with a drug-related diagnosis by NHS board area of treatment. It is not possible to distinguish between people who were treated in hospital and people who were admitted to hospital, but not treated.

Table 1 shows the number of patients discharged from NHS general acute hospitals with a drug misuse diagnosis between 2002-03 and 2006-07, by NHS board of treatment, for people aged (a) under 15, (b) 15 to 18, (c) 19 to 21 and (d) over 21.

Table 2 shows the number of patients discharged from NHS psychiatric units and mental illness hospitals with a drug misuse diagnosis between 2001-02 and 2005-06, by NHS board of treatment, for people aged (a) under 15, (b) 15 to 18, (c) 19 to 21 and (d) over 21.

Table 1: Patients Discharged from General Acute Hospitals¹ with a Diagnosis of Drug Misuse^2,3in Any Position by Age Group⁴: NHS Board of Treatment 2002-03 to 2006-07^P

Age in Years	Ayrshire and Arran	Borders	Dumfries and Galloway	Fife	Forth Valley	Grampian	Greater Glasgow and Clyde
2002-03	436	53	78	196	112	321	1,578
Under 15	3	z	z	-	1	2	12
15-18	37	x	10	15	8	22	50
19-21	54	12	x	30	6	39	100
Over 21	342	31	61	151	97	258	1416
2003-04	359	40	62	181	85	297	1,136
Under 15	5	z	-	2	-	1	3
15-18	26	x	z	11	6	14	37
19-21	33	z	x	11	8	25	72
Over 21	295	27	46	157	71	257	1024
2004-05	348	36	55	198	86	268	949
Under 15	4	-	z	2	-	-	2
15-18	30	6	z	15	x	12	62
19-21	24	6	x	23	z	34	60
Over 21	290	24	43	158	76	222	825
2005-06	264	38	59	210	59	225	775
Under 15	2	z	-	5	-	-	4
15-18	24	x	z	19	z	11	46
19-21	23	8	x	19	x	25	58
Over 21	215	22	49	167	55	189	667
2006-07^p	326	37	68	175	57	266	845
Under 15	7	z	-	2	-	-	5
15-18	35	z	z	16	z	7	35
19-21	32	z	x	15	z	15	72
Over 21	252	29	55	142	52	244	733

Age in Years	Highland	Lanarkshire	Lothian	Orkney	Shetland	Tayside	Western Isles
2002-03	62	179	417	4	4	140	6
Under 15	-	-	5	-	-	2	z
15-18	z	13	34	z	z	11	z
19-21	x	22	49	z	z	18	-
Over 21	54	144	329	z	-	109	z
2003-04	57	158	481	x	4	111	7
Under 15	-	3	2	-	-	2	z
15-18	x	11	37	-	z	9	-
19-21	z	7	56	-	z	14	-
Over 21	43	137	386	z	z	86	x
2004-05	62	139	485	x	9	92	9
Under 15	-	5	4	-	-	-	-
15-18	z	9	32	z	-	14	z
19-21	x	15	48	z	z	10	z
Over 21	53	110	401	z	x	68	z
2005-06	81	130	517	x	11	107	10
Under 15	-	5	5	-	z	-	z
15-18	14	7	39	z	-	7	z
19-21	11	9	57	-	z	15	z
Over 21	56	109	416	-	x	85	x
2006-07^p	75	143	528	x	8	141	8
Under 15	-	1	7	-	-	1	-
15-18	13	7	38	-	-	11	z
19-21	5	11	48	z	-	20	-
Over 21	57	124	435	z	8	109	x

^PProvisional.

Source = ISD Scotland (SMR01).

Notes:

1. Excludes mental illness hospitals, psychiatric units and maternity hospitals and transfers.

2. Diseases recorded using the World Health Organisation''s International Classification of Diseases 10th Revision (ICD10). Drug related conditions: F11, F12, F13, F14, F15, F16, F18, F19.

3. Excludes misuse of alcohol or tobacco.

4. Age on admission.

- (zero).

z Number not shown where number of patients discharged in a single year and Health Board is <100 and number of patients in a specific age group is <5. For island health boards all numbers <5 are suppressed.

x Number not shown to prevent calculation of small numbers (<5) that have been suppressed.

Table 2: Patients Discharged from Psychiatric Hospitals^1,2 with a Diagnosis of Drug Misuse^3,4in any Position by Age Group⁵: NHS Board of Treatment 2001-02 to 2005-06^P

Age in Years	Ayrshire and Arran	Borders	Dumfries and Galloway	Fife	Forth Valley	Grampian	Greater Glasgow and Clyde
2001-02	187	27	61	68	79	50	444
Under 15	-	-	-	-	-	-	-
15-18	12	z	z	z	z	z	19
19-21	21	z	x	x	z	x	35
Over 21	154	19	44	58	73	39	390

2002-03	140	38	46	59	58	66	342
Under 15	-	-	-	-	-	-	-
15-18	12	-	z	z	z	6	13
19-21	13	5	x	z	x	9	33
Over 21	115	33	36	54	49	51	296

2003-04	125	25	38	63	56	46	284
Under 15	-	-	-	-	-	-	1
15-18	5	z	z	z	z	5	13
19-21	8	z	z	x	z	8	22
Over 21	112	21	35	53	53	33	248

2004-05	113	36	41	73	63	46	254
Under 15	1	-	-	-	-	-	-
15-18	5	-	z	z	x	x	6
19-21	13	z	z	x	z	z	12
Over 21	94	x	35	61	56	37	236

2005-06^p	106	24	36	77	50	38	246
Under 15	-	-	-	-	-	-	1
15-18	5	z	z	-	z	z	9
19-21	9	z	z	9	z	z	25
Over 21	92	20	33	68	44	32	211

Age in Years	Highland	Lanarkshire	Lothian	Tayside	Western Isles
2001-02	73	124	228	95	3
Under 15	z	-	-	-	-
15-18	x	2	12	z	z
19-21	9	11	29	x	-
Over 21	57	111	187	83	x
2002-03	90	130	180	83	-
Under 15	-	-	-	-	-
15-18	7	7	9	z	-
19-21	6	13	18	12	-
Over 21	77	110	153	67	-
2003-04	70	124	147	70	x
Under 15	-	-	-	-	-
15-18	z	6	4	8	-
19-21	x	9	16	9	-
Over 21	58	109	127	53	z
2004-05	82	121	150	74	-
Under 15	-	-	-	-	-
15-18	x	7	7	z	-
19-21	z	12	8	x	-
Over 21	72	102	135	55	-
2005-06^P	75	58	118	80	x
Under 15	-	-	-	-	-
15-18	8	z	13	z	-
19-21	6	z	8	x	-
Over 21	61	50	97	70	z

^PProvisional.

Source = ISD Scotland (SMR04).

Notes:

1. Excludes acute and maternity hospitals.

2. There were no SMR04 submissions from either Orkney or Shetland Health Boards of Treatment between 2001-02 and 2005-06.

3. Diseases recorded using the World Health Organisation''s International Classification of Diseases 10th Revision (ICD10).

4. Drug related conditions: F11, F12, F13, F14, F15, F16, F18, F19.

5. Excludes misuse of alcohol or tobacco.

6. Age on admission.

- (zero).

z Number not shown where number of patients discharged in a single year and Health Board is <100 and number of patients in a specific age group is <5. For island health boards all numbers <5 are suppressed.

x Number not shown to prevent calculation of small numbers (<5) that have been suppressed.

Question reference: S3W-12287

Asked by: Mary Scanlon, MSP for Highlands and Islands, Scottish Conservative and Unionist Party
Date lodged: Thursday, 24 April 2008
Current Status: Answered by Nicola Sturgeon on 6 May 2008

To ask the Scottish Executive what plans are in place to ensure that Community Health Partnerships fully utilise IT systems in order to support a more integrated approach to patient care.

Chamber and committees