Questions and answers

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-12416

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 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 excess alcohol consumption in each of the last five years.

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

Information held centrally on attendances at accident and emergency departments and outpatient departments does not include detailed information on diagnosis. However, information held on discharges from hospitals includes information on whether a patient was admitted to hospital with an alcohol-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.

Information in relation to the number of patients discharged from NHS general acute hospitals with an alcohol related 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 is available from the Scottish Parliament Information Centre (Bib. number 45547).

Information in relation to the number of patients discharged from NHS psychiatric units and mental illness hospitals with an alcohol-related diagnosis between 2001-02 and 2005-06 and by NHS board of treatment for people aged (a) under 15, (b) 15 to 18, (c) 19 to 21 and (d) over 21 is available from the Scottish Parliament Information Centre (Bib. number 45548).

The following notes should be read in conjunction with the information available from the Scottish Parliament Information Centre:

Notes:

1. A patient was defined as having excess alcohol consumption if their diagnosis contained an alcohol-related condition.

2. Information on discharges from acute non-obstetric, non-psychiatric hospitals is available from the Scottish Morbidity Record, SMR01.

3. Information on discharges from psychiatric units and mental illness hospitals is available from the Scottish Morbidity Record, SMR04.

4. 2005-06 is the most recent year for which SMR04 information is available.

5. The information available from the Scottish Parliament Information Centre (Bib. number 45547) excludes transfers. For the definition of transfers, please see the ISD Data Dictionary at:

http://www.datadictionaryadmin.scot.nhs.uk/isddd/ISD_DT_TOP_Content.jsp?pContentID=1817&p_applic=CCC&p_service=Content.show&.

6. Information is based on date of discharge (rather than date of admission) because the SMR01 dataset is a discharge summary record. SMR04 data is presented as discharges data to maintain consistency.

7. Caution is necessary when interpreting these figures. The recording of mental and behavioural disorders due to use of alcohol may vary from hospital to hospital. Where alcohol misuse is suspected but unconfirmed it may not be recorded by the hospital.

8. Figures in the information available from the Scottish Parliament Information Centre (Bib. numbers 45547and 45548) only relate to those individuals who are treated as in-patients. They do not include individuals managed as out-patients.

Question reference: S3W-12407

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

To ask the Scottish Executive how many patients were discharged from hospitals with a mental illness and a drug-related diagnosis in each of the last five years.

Table 1 shows the number of patients discharged from NHS general acute hospitals with a mental illness and drug-related diagnosis between 2002-03 and 2006-07 in Scotland.

Table 2 shows the number of patients discharged from NHS psychiatric units and mental illness hospitals with a mental illness and drug-related diagnosis between 2001-02 and 2005-06 in Scotland.

Table 1: Patients Discharged from NHS General Acute Hospitals¹ with a Diagnosis of Mental Illness and Drug Misuse^2,3in any Position: Scotland 2002-03 to 2006-07^P

	2002-03	2003-04	2004-05	2005-06	2006-07^P
Scotland	775	854	956	942	1115

Source: ISD Scotland (SMR01).

^PProvisional.

Notes:

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

2. Excludes misuse of tobacco or alcohol.

3. Diseases recorded using the World Health Organization''s International Classification of Diseases 10th Revision (ICD10). Drug-related conditions: F11, F12, F13, F14, F15, F16, F18, F19. Mental illness: F00-F10, F17, F20-F99.

Table 2: Patients Discharged from Psychiatric Hospitals¹ with a Diagnosis of Mental Illness and Drug Misuse^2,3in any Position: Scotland 2001-02 to 2005-06^P

	2001-02	2002-03	2003-04	2004-05	2005-06^P
Scotland	710	725	646	753	689

Source: ISD Scotland (SMR04).

^PProvisional.

Notes:

1. Excludes acute and maternity hospitals.

2. Excludes misuse of tobacco or alcohol.

3. Diseases recorded using the World Health Organization''s International Classification of Diseases 10th Revision (ICD10). Drug related conditions: F11, F12, F13, F14, F15, F16, F18, F19. Mental Illness: F00-F10, F17, F20-F99.

Question reference: S3W-12406

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 many patients were discharged from hospitals with a mental illness and an alcohol-related diagnosis in each of the last five years.

Table 1 shows the number of patients discharged from NHS general hospitals with a mental illness and alcohol-related diagnosis between 2002-03 and 2006-07 in Scotland.

Table 2 shows the number of patients discharged from NHS psychiatric units and mental illness hospitals with a mental illness and alcohol-related diagnosis between 2001-02 and 2005-06 in Scotland.

Table 1: Patients Discharged from General Hospitals¹ with a Diagnosis of Mental Illness and Alcohol Misusein any Position: Scotland 2002-03 to 2006-07^P

	2002-03	2003-04	2004-05	2005-06	2006-07^P
Scotland	2,986	3,332	3,878	4,040	4,416

Table 2: Patients Discharged from Psychiatric Hospitals² with a Diagnosis of Mental Illness and Alcohol Misusein any Position: Scotland 2001-02 to 2005-06^P

	2001-02	2002-03	2003-04	2004-05	2005-06^P
Scotland	1,183	1,165	1,121	1,048	1,002

Source: ISD Scotland (SMR01 & SMR04), Data Extracted: 30-04-2008.

Notes:

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

2. Excludes acute and maternity hospitals.

Question reference: S3W-12418

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 what assessment and audit has been made of the contribution by dispensing opticians in providing quality and accessible eye care to 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-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-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-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