- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, how it envisages that the proposed new generic role of community nurses will address issues such as early intervention and preventative work as part of the public health agenda.
Answer
All nurses have a role to playin improving the health of the people of Scotland. We need to harness the whole nursing resource, not justone element of it. We are enhancing the quality of that resource with theintroduction of the community health nurse.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, what educational framework supports the proposed generalist model for community nursing.
Answer
The review recognised that theeducational needs of both new community health nurses and current practitioners,who need to broaden their skills, are challenging. Skills for Health will have alreadydone some of this work. Higher education institutes and NHS Education for Scotland (NHSNES) will also be central to this process. The Executive will work closely withNHS NES who are leading a project to look at the capabilities and competencies thatcurrent staff will need to acquire to take on the role.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, how practitioners will be supported in their current practice and in implementing the recommendations of the report.
Answer
The new model for community nursingwill be piloted in four NHS boards over the next two years. This will allow forfurther testing of the implications of the model and highlight further work thatneeds to be done. The development project, which will include higher education institutesand NHS Education for Scotland, will also look at educational needs of existing andnew staff.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, whether the Minister for Health and Community Care took into account the existing community specialist qualification framework when stating that the review “presents a refreshingly honest analysis of the strengths and weaknesses of current nursing services in the community”.
Answer
The review took cognisance of the community specialist qualification framework. NHS Education Scotland and Skillsfor Health will undertake a review of the competencies and capabilities of the newcommunity health nurse and the Nursing and Midwifery Council will determine whetheror not they meet the requirements for the existing specialist practitioner register.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Tuesday, 19 December 2006
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Current Status:
Answered by Andy Kerr on 23 January 2007
To ask the Scottish Executive, further to the publication of Visible, Accessible and Integrated Care - Report of the Review of Nursing in the Community in Scotland, why no reference has been made to existing Nursing and Midwifery Council standards or documents.
Answer
Nursing and Midwifery Council(NMC) standards underpin the practice of every nurse. Visible, Accessible andIntegrated Care - Report of the Review of Nursing in the Community in Scotlandshould be read alongside Delivering Care, Enabling Health which discussesNMC fitness for practice of registrantsat the point of registration. The NMC is carrying out an on-going review of fitnessfor practice of registrants at the point of registration and the Executive’s Facingthe Future sub-group on student attrition will take account of the NMC’s recommendations.Nurse recruitment and retention are key elements in the shift of care delivery fromhospital to community based care.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Wednesday, 10 January 2007
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Current Status:
Answered by Andy Kerr on 22 January 2007
To ask the Scottish Executive how the GP out-of-hours service has been operating in remote and rural areas, particularly over the recent festive period, and how many foreign agency staff have been brought in to assist with out-of-hours provision.
Answer
Independent GP practices continueto provide much of the out-of-hours cover in remote and rural areas, and the informationon their operational performance is not held centrally.
The rest of the out-of-hoursservice has performed well over the festive period. For example, NHS 24 and NHSboard out-of-hours services were able to manage a 15 per cent increase in callsover the festive period compared with the previous year.
Information on the involvementof foreign staff in the out-of-hours service is not held centrally.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 07 December 2006
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Current Status:
Answered by Andy Kerr on 19 December 2006
To ask the Scottish Executive, further to the answer to question S2W-1304 by Malcolm Chisholm on 28 July 2003, how many patients resident in Scotland were treated in NHS facilities in England and paid for by Scottish NHS boards in each year since 2002.
Answer
Information on the actual numberof Scottish residents receiving treatment in NHS hospitals in England is notavailable. The following table gives the numbers of finished consultant episodes(FCE) Scottish residents have received in NHS facilities in England. An FCE is definedas a period of patient care under one consultant in one health care provider andone person might have several episodes within any one year or across years.
| Year Ending 31 March | Finished Consultant Episodes |
| 2002-03 | 6,513 |
| 2003-04 | 7,357 |
| 2004-05 | 7,928 |
| 2005-06 | 8,368 |
Source: Hospital Episode Statistics(HES), the Information Centre for Health and Social Care.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 07 December 2006
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Current Status:
Answered by Andy Kerr on 15 December 2006
To ask the Scottish Executive, further to the answer to question S2W-1304 by Malcolm Chisholm on 28 July 2003, how many patients resident in England treated in NHS facilities in Scotland and paid for by English NHS authorities in each year since 2002.
Answer
I refer the member to the answer to question S2W-29635 on 17 November 2006. All of these cases were payable byEnglish NHS authorities.All answers to writtenparliamentary questions are available on the Parliament’s website the search facilityfor which can be found at
http://www.scottish.parliament.uk/webapp/wa.search.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 27 November 2006
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Current Status:
Answered by Andy Kerr on 7 December 2006
To ask the Scottish Executive whether it will prepare guidance on the management of arrhythmias and sudden cardiac death, similar to the new chapter added to the Department of Health’s national framework for coronary heart disease, and, if not, what action it is taking to highlight cardiomyopathy.
Answer
Scotland was represented on the group which drew up chapter8 of the National Service Framework (NSF), dealing with arrhythmia and suddencardiac death. The key elements of that chapter will be reflected in therefreshed CHD and Stroke Strategy which we are currently developing, to bringit fully into line with the thinking set out in
Delivering for Health.
A proposal has been developedfor a National Managed Clinical Network which would bring together genetics andcardiology to support the treatment of patients with cardiomyopathy and otherconditions. This covers many of the issues dealt with in chapter 8 of the NSF. Theproposal will be considered by the National Services Advisory Group in duecourse.
The review of genetics inrelation to health care in Scotland, which we published in September of thisyear, notes that familial cardiovascular disease is one of the most prevalentgenetic disorders, and that primary care is well placed to deal with geneticissues. The review contains a number of recommendations designed to improvetraining and enhance support for primary care in relation to the management ofpeople with genetic conditions.
- Asked by: Nanette Milne, MSP for North East Scotland, Scottish Conservative and Unionist Party
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Date lodged: Monday, 27 November 2006
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Current Status:
Answered by Andy Kerr on 6 December 2006
To ask the Scottish Executive whether it will consider collating up-to-date information on levels of cardiomyopathy.
Answer
Numbers of thosewith cardiomyopathy are available from hospital discharges, death registrationsand contacts in General Practice, but these sources identify only those who havebeen diagnosed with cardiomyopathy.
Data on the number of patientsadmitted to Scottish hospitals with a diagnosis of cardiomyopathy in the year endingMarch 2006 and number of deaths from cardiomyopathy in the year ending December2005 are shown in the following table.
Cardiomyopathy cases in Scotland: latestavailable figures
| Deaths registered in 2005 | 96 |
| Hospital episodes in 2005-06P | 2,072 |
| Patients seen in hospital in 2005-06 P | 1,021 |
Source: ISD Scotland.
PProvisional.
