- 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, 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: 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 and given that the review suggests that clients will become central to the delivery of community nursing, what evidence there is that this has not always been the case.
Answer
The Executive acknowledges thatcommunity nurses put the needs of patients/clients at the forefront of delivery.However, patients and carers told us that they wanted one single point of contactwith nursing services. They told us that they found having to deal with a numberof different nurses confusing and frustrating and these opinions were fundamentalto the development of the new service model.
- 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 evidence there is to support the suggestion that the generalist model of practice will be more effective in community nursing.
Answer
The review based the communityhealth nurse model on evidence from:
·Workshops which explored what nurses working in the communityare good at and their frustrations, as well as what they could do in the futurein terms of Delivering for Health.
·Workshops with users and carers.
·A consideration of the current model of service deliveryas well as other models of nursing roles, namely the generic role of the familyhealth nurse and community matrons.
·A consideration of the policy drivers of care provision.
·The literature review conducted by Napier University.
·The results from WHO Europe researchers who conducteda multi-national evaluation across all countries taking part in the familyhealth nurse pilot.
Two conferences involving a rangeof practitioners, nurses and other managers, educationalists and other stakeholders.
- 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 feedback from professional bodies, practitioners, higher education institutions and professional organisations informed the final outcome of the review; what the reasons are for its position on the matter, and why evidence from these bodies and organisations was not published.
Answer
A formal written consultationprocess was not carried out. There was on-going involvement of key stakeholders,patients and carers and professional groups which informed the process and outcome.
Consultation with key stakeholderswas an integral part of the entire review process. In light of the comments receivedthe report was redrafted and more information was provided on the evidence collected.An additional “core element” was added to the Practice Framework, however, the modelwas not changed as we believe it is the right way forward for patients, carers andnurses.
All comments received have beencollated and summarised and are available at:
http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/nursing/communitynursing/homepage.
- 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.
