- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 02 December 2013
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Current Status:
Answered by Alex Neil on 12 December 2013
To ask the Scottish Government whether, prior to the IT failure on 1 October 2013, NHS Greater Glasgow and Clyde had checked whether it could restore its active directory service from backups and what the reasons are for its position on this matter.
Answer
A full Active Directory recovery was not performed due to not having an environment where this could be done safely. This is now being re-assessed. However, the backups have been used previously to perform granular recovery of Active Directory objects in the live active directory.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 02 December 2013
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Current Status:
Answered by Alex Neil on 12 December 2013
To ask the Scottish Government on what basis the report, Technical Assurance Review: NHS Greater Glasgow and Clyde: Critical Incident - 1 October 2013, concluded that "the design and implementation of the XGGC Microsoft Active Directory with associated services is a fit for purpose and resilient implementation" given that it found that the error was "associated with the Active Directory software environment".
Answer
A system can be designed and implemented in a manner deemed fit for purpose and resilient, and yet still suffer from an unforeseen incident.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 02 December 2013
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Current Status:
Answered by Alex Neil on 12 December 2013
To ask the Scottish Government how many NHS Greater Glasgow and Clyde patients were attended by medical staff when the clinical notes were unavailable during the IT failure of 1 October 2013.
Answer
More than 10,000 patients were attended by medical staff during the IT failure of 1 October 2013. As there was variable access to both electronic and paper clinical notes throughout the incident it is not possible to quantify for how many patients clinical notes were not available in each case.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 02 December 2013
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Current Status:
Answered by Alex Neil on 12 December 2013
To ask the Scottish Government how many (a) planned and (b) unplanned service outages there have been on NHS Greater Glasgow and Clyde's IT systems since 1 October 2013.
Answer
NHS Greater Glasgow and Clyde’s statistics for “Outage” include incidents where systems remain fully available to users, but elements are undergoing maintenance or remedial activities. In the period 2 October to 3 December there have been 10 planned outages (all restricted to either individual applications or sites. All occurred either out of hours when no users dependent on the services, or by pre-arrangement such that no risk to services occurred). There have been four periods of unplanned partial/total individual server outages during the period under review. These ranged between five and 60 minutes and on none of these occasions were patient services disrupted. This must be placed within the context of an IT estate with over 400 applications, supporting 11 major hospitals, over 250 GP and Health Centres and 40,000 staff.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 02 December 2013
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Current Status:
Answered by Alex Neil on 12 December 2013
To ask the Scottish Government, in relation to the IT failure at NHS Greater Glasgow and Clyde on 1 October 2013, whether active directory auditing was switched off and, if so, for what reason.
Answer
Reduced auditing was in place due to the impact that such services have on systems performance. We are however reviewing this in light of the recent incident and will introduce appropriate and proportionate auditing in due course.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 02 December 2013
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Current Status:
Answered by Alex Neil on 12 December 2013
To ask the Scottish Government, in relation to the IT failure at NHS Greater Glasgow and Clyde, whether (a) domain name system requests had been failing from 26 September 2013 and (b) new web filter software had been brought online on the day of the failure and, if so, for what reason this is not mentioned in the report, Technical Assurance Review: NHS Greater Glasgow and Clyde: Critical Incident - 1 October 2013.
Answer
(a) Domain Name requests had not been failing previous to the incident.
(b) Web filtering software was not brought online on the day of the incident and is not relevant to the incident of 1 October 2013.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 02 December 2013
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Current Status:
Answered by Alex Neil on 12 December 2013
To ask the Scottish Government how many rapid alerts were caused by the IT failure at NHS Greater Glasgow and Clyde of 1 October 2013.
Answer
Maternity and emergency services were maintained throughout the period disrupted by the IT incident.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Tuesday, 03 December 2013
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Current Status:
Answered by Michael Matheson on 11 December 2013
To ask the Scottish Government whether the implementation plans produced by NHS boards for Neonatal Care in Scotland: a Quality Framework will be made public and, if so, in what form.
Answer
The new Local Delivery Plan format, focusing on the 12 priority areas for action in the Routemap to the 2020 Vision for Health and Social Care, will give NHS boards the opportunity to set out the action they are taking to implement Neonatal Care in Scotland: A Quality Framework.
Considerable progress has already been made, with the vast majority of statements in Neonatal Care in Scotland: A Quality Framework already being met, and full implementation taking place over the next five to 10 years.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Tuesday, 03 December 2013
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Current Status:
Answered by Michael Matheson on 11 December 2013
To ask the Scottish Government how regularly it will meet (a) NHS boards and (b) managed clinical networks to discuss progress toward implementing Neonatal Care in Scotland: a Quality Framework.
Answer
Discussions with NHS boards and managed clinical networks are underway to determine what the process will be for monitoring the implementation of Neonatal Care in Scotland: A Quality Framework. Once agreed with Ministers, the governance process will form part of this discussion.
Considerable progress has already been made, with the vast majority of statements in Neonatal Care in Scotland: A Quality Framework already being met, and full implementation taking place over the next five to 10 years.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 09 December 2013
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Current Status:
Taken in the Chamber on 10 December 2013
To ask the Scottish Government what steps it is taking to tackle alcohol misuse.
Answer
Taken in the Chamber on 10 December 2013