Questions and answers

Question reference: S2W-11044

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive, further to the answer to question S2W-6991 by Malcolm Chisholm on 30 March 2004, how much has been spent on NHS locum staff in each year since 1999, broken down by (a) NHS board area and (b) speciality.

The total cost of locum hospital and community medical and dental staff employed by NHSScotland in each NHS board is presented in the attached tables overleaf for the full years ending 31 March 1999 to 2004. Information by specialty is not available.

The term “NHS Locum” is used in relation to medical and dental staff only.

Paybill for Locum medical and dental staff by NHS Board and Grade

Total Cost at end ofFinancial Year

Health Board	2003-04	2002-03	2001-02	2000-01	1999-2000
Scotland	19,112,946.1	17,431,709.5	17,990,706.8	15,677,271.7	13,164,089.6
Consultant	11,166,989.2	9,980,518.4	10,215,684.7	8,870,888.2	7,065,637.0
Other	7,945,956.9	7,451,191.1	7,775,022.1	6,806,383.5	6,098,452.6
NHS Argyll and Clyde	1,222,928.5	1,039,937.7	1,236,557.5	732,582.6	853,331.6
Consultant	932,438.4	696,750.9	856,430.4	479,220.7	566,694.1
Other	290,490.1	343,186.8	380,127.1	253,361.9	286,637.5
NHS Ayrshire and Arran	1,083,595.4	975,894.9	852,377.2	726,120.4	900,374.9
Consultant	552,052.8	443,787.9	300,626.1	275,049.1	436,249.0
Other	531,542.6	532,107.0	551,751.1	451,071.2	464,125.9
NHS Borders	123,301.1	178,419.4	239,213.6	263,812.5	183,091.6
Consultant	38,295.3	96,179.5	64,741.3	168,981.1	109,120.2
Other	85,005.8	82,239.9	174,472.3	94,831.4	73,971.4
NHS Dumfries and Galloway	396,568.2	427,553.2	453,995.9	360,976.0	542,178.4
Consultant	178,701.9	264,908.9	250,647.0	218,181.3	411,511.4
Other	217,866.3	162,644.3	203,348.9	142,794.7	130,667.0
NHS Fife	1,374,344.4	1,394,264.8	994,731.7	1,001,988.9	695,087.4
Consultant	1,048,054.1	1,047,571.1	694,887.8	518,671.5	229,199.7
Other	326,290.2	346,693.7	299,843.8	483,317.4	465,887.6
NHS Forth Valley	856,991.1	737,495.4	870,110.6	840,457.5	662,439.8
Consultant	546,639.4	526,339.5	719,689.2	689,081.8	488,701.3
Other	310,351.7	211,155.9	150,421.4	151,375.6	173,738.5
NHS Grampian	2,288,733.2	2,157,316.8	1,359,152.5	1,574,418.4	990,934.4
Consultant	801,735.8	827,394.8	569,763.9	864,418.0	367,324.7
Other	1,486,997.4	1,329,922.0	789,388.6	710,000.3	623,609.7
NHS Greater Glasgow	3,170,829.0	2,617,390.7	3,374,232.8	2,540,806.0	1,790,420.2
Consultant	1,818,638.1	1,484,985.1	2,067,998.9	1,555,037.4	1,033,927.9
Other	1,352,191.0	1,132,405.6	1,306,233.9	985,768.5	756,492.3
NHS Highland	910,614.6	749,757.2	1,205,362.0	1,036,725.2	546,649.9
Consultant	544,684.9	450,673.2	729,104.9	578,913.4	373,976.4
Other	365,929.8	299,083.9	476,257.0	457,811.8	172,673.5
NHS Lanarkshire	2,755,869.1	2,337,189.6	2,226,408.5	1,897,763.2	2,232,720.3
Consultant	1,938,969.9	1,532,814.8	1,444,237.8	1,341,366.3	1,354,288.2
Other	816,899.1	804,374.8	782,170.7	556,396.9	878,432.1
NHS Lothian	3,759,871.7	3,622,559.6	3,481,248.7	3,237,848.1	2,344,508.6
Consultant	1,998,883.8	1,812,643.1	1,578,976.7	1,389,889.9	921,770.0
Other	1,760,987.9	1,809,916.4	1,902,271.9	1,847,958.2	1,422,738.7
NHS Orkney	31,831.9	47,447.2	32,461.3	12,112.0	28,543.0
Consultant	29,303.6	47,447.2	32,137.4	12,112.0	28,543.0
Other	2,528.2	-	323.9	-	-
NHS Shetland	48,967.1		92,731.0	74,485.6	57,029.4
Consultant	48,967.1		92,731.0	74,485.6	54,955.8
Other					2,073.6
State Hospital	92,991.9	65,150.7	24,882.6
Consultant	92,991.9	51,523.1	24,882.6	-
Other		13,627.5		-
NHS Tayside	846,369.7	765,722.9	1,121,054.0	975,929.5	972,510.2
Consultant	477,149.7	439,971.8	460,988.6	488,256.1	520,487.5
Other	369,220.0	325,751.1	660,065.4	487,673.4	452,022.7
NHS Western Isles	149,139.3	315,609.6	395,312.3	282,060.3	237,532.5
Consultant	119,482.4	257,527.6	327,841.1	212,021.3	159,123.6
Other	29,656.9	58,082.0	67,471.2	70,039.0	78,408.9
Special Health Boards			30,874.8	119185.79	126737.60
Consultant	-	-	-	5202.55	9764.44
Other	-	-	30874.78	113983.24	116973.16

Note: 1. Other consists of all other directly employed hospital and community medical and dental locum staff

Question reference: S2W-11038

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive how many (a) clinical nurse specialist posts and (b) nurse consultant posts there were in each year since 1999, broken down by (i) NHS board area and (ii) speciality.

Information on clinical nurse specialists employed in NHSScotland was collected for the first time at 30 September 2003. This pilot collection provided a baseline establishment figure of 1177 WTE Clinical Nurse Specialists as at 30 September 2003. Information on staff in post by NHS Board and clinical area of work is published in the Report from Pilot Data Collection report. Due to the small number of vacancies this information is not presented by NHS board andspecialty. This report is published on the Scottish Health Statistics website under Workforce Statistics, at www.isdscotland.org/workforce.

Information on Clinical Nurse Specialists will now be collected annually at 30 September.

The Number of Nurse Consultants Posts are Shown in the Following Table.

Title/ Posts	NHS Board/ Division	When Established
Midwife Consultant - 1 WTE	NHS Greater Glasgow	2001
NC - Services for Older People - 1 WTE	NHS Forth Valley	2001
NC-Public Health - 1 WTE	NHS Greater Glasgow	2001
NC Epidemology – 1 WTE	SCIEH	2001
NC Paediatric Pain Management – 1 WTE	Yorkhill	2002
NC Perinatal Mental Illness – 1 WTE	NHS Greater Glasgow	2002
NC Acute Receiving - 1 WTE	NHS Tayside	2002
NC Cancer Care – 1 WTE	NHS Greater Glasgow	2002
NC Public Health – 1 WTE	NHS Tayside	2002
NC Family Planning & Sexual Health – 1 WTE	NHS Lothian	2002
NC People with Mental Health Difficulties – 1 WTE	NHS Lothian	2002
NC Services for Older People -= 1 WTE	NHS Highland	2002
NC Forensic Rehabilitation Resettlement – 1 WTE	State Hospital	2002
MC managed/midwife led care – 1 WTE	NHS Tayside	2003
NC Health Protection – 1 WTE	NHS Lothian	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Learning Disabilities - 1 WTE	NHS Lothian	2003
NC Macmillan Cancer Nurse Consultant - 1 WTE	NHS Tayside	2003
NC Child Health – 1 WTE	NHS Borders	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Cancer/Palliative Care – 1 WTE	NHS Argyll & Clyde	2004
NC Learning Disabilities – 1 WTE	NHS Greater Glasgow	2004
NC Public Health – 1 WTE	Western Isles	2004
NC Epidemiology – 1 WTE	SCIEH	2004
NC Child protection – 1 WTE	NHS Tayside	2004
NC Learning Disabilities – 1 WTE	NHS Highland	2004
Total (26 WTE)		26 Posts

Notes:

(SCIEH – Scottish Centre for Infection and Environmental Health.).

(NC – Nurse Consultant).

Question reference: S2W-11283

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 06 October 2004
Current Status: Answered by Andy Kerr on 4 November 2004

To ask the Scottish Executive what progress has been made towards meeting the target of recruiting an extra 600 consultants to the NHS by 2006.

There is a commitment to increase consultant numbers by 600 and we are working hard to achieve this challenging target.

Additional interventions to improve consultant recruitment and retention are required against a backdrop of UK and, indeed global, shortages in some specialties.

An action plan has been developed to address these issues and includes a range of short, medium and longer term interventions, to help supplement and support ongoing initiatives on retention and recruitment of consultants. The Scottish Executive is working with NHS boards to achieve this.

The commitment to increase consultants by 600 may be influenced by the work being undertaken by the Advisory Group on Service Change (chaired by professor David Kerr) on the development of a national Framework for Service Change.

Question reference: S2W-11036

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 4 November 2004

To ask the Scottish Executive what funding will be provided to (a) doctors, (b) nurses, (c) allied health professionals and (d) scientific and professional staff to help subsidise continuing professional development.

I refer the member to the answer to S2W-11035, on 21 October 2004. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at: http://www.scottish.parliament.uk/webapp/wa.search.

Funding for continuing professional development will be included as part of the annual overall funding given to the NHS in the financial year and therefore there will be no requirement for additional monies made available for continuing professional development in the health service.

Question reference: S2W-11203

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Rhona Brankin on 3 November 2004

To ask the Scottish Executive how many places there were in care homes for (a) older people, (b) physically disabled people, (c) adults with mental health problems, (d) adults with learning disabilities and (e) adults in other client groups in (i) 1998-99 and (ii) 1999-2000, broken down by care home sector.

This information was published in Scottish Community Care Statistics 2002 and will be available from the Parliament’s Reference Centre. This information can also be found on the following web address:

http://www.scotland.gov.uk/stats/bulletins/00309-00.asp.

The information you require can be found in the following tables: (a) Tables 1.12 and 1.21; (b) Tables 4.7 and 4.15; (c) Tables 3.5 and 3.13; (d) Tables 2.5 and 2.13; and, (e) Tables 5.5 and 5.10. The first table for each client group gives data on Residential Care Homes and the second gives data on Private Nursing Homes.

Please note that, up until March 2003, information was not available on which Private Nursing Homes were registered for residents belonging to the various client groups. However, information was collected on the number of residents belonging to the various client groups who were in Private Nursing Homes during the census period.

Question reference: S2W-11204

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Rhona Brankin on 3 November 2004

To ask the Scottish Executive how many residents there were in care homes for (a) older people, (b) physically disabled people, (c) adults with mental health problems, (d) adults with learning disabilities and (e) adults in other client groups in (i) 1998-99 and (ii) 1999-2000, broken down by care home sector.

This information was published in Scottish Community Care Statistics 2002 and will be available from the Parliament’s Reference Centre. This information can also be found on the following web address:

http://www.scotland.gov.uk/stats/bulletins/00309-00.asp.

The information you require can be found in the following tables: (a) Tables 1.12 and 1.21; (b) Tables 4.7 and 4.15; (c) Tables 3.5 and 3.13; (d) Tables 2.5 and 2.13; and, (e) Tables 5.5 and 5.10. The first table for each client group gives data on Residential Care Homes and the second gives data on Private Nursing Homes.

Please note that, up until March 2003, information was not available on which Private Nursing Homes were registered for residents belonging to the various client groups. However, information was collected on the number of residents belonging to the various client groups who were in Private Nursing Homes during the census period.

Question reference: S2W-11202

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Rhona Brankin on 3 November 2004

To ask the Scottish Executive how many care homes there were for (a) older people, (b) physically disabled people, (c) adults with mental health problems, (d) adults with learning disabilities and (e) adults in other client groups in (i) 1998-99 and (ii) 1999-2000, broken down by care home sector.

This information was published in Scottish Community Care Statistics 2002 and will be available from the Parliament’s Reference Centre. This information can also be found on the following web address:

http://www.scotland.gov.uk/stats/bulletins/00309-00.asp.

The information you require can be found in the following tables: (a) Tables 1.12 and 1.21; (b) Tables 4.7 and 4.15; (c) Tables 3.5 and 3.13; (d) Tables 2.5 and 2.13, and, (e) Tables 5.5 and 5.10. The first table for each client group gives data on Residential Care Homes and the second gives data on Private Nursing Homes.

Please note that, up until March 2003, information was not available on which Private Nursing Homes were registered for residents belonging to the various client groups. However, information was collected on the number of residents belonging to the various client groups who were in Private Nursing Homes during the census period.

Question reference: S2W-11197

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 2 November 2004

To ask the Scottish Executive how many public meetings have been held regarding the reorganisation of hospital services in each year since 1999, broken down by NHS board area.

Question reference: S2W-11195

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 2 November 2004

To ask the Scottish Executive how many NHS patients have received treatment with nuclear medicine in each year since 1999, broken down by NHS board area.

Nuclear medicine is used primarily for diagnostic procedures. A much smaller number of patients receive treatment using nuclear medicine. Information on the number of attendances at nuclear medicine departments is shown in the table. This covers attendances only where patients were seen by a nuclear medicine technologist.

NHSScotland – Attendances at Nuclear Medicine Departments; by Location of Department (NHS Board Area): Years Ended 31 March 2000–04

NHS Board	2000	2001	2002	2003	2004^P
Ayrshire and Arran	3,470	3,765	3,812	3,893	3,928
Fife	1,661	1,638	1,609	1,664	1,627
Forth Valley	1,790	1,249	1,040	1,143	824
Grampian	7,174	9,647	11,803	12,298	12,403
Greater Glasgow	18,452	19,693	19,646	19,969	20,793
Lanarkshire	1,671	1,614	1,063*	1,707	1,635
Lothian	2,185	2,367	1,821	1,853	1,746
Tayside	8,463	8,336	8,018	7,884	7,898
Scotland	44,866	48,309	48,812	50,391	50,854

Source: ISD Scotland.

^PProvisional.

Note: *Information may be under-recorded.

Question reference: S2W-11192

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 2 November 2004

To ask the Scottish Executive how many (a) MRI and (b) CT scanners there are, broken down by NHS board area and expressed also per head of population.

The information available is shown in the table:

Table 1. Number of (a) MRI and b) CT Scanners and Rate Per 100,000 Population by NHS Board for Year Ending December 2003

NHS Board	Scanners		Rate Per 100,000 Population
NHS Board	MRI	CT	MRI	CT
Argyll and Clyde	1	4	0.24	0.96
Ayrshire and Arran	2	2	0.54	0.54
Borders	1	1	0.92	0.92
Dumfries and Galloway	0	1	0.00	0.68
Fife	2	2	0.57	0.57
Forth Valley	1	2	0.36	0.72
Grampian	3	3	0.57	0.57
Greater Glasgow	5	10	0.58	1.15
Highland	1	2	0.48	0.96
Lanarkshire	3	3	0.54	0.54
Lothian	6	6	0.77	0.77
Orkney	0	0	0.00	0.00
Shetland	0	1	0.00	4.57
Tayside	4	4	1.03	1.03
Western Isles	0	1	0.00	3.83
Jubilee Hospital	1	1	-	-
Nuffield Hospital	1	0	-	-
Murrayfield Hospital	1	0	-	-
Ross Hall	1	0	-	-
Scotland	33	43	0.65	0.85

Source: NHS Supplies.

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