- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Thursday, 05 November 2009
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Current Status:
Answered by Nicola Sturgeon on 16 November 2009
To ask the Scottish Executive for what reason Aberdeen Royal Infirmary was not available to provide adult respiratory extracorporeal membrane oxygenation treatment to patients at an earlier stage of the influenza A (H1N1) outbreak.
Answer
I refer the member to the answer to question S3W-28713 on 16 November 2009. 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/Apps2/Business/PQA/Default.aspx.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Thursday, 05 November 2009
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Current Status:
Answered by Nicola Sturgeon on 16 November 2009
To ask the Scottish Executive, further to the answer to question S3W-27461 by Nicola Sturgeon on 3 November 2009 indicating that adult respiratory extracorporeal membrane oxygenation (ECMO) treatment can be provided at Aberdeen Royal Infirmary where additional capacity is required and such a step is agreed with the Leicester clinicians, whether arrangements are in place to transfer patients from outwith the NHS Grampian area to Aberdeen should they require adult respiratory ECMO treatment.
Answer
Any patient for whom ECMO treatment was to be undertaken at Aberdeen Royal Infirmary, where current accredited UK and Stockholm capacity has been reached and with the agreement, support and advice of Leicester clinicians, would require to be transferred using standard critical care transfer processes already in place in NHSScotland.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Friday, 30 October 2009
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Current Status:
Answered by Nicola Sturgeon on 13 November 2009
To ask the Scottish Executive how much it has cost to establish extracorporeal membrane oxygenation provision at Aberdeen Royal Infirmary, broken down by (a) cost of equipment and (b) associated staff costs.
Answer
NHS Grampian has advised that the cost of the equipment and associated consumables required to provide extracorporeal membrane oxygenation (ECMO) at Aberdeen totalled approximately £50,000.
The staff who have been trained to provide ECMO are otherwise employed on a daily basis as general intensive care unit staff. However, NHS Grampian has advised that the cost of training these members of staff to provide ECMO, including travel, accommodation and course fees, totalled approximately £14,800.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Friday, 30 October 2009
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Current Status:
Answered by Nicola Sturgeon on 9 November 2009
To ask the Scottish Executive what capacity Aberdeen Royal Infirmary has to provide adult respiratory extracorporeal membrane oxygenation treatment.
Answer
Aberdeen currently has two extracorporeal membrane oxygenation (ECMO) machines acquired last year, two consultants and nine specialist nurses trained by the UK''s nationally commissioned ECMO centre at Glenfield Hospital, Leicester for use in the provision of adult respiratory ECMO.
This level of equipment and trained specialist staff can provide adult respiratory ECMO for one patient at a time, subject to agreement with and ongoing support and advice of Leicester clinicians on a case-by-case basis and in the context of the current H1N1 pandemic.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Friday, 30 October 2009
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Current Status:
Answered by Nicola Sturgeon on 9 November 2009
To ask the Scottish Executive whether it plans to increase the number of facilities that can provide adult respiratory extracorporeal membrane oxygenation treatment.
Answer
It is fundamental that anyone who might benefit from extracorporeal membrane oxygenation (ECMO) treatment has access to it. There are robust arrangements in place to ensure access to adult respiratory ECMO treatment through the UK''s nationally commissioned ECMO centre at Glenfield Hospital in Leicester, and, when it is full, at the European ECMO centre in Stockholm.
However, it is clear in the immediate term that H1N1 is having a significant impact on the demand for adult respiratory ECMO. That is why UK health ministers have agreed to double ECMO facilities at Glenfield Hospital to 10 beds, following recommendations by the UK Critical Care Group. Additional short term capacity has also been commissioned at the Royal Brompton and Papworth Hospitals in England which can provide a further four beds.
In Scotland, Aberdeen Royal Infirmary is the only site with both ECMO machines and a clinical team trained by Leicester to provide adult respiratory ECMO. When additional capacity is required, ECMO could therefore also be provided in Aberdeen, but only with the agreement and ongoing support and advice of Leicester clinicians on a case-by-case basis and in the context of the current H1N1 pandemic.
The potential medium and longer term needs for the provision of non-H1N1 adult respiratory ECMO in Scotland continues to be considered by the Expert Group set up for this purpose.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Friday, 30 October 2009
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Current Status:
Answered by Nicola Sturgeon on 9 November 2009
To ask the Scottish Executive how many extracorporeal membrane oxygenation machines there are at Aberdeen Royal Infirmary and when these were acquired.
Answer
I refer the member to the answer to question S3W-28535 on 9 November 2009. 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/Apps2/Business/PQA/Default.aspx.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Friday, 30 October 2009
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Current Status:
Answered by Nicola Sturgeon on 9 November 2009
To ask the Scottish Executive how many staff at Aberdeen Royal Infirmary have been trained in the provision of adult respiratory extracorporeal membrane oxygenation treatment.
Answer
I refer the member to the answer to question S3W-28535 on 9 November 2009. 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/Apps2/Business/PQA/Default.aspx.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Friday, 30 October 2009
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Current Status:
Answered by Nicola Sturgeon on 9 November 2009
To ask the Scottish Executive what ongoing clinical support from the unit at Glenfield Hospital, Leicester, is required for the provision of adult respiratory extracorporeal membrane oxygenation treatment at Aberdeen Royal Infirmary.
Answer
The national commissioned ECMO centre at Glenfield Hospital, Leicester is the front door for access to adult respiratory ECMO provision in the UK, and as such, all referrals for treatment are discussed and agreed with Leicester clinicians, who are on hand 24 hours a day to provide ongoing expert advice and support to the team in Aberdeen throughout the treatment of adult patients agreed as suitable for and subsequently placed on respiratory ECMO in the context of the current H1N1 pandemic.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Friday, 30 October 2009
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Current Status:
Answered by Nicola Sturgeon on 9 November 2009
To ask the Scottish Executive whether the two patients who have received adult respiratory extracorporeal membrane oxygenation treatment at Aberdeen Royal Infirmary were transferred from other NHS boards and, if so, which NHS boards.
Answer
Neither of the patients who received adult respiratory extracorporeal membrane oxygenation (ECMO) treatment at Aberdeen Royal Infirmary was transferred from another NHS board area.
- Asked by: Nicol Stephen, MSP for Aberdeen South, Scottish Liberal Democrats
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Date lodged: Wednesday, 23 September 2009
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Current Status:
Answered by Nicola Sturgeon on 3 November 2009
To ask the Scottish Executive how many beds there are for patients receiving extracorporeal membrane oxygenation, broken down by NHS board.
Answer
I refer the member to the answer to question S3W-27461 on 3 November 2009. 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/Apps2/Business/PQA/Default.aspx.
