- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Monday, 28 February 2011
-
Current Status:
Answered by Nicola Sturgeon on 11 March 2011
To ask the Scottish Executive what risk factors were found in those patients with MRSA infections who screened negative in the MRSA pilot screening project.
Answer
The study did not highlight these risk factors.
The single most important risk factor for infection was colonisation at the point of admission. Other risk factors included the specialty admitted to.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Monday, 28 February 2011
-
Current Status:
Answered by Nicola Sturgeon on 11 March 2011
To ask the Scottish Executive for what reason NHS Scotland Wheelchair and Seating Services - Clinical Standards Consultation does not refer to a mobility plan forming part of the agreement with the user or carer.
Answer
I refer the member to the answer to question S3W-39995 on 11 March 2011. 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: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Monday, 28 February 2011
-
Current Status:
Answered by Nicola Sturgeon on 11 March 2011
To ask the Scottish Executive whether the report on the MRSA Screening Pathfinder Programme has been or will be subject to peer review.
Answer
Yes, the reports on the Pathfinder Programme were
subject to peer review by the appropriate working group; the MRSA Programme Board; and external experts.
Each report was reviewed according to HPS Quality Assurance protocol.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Monday, 28 February 2011
-
Current Status:
Answered by Nicola Sturgeon on 11 March 2011
To ask the Scottish Executive what assumptions were made in the health technology assessment (HTA) model used in the MRSA screening study that were not observed in practice.
Answer
The main parameters which differed in practice from the assumed parameters within the HTA model were:
the proportion of patients attending pre-admission clinics within each age group;
the percentage of patients going to high and low risk specialty wards;
hospital prevalence at the start of the model; and
infection rate and length of stay.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Monday, 28 February 2011
-
Current Status:
Answered by Nicola Sturgeon on 11 March 2011
To ask the Scottish Executive what independent evaluation of the findings in the report on the MRSA Screening Pathfinder Programme will be undertaken before proceeding to any roll-out of the programme.
Answer
The MRSA programme board evaluated and debated the findings and made a recommendation to the HAI Task Force on future direction for MRSA screening in NHSScotland.
The HAI Task Force then further evaluated the findings of the Pathfinder Programme and debated the recommendation from the programme board before endorsing its recommendations for future policy.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Monday, 28 February 2011
-
Current Status:
Answered by Nicola Sturgeon on 11 March 2011
To ask the Scottish Executive what modelling it has done as to (a) whether and (b) when a full MRSA screening programme for hospital admissions could result in low endemic proportions of MRSA so that a search and destroy strategy could be employed and what cost savings could be made by such a change in approach.
Answer
Health Protection Scotland has advised the health technology assessment model projected a reduction within five years of implementing screening to a level of very low endemic prevalence (<1%).
Continued monitoring of MRSA prevalence will be required as part of the assessment of the national screening programme''s performance in practice.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Monday, 28 February 2011
-
Current Status:
Answered by Nicola Sturgeon on 11 March 2011
To ask the Scottish Executive when it will (a) conclude and (b) report on the further special study in the MRSA pilot screening project on the risk of colonisation and how it will judge the possibility of a substitute or partial substitute for screening.
Answer
Health Protection Scotland published the reports on the clinical risk assessment study along with the study on acquisition / loss of MRSA colonisation during hospital admission on 23 February 2011. These reports are available at:
http://www.documents.hps.scot.nhs.uk/hai/mrsa-screening/pathfinder-programme/mrsa-pathfinder-discharge-2011-02-23.pdf.
On 23 February 2011, I announced that the revised policy for MRSA screening in acute hospitals would comprise a two-stage process involving first-line screening using a clinical risk assessment, followed by swab-based second-line screening test for those identified as being at higher risk of MRSA colonisation.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Monday, 28 February 2011
-
Current Status:
Answered by Nicola Sturgeon on 11 March 2011
To ask the Scottish Executive what the (a) sensitivity and (b) specificity was of the laboratory method used in the MRSA pilot screening project.
Answer
Health Protection Scotland has advised that chromogenic agar has a reported sensitivity of (0.98). Specificity was not used as a parameter
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Friday, 25 February 2011
-
Current Status:
Answered by Shona Robison on 10 March 2011
To ask the Scottish Executive what mandatory independent external audit or inspection is carried out of the number of older people recorded on the delayed discharge database.
Answer
Figures on Delayed Discharges in Scotland are published as National Statistics and therefore comply with the Code of Practice for Official Statistics. This means they are produced entirely independently of Ministers and go through rigorous quality assurance and validation before they are published. The UK Statistics Authority is about to begin an assessment of the Delayed Discharge publication produced by ISD Scotland and will report any recommendations in Summer 2011.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
-
Date lodged: Friday, 25 February 2011
-
Current Status:
Answered by Shona Robison on 10 March 2011
To ask the Scottish Executive how many patients died while recorded on the delayed discharge database in (a) 2008, (b) 2009 and (c) 2010.
Answer
There are currently no plans to publish this information as it is not held centrally. From April 2011 a new dedicated information system will be fully operational across Scotland.
