Questions and answers

Question reference: S3W-39723

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Monday, 21 February 2011
Current Status: Answered by Fergus Ewing on 4 March 2011

To ask the Scottish Executive whether the SMR25 forms for drug misusers are now in use in (a) all statutory drug services, (b) all voluntary drug services, (c) the Scottish Prison Service and (d) all general practices.

I refer the member to the answer to question S3W-39037 on 9 February 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

Currently there is not 100% compliance for the submission of SMR25 forms in all statutory drug services, (b) all voluntary drug services, (c) the Scottish Prison Service and (d) all general practices.

Statutory (includes all NHS and Local Authority services) and Voluntary Drug Treatment Services:

SMR25a forms are received from all statutory and voluntary drug treatment services in Scotland. Approximately 70% of these SMR25a submissions are completed electronically.

In Greater Glasgow and Clyde and Aberdeen City approximately 65% and 75% respectively of statutory and voluntary drug treatment services currently submit SMR25a forms electronically to ISD Scotland.

Outwith Greater Glasgow and Clyde and Aberdeen City, approximately 95% of statutory and voluntary drug treatment services currently submit SMR25a forms electronically to ISD.

SMR25b forms are only submitted (electronically) by services who are also submitting electronic SMR25a forms. The vast majority of services that are submitting SMR25a forms electronically are also submitting SMR25b forms.

ISD is working with data providers throughout Scotland to ensure that, as soon as possible, all services that provide a comprehensive or specialist assessment of a client''s care/treatment needs in relation to drug misuse are submitting electronic SMR25a and SMR25b forms to ISD Scotland.

Prisons:

Since 1 April 2010, drug treatment services within all 13 publicly funded Scottish prisons make electronic SMR25a and SMR25b submissions. At present, the two private prisons in Scotland do not currently submit any SMR25a or SMR25b data to ISD.

ISD will shortly be engaging with the drug treatment services in the two private prisons with the aim of reaching a point where they are submitting SMR25a and SMR25b data electronically.

Primary Care Providers (including GPs):

SMR25a paper form submissions are received from a limited number of primary care providers. No electronic SMR25a or SMR25b submissions are received from primary care providers.

ISD will shortly be following up its initial contact with GPs with the aim of reaching a point where all relevant GPs are submitting SMR25a paper forms to ISD. After this has been achieved ISD will work with these GPs with the aim of reaching a point where they are all submitting SMR25a and SMR25b data electronically.

Question reference: S3W-39445

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Tuesday, 08 February 2011
Current Status: Answered by Nicola Sturgeon on 3 March 2011

To ask the Scottish Executive how many patient safety incidents were reported in the NHS between 2007 and 2010 involving loading dose errors.

Question reference: S3W-39447

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Tuesday, 08 February 2011
Current Status: Answered by Nicola Sturgeon on 3 March 2011

To ask the Scottish Executive what its approach is to ensuring that cascade screening for familial hyercholesterolaemia is being fully implemented in the NHS once a family member is diagnosed with this condition.

Our Better Heart Disease and Stroke Care Action Plan (June 2009) sets out actions designed to ensure that people with familial hypercholesterolaemia (FH) are identified as soon as possible and receive the treatment they need, in order to minimise the risk of complications.

The action plan also highlights the importance of cascade screening for FH, as endorsed by the National Screening Committee. Implementation of that approach is being taken forward through the NHS QIS Standards for Heart Disease, published in April 2010. One of the essential criteria in Standard 4 (Primary prevention of cardiovascular disease) is Individuals who are relatives of patients with familial hypercholesterolaemia are identified through cascade testing and managed in line with current national guidelines. We expect NHS boards to provide services that meet these standards.

Question reference: S3W-39444

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Tuesday, 08 February 2011
Current Status: Answered by Keith Brown on 3 March 2011

To ask the Scottish Executive, further to the answers to questions S3W-38040, S3W-38041 and S3W-38607 by Keith Brown on 15 and 16 December 2010 and 2 February 2011 respectively, at what point the iterative process for defining the timeline of the transport plan for the 2014 Ryder Cup will be concluded.

Question reference: S3W-39768

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Tuesday, 22 February 2011
Current Status: Answered by Nicola Sturgeon on 3 March 2011

To ask the Scottish Executive what evidence has been collected on national enhanced services in primary care that demonstrates the objective of shifting care from secondary to primary services.

We do not collect information nationally which measures shifts in the balance of care in relation to the various national enhanced service programmes. Shifts in the balance of care are a means to an end which is better outcomes measured via HEAT targets, the Community Care Outcomes Framework and other strategic priorities contained in various strategies. NHS boards are responsible for deciding on the areas for improvement in line with the policy we set out in 2009 which was agreed with COSLA and for making the necessary changes to deliver agreed outcomes.

Question reference: S3W-39767

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Tuesday, 22 February 2011
Current Status: Answered by Nicola Sturgeon on 3 March 2011

To ask the Scottish Executive what the cost was of each local enhanced service in each NHS board in the last year for which information is available.

The cash paid for each local enhanced service in each NHS Board in the last year for which information is available is as follows:

Financial Year: 2009-10

NHS Board	NHS Ayrshire and Arran £
Local Enhanced Services:
Better Working with GP Practices	187,017
HPV Schedule A	9,831
LES - LD1 H1N1 (A)	725
LES - LD10 Home Detox (W)	42,132
LES - LD11 Families at Risk (A)	9,400
LES - LD12 H Pylori Eradication (A)	63,925
LES - LD14 Hand Hygiene (A)	8,950
LES - LD15 Hepatitis B - at Risk (A)	8,460
LES - LD16 Minor Injuries (Lacerations) (A)	29,677
LES - LD17 Community Hospital (A)	160,499
LES - LD19 Provision of Specialist Dermatology (A)	57,915
LES - LD2 Ladeside Gardens (A)	7,138
LES - LD20 Provision of a Homeopathy Service (A)	40,000
LES - LD22 Referral Management (Local Care 3) (A)	12,943
LES - LD23 Keep Well Project (A)	348,940
LES - LD24 Ring Pessarys (A)	21,600
LES - LD25 PMS Enhanced Services (A)	524,324
LES - LD3 Pay Agreement (A)	324,674
LES - LD4 Vired Funds (A)	586,494
LES - LD5 Contraceptive Implants (A)	42,312
LES - LD6 Moorpark House (A)	21,680
LES - LD7 Pneumococcal at Risk (A)	8,331
LES - LD8 Canal Court (A)	6,187
LES - LD9 Girvan Locality Palliative Care (A)	4,550
Nursing Home	9,581

NHS Board	NHS Borders £
Local Enhanced Services:
LES - H1N1 SBC (B)	1,649
LES - LD Care Home (B)	3,400
LES - Management Allowance (B)	245,410
LES - Medical Supported Living (B)	6,000

NHS Board	NHS Dumfries and Galloway £
Local Enhanced Services:
LES - LD1 Pre Clinic testing (Y)	38,450
LES - LD11 Eating Disorders (Y)	560
LES - LD12 Prostate Cancer (Y)	28,880
LES - LD13 Orthopaedic (Y)	1,155
LES - LD14 High Dose Antipsychotic Therapy (Y)	1,150
LES - LD15 Significant Event Analysis (Y)	13,800
LES - LD16 Alcohol Misuse Service (Y)	45,285
LES - LD17 Referrals & Admissions (Y)	81,792
LES - LD4 Implanon Insertion (Y)	50,960
LES - LD5 Implanon Removal (Y)	20,800
LES - LD6 Diabetes (Y)	34,430
LES - LD7 Shared Care Drug Services (Y)	55,790
LES - LD8 Pneumococcal Catch-up (Y)	16,755

NHS Board	NHS Fife £
Local Enhanced Services:
Better Working with GP Practices	261,266
LES - Contraceptive Implant (F)	36,146
LES - Drug Users (F)	41,339
LES - Near Patient Testing (F)	188,030
LES - Renal Anaemia (F)	11,942
Pneumovac - Under 65s at risk	1,756

NHS Board	NHS Forth Valley £
Local Enhanced Services:
HPV Schedule A	8,516
LES - Anti-coagulation (V)	305,860
LES - IUCD - Insertion & Annual Check (V)	165,845
LES - Minor Injuries (V)	143,802
LES - Near Patient Testing (V)	220,558
LES - Whole System working group (V)	168,883
Nursing Home	176,411

NHS Board	NHS Grampian £
Local Enhanced Services:
Better Working with GP Practices	256,325
H1N1 - Phase2 - 1st/Single Dose	-11
HPV Schedule A	7,195
HPV Schedule B	29,139
LES - Anticipatory Care (N)	14,767
LES - Asthma (N)	12,483
LES - Dermatology (N)	43,057
LES - Drug Misuse Maintenance (N)	363,000
LES - Drug Misuse Retainer (N)	37,000
LES - Implanon Insertion (N)	151,134
LES - Implanon Removal (N)	74,081
LES - Keep Well Achievement (N)	9,090
LES - Keep Well Aspiration (N)	7,902
LES - Keep Well Engagement (N)	7,112
LES - Minor Injury Contract (N)	196,427
LES - Minor Injury Retainer (N)	68,000
LES - Neo-Natal Checks (N)	2,875
LES - Orthopaedic (N)	61,175
LES - Ring Shelf Pessary - Removal	1,325
LES - Ring Shelf Pessary - Removal & Insert (N)	68,550
LES - Violent Patient (N)	12,956
Minor Surgery - other referrals	79,108
Mumps Outbreak	3,034
Nursing Home	274,280

NHS Board	NHS Greater Glasgow and Clyde £
Local Enhanced Services:
Asylum Seekers	1,146,980
Better Working with GP Practices	747,489
HPV Schedule A	30,228
LES - LD10 Asylum Seekers Induction Centre (G)	27,000
LES - LD11 HF & AF Audit Contract	12,500
LES - LD2 Homeless Talbot Centre (G)	34,293
LES - LD3 Diabetes (G)	885,946
LES - LD4 Contraceptive Implants	89,449
LES - LD5 Stroke Contract (G)	347,354
LES - LD6 Chronic Heart Disease	680,928
LES - LD7 Nurse Training	2,025
LES - LD8 Multiple Sclerosis	56,963
LES - LD9 Pre-Chemotherapy Phlebotomy	12,903

NHS Board	NHS Highland £
Local Enhanced Services:
Better Working with GP Practices	195,240
HPV Schedule A	14,284
LES - Depression (H)	1,040
LES - Depression Retainer (H)	15,983
LES - Diabetes (H)	1,022,217
LES - First Response (H)	16,124
LES - General Enhanced Services (H)	978,471
LES - LD7 IUCD fittings / annual review (HS)	637
LES - LD8 Insertion and removal of contraceptive implant (HS)	1,620
LES - LD9 More Specialised Sexual and Reproductive Health Services (HS)	65,233
LES - MMR Vaccination (H)	49
Nursing Home	37,083

NHS Board	NHS Lanarkshire £
Local Enhanced Services:
Better Working with GP Practices	326,478
HPV Schedule A	38,256
LES - LD16 Alcohol Misuse Services (L)	175,100
LES - LD2 Pneumococcal Under 65 At Risk (L)	15,455
Nursing Home	574,091

NHS Board	NHS Lothian £
Local Enhanced Services:
LES - Alcohol Brief Interventions (S1)	322,910
LES - Anticipatory Care (OP Homes) (S1)	597,640
LES - Child Health Surveillance (S1)	11,995
LES - Drug Users BBV 2009/10 (S1)	25,335
LES - MMR Catch Up Programme (18-23 year olds) (S1)	1,922
LES - Minor Injuries (S1)	45,518
LES - Pandemic Flu 2009/10 (S1)	48,500
LES - Vlarc IUD/IUS Insertion (S1)	93,830
LES - Vlarc Implanon Fitting (S1)	83,728
LES - Vlarc Implanon Removal (S1)	66,946
Lithium Payment	47,587

NHS Board	NHS Orkney £
Local Enhanced Services:
Better Working with GP Practices	6,000
Endometrial Biopsies	4,025
LES - Implanon Insertion (N)	323
LES - Implanon Insertion (R)	7,350
LES - Implanon Removal (N)	247
LES - Implanon Removal (R)	5,607

NHS Board	NHS Shetland £
Local Enhanced Services:
HPV Schedule A	50

NHS Board	NHS Tayside £
Local Enhanced Services:
Better Working with GP Practices	9,737
LES - Acute Warfarin Initiation (T)	-80
LES - Alcohol & Brief Intervention (T)	15,751
LES - NPT Stabilisation (T)	43,050
LES - QOF Plus (T)	48,000
LES - DCHP - CHD Program (T)	32,014
LES - DCHP - Investment in Primary Care (T)	24,969
LES - P&KCHP - Investment in Primary Care - Kinross (T)	2,051
LES - P&KCHP - Investment in Primary Care - NW Perthsire (T)	1,593
LES - P&KCHP - Investment in Primary Care - Perth City (T)	4,249
LES - P&KCHP - Investment in Primary Care - Strathearn (T)	2,376
LES - P&KCHP - Investment in Primary Care - Strathmore (T)	2,969

NHS Board	NHS Western Isles £
Local Enhanced Services:
LES - LD10 Home Detox (W)	48,980
LES - LD11 Child Protection (W)	20,580
LES - LD4 Learning disability 17c (W)	143,661
LES - LD6 Rapid Access Chest Pain Clinic (W)	30,095
LES - LD9 Cardiac Rehab Clinic (W)	23,854

Notes:

Negative figures are recoveries of previous overpayments.

This information is supplied by Practitioner Services Division, NHS National Services Scotland and is as per payments administered by them.

NHS boards may have paid additional sums to other providers, or included in payments to S17C and S2C practices. Such sums are not included in the table.

Question reference: S3W-39774

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Tuesday, 22 February 2011
Current Status: Answered by Kenny MacAskill on 3 March 2011

To ask the Scottish Executive what steps it is taking to ensure that a visitor centre separate from formal visitor facilities in prisons is provided for support before and after formal visits.

The current focus of the Scottish Prison Service is on improving the facilities within prisons to support contact between prisoners and their families, and enable prisoners to engage with those services they will require on release. The Scottish Government is actively considering how we can build on the success of visitor centres at HMP Perth and HMP Edinburgh, with a particular focus on how they can offer opportunities for a number of statutory and voluntary agencies to reach people who would benefit from support.

Question reference: S3W-39812

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Wednesday, 23 February 2011
Current Status: Answered by Nicola Sturgeon on 3 March 2011

To ask the Scottish Executive what discussions it has had with NHS boards regarding negligence claims in relation to cancer diagnosis in each of the last two years.

Question reference: S3W-39757

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Tuesday, 22 February 2011
Current Status: Answered by Nicola Sturgeon on 3 March 2011

To ask the Scottish Executive what steps it is taking to ensure that NHS boards are implementing the clinical standards for neurological services.

NHS Quality Improvement Scotland (NHS QIS) has developed a two year programme of work with NHS boards and key stakeholders to bring about improvements in neurological services. We have provided the boards with funding of some £450,000 this financial year to assist them in developing neurological Managed Clinical Networks as the vehicle for local service improvements.

On 4 February 2010, the Scottish Government Health Delivery Directorate issued CEL 3 (2010), which provided NHS boards with the outputs of the work of a Neurological Task and Finish Group. The letter asks boards to use these materials, in conjunction with the NHS QIS standards, to continue to develop their local neurological services action plans.

By summer 2010, all NHS boards had completed a self evaluation against the first four, generic, standards. Their self evaluation against the condition-specific standards was completed in January 2011, and the results are currently being analysed by NHS QIS. This has helped to identify the issues on which NHS QIS needs to focus the support it provides to boards.

NHS QIS is also arranging a series of events between March and June 2011 linked to implementation of the condition-specific standards, in collaboration with the Neurological Alliance of Scotland. These provide an opportunity for delegates to gain a greater understanding of the priorities for people living with neurological conditions, as well as helping boards continue to develop their neurological services action plans. NHS QIS is also running a series of improvement clinics, by teleconference, to provide further support to NHS boards'' neurological improvement leads.

Question reference: S3W-39810

Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
Date lodged: Wednesday, 23 February 2011
Current Status: Answered by Nicola Sturgeon on 3 March 2011

To ask the Scottish Executive what discussions it has had with medical defence organisations regarding negligence claims in relation to cancer diagnosis in each of the last two years.

Chamber and committees