- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 31 July 2008
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Current Status:
Answered by Nicola Sturgeon on 22 August 2008
To ask the Scottish Executive what progress is being made with Scottish Care Information’s SCI Index.
Answer
SCI Index is a working title for a project to replace the Community Health Index (CHI) technical infrastructure and improve the patient identification service. The eHealth strategy 2008-11, launched in June 2008, identifies the replacement of the CHI technology as a priority over the next three years. Work to date has been in the area of defining functional requirements and examining technical options. It is expected that the next stage of development will be commissioned by the end of 2008.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 31 July 2008
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Current Status:
Answered by Nicola Sturgeon on 22 August 2008
To ask the Scottish Executive whether the uptake of Scottish Care Information’s SCI Store remains optional; which NHS boards have taken up SCI Store and when they did so, and, for those that operate separate systems, how many of those systems are fully compatible and integrated with SCI Store.
Answer
The functionality of SCI store has an important role in the eHealth strategy. SCI Store is a key product in the national eHealth Strategy. All territorial NHS boards and the Golden Jubilee National Hospital have implemented SCI Store. Implementation started in the lead board in 2001; the last board to implement did so from 2006. One board, NHS Tayside, has a compatible system to SCI store with integration links
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 31 July 2008
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Current Status:
Answered by Nicola Sturgeon on 22 August 2008
To ask the Scottish Executive what percentage of GPs use the Gpass primary care information technology system and what other systems are approved for use.
Answer
64% of GPs (68% of GP practices) currently use Gpass. Other systems that are approved for use are: InPS (Vision 3), EMIS (PCS) and Ascribe. Over 1,000 GPs (180 GP practices) have moved away from Gpass to a third party system over the last three years and a number of other practices have flagged their desire to move from Gpass.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 31 July 2008
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Current Status:
Answered by Nicola Sturgeon on 22 August 2008
To ask the Scottish Executive which NHS boards (a) have and (b) have not adopted the national information management and technology (IMT) system for accident and emergency and for those which have not, whether their systems are fully compatible with the national IMT system.
Answer
The EDIS system is a nationally procured system which is available to all boards. The boards currently using the accident and emergency (A&E) system (EDIS) are:
Borders Dumfries and Galloway Forth Valley Grampian Greater Glasgow (North and Clyde) Highland Lanarkshire Shetland Western Isles
The following NHS boards use an alternative A&E system:
Tayside uses Ascribe which has the same base functionality as EDIS and is integrated with local hospital systems and the SCI Store.
Ayrshire and Arran uses Ascribe and are currently upgrading sites. The new system will have links to SCI Store for patient demographics and results.
Fife uses Oasis which meets the core requirements of the national system and is fully integrated with local systems.
Greater Glasgow (Yorkhill, Southern General, Victoria) uses HIS Meditech which has the same base functionality as EDIS and is integrated with local hospital systems and the SCI Store.
Lothian uses a module of its Patient Management System (Trak Health) which is fully integrated with Lothian applications at all sites.
Orkney is planning to use Adastra''s out-of-hours system to support A&E activity.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 31 July 2008
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Current Status:
Answered by Nicola Sturgeon on 22 August 2008
To ask the Scottish Executive whether NHS Fife and NHS Greater Glasgow and Clyde are signed up to the eProcurement Scotland service.
Answer
NHS Fife are not currently signed up to the eProcurement Scotland. However, they do have a local solution for automating procurement transactions, which is extensively deployed.
NHS Greater Glasgow and Clyde are users of eProcurement Scotland. However, the full implementation is still to be rolled-out.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 31 July 2008
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Current Status:
Answered by Nicola Sturgeon on 22 August 2008
To ask the Scottish Executive whether all information management and technology systems approved for use in primary care are compatible with (a) out-of-hours service data systems, including NHS24, (b) accident and emergency data systems, (c) Scottish Care Information’s SCI Store, SCI Gateway and SCI Diabetes and (d) ePharmacy.
Answer
All GP IM&T Clinical systems operating in NHS Scotland need to be compliant with the Scottish Enhanced Functionality (SEF) requirements. All GP IM&T Clinical systems are compatible with the Emergency Care Summary (ECS) and send extracts of information on a daily basis.
(a) Out-of-hours (OOH) service data systems, including NHS24.
Links are in place between both the OOH and NHS24 systems and ECS to ensure the information is directly available to those users.
(b) Accident and emergency data systems.
Links are in place between accident and emergency systems and ECS to ensure the information is available to those users.
(c) Scottish Care Information.
(i) SCI Store - all GP IM&T Clinical systems are compatible with SCI Store
(ii) SCI Gateway - all GP IM&T Clinical systems are compatible with SCI Gateway
(iii) SCI Diabetes - all GP IM&T Clinical systems are compatible with SCI-DC and send diabetes information on a daily basis. Work is progressing to allow information to be passed back from SCI-DC to GP IM&T Clinical systems to facilitate the transfer of diabetic information from Acute to Primary Care services.
(d) ePharmacy.
All GP IM&T Clinical systems are compatible with the ePharmacy Acute Medication Services (AMS) and work is underway to complete rollout across all GP practices.
All GP IM&T Clinical systems are currently completing development stages to be able to demonstrate compatibility for the forthcoming ePharmacy Chronic Medication Service.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Friday, 01 August 2008
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Current Status:
Answered by Shona Robison on 21 August 2008
To ask the Scottish Executive, further to the ministerial statement on prescription charges on 5 December 2007 (Official Report, c 4063), what further consideration has been given to the implications for the minor ailments service when prescription charges have been abolished and whether this service will be extended to all patients.
Answer
We are not planning to extend the Minor Ailments Service to all patients when prescription charges are abolished, but do intend to ensure that the patient groups that currently qualify (e.g. children, the elderly and those currently exempt on low income grounds) continue to do so. We will also take the opportunity of the abolition of prescription charges in 2011 to consider whether there are any other modifications to the Minor Ailments Service that might be appropriate in the wider context of Better Health Better Care.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Friday, 01 August 2008
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Current Status:
Answered by Kenny MacAskill on 21 August 2008
To ask the Scottish Executive how many children aged under 16 have been admitted to Scottish Prison Service prisons in each of the last eight quarters.
Answer
I have asked Mike Ewart, Chief Executive of the Scottish Prison Service to respond. His response is as follows:
The number of children (aged over 14 and under 16) who were admitted to a Scottish Prison or Young Offenders Institution are shown in the following table.
| | Time Period of Interest | Number of Under 16s |
| 2006 | Quarter 1: 01-01-06 to 31-03-06 | 11 |
| | Quarter 2: 01-04-06 to 30-06-06 | 7 |
| | Quarter 3: 01-07-06 to 30-09-06 | 15 |
| | Quarter 4: 01-10-06 to 31-12-06 | 1 |
| 2007 | Quarter 1: 01-01-07 to 31-03-07 | 4 |
| | Quarter 2: 01-04-07 to 30-06-07 | 6 |
| | Quarter 3: 01-07-07 to 30-09-07 | 7 |
| | Quarter 4: 01-10-07 to 31-12-07 | 1 |
Source: Scottish Prison Service Prisoner Records System.
Note: Individuals can be admitted more than once.
Information for the first quarter of 2008 will not be available until after the publication of the final 2007-08 data in the Prison Statistics Scotland 2007-08 Bulletin on 29 August 2008. Data for the rest of 2008 are due to be published in 2009.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Friday, 01 August 2008
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Current Status:
Answered by Shona Robison on 21 August 2008
To ask the Scottish Executive what monitoring arrangements are in place for changes to the levels of prescribing and costs following the decision to reduce and eventually end prescription charges.
Answer
Arrangements have been put in place to monitor a range of factors including:
Trends in prescriptions that are exempt and paid for,
Volume of prescriptions dispensed,
Prescription pre-payment certificate sales,
Prescribing expenditure and
Trends in prescribing of specific drugs.
The data collected will allow assessment of the impact of the policy.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Wednesday, 06 August 2008
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Current Status:
Answered by Shona Robison on 21 August 2008
To ask the Scottish Executive, given that one of the main routes for delivery of cognitive behavioural therapy is to be by telephone through NHS 24 and given that the evidence base for this method of delivery is not yet strong, what steps it is taking to prove the efficiency of this modality against face-to-face or online therapy.
Answer
Our £3 million investment in the two pilot projects will focus on new innovative approaches to help those with anxiety and depression including telephone based cognitive behaviour therapy and guided self-help, as well as access to cognitive behaviour therapy on line. Part of the approaches to be tested will use a structured model of care supported by general practice and trained therapists.
The initiatives will explore and contribute to the evidence base of what works well in terms of access and care for service users and what proves effective in terms of overall outcomes and all steps will be taken to ensure the right patents are assessed and referred to this service through an algorithm designed by NHS 24.
The Scottish Government has already published timetabled targets on reducing anti depression prescribing and on increasing access to psychological therapies. We are also keen to see change through our published standards for integrated care and now see merit in investing this significant sum to test reaction and benefits from new ways of responding to those in need and to put them more in control of their condition.
