- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 26 June 2008
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Current Status:
Answered by Shona Robison on 22 July 2008
To ask the Scottish Executive whether, in light of the withdrawal from Scotland of two of the three suppliers of portable oxygen and the difficulties experienced across Scotland in obtaining adequate supplies of lightweight, higher capacity oxygen cylinders with integrated regulators, what plans it has to review the Scottish procurement and pharmacy-based system which is completely different from other NHS regions in the United Kingdom.
Answer
I am currently considering the evidence gathered at this stage of the domiciliary oxygen therapy service (DOTS) review and am not yet in a position to announce decisions on the future shape of the Service. The review has been broad-ranging and has assessed a number of important issues.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Friday, 04 July 2008
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Current Status:
Answered by Nicola Sturgeon on 22 July 2008
To ask the Scottish Executive what guidance exists to help NHS boards identify ultra-orphan disease and provide adequate and effective care for patients who have been diagnosed with such disease.
Answer
I refer the member to the answer to question S3W-13896 on 16 June 2008. 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.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Friday, 04 July 2008
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Current Status:
Answered by Nicola Sturgeon on 22 July 2008
To ask the Scottish Executive what provision it has made to support access to treatment for patients with ultra-orphan disease.
Answer
I refer the member to the answer to question S3W-13894 on 16 June 2008. 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.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Friday, 27 June 2008
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Current Status:
Answered by Nicola Sturgeon on 21 July 2008
To ask the Scottish Executive which wards have been closed as a result of clostridium difficile, broken down by (a) hospital and (b) month since January 2008.
Answer
I refer the member to the answer to question S3W-14490 on 9 July 2008. 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.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Wednesday, 02 July 2008
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Current Status:
Answered by Shona Robison on 18 July 2008
To ask the Scottish Executive which hospitals offered primary angioplasty to suitable patients with a myocardial infarction in (a) 2006-07 and (b) 2007-08.
Answer
The information requested regarding primary percutaneous coronary interventions (PCI) is given in the following table.
| 2006-07 | 2007-08 |
| Aberdeen Royal Infirmary | Aberdeen Royal Infirmary |
| Glasgow Royal Infirmary | Glasgow Royal Infirmary |
| Hairmyres Hospital, Lanarkshire | Golden Jubilee National Hospital |
| Royal Infirmary of Edinburgh | Hairmyres Hospital, Lanarkshire |
| Western General Hospital, Edinburgh | Ninewells Hospital, Dundee |
| Western Infirmary Glasgow | Royal Infirmary of Edinburgh |
| | Western General Hospital, Edinburgh |
| | Western Infirmary Glasgow |
Source: Scottish Coronary Revascularisation Register.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 03 July 2008
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Current Status:
Answered by Shona Robison on 18 July 2008
To ask the Scottish Executive what funding has been made available to NHS for (a) 2008-09, (b) 2009-10 and (c) 2010-11.
Answer
The initial allocations for each health board for 2008-09 were:
| NHS Boards | 2008-09 £ Million |
| NHS Ayrshire and Arran | 546.7 |
| NHS Borders | 158.9 |
| NHS Dumfries and Galloway | 228.1 |
| NHS Fife | 479.7 |
| NHS Forth Valley | 375.5 |
| NHS Grampian | 646.3 |
| NHS Greater Glasgow and Clyde | 1,790.9 |
| NHS Highland | 459.6 |
| NHS Lanarkshire | 760.5 |
| NHS Lothian | 963.0 |
| NHS Orkney | 29.7 |
| NHS Shetland | 34.9 |
| NHS Tayside | 566.4 |
| NHS Western Isles | 55.2 |
| NHS Boards Total | 7,095.4 |
| Special Health Boards | |
| Scottish Ambulance Service | 183.4 |
| National Services Scotland | 247.1 |
| NHS 24 | 53.4 |
| The State Hospitals Board for Scotland | 33.7 |
| National Waiting Times Centre | 40.0 |
| NHS Education for Scotland | 361.7 |
| NHS Health Scotland | 17.3 |
| NHS Quality Improvement Scotland | 16.2 |
| Special Health Board Total | 952.8 |
| NHS Scotland Total | 8,048.2 |
In addition to the initial general allocation, boards will have access to additional funding that will be allocated throughout the year, including a number of health priorities as set out in the Scottish Budget.
Allocations for 2009-10 onwards have not yet been determined, as they are calculated according to a formula that will be updated at the start of each financial year. However, the total net funding earmarked for health boards in 2009-10 is £8,305.8 million and for 2010-11 is £8,571.6 million.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Thursday, 26 June 2008
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Current Status:
Answered by Shona Robison on 18 July 2008
To ask the Scottish Executive, in light of the decision to retain a full accident and emergency unit at Monklands Hospital, how many intensive care unit beds will be available; how many high dependency unit beds will be available; what arrangements are in place for managing admission of paediatric patients through Accident and Emergency; what level of twenty-four hour cover there is for the orthopaedic (trauma) emergencies team, and how many beds are available for trauma cases in or what alternative arrangements are in place.
Answer
Monklands Hospital has five staffed ITU beds which can flex up to six over the winter months and eight surgical HDU beds and two renal HDU beds within the site.
Paediatric patients that self-present to A&E are assessed on arrival by A&E staff and clinical assessments are made to determine the most appropriate management plan. This may include discharge, transfer to Wishaw General Paediatric inpatient facility or transfer to the paediatric services at Yorkhill hospital. A&E staff at Monklands will, where necessary stabilize the child prior to transfer. Children referred by GPs (at any time) are taken straight to Wishaw General Hospital. Where ambulance personnel determine the patient is a paediatric emergency, the patient will also be taken directly to Wishaw General Hospital.
Orthopaedic trauma is covered 24 hours per day. There are 30 orthopaedic trauma beds. Surgery is generally not carried out after 9pm, however, a full emergency team is available overnight to operate when required. Non-life threatening cases would be put on a “trauma” list for theatre the next day. This is in line with the national report from the Confidential Enquiry into Perioperative Deaths (CEPOD) and is the same practice on all three acute hospital sites in Lanarkshire.
In each case the service provision remains the same as it was pre-May 2007.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Wednesday, 02 July 2008
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Current Status:
Answered by Shona Robison on 18 July 2008
To ask the Scottish Executive what percentage of eligible patients received thrombolytic treatment for myocardial infarction within 60 minutes of a phone call in (a) 2006-07 and (b) 2007-08.
Answer
This information is not held centrally in the form requested.
Progress is being made with implementation of the web-based software system, SCI-CHD-ACS, developed as part of a national initiative to capture information on patients admitted to hospital with acute coronary syndromes (ACS), including myocardial infarction. The system does not as yet cover the whole of NHSScotland, but the data which are available suggest that, in calendar year 2007, 70.3% of those who had had an ST elevation myocardial infarction (STEMI) received thrombolysis within 60 minutes of arriving at hospital.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Wednesday, 02 July 2008
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Current Status:
Answered by Shona Robison on 18 July 2008
To ask the Scottish Executive how many patients with a myocardial infarction received primary angioplasty in (a) 2006-07 and (b) 2007-08, also broken down by hospital.
Answer
The information requested is provided in the following table.
Number of Primary PCIs
| Hospital | 2006-07 | 2007-08 |
| Aberdeen Royal Infirmary | 26 | 43 |
| Glasgow Royal Infirmary | 64 | 77 |
| Golden Jubilee National Hospital | - | 18 |
| Hairmyres Hospital, Lanarkshire | 33 | 46 |
| Ninewells Hospital | - | 5 |
| Royal Infirmary of Edinburgh | 135 | 348 |
| Western General Hospital, Edinburgh | 29 | 10 |
| Western Infirmary Glasgow | 95 | 109 |
| Total | 382 | 656 |
Source: Scottish Coronary Revascularisation Register.
- Asked by: Dr Richard Simpson, MSP for Mid Scotland and Fife, Scottish Labour
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Date lodged: Wednesday, 02 July 2008
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Current Status:
Answered by Shona Robison on 18 July 2008
To ask the Scottish Executive what percentage of primary angioplasties were carried out in hospitals within 90 minutes of arrival at hospital in (a) 2006-07 and (b) 2007-08.
Answer
The information requested is not available centrally. However, a recent study of a hybrid programme of pre-hospital thrombolysis and primary PCI in NHS Lothian has demonstrated very positive results, with median ECG to primary PCI balloon times of 48 minutes.
As a result of the NHS Lothian pilot, and in line with the recommendations in SIGN Guideline 93 on Acute Coronary Syndromes, the roll-out of primary PCI across Scotland is now being discussed by NHSScotland’s Regional Planning Groups.
