Chamber and committees

Homepod units cost £1,100 each and community pod units £7,000 each.

On the Isle of Bute, 15 homepods and one community pod are being provided at a total cost of £23,500. On the Isle of Luing, one homepod and one community pod are being provided at a total cost of £8,100. In Fife, no detailed breakdown is yet available but anticipated costs are £30,000.

All works in connection with the Beauly to Denny overhead line must be undertaken in accordance with the original application and with the Environmental Statement (including its Addenda). I do not anticipate that, in seeking to construct the new 400kV line, dismantle the existing 132kV line or comply with the various conditions of consent, the developers will require additional planning consents. However, until the developers come forward with detailed plans which are approved by Scottish ministers, it is not possible to state definitively whether any consents will be required, and if so, their nature.

If other statutory consents are required by legislation then they will have to be obtained by the developers. This is a normal and common occurrence in the planning and energy consenting process.

There is no definitive list of operations which relate to the specific treatment of fractures. The range of procedures which may be performed to treat fractures may also be performed for other clinical reasons. Thus, the precise number patients who undergo an operation to treat a fracture is not available from central records.

The numbers of hospital stays at which a fracture diagnosis and an operation which may be related to the fracture are recorded is shown in the table below. These data are broken down by NHS board of treatment and calendar month, for the latest available 12 month period.

Number of NHSScotland hospital stays where a fracture diagnosis and an operation which may be related to the fracture are recorded^1,2, by NHS board of treatment and month of discharge:

NHS Board of Treatment	Month of Discharge
	July 2008	August 2008	September 2008	October 2008	November 2008	December 2008
Ayrshire and Arran	161	137	115	122	122	184
Borders	36	29	31	33	17	33
Dumfries and Galloway	66	50	54	55	44	59
Fife	108	110	104	100	89	121
Forth Valley	98	87	95	80	73	77
Grampian	190	187	209	164	172	211
Greater Glasgow and Clyde	479	484	425	487	402	532
Highland	116	119	94	74	79	108
Lanarkshire	193	182	155	156	149	212
Lothian	361	290	301	263	279	339
Orkney	7	5	12	9	3	7
Shetland	5	8	7	9	7	13
Tayside	190	164	177	135	145	201
Western Isles	10	11	6	8	8	9
Scotland	2,020	1,863	1,785	1,695	1,589	2,106

 

NHS Board of Treatment	Month of Discharge
	January 2009	February 2009	March 2009	April 2009	May 2009	June 2009
Ayrshire and Arran	135	126	140	140	149	171
Borders	30	34	40	39	27	31
Dumfries and Galloway	43	43	41	59	56	56
Fife	83	96	125	92	95	119
Forth Valley	91	73	90	94	81	77
Grampian	207	183	176	185	200	179
Greater Glasgow and Clyde	414	431	463	472	456	539
Highland	80	88	94	105	122	115
Lanarkshire	172	166	165	188	187	182
Lothian	295	294	261	347	315	329
Orkney	6	4	5	9	7	10
Shetland	3	8	3	8	5	7
Tayside	139	133	166	175	143	171
Western Isles	7	9	11	6	8	6
Scotland	1,705	1,688	1,780	1,919	1,851	1,992

Source: ISD SMR01 linked catalogue.

Notes:

1. The following International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) codes have been used to identify fracture diagnoses: S02, S12, S22, S32, S42, S52, S62, S72, S82, S92, T02, T08, T10, T12, T14.2

Further details on ICD10 codes can be found at:

http://apps.who.int/classifications/apps/icd/icd10online/

2. The following Office of Population, Censuses and Surveys Classification of Surgical Operations and Procedures 4th revision (OPCS4) codes have been used to identify fracture-related operations: V01 “ V21, V22 “ V68 (excluding V26, V31, V33, V35, V47, V52 and V55), W01 “ W04, W05 “ W36 (excluding W09, W34 and W36), W37 “ W99 (excluding W72, W73, W74, W75, W76, W78, W79, W87, W88, W90 and W91), O06 “ O08, O10, O17 - O19, O21 - O27, O29, X48, X49.

Further details on OPCS4 codes can be found at:

http://www.connectingforhealth.nhs.uk/systemsandservices/data/clinicalcoding/codingstandards/opcs4/index.html.

The data shown in the table above relates to patients who are admitted to hospital. Patients who are treated in accident and emergency departments or fracture clinics are not included.

Centrally collected, validated statistics do not carry information on the reasons why scheduled operations or procedures are cancelled or delayed.

In the event that an operation or procedure is cancelled by the service, for whatever reason, the patient would be made a further, reasonable offer as soon as possible which should not be detrimental to the patient''s waiting time.

Official statistics relating to cancellations of outpatient attendances and inpatient/day case treatment are published as part of the quarterly update to the Waiting Times and Waiting Lists section of the Information Services Division''s (ISD) website (http://www.isdscotland.org/isd/3454.html).

The next publication is scheduled for 23 February 2010 and will include cancellation statistics up to the quarter ending 31 December 2009 derived from the National Waiting Times Data Warehouse.

The subsequent publication is scheduled for 25 May 2010 and will include statistics up to the quarter ending 31 March 2010.

The information requested is given in the following table. This provides the numbers of deaths where obesity was recorded either as the underlying cause of death or as a contributory factor.

The figures shown are probably an under-estimate of numbers of deaths from obesity-related illness, as obesity is a known risk factor in the development of a range of chronic diseases including coronary heart disease, some types of cancer, stroke and hypertension.

Deaths in Scotland Where Obesity Was Mentioned on the Death Certificate, 2004-08

NHS Board	Year of Registration of Death
	2004	2005	2006	2007	2008
Ayrshire and Arran	6	10	10	8	15
Borders	3	6	9	6	8
Dumfries and Galloway	11	9	11	5	7
Fife	7	8	15	8	10
Forth Valley	5	6	13	13	7
Grampian	7	10	8	8	11
Greater Glasgow and Clyde	19	22	29	25	32
Highland	9	14	17	10	13
Lanarkshire	12	11	20	28	20
Lothian	41	47	42	53	46
Orkney	1	0	0	2	3
Shetland	1	4	1	0	0
Tayside	17	10	17	14	16
Western Isles	0	1	0	1	1
All Scotland	139	158	192	181	189

Source: General Registry Office Scotland (GROS).

Note: Classification of obesity using 10th edition of the International Classification of Diseases (ICD10, code E66).

The following table shows the number of hospital admissions for patients aged under 16 as a result of intentional self-harm.

Caution is advised when interpreting the figures in this table. NHS boards may have different procedures in place for admitting cases of intentional self-harm and this may lead to a difference in rates of hospital admission between NHS board areas. Changing practices may also account for some of the variability within NHS board areas.

Number of hospital admissions¹ of patients aged under 16 due to intentional self-harm² by NHS board of residence, for discharge during years ending 31 March 1999-2009:

NHS Board of residence	1998-99	1999-2000	2000-01	2001-02	2002-03	2003-04	2004-05	2005-06	2006-07	2007-08	2008-09
Ayrshire and Arran	76	55	50	59	62	84	80	68	59	68	53
Borders	13	9	7	21	19	10	24	19	12	14	24
Dumfries and Galloway	18	20	21	13	12	11	6	17	17	24	25
Fife	55	48	44	59	68	69	33	46	44	62	56
Forth Valley	35	28	46	57	26	23	22	22	27	20	20
Grampian	69	71	89	121	122	109	105	99	72	72	90
Greater Glasgow and Clyde	177	162	143	147	130	133	90	72	89	104	91
Highland	49	22	35	32	40	35	33	42	52	39	39
Lanarkshire	45	62	68	73	68	73	45	62	43	39	34
Lothian	95	72	91	111	121	116	82	68	89	98	97
Orkney	-	*	*	*	*	*	-	-	*	*	*
Shetland	*	*	5	*	*	*	*	8	*	5	-
Tayside	65	67	94	73	54	47	29	44	51	37	27
Western Isles	-	*	6	*	7	12	5	*	*	*	*
Other3	*	*	*	*	6	*	*	*	-	*	*
Total	702	627	706	776	741	729	560	573	562	587	563

Source: ISD Scotland (SMR01).

Notes:

1. An episode is generated when a patient is discharged from hospital but also when a patient is transferred between hospitals, significant facilities, specialties or to the care of a different consultant. Therefore a single patient admission may lead to multiple episodes of care.

2. Admission due to intentional self-harm is identified by the following ICD-10 codes recorded in any secondary diagnosis position: X60-X84.

3. Other includes patients resident outwith Scotland, of no fixed abode and unknown residency.

- zero value.

* suppressed value.

The following table shows the number of hospital admissions for patients aged 16 and over as a result of intentional self-harm.

Caution is advised when interpreting the figures in this table. NHS boards may have different procedures in place for admitting cases of intentional self-harm and this may lead to a difference in rates of hospital admission between NHS board areas. Changing practices may also account for some of the variability within NHS board areas.

Number of hospital admissions¹ of patients aged 16 and over due to intentional self-harm² by NHS board of residence, for discharge during years ending 31 March 1999-2009:

NHS Board of Residence	1998-99	1999-2000	2000-01	2001-02	2002-03	2003-04	2004-05	2005-06	2006-07	2007-08	2008-09
Ayrshire and Arran	1,356	1,349	1,308	1,491	1,526	1,497	1,345	1,365	1,248	1,311	1,119
Borders	333	296	280	356	377	369	370	342	291	375	332
Dumfries and Galloway	376	383	377	371	353	354	301	255	196	258	301
Fife	976	1,025	916	1,058	1,049	991	878	911	885	1,012	1,071
Forth Valley	814	851	758	834	838	714	562	568	551	604	596
Grampian	1,452	1,461	1,433	1,551	1,558	1,462	1,184	1,300	1,170	1,248	1,253
Greater Glasgow and Clyde	3,911	3,797	3,645	4,020	3,879	3,510	3,220	2,816	3,315	3,615	3,858
Highland	510	590	543	559	453	504	801	711	783	808	689
Lanarkshire	1,311	1,280	1,443	1,664	1,667	1,499	1,306	1,185	1,194	1,395	1,544
Lothian	2,798	2,826	1,502	1,792	2,858	2,605	2,175	2,175	2,443	2,949	2,339
Orkney	39	32	27	26	25	20	25	23	15	35	38
Shetland	58	43	77	36	56	66	69	59	60	42	44
Tayside	1,389	1,289	1,381	1,333	1,218	1,127	1,076	938	899	934	1,044
Western Isles	43	49	56	53	92	66	88	75	83	78	75
Other3	244	316	205	240	219	174	149	158	150	164	166
Total	15,610	15,587	13,951	15,384	16,168	14,958	13,549	12,881	13,283	14,828	14,469

Source: ISD Scotland (SMR01).

Notes:

1. An episode is generated when a patient is discharged from hospital but also when a patient is transferred between hospitals, significant facilities, specialties or to the care of a different consultant. Therefore a single patient admission may lead to multiple episodes of care.

2. Admission due to intentional self-harm is identified by the following ICD-10 codes recorded in any secondary diagnosis position: X60-X84.

3. Other includes patients'' resident outwith Scotland, of no fixed abode and unknown residency.

The Scottish Government Health Directorate (SGHD) and Health Protection Scotland (HPS) have worked closely with NHS boards on planning for the influenza A (H1N1) vaccination programme. This has included approval of local service delivery models at a national level, and the SGHD and HPS continue to have weekly engagement with NHS boards to monitor the progress of the vaccination programme.

NHS boards are responsible for managing the NHS partnership process within their local area and the workload of their staff involved in the delivery of the vaccination programme. NHS boards mainly used existing arrangements in place for the annual seasonal influenza vaccination programme.

The UK multiple sclerosis risk-sharing scheme for beta interferon and glatiramer acetate allows these treatments to be prescribed on the NHS in accordance with guidelines developed by the Association of British Neurologists. Around 12,000 patients across the UK are being treated under the scheme. Under the terms of the scheme a cohort of over 5,500 patients are monitored to assess their progress on treatment. The first two-year analysis of scheme data has been undertaken and has been published on the British Medical Journal website. This information can be accessed at:

http://www.bmj.com/cgi/content/full/339/dec02_1/b4677.

No formal assessment has been made. The UK risk-sharing scheme includes the beta interferon drugs (Avonex, Betaferon and Rebif) and glatiramer acetate (Copaxone). The availability of these drugs under the scheme does not preclude the prescribing of other drugs used in the treatment of multiple sclerosis. The choice of treatment for an individual patient is a matter for the clinical judgement of the specialist concerned.